The Sequoia Project Awarded Next Option Year for TEFCA RCE Contract as Network Surpasses 9,400 Connected Organizations
Vienna, VA – August 26, 2025 — The Sequoia Project will continue its role as the Recognized Coordinating Entity® (RCE®) for the Trusted Exchange Framework and Common Agreement™ (TEFCA™) after being awarded the next option year on its federal contract with the Department of Health and Human Services’ Assistant Secretary for Technology Policy (ASTP) and the Office of the National Coordinator for Health Information Technology (ONC).
The renewal comes as TEFCA reaches major adoption milestones. Today, the nationwide network connects more than 9,400 organizations across 44,000 sites through 10 Qualified Health Information Networks® (QHINs™). Since its December 2023 launch, participants have exchanged over 39 million clinical documents, signaling TEFCA’s growing role in advancing nationwide health data interoperability.
Sustaining Rapid Growth in Nationwide Interoperability
“The Sequoia Project’s RCE team is excited to continue supporting TEFCA’s rapid expansion and evolution,” said Mariann Yeager, CEO of The Sequoia Project and RCE Lead. “This past year was marked by tremendous growth, and today, TEFCA has 10 QHINs that represent more than 9,400 organizations nationwide. We look forward to seeing what the coming year brings as we work with the government and industry to expand TEFCA participation with new audiences and new exchange purposes.”
TEFCA’s Expanding Reach
- 10 live QHINs now serving as nationwide exchange hubs
- 9,400+ organizations connected, including QHIN participants and subparticipants
- 44,000+ sites nationwide enabled for secure data exchange
- 39 million documents shared since go-live in late 2023
An interactive participant map is available on the RCE website for stakeholders to track organizations actively engaged in TEFCA exchange.
