Opportunities for Community Engagement

RCE Stakeholder Sessions

The RCE and ONC host public stakeholder sessions for input as the TEFCA is developed and implemented. Below are future events and links to materials presented at past events.

Upcoming Events

2024 TEFCA RCE Monthly Informational Call
Third Tuesday of Each Month | 12:00 p.m. – 1:00 p.m. ET

REGISTER NOW (register once for the entire 11-meeting series)

The Recognized Coordinating Entity® (RCE) will host a public informational call as an opportunity to share information about the progress to-date. An anticipated agenda will be shared in advance each month.

Registrations for the 2023 series are automatically transferred to the new 2024 series, though the hyperlink to join the call is changed each year. Please check your email for your new login information for 2024.

Anticipated agenda each month:

  • January 16, 2024:
    • How Will Exchange Work Under TEFCA? 
    • What Are The Components of TEFCA? 
    • TEFCA is Live!
    • TEFCA is Looking to The Future
      • Educational Resources and Upcoming Events
    • Questions & Answers
    • Download Slides | Watch Recording
  • February 20, 2024:
    • Trusted Exchange Framework and Common AgreementSM (TEFCASM) Basics
    • Common Agreement Version 2.0 and Related Documents
    • Timeline and Feedback
    • Educational Resources and Upcoming Events
    • Questions and Answers
    • Download Slides | Watch Recording
  • March 19, 2024:
    • Trusted Exchange Framework and Common AgreementSM(TEFCASM) Basics
    • Policy Development Timeline
    • Summary of Feedback Received
    • FHIR Early Production Approach
    • Educational Resources and Upcoming Events
    • Questions and Answers
    • Download Slides | Watch Recording
  • April 16, 2024
    • Trusted Exchange Framework and Common AgreementSM (TEFCASM) Basics
    • Common Agreement Version 2.0 and Participant/Subparticipant Terms of Participation (ToP) Updates and Timeline
    • Draft TEFCA Explainer
    • Educational Resources and Upcoming Events
    • Questions and Answers
    • Download Slides | Watch Recording
  • May 21, 2024:
    • Trusted Exchange Framework and Common Agreement (TEFCA) Basics
    • Common Agreement Version 2.0 and Participant/Subparticipant Terms of Participation (ToP) Updates and Timeline
    • Timeline
    • Educational Resources and Upcoming Events
    • Questions and Answers
    • Download Slides | Watch Recording
  • June 18, 2024:
    • TBD
  • July 16, 2024:
    • TBD
  • August 20, 2024:
    • TBD
  • September 17, 2024:
    • TBD
  • October 15, 2024:
    • TBD
  • November 19, 2024
    • TBD
  • December 2024: No Meeting

REGISTER NOW

Upcoming Stakeholder Education Calls
Tuesday, January 9, 2024 | 12:00 p.m. – 1:00 p.m. ET
Tuesday, January 16, 2024 | 12:00 p.m. – 1:00 p.m. ET

REGISTER NOW

Additional stakeholder education series coming in January 2024. Details to be announced.

Past Events and Presentations

HIMSS24

March 11 – 15, 2024 | Orlando, FL 

Join the ONC and RCE teams for presentations and panels throughout HIMSS. Then join us for informal discussions at our office hours, where our policy and technical experts will be on hands to answer your questions and discuss all things TEFCA.

See All ONC/RCE TEFCA events at HIMSS24

RCE Webinars on Draft Documents Released for Feedback on January 19, 2024

Public Webinar #1 
Tuesday, January 23 | 12:00 p.m. – 1:30 p.m. ET
View Slides | View Recording

Public Webinar #2 
Tuesday, January 30 | 12:00 p.m. – 1:30 p.m. ET
View Slides | View Recording

Public Webinar #3 
Friday, February 2 | 1:00 p.m. – 2:00 p.m. ET
View Slides | View Recording

These are the topics that will be covered during these sessions:

  • Webinar 1: Overview of goals, key changes, timeline, and comment process
  • Webinar 2: Drill down on draft Common Agreement Version 2 and draft Terms of Participation
  • Webinar 3: Drill down on new and revised SOPs, including Exchange Purpose (XP) Implementation SOPs

ONC Annual Meeting

Thursday, December 14-15th | Washington, DC

The sold out ONC Annual Meeting will open with TEFCA Live! A Celebration on  Thursday, December 14 from 8:30 – 11:30 am ET. 

Find the detailed agenda for the meeting and live stream select sessions at https://www.oncannualmeeting.com/

QHIN Designation Ceremony

Tuesday, December 12th | 9:00 a.m. – 10:00 a.m. ET

On Tuesday, December 12, HHS will recognize the first organizations to become designated Qualified Health Information NetworksTM (QHINsTM) under TEFCASM. Following the signing ceremony, the organizations will officially be able to begin TEFCA exchange.

At this event, HHS Secretary Xavier Becerra, Deputy HHS Secretary Andrea Palm, National Coordinator for Health IT Micky Tripathi, and other federal leaders will recognize these organizations for their willingness to voluntarily step up and meet the demanding eligibility requirements, terms, and conditions of TEFCA participation.

The event will be live-streamed at https://hhs.gov/live

2023 TEFCA RCE Monthly Informational Call
Third Tuesday of Each Month | 12:00 p.m. – 1:00 p.m. ET

The Recognized Coordinating Entity
® (RCE) will host a public informational call as an opportunity to share information about the progress to-date. An anticipated agenda will be shared in advance each month.

Registrations for the 2022 series are automatically transferred to the new 2023 series, though the hyperlink to join the call is changed each year. Please check your email for your new login information for 2023.

