Is Your Organization Ready for TEFCA?
Health information networks, including the the eHealth Exchange, are preparing for the launch of the Office of the National Coordinator for Health IT’s (ONC) Trusted Exchange Framework and Common Agreement, also known as TEFCA, in 2023.
As a candidate TEFCA QHIN, we’re ready to help HIEs, health systems, digital health platforms, and others who want to connect to the federally-endorsed TEFCA network.
What Does TEFCA Mean For Your Organization?
The TEFCA is designed to scale EHI exchange nationwide and help ensure that health care providers, HINS, health plans, individuals, and many more stakeholders have secure access to their electronic health information when and where it is needed.
Currently, participation in TEFCA will be voluntary. The benefits of TEFCA as outlined by the RCE include the expected benefits of interoperability:
- Improved care
- Improved care coordination
- Patient access to health information
- Data for value-based and population health management
Many eHealth Exchange network participants report these benefits today, in addition to streamlined disability determinations, simplified public health reporting, and reduced time and cost to connect with new data exchange partners. The RCE also predicts that TEFCA participants will see reduced hassle and cost of having to participate in multiple health exchange initiatives, though TEFCA is not meant to replace existing networks today.

TEFCA Resources for eHealth Exchange Participants
TEFCA Terms and Conditions
Protocols
- Coming Soon
On the Road to QHIN Designation
eHealth Exchange is moving quickly to pursue QHIN designated status. Follow our application journey as we share updates below:
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Pioneering Network Participants To Pursue TEFCA
Thank you to the pioneering network participants who have announced intentions to be among the first participants in eHealth Exchange’s anticipated QHIN, once eHealth Exchange completes the application process and is selected to serve as a QHIN under the ONC’s TEFCA.
These pioneers represent an intent to participate in our candidate QHIN from 12 HIEs: AK, AZ, CA, CO, CT, DC, IA, IN, MD, NE, VA, and WV.
Interested in joining us to expand access and connectivity to a broad range of organizations, public and private?
The eHealth Exchange Can Help
eHealth Exchange has applied for TEFCA on behalf of its network members. The eHealth Exchange is closely following the work of the RCE and ONC, and implementing anticipated information technology and policies to be in the best position to become a Qualified Health Information Network (QHIN). This means eHealth Exchange anticipates a seamless addition of the TEFCA for its members that choose to opt-in when it becomes available.
In the meantime, eHealth Exchange participants are already enjoying the time and money saving advantages for a nationwide, secure health information network with innovative use cases.
Have Questions About TEFCA and eHealth Exchange?
Have questions regarding TEFCA, or eHealth Exchange’s involvement in becoming a QHIN? Click the button below and contact us with your questions.

What is TEFCA? TEFCA outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that would help establish a floor for universal interoperability and a federally endorsed on-ramp for nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs).
The non-profit The Sequoia Project was selected in 2019 to be the Recognized Coordinating Entity (RCE) responsible for developing, implementing, and maintaining the TEFCA in collaboration with ONC.

