Trusted Exchange Framework and Common Agreement

The overall goal for the Trusted Exchange Framework and Common Agreement (TEFCA) is to establish a floor of universal interoperability across the country. The Common Agreement will establish the infrastructure model and the governing approach for users in different networks to securely share basic clinical information with each other—all under commonly agreed-to expectations and rules and regardless of which network they happen to be in.

In August 2019, ONC awarded a cooperative agreement to The Sequoia Project to serve as the Recognized Coordinating Entity (RCE) to administer a new nationwide network based on the Common Agreement. Since then, ONC and the RCE have worked together to gather industry-wide stakeholder input to draft and refine the approach to enabling nationwide health information exchange across different health information networks. ONC and the RCE have released a timeline for completion of the Trusted Exchange Framework, Common Agreement Version 1, and Qualified Health Information Network (QHIN) Technical Framework (QTF) Version 1. Specifically, our goal is to have this new network open for participation in the first quarter (Q1) of calendar year 2022.

 

Timeline to Operationalize TEFCA

 

Recognized Coordinating Entity (RCE)

In 2019, ONC awarded a cooperative agreement to The Sequoia Project to serve as the Recognized Coordinating Entity (RCE) to develop, update, implement, and maintain the Common Agreement and the Qualified Health Information Network Technical Framework (QTF). Learn more about that announcement.

We encourage stakeholders to participate in the RCE’s future information sessions. You can keep apprised of these meetings by adding your name to the RCE’s contact list at RCE.SequoiaProject.org.

Third Year Funding for the TEFCA Recognized Coordinated Entity (RCE)

The Sequoia Project plays a critical role in bringing depth and breadth of market expertise, experience, and trust to the RCE's role of governing health information network exchange through the Common Agreement. ONC is has awarded a new round of funding of $942,000 to The Sequoia Project under the RCE cooperative agreement to support RCE activities from August 2021 to August 2022.

Content last reviewed on July 13, 2021
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