Anticipated agenda each month:

  • January 17, 2023:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • TEFCA Facilitated FHIR Implementation Guide – Pilot Version
    • Revised Onboarding & Designation SOP and Application – Stakeholder Feedback
    • Draft QHIN, Participant, and Subparticipant Additional Security Requirements SOP – Stakeholder Feedback
    • Future Use Cases
      • Payment and Health Care Operations
      • Public Health
    • Questions & Answers
    • View Slides | View Recording
  • February 21, 2023:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • HHS TEFCA Event 2/13/2023 Debrief
    • Status Updates
    • Interoperability & CMS Rules
    • Future Use Cases
      • Public Health
    • Questions & Answers
    • View Slides | View Recording
  • March 21, 2023:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • Status Updates
      • Onboarding & Designation
      • TEFCA Facilitated FHIR Implementation Guide Testing
    • Use Case Updates
      • Payment & Healthcare Operations
      • Public Health
    • Questions & Answers
    • View SlidesView Recording 
  • April 18, 2023
    • Cancelled due to HIMSS
  • May 16, 2023:
    • How will Exchange Work under TEFCA?
    • What are the TEFCA Components?
    • Status Updates
      • HIMSS
      • Onboarding & Designation
      • TEFCA Facilitated FHIR Implementation Guide Testing
      • Payment & Healthcare Operations
      • Public Health
      • Common Agreement v2
    • Questions & Answers
    • View Slides | View Recording
  • June 20, 2023:
    • How will Exchange Work under TEFCA?
    • What are the TEFCA Components?
    • Status Updates
      • Onboarding & Designation
      • Healthcare Operations
      • Public Health
      • TEFCA Facilitated FHIR Implementation Guide Testing
      • Common Agreement v2
      • QTF v2
    • Questions & Answers
    • View Slides | View Recording
  • July 18, 2023:
    • Cancelled
  • August 15, 2023:
    • How will Exchange Work under TEFCA?
    • What are the Components of TEFCA?
    • Status Updates
      • Onboarding & Designation
      • Common Agreement v2
      • QTF v2
      • Exchange Purpose Implementation SOP Updates
      • Facilitated FHIR Implementation Guide
    • Questions and Answers
    • View Slides | View Recording
  • September 19, 2023:
    • How will Exchange Work under TEFCA? 
    • What are the Components of TEFCA? 
    • Status Updates
      • Onboarding & Designation
      • Common Agreement v2
      • QTF v2
      • Exchange Purpose Implementation SOP Updates
      • Facilitated FHIR Implementation Guide
    • Questions & Answers
    • View Slides | View Recording
  • October 17, 2023:
    • How will Exchange Work under TEFCA?
    • What are the Components of TEFCA?
    • Status Updates
      • Onboarding & Designation
      • Common Agreement v2
      • QTF v2
      • Exchange Purpose Implementation SOP Updates
    • Questions & Answers
    • View Slides | View Recording
  • November 21, 2023
    • How will Exchange Work under TEFCA?
    • What are the Components of TEFCA?
    • Status Updates
      • Onboarding & Designation
      • Timeline
    • Common Agreement v.1.1
    • TEFCA at the ONC Annual Meeting
    • ONC RCE Frequently Asked Questions
    • Educational Resources and Upcoming Events
    • Questions & Answers
    • View Slides | View Recording
  • December 2023: No Meeting

HL7 FHIR Connectathon

TEFCA Facilitated FHIR Implementation Guide Testing

HL7 FHIR Connectathon | September 9 – 10, 2023 | Phoenix, AZ 

LEARN MORE  The HL7 FHIR Connectathon has a dedicated track for TEFCA-Facilitated FHIR Implementation Guide Testing. This will build on the previous IHE Connectathon, and includes defined clinical scenarios. All organizations interested in supporting the implementation of FHIR utilizing UDAP for Dynamic Registration are welcome to participate, particularly candidate QHINs, those thinking of applying to be a QHIN, and those thinking of applying to be a Participant or Subparticipant of a QHIN and who expect to be leveraging Facilitated FHIR when it is available. To register and learn more visit the HL7 site: https://confluence.hl7.org/display/FHIR/2023+-+09+TEFCA+Facilitated+FHIR

HL7 FHIR Connectathon

TEFCA Facilitated FHIR Implementation Guide Testing

HL7 FHIR Connectathon | May 6 – 7, 2023 | New Orleans, LA 

LEARN MORE  The HL7 FHIR Connectathon has a dedicated track for TEFCA-Facilitated FHIR Implementation Guide Testing. This will build on the IHE Connectathon from March, and includes defined clinical scenarios. All organizations interested in supporting the implementation of FHIR utilizing UDAP for Dynamic Registration are welcome to participate, particularly candidate QHINs, those thinking of applying to be a QHIN, and those thinking of applying to be a Participant or Subparticipant of a QHIN and who expect to be leveraging Facilitated FHIR when it is available. To register and learn more visit the HL7 site: https://confluence.hl7.org/display/FHIR/2023+-+05+TEFCA+Facilitated+FHIR#id-202305TEFCAFacilitatedFHIR-Zulipstream

HIMSS23

Note: The April Monthly Informational Call is cancelled due to these in-person events.

