Opportunity knocks for NIH researchers, who will be able to leverage clinical data from electronic health record (EHR) systems with increased frequency and consistency. The passage of the 21st Century Cures Act (Cures Act) has charted a path toward increasing access to and interoperability of electronic health information for clinical care. This, in turn, has paved the way to leverage relevant policies, systems, and infrastructure to accelerate research. In parallel, researchers have been challenged to make data from a single research study,

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Over the past decade, ONC has worked with health information technology (health IT) developers, standards development organizations, healthcare providers, patient advocates, health information exchange (HIE) administrators, state public health agencies, and other stakeholders to advance an interoperable health IT infrastructure across the country. ONC has also worked to expand access to health IT solutions across the care continuum to support medical specialty care and sites of service.

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When our communities face a health crisis, the research, clinical, and public health worlds come together and collaborate. Public health programs drive toward prevention, diagnosis, and treatment of the population, but they need the support and guidance of data-driven research behind them every step of the way. While most of the data needed to accelerate research, and clinical and public health delivery come from traditional sources—such as clinical encounters and lab tests—data feeds from nontraditional sources ,

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Have you ever found yourself asking any of the following questions?

• What advances are needed in application programming interfaces (APIs) to support faster, better and more scalable access to health information?
• What technical underpinnings would support future nationwide, trusted exchange?
• How can technology seamlessly interoperate across the continuum of care?
• How can data standards evolve to support expanding needs of healthcare?

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In August 2019, the Office of the National Coordinator for Health IT (ONC) awarded a cooperative agreement to The Sequoia Project to serve as the Recognized Coordinating Entity (RCE) to support implementation of the Trusted Exchange Framework and Common Agreement (TEFCA). The Sequoia Project has made great strides in meeting the goals and objectives outlined in the Notice of Funding Opportunity. To keep this momentum going, ONC has committed approximately $1.1 million in year-two funding to our cooperative agreement with The Sequoia Project.

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