The Road Ahead for TEFCA®

Operationalizing and Maturing TEFCA

In 2026–2027, TEFCA’s strategic focus is building the foundational framework components already established to advance more effective, consistent, and scalable network operations nationwide. 

Roadmap at a Glance

Conceptual milestone groupings. Activities are illustrative and may span multiple periods.

Nov - Dec 2026
Jan - Mar 2027
Apr - Jun 2027
Jul - Aug 2027

Expected Workplan Areas

Technical Requirements & Security

Operations & Implementation

Implementation Guidance & Readiness
Infrastructure Upgrades

Framework Documents & Governance

Oversight & Compliance
Framework Document Updates and Development
Timeline

Framework Documents and Governance

This timeline is illustrative and currently reflects work that has an anticipated schedule. It will be iteratively updated throughout the year as additional work items mature.

 

Framework Documents & Governance

TEFCA Governance SOPVersion 2.0
Caucus Comment Caucus Deliberations Vote
Compliance & Oversight SOPCompliance & Enforcement, Inquiries & Investigations, Restricted Participation List, Dispute Resolution
Caucus Deliberations Vote
Treatment XP Implementation SOPVersion 3.0 · Treatment for Non-CE Health Care Providers
Scope & Landscape Policy Dev. Caucus Comment Caucus Vote
Government Benefits Determination SOPVersion 2.0
Policy Dev. Caucus Deliberations Comment Caucus Vote
Public Health XP Implementation SOPVersion 3.0
Policy Development Caucus Deliberations Public Comment Caucus Deliberations Vote
Healthcare Operations & Payment XP Implementation SOPVersion 3.0
Scope & Landscape (ONC Workgroup Meetings) Policy Development
TEFCA Security Incident Reporting SOPVersion 2.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote
QHIN Security Requirements for the Protection of TEFCA Information SOPVersion 3.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote
QHINs, Participants, and Subparticipant Additional Security Requirements SOPVersion 2.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote

Disclaimer: This timeline is illustrative and reflects anticipated phases and timing. The process may involve additional iteration, coordination, and revisions between stages, and timelines are subject to change. Select a phase in the legend to highlight it.

Operations & Implementation

IAS Implementation Workgroup
QHIN coordination for FHIR and SAARRA advancement
QHIN coordination and performance monitoring
Ongoing
Directory and vetting site enhancements
Testing for policy and technical updates

Initiatives and timing are illustrative and reflect current planning assumptions.

Technical Requirements & Security

TEFCA Technical RoadmapFHIR and bulk
QTF updates
Technical Trust Requirements Document
Security of TEFCA infrastructureSupported by the Cybersecurity Council

Initiatives and timing are illustrative and reflect current planning assumptions.

Policy & Governance

TEFCA Governance SOPVersion 2.0
Caucus Comment Caucus Deliberations Vote
Compliance & Oversight SOPCompliance & Enforcement, Inquiries & Investigations, Restricted Participation List, Dispute Resolution
Caucus Deliberations Vote
Treatment XP Implementation SOPVersion 3.0 · Treatment for Non-CE Health Care Providers
Scope & Landscape Policy Dev. Caucus Comment Caucus Vote
Government Benefits Determination SOPVersion 2.0
Policy Dev. Caucus Deliberations Comment Caucus Vote
Public Health XP Implementation SOPVersion 3.0
Policy Development Caucus Deliberations Public Comment Caucus Deliberations Vote
Healthcare Operations & Payment XP Implementation SOPVersion 3.0
Scope & Landscape (ONC Workgroup Meetings) Policy Development
TEFCA Security Incident Reporting SOPVersion 2.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote
QHIN Security Requirements for the Protection of TEFCA Information SOPVersion 3.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote
QHINs, Participants, and Subparticipant Additional Security Requirements SOPVersion 2.0
Policy Dev. Caucus Deliberations Public Comment Caucus Deliberations Vote

Disclaimer: This timeline is illustrative and reflects anticipated phases and timing. The process may involve additional iteration, coordination, and revisions between stages, and timelines are subject to change. Select a phase in the legend to highlight it.

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