Driving Interoperability in
2023: CURES, TEFCA, and Information Blocking

Monday, April 17 | 11:15 a.m. – 12:15 p.m. CT

LEARN MORE | REGISTER FOR HIMSS

The long-awaited Trusted Exchange Framework and Common Agreement (TEFCA) is live and exchange partners are signing up. Hot on its heels comes rules from the Office of the National Coordinator for Health IT to prevent Information Blocking as required by the 21st Century Cures Act signed into law
in 2016. These rules provide for unprecedented financial penalties for entities that, “prevent, discourage, or interfere with the access, exchange, or use of [health] information.” Complying with these new rules is a challenge for many health information exchange partners. Our panel will explore the intricacies of
compliance and outline the evolving compliance landscape.

ONC TEFCA Update From the RCE

Tuesday, April 18 | 1:30 p.m. – 2:30 p.m. CT

LEARN MORE | REGISTER FOR HIMSS

In 2018, the Office of the National Coordinator for Health Information Technology (ONC) announced a vision for a single on-ramp for nationwide connectivity for heath information exchange. In 2019, ONC awarded The Sequoia Project, and sub-contractors including Carequality, a cooperative agreement to serve as the Recognized Coordinating Entity (RCE) to help achieve that vision of a “network of networks.” The RCE is responsible for developing, updating, implementing, and maintaining the Common Agreement component of the Trusted Exchange Framework and Common Agreement (TEFCA). The Common Agreement will create the baseline technical and legal requirements for health information networks to share electronic health information and is part of the 21st Century Cures Act (Cures Act). The speakers will review the current scope and requirements of the TEFCA and the progress made by the RCE in collaboration with ONC, to include the Common Agreement and the Qualified Health Information Network (QHIN) Technical Framework. Opportunities for stakeholder and community input will be presented.

Views from the Top:
Enabling the Digital Healthcare System of the Future:
An Exclusive Discussion with HHS Leaders

Tuesday, April 18 | 4:15 p.m. – 5:15 p.m. CT

LEARN MORE | REGISTER FOR HIMSS

Join U.S. Department of Health & Human Services Deputy Secretary Andrea Palm and National Coordinator for Health IT Micky Tripathi for a discussion about the department’s health IT priorities and continued efforts to enable the digital health care system of the future with information sharing as a standard of care and business. This important conversation will highlight key department-wide priorities such as health IT alignment, health equity, behavioral health, and more.

TEFCA’s Approved QHIN Applicants – Progress Toward Nationwide Interoperability Go-Live

 Wednesday, April 19 | 11:30 a.m. – 12:30 p.m. CT

LEARN MORE | REGISTER FOR HIMSS

The 21st Century Cures Act required the Office of the National Coordinator for Health Information Technology to develop or support the Trusted Exchange Framework and Common Agreement (TEFCA). The Sequoia Project, selected by ONC as the TEFCA Recognized Coordinating Entity (RCE), opened the Qualified Health Information Network (QHINs) application on October 3, 2022. This panel discussion with ONC, the RCE, and representatives from the first approved QHIN applicants will discuss the status of the onboarding process and vision for the future.

Securing TEFCA: Security Practices Promoting Nationwide Health Information Exchange

Thursday, April 20 | 11:30 a.m. – 12:30 p.m. CT

LEARN MORE | REGISTER FOR HIMSS

This session describes security considerations for the Trusted Exchange Framework and Common Agreement (TEFCA). TEFCA security includes the governance of the TEFCA network, security requirements for Qualified Health Information Networks (QHINs), and flow-down requirements from the Common Agreement which affect Participants, Subparticipants, and Individual Access Service providers. Additionally, the QHIN Technical Framework (QTF) includes important technical security provisions for enabling secure and trusted connectivity services between QHINs.

TEFCA Event with HHS Secretary Becerra 

Monday, February 13, 2023 | 11:00 a.m. – 12:30 p.m. ET

On Monday, February 13, HHS recognized the first set of applicant organizations that are approved for onboarding as Qualified Health Information Networks (QHINs) under TEFCA. Following this approval, the organizations will officially begin the onboarding process and, if successful, will be designated as QHINs. At this event, HHS Secretary Becerra recognized these organizations for their willingness to voluntarily step up and meet the demanding TEFCA eligibility requirements, terms, and conditions of TEFCA participation. These organizations committed to meeting a 12-month go-live timeline. The event was live-streamed at https://hhs.gov/live.

View Recording

Trusted Exchange Framework and Common Agreement Update for the Public Health Community

The 21st Century Cures Act directed the Office of the National Coordinator for Health IT (ONC) to develop or support the TEFCA, which outlines a common set of principles, terms, and conditions to enable nationwide exchange of electronic health information across disparate health information networks. The Sequoia Project serves as the TEFCA Recognized Coordinating Entity (RCE) and is charged with developing, updating, implementing, and maintaining the Common Agreement and stewarding the Qualified Health Information Network (QHIN) Technical Framework, which is the technical specification for how QHINs connect to one another. Version 1 of the TEFCA, released in January of 2022, authorizes six exchange purposes— Treatment, Payment, Health Care Operations, Individual Access Services, Public Health, and Government Benefits Determination. 

The goal of this presentation is for ONC, the RCE and CDC to help the public health community understand the importance of TEFCA and the public health exchange purpose, the value it will bring to their agency or organization and how to get involved. At the end of this presentation, participants will be able to:

  • Describe the concepts of TEFCA
  • Explain the benefits of public health participation in TEFCA
  • Understand the timeline, process and need for the development of Standard Operating Procedures (SOP) for the public health exchange purpose under TEFCA
  • Understand how the TEFCA SOP for the public health exchange purpose will align with existing public health implementation guides 
  • Identify opportunities for public health agencies to prepare for and participate in TEFCA

For more information on TEFCA please see: https://rce.sequoiaproject.org/.

View Slides | View Recording

2022 TEFCA RCE Monthly Informational Call
Third Tuesday of Each Month | 12:00 p.m. – 1:00 p.m. ET

The Recognized Coordinating Entity (RCE) will host a public informational call as an opportunity to share information about the progress to-date. An anticipated agenda will be shared in advance each month. 

Anticipated agenda each month:

  • January 18, 2022:
    • Opening Remarks by National Coordinator for Health IT Micky Tripathi
    • TEFCA Overview
    • What are the components of TEFCA?
    • What are the Exchange Purposes under TEFCA and how do they work?
    • How do you become a QHIN?
    • How will TEFCA be operationalized?
    • Questions & Answers
    • View Slides  |  View Recording
  • February 15, 2022:
    • How will exchange work under TEFCA?
    • Questions from previous webinars
    • Upcoming Educational Events
    • Questions & Answers
    • View Slides  |  View Recording 
  • March 15, 2022:
    • Cancelled
  • April 19, 2022:
    • How will TEFCA work
    • What are TEFCA components?
    • How will TEFCA be operationalized?
    • Transition of legal counsel
    • Status of SOPs
    • Exchange Purposes SOP
    • Testing Approach
    • Security of TEFCA Information – Security Certification
    • Questions & Answers
    • View Slides | View Recording
  • May 17 2022:
    • How will TEFCA work?
    • What are TEFCA components?
    • How will TEFCA be operationalized?
    • Status of SOPs
    • Recently released SOPs
      • Types of Entities that can be a Participant/Subparticipant
      • QHIN Application
      • Onboarding and Designation SOP
      • Updated Security of TI with Security Certification List
    • Questions and Answers
    • View Slides | View Recording
  • June 21, 2022:
    • How will exchange work under TEFCA?
    • What are the TEFCA components?
    • Timeline to operationalize TEFCA
    • Benefits of TEFCA
    • SOP Status & release schedule
      • Recently released SOPs and resources
    • Payment and health care operations stakeholder input process
    • Questions and Answers
    • View Slides | View Recording
  • July 19, 2022:
    • How will Exchange Work under TEFCA
    • What are TEFCA Components?
    • Timeline to Operationalize TEFCA
    • Questions received during or after June monthly call
    • Recently Released SOPs and Resources
    • Payment and Health Care Operations Stakeholder Input Process
    • SOP Status & Release Schedule
    • View Slides | View Recording
  • August 16, 2022:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components
    • Timeline to Operationalize TEFCA
    • Questions & Answers: Part 1
      • Questions received during or after July monthly call
    • SOP Status & Release Schedule
      • Recently Released SOPs and Resources
    • Payment and Health Care Operations Stakeholder Input Process
    • Questions & Answers: Part 2
      • Questions received during August monthly call
    • View Slides | View Recording
  • September 20, 2022: *Note: This meeting will take place from 4 p.m. – 5 p.m. ET*
    • Remarks by Micky Tripathi, ONC, National Coordinator for Health IT
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • Timeline to Operationalize TEFCA
    • Questions & Answers: Part 1
      • Questions received during or after August monthly call
    • SOP Status & Release Schedule
      • Recently Released SOPs and Resources
    • Testing Documentation & Tools
    • Payment and Health Care Operations Stakeholder Input Process
    • Questions & Answers: Part 2
      • Questions received during September monthly call
    • View Slides | View Recording
  • October 18, 2022:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • Timeline to Operationalize TEFCA
    • Questions & Answers: Part 1
      Questions received during or after September monthly call
    • SOP Status & Release Schedule
    • TEFCA Facilitated FHIR Implementation Guide and Pilot
    • Future Use Cases
      • Payment and Health Care Operations
      • Public Health
    • Questions & Answers: Part 2
      Questions received during October monthly call
    • View Slides | View Recording 
  • November 15, 2022:
    • How will Exchange Work under TEFCA?
    • What are TEFCA Components?
    • Questions & Answers: Part 1
      • Questions received during or after October monthly call
    • TEFCA Facilitated FHIR Implementation Guide and Pilot
    • Future Use Cases
      • Payment and Health Care Operations
      • Public Health
    • Questions & Answers: Part 2
  • December 2022: No Meeting

**We apologize in advance for any technical difficulties that may occur as virtual meeting services like GoToWebinar may be experiencing unusually high activity. We appreciate your patience.**

Prospective QHIN Office Hour Sessions

Every Tuesday in October

The RCE is hosting office hour sessions for organizations who have submitted their intent to apply. The RCE will share the registration with those organizations.

  • October 4 | 12:00 – 1:00 p.m. ET
  • October 11 | 12:00 – 1:00 p.m. ET
  • October 18 | 2:00 – 3:00 p.m. ET
  • October 25 | 1:00 – 2:00 p.m. ET

TEFCA Payment & Healthcare Operations Stakeholder Input Webinar

Tuesday, October 11, 2022 | 1:00 – 2:00 p.m. ET

View Slides  |  View Recording

The RCE is hosting a public webinar to gather stakeholder input on development of the Payment and Healthcare Operations Exchange Purpose SOP.

Prospective QHIN Office Hour Session

The Recognized Coordinating Entity (RCE) will host a public office hour session every week this month as an opportunity for stakeholders to participate in Q&A. 

*We apologize in advance for any technical difficulties that may occur as virtual meeting services like GoToWebinar may be experiencing unusually high activity. We appreciate your patience.

RCE Deep Dive: QHIN Application, Onboarding, and Designation Process

Monday, September 19, 2022 | 11:00 a.m. – 2:00 p.m. ET

View Slides | View Recording

The Recognized Coordinating Entity (RCE) will host a 3-hour deep dive webinar focusing on QHIN eligibility and the application, onboarding, and designation process. There will be opportunities for stakeholders to participate in Q&A. 

Draft QHIN Onboarding and Designation SOP & Draft QHIN Application Overview
Wednesday, May 25, 2022 | 3:00 p.m. – 5:00 p.m. ET

View Slides | View Recording

The Recognized Coordinating Entity (RCE) will share an overview of the draft Qualified Health Information Network (QHIN) Onboarding and Designation Standard Operating Procedure (SOP) and draft QHIN Application released on May 16, 2022.

The webinar will provide an overview of the draft application and draft SOP, which propose the process and specific requirements for QHIN onboarding and designation. Details will be provided on how applicants would satisfy the QHIN eligibility criteria and the testing process.
This meeting will provide prospective QHINs and other interested stakeholders an opportunity to share their support, concerns, and ideas. Stakeholders are also encouraged to provide feedback via the online form here:

View Slides | View Recording

ONC Annual Meeting 

Thursday, April 14 | 11:00 a.m. – 12:00 p.m. ET

TEFCA: A Security Discussion with the RCE

Join ONC’s Trusted Exchange Framework and Common Agreement (TEFCA) Recognized Coordinating Entity (RCE) for an overview of the published security and privacy policies, as well as those still under consideration.

Learn More

Common Agreement Workshop for Prospective QHINs:
Part 3

April 6, 2022 | 1:00 – 3:00 p.m. ET

View Slides | View Recording

The Common Agreement Workshop for Prospective QHINs that began on March 10, 2022 will continue with Part 3 on April 6, 2022.

The Recognized Coordinating Entity (RCE) will host an intensive workshop on the Common Agreement, Standard Operating Procedures (SOPs), and QHIN eligibility criteria. This interactive, 2-hour event is a continuation of the Workshop on March 10th and March 24th. This event is intended only for prospective Qualified Health Information Networks (QHINs) and their health IT vendors as they prepare to apply to become QHINs.

View Slides | View Recording

Common Agreement Workshop for Prospective QHINs:
Part 2

March 24, 2022 | 12:30 – 2:30 p.m. ET

View Slides | View Recording

The Common Agreement Workshop for Prospective QHINs that began on March 10, 2022 will continue with Part 2 on March 24, 2022.

The Recognized Coordinating Entity (RCE) will host an intensive workshop on the Common Agreement, Standard Operating Procedures (SOPs), and QHIN eligibility criteria. This interactive, 2-hour event is a continuation of the Workshop on March 10th and intended only for prospective Qualified Health Information Networks (QHINs) and their health IT vendors as they prepare to apply to become QHINs.

*The QHIN Technical Framework (QTF) Workshop originally scheduled for this date and time will be rescheduled.*

View Slides | View Recording

HIMSS22

Trusted Exchange Framework and Common Agreement (TEFCA) Update

March 14, 2022 | 8:45 – 9:45 a.m. ET | Learn More

RCE Updates on ONC TEFCA

March 15, 2022 | 12:00 – 1:00 p.m. ET | Learn More

Driving a New Era of U.S. Interoperability with TEFCA

March 15, 2022 | 3:00 – 4:00 p.m. ET | Learn More

TEFCA Feedback Session #1

March 16, 2022 | 3:30 – 4:15 p.m. ET | Learn More

TEFCA Feedback Session #2

March 16, 2022 | 4:30 – 5:15 p.m. ET | Learn More

Common Agreement Workshop for Prospective QHINs

March 10, 2022 | 12:00 – 4:00 p.m. ET

View Slides | View Recording

The Recognized Coordinating Entity (RCE) will host an intensive workshop on the Common Agreement Version 1, Standard Operating Procedures (SOPs), and QHIN eligibility criteria. This interactive, half-day event is intended only for prospective Qualified Health Information Networks (QHINs) and their health IT vendors as they prepare to apply to become QHINs.

View Slides | View Recording

QHIN Technical Framework and FHIR Roadmap Q&A

March 1, 2022 | 1:30 – 3:00 p.m. ET

View Slides | View Recording

The Recognized Coordinating Entity (RCE) will host an open question and answer session on the Qualified Health Information Network (QHIN) Technical Framework Version 1 (QTF) and FHIR Roadmap for TEFCA Exchange released on January 18, 2022. The virtual event will begin with the RCE addressing QTF questions submitted, but not answered, at prior events. Then the RCE will take live questions from attendees.

View Slides | View Recording

Common Agreement Q&A

February 22, 2022 | 2:00 – 3:30 p.m. ET

View Slides | View Recording

The Recognized Coordinating Entity (RCE) will host an open question and answer session on the Common Agreement Version 1 released on January 18, 2022. The virtual event will begin with the RCE addressing Common Agreement questions submitted, but not answered, at prior events. Then the RCE will take live questions from attendees.

View Slides | View Recording

A Closer Look at the Common Agreement

February 3, 2022 | 2:00 – 3:30 p.m. ET

Download Slides |  View Recording

The Recognized Coordinating Entity (RCE) will present an in-depth review of specific aspects of the final Common Agreement released on January 18, 2022. Anticipated topics for discussion include an overview of the standard operating procedures (SOPs) as well as the QHIN criteria. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the Common Agreement is implemented in 2022.

Download Slides  |  View Recording

Qualified Health Information Network Technical Framework Overview

February 2, 2022 | 1:15 – 2:45 p.m. ET

Download Slides  |  View Recording

The Recognized Coordinating Entity (RCE) will share an in-depth review of specific aspects of the Qualified Health Information Network Technical Framework (QTF) published on January 18, 2022. Anticipated topics for discussion include an overview of the framework as well the FHIR® roadmap. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the Common Agreement is implemented in 2022.

Download Slides  |  View Recording

Common Agreement Overview

January 26, 2022 | 1:00 – 3:00 p.m. ET

Download Slides  |  View Recording

The Recognized Coordinating Entity (RCE) will present a high-level overview of the final Common Agreement released on January 18, 2022. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the Common Agreement is implemented in 2022

Download Slides  |  View Recording  

2021 TEFCA RCE Monthly Informational Calls
Third Tuesday of Each Month | 12:00 p.m. – 1:00 p.m. ET

The Recognized Coordinating Entity (RCE) will host a public informational call as an opportunity to share information about the progress to-date. An anticipated agenda will be shared in advance each month.

  • January 19, 2021:
  • February 16, 2021:
  • March 16, 2021:
  • April 20, 2021:
  • May 18, 2021:
  • June 15, 2021:
    • RCE Status Update
    • QHIN Onboarding
    • RCE Metrics Development
    • TEFCA Value Proposition
    • Questions & Answers
    • View Slides  |  View Recording
  • July 20, 2021:
  • August 17, 2021:
  • September 21, 2021:
    • The monthly informational call will be extended to 90 mins to accommodate a TEFCA RCE Feedback Session: Elements of the Common Agreement Overview. Topics that day include: Overview; Cooperation and Nondiscrimination; Exchange Purposes and Related Definitions.
    • View Slides | View Recording
  • October 19, 2021:
  • November 16, 2021:
  • December 2021: No Meeting

Elements of the Common Agreement: Closer Look #3

Thursday, October 14, 2021 | 3:30 p.m. – 5:00 p.m. ET

View Slides  |  View Recording

*Topics Updated*

This public meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share an in-depth review of specific aspects of the Elements of the Common Agreement released on September 20, 2021. Anticipated topics for discussion include an in-depth review of: QHIN Designation and Eligibility Criteria. Qualified Health Information Networks (QHINs) will also have an opportunity to provide feedback related to specific questions the RCE staff have regarding the planned components of the final Common Agreement. This is also an opportunity for the public to share support, concerns, and ideas as the Common Agreement is finalized for implementation in 2022.

ONC’s Health IT Advisory Committee Meeting

Wednesday, October 13, 2021 | 10:00 a.m. – 1:00 p.m. ET

View Meeting Materials and Recording

The Health Information Technology Advisory Committee (HITAC) was established in the 21st Century Cures Act (Cures Act) and is governed by the provisions of the Federal Advisory Committee Act (FACA) which sets forth standards for the formation and use of federal advisory committees. The RCE presented to this committee at their October 13, 2021 meeting. 

Elements of the Common Agreement: Closer Look #2

Tuesday, October 5, 2021 | 3:00 p.m. – 4:30 p.m. ET

View Slides  |  View Recording

*Topics Updated* 

This public meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share an in-depth review of specific aspects of the Elements of the Common Agreement released on September 20, 2021. Anticipated topics for discussion include an in-depth review of: Individual Access Services; Governing Approach; Change Management; RCE Directory Service; and Fees. Qualified Health Information Networks (QHINs) will also have an opportunity to provide feedback related to specific questions the RCE staff have regarding the planned components of the final Common Agreement. This is also an opportunity for the public to share support, concerns, and ideas as the Common Agreement is finalized for implementation in 2022.

Elements of the Common Agreement: Closer Look #1

Wednesday, September 29, 2021 | 12:00 p.m. – 1:30 p.m. ET

View Slides  |  View Recording

This public meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share an in-depth review of specific aspects of the Elements of the Common Agreement released on September 20, 2021. Anticipated topics for discussion include an in-depth review of: Permitted Requests, Uses and Disclosures; Required Responses and Required Information (including Consent); and Privacy and Security. Qualified Health Information Networks (QHINs) will also have an opportunity to provide feedback related to specific questions the RCE staff have regarding the planned components of the final Common Agreement. This is also an opportunity for the public to share support, concerns, and ideas as the Common Agreement is finalized for implementation in 2022.

TEFCA RCE Feedback Session:
Elements of the Common Agreement Overview

Tuesday, September 21, 2021 | 12:00 p.m. – 1:30 p.m. ET

View Slides  |  View Recording

This stakeholder feedback meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share a high-level overview of the Elements of the Common Agreement released on September 20, 2021. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the Common Agreement is finalized for implementation in 2022.

This presentation will occur during the standard, monthly informational call on Tuesday, September 21st at Noon ET. If you are already registered for the monthly series, you do not need to re-register for this event.

Essential Elements of the QTF:

A Technical Overview

Wednesday, August 18, 2021 | 3:00 p.m. – 5:00 p.m. ET

View Slides  |  View Recording

This public input meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share an in-depth review of specific aspects of the revised draft Qualified Health Information Network Technical Framework (QTF) published on July 28, 2021. Anticipated topics for discussion include an in-depth technical review. Qualified Health Information Networks (QHINs) will also have an opportunity to provide feedback related to specific questions the RCE staff have regarding the planned components of the final QTF. This is also an opportunity for the public to share support, concerns, and ideas as the QTF is finalized for implementation in 2022.

HIMSS 2021

The Recognized Coordinating Entity (RCE) hosted two public informational sessions at HIMSS 2021. Recordings may be available via HIMSS.

TEFCA RCE Feedback Session: 

Qualified Health Information Network Technical Framework Overview

Wednesday, August 4, 2021 | 1:00 p.m. – 2:00 p.m. ET

This public input meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share a high-level overview of the revised draft Qualified Health Information Network Technical Framework (QTF) published on July 28, 2021. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the QTF is finalized for implementation in 2022.

View Slides  |  View Recording  

TEFCA RCE Monthly Informational Call

The Recognized Coordinating Entity (RCE) hosted a public informational call in 2020 as an opportunity to share information about the progress to-date.

Agenda each month of 2020:

  • April 21, 2020: Download SlidesView Recording
    • Common Agreement Work Group (CAWG) Update
    • QHIN Technical Framework (QTF) Update
    • Stakeholder Feedback Update
  • May 19, 2020: Download Slides | View Recording
    • Common Agreement Work Group (CAWG) Update
    • QHIN Technical Framework (QTF) Update
    • Metrics Update
  • June 16, 2020: Download Slides | View Recording
    • Common Agreement Work Group (CAWG) Update
    • QHIN Metrics and Operational Reports
    • Stakeholder Engagement Update and Value Proposition
  • July 21, 2020:  Download Slides | View Recording
    • ThinkTank is now closed.
    • Provide a high-level overview of recommended measure concepts and suggested timing for implementation and use of the metrics related to QHIN Operational Reporting.
    • Receive feedback related to specific questions the RCE staff have regarding the Metrics and Operational Reporting
    • Receive feedback related to specific questions the team will pose regarding the Common Agreement ARTCs.
    • Provide a method for stakeholders to submit unstructured feedback regarding additional or relevant considerations not discussed in the RCE’s plans for the ARTCs and Metrics.
  • August 18, 2020:  Download Slides  |  View Recording
    • Year 1 in Review (high level overview and lessons learned for each Milestone)
    • TEFCA Value Proposition
    • Year 2 Priorities
    • Interactive Q&A
  • September: Cancelled
  • October 20, 2020:  Download Slides  |  View Recording
    • RCE Status Update
    • Stakeholder Engagement:  TEFCA Value proposition statement for Health Information Networks (Download Fact Sheet  |  View Web Page)
    • Metrics: Additional Feedback Requested
      • Download Updated Metrics Recommendations
      • Adjustments to proposed metrics based on feedback gathered in July/August 2020.
      • Additional extended period of stakeholder feedback on updated metrics available now, October 20th through Friday November 20th, 2020.
      • ThinkTank is now closed.
    • ARTCs: Fees
  • November 17, 2020:  Download Slides  |  View Recording
    • QHIN Metrics Development
    • TEFCA Value Proposition
    • QHIN to QHIN Fee ARTCs

2020 ONC Tech Forum:
Structural, Process and Outcomes Measures for Networks Enabling Exchange through the Trusted Exchange Framework and Common Agreement (TEFCA)
August 11, 2020 | 3:15 p.m. – 4:30 p.m. ET 

View Recording  |  Download Slides 

Efforts are underway to implement the Trusted Exchange Framework and Common Agreement (TEFCA), which will facilitate exchange of electronic health information between Qualified Health Information Networks (QHINs) and their participants. During this session, the TEFCA Recognized Coordinating Entity (RCE), The Sequoia Project, will share an overview of recommended measure concepts and suggested timing for implementation and use of the metrics to assess the performance of QHINs and their role in enabling exchange nationally. Experts will provide input on the RCE’s proposed metrics, with time for audience questions, all of which will help inform the RCE’s final development of metrics for QHINs exchanging electronic health information under TEFCA.

TEFCA RCE Public Stakeholder Feedback Session: QHIN Technical Framework (QTF)

Wednesday, March 18th | 2:00 p.m. – 3:00 p.m. ET

Download Presentation Slides | View Recording

This public stakeholder feedback meeting will provide the Recognized Coordinating Entity (RCE) with an opportunity to share information about the progress to-date of the Qualified Health Information Network Technical Framework (QTF) development. This meeting will also provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to share their support, concerns, and ideas as the next iteration of the QTF is developed.

**We apologize in advance for any technical difficulties that may occur as virtual meeting services like GoToWebinar may be experiencing unusually high activity this week. We appreciate your patience.** 

TEFCA RCE Public Stakeholder Feedback Session:

Governance of Exchange Activities

Monday, March 16th | 2:00 p.m. – 3:00 p.m. ET

Download Presentation Slides  |  View Recording

This 60-minute public meeting will provide the RCE an opportunity to share information about the progress and direction of the Trusted Exchange Framework and Common Agreement (TEFCA) Additional Required Terms and Conditions (ARTCs) as related to governance of exchange activities. Prospective Qualified Health Information Networks (QHINs) and other interested stakeholders will have an opportunity to provide input regarding the governance functions contemplated for exchange activities under the Common Agreement.

TEFCA RCE Public Stakeholder Feedback Session:

Preserving the Stability of the QHIN Network

Wednesday, March 4th | 2:00 p.m. – 3:30 p.m. ET

Download Presentation Slides  |  View Recording

The Wednesday, March 4th, public meeting will provide the RCE an opportunity to share information about the progress and direction of the Trusted Exchange Framework and Common Agreement (TEFCA) Additional Required Terms and Conditions (ARTCs) as related to preserving the stability of the QHIN network. Prospective Qualified Health Information Networks (QHINs) and other interested stakeholders will have an opportunity to provide feedback to the RCE RCE to inform development of the next iteration of the ARTCs.

Common Agreement Work Group Application Q&A

Tuesday, February 25th | 3:00 p.m. – 4:00 p.m. ET

View Recording

The announcement of the Common Agreement Work Group (CAWG) has generated interest and dialogue among prospective Qualified Health Information Networks (QHINs) and others interested in applying for the Common Agreement Work Group. We have received multiple questions from prospective applicants on common themes which require specific responses. As we near the submission deadline for CAWG applications, we think it would be most efficient and helpful to host an interactive webinar to address these questions directly for all prospective applicants.

This public webinar is an opportunity for prospective Qualified Health Information Networks (QHINs) and others interested in applying for the Common Agreement Work Group to have questions answered regarding the application process. The RCE staff will be available to explain the review and selection process and answer any questions from the community.

In addition, we are extending the CAWG application deadline to Friday, 3/6/20 to allow sufficient time for applicants to review the revisions.

TEFCA RCE Public Stakeholder Feedback Session:

Exchange Operations ARTCs (Part 1 & 2)

Tuesday, February 18th | 2:00 p.m. – 3:30 p.m. ET  — Part 1
Wednesday, February 19th | 2:00 p.m. – 3:30 p.m. ET  — Part 1
Wednesday, February 26th | 2:00 p.m. – 3:30 p.m. ET — Part 2

*Due to popular demand, this TEFCA RCE Public Stakeholder Feedback Session: Exchange Operations ARTCs (Part 1 of 2) webinar is now occurring twice. Please plant to attend either February 18th or February 19th. The content will be the same.*

Download Presentation for Part 1 & 2 

View Recording for Part 1 (02.18.2020)  |  View Recording for Part 1 (02.19.2020)

View Recording for Part 2 (02.26.2020)

The 21st Century Cures Act directed the National Coordinator to develop or adopt a Trusted Exchange Framework and Common Agreement (TEFCA). ONC selected The Sequoia Project to serve as the TEFCA Recognized Coordinating Entity (RCE) that is responsible for drafting the Common Agreement that will support the exchange activities. The Common Agreement consists of three components, the Minimum Required Terms and Conditions (MRTCs), the Additional Required Terms and Conditions (ARTCs) and the Qualified Technical Framework (QTF). 
This series of Exchange Operations ARTCs public meetings will provide the RCE an opportunity to share information about the progress and direction of the Trusted Exchange Framework and Common Agreement (TEFCA) Additional Required Terms and Conditions (ARTCs) as it relates to exchange operations under the purview of the Common Agreement. Prospective Qualified Health Information Networks (QHINs) and other interested stakeholders will have an opportunity to express their support for specific ideas, or considerations that the RCE should bear in mind when developing the next iteration of the ARTCs.

Please note: There are two separate Exchange Operations ARTCs, requiring separate registrations. The content covered in each meeting will be different and stakeholders are encouraged to attend both.  

Public Stakeholder Feedback Session:
Summary of Disclosures 

Wednesday, February 12th | 2:00 p.m. – 3:00 p.m. ET

Download Presentation SlidesView Recording

This public stakeholder feedback meeting will provide the Recognized Coordinating Entity (RCE) an opportunity to share its analysis of the Trusted Exchange Framework and Common Agreement (TEFCA) Summary of Disclosures Requirements. ONC received numerous comments regarding the proposed Summary of Disclosures provisions and asked the RCE to do further research. The purpose of this webinar is to walk through that analysis and enlist stakeholder input regarding the options to inform the RCE’s recommendations to ONC on this important policy.  

ONC Annual Meeting Breakout Session

Monday, January 27th | 10:15 a.m. – 11:30 a.m. ET

Download Presentation Slides

Practical Considerations for the Common Agreement and Qualified Health Information Network Technical Framework

Members from the RCE team will share progress to date, highlighting key topics for stakeholder consideration and feedback as it relates to the Common Agreement and QHIN Technical Framework. As an interactive dialogue, the audience will be invited to share perspectives to inform the RCE’s and ONC’s work. 

Public Stakeholder Feedback Session:
QHIN Technical Framework (QTF)

Wednesday, December 11th | 3:00 p.m. – 4:00 p.m. ET

Think Tank is now closed.

Download Presentation Slides  |  View Recording

This initial public, stakeholder feedback meeting provided the RCE an opportunity to share information about the progress and direction of the Qualified Health Information Network Technical Framework (QTF) development, and provide prospective Qualified Health Information Networks (QHINs) and other interested stakeholders an opportunity to express their support for specific ideas, or concerns that the RCE staff should bear in mind when developing the next iteration of the QTF.

Objectives:

    1. Provide a high-level overview of the RCE’s plans related to the development of the QTF
    2. Receive feedback related to specific questions the RCE staff have regarding the planned components of the QTF.
    3. Provide a method for stakeholders to submit unstructured feedback regarding additional components of the QTF or relevant considerations not discussed in the RCEs high level QTF plan

The Sequoia Project Annual Meeting

Thursday, December 5th | Afternoon

Go To The Annual Meeting Landing Page

The Sequoia Project Annual Meeting included RCE and TEFCA related sessions for attendees featuring speakers from the RCE and the Office of the National Coordinator for Health IT. Visit The Sequoia Project Annual Meeting web page to view video recordings and download presentation slides.

RCE Kick-Off Webinar

Monday, October 7th | 4:00 p.m. – 5:00 p.m. ET

Download Presentation Slides  |  View Recording

Join the RCE and the Office of the National Coordinator for Health IT for our public kick-off of the Recognized Coordinating Entity (RCE). We will provide an overview of the Trusted Exchange Framework and Common Agreement (TEFCA) and the role of the new RCE.

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