We are now well past the 22 year mark in our quest for healthcare interoperability. Under an executive order from president G W Bush (April 2004), the ONC was established and Dr. David Brailer was dubbed “America’s first Health Information Czar.” The Meaningful Use program was then born out of the HITECH Act and Merit-Based Incentive Payment System out of the MACRA legislation. And then information sharing from the CURES Act. And then the release of Trusted Exchange Framework and the Common Agreement (TEFCA). And now the CMS Interoperability Framework. All trying to move our healthcare system to the digital age, better outcomes, controlling and reducing costs, and patient access to their health data. It has not been an easy road and the debate of the journey will never end.
Industry and Contract News
C3HIE and THSA Create Texas’ Largest Interoperability Network
C3HIE, a leader in health information exchange (HIE) across Texas, announced that its statewide, bidirectional encounter data exchange with the Texas Health Services Authority (THSA) is now live, establishing the largest interoperability network in Texas through this collaboration.
Health systems on Epic are first to connect with the Social Security Administration through TEFCA
Customers of Epic are the first to share medical records with the Social Security Administration (SSA) through TEFCA, the federally sponsored interoperability network. Secure electronic exchange helps SSA make benefit determinations typically up to 50% faster, streamlining the process for Americans with disabilities.
eHealth Exchange Earns 2026 KLAS Points of Light Award for Advancing Digital Quality Measurement with Bulk FHIR
eHealth Exchange™, the nation’s oldest and largest health information network, announced it has received a 2026 Points of Light Award from KLAS Research. The recognition highlights a multi-stakeholder collaboration with the National Committee for Quality Assurance (NCQA), MultiCare Connected Care, and Cambia Health Solutions to implement regulated FHIR application program interfaces (APIs) for scalable Healthcare Effectiveness Data and Information Set (HEDIS) quality reporting.
Epic Introduces Health Alerts
Epic Research now monitors health conditions across the U.S. at the county level and publishes Health Alerts when elevated rates are detected. The alerts use statistical models applied to real-world medical records to detect when the rate of a health condition in a county is higher than expected. Each alert is reviewed by the Epic Research team before it is published.
eClinicalWorks and Sunoh.ai Empower Family Health Centers, 76-Provider FQHC, to Accelerate Efficiency and Improve Documentation Quality
eClinicalWorks®, the largest ambulatory cloud EHR, announced that Ferris Family Medicine, P.A., a Federally Qualified Health Center (FQHC) in Louisville, Kentucky, is using Sunoh.ai the AI-powered medical scribe, to streamline documentation and help its providers deliver high-quality patient care. The seamless integration with the eClinicalWorks EHR, which enables providers to improve patient interactions, simplify workflows, and boost overall efficiency, was a significant factor in FHC’s decision to implement Sunoh.ai.
Surescripts RxTransfer Saves Time for Pharmacists and Prescribers with Seamless Communication, Ensuring Patients Have Access to Needed Medications Without Delay
Surescripts®, a national health intelligence network, announced strong adoption of RxTransfer, including across 4,800 Walmart locations, enabling pharmacies nationwide to electronically transfer prescriptions quickly and accurately.
EarliPoint™ Health and Netsmart Partner to Expand Reach of Groundbreaking Autism Assessment Technology
Netsmart, an industry-leading provider of healthcare IT and services with purpose-built electronic health record (EHR) solutions for autism and intellectual and developmental disabilities (IDD), announces a new partnership with EarliPoint Health, developer of the first and currently only FDA-cleared early autism spectrum disorder (ASD) assessment and diagnosis technology1. Designed to help providers identify autism in children ages 16 months up to 8 years, the EarliPoint™ System uses an eye tracker to measure a child’s looking behavior while viewing a series of videos. This collaboration will enable Netsmart to offer the EarliPoint System directly to its client community, helping equip providers with groundbreaking technology that targets early identification and intervention.
KONZA Health Receives CMS Digital Health Network Designation
KONZA HEALTH has achieved designation as a CMS Aligned Network, a key part of the CMS Digital Health Ecosystem, advancing a shared framework for data and access that empowers people, improves care, and accelerates progress.
Kno2 And Its Connected Partner Community Showcase End-To-End Data Exchange Capabilities Spanning Provider, Patient, Payer, And Aligned Network Pledges At The CMS Health Technology Ecosystem National Showcase
Kno2, the company leading the future of healthcare communication with the nation’s most broadly connected healthcare network, announced that the Centers for Medicare & Medicaid Services (CMS) invited Kno2 and its Kno2 Connected partner community to present demonstrations across four pledge categories of the CMS Health Technology Ecosystem at a national showcase event on April 9, 2026, in Washington, D.C.
1upHealth Leads Industry in CMS-0057 Readiness with All Health Plan Customers Reporting Ahead of Deadline
1upHealth, a leader in health data interoperability, announced that it is the first interoperability solution provider to deploy all four APIs required by the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) to all customers. This enables its health plan customers to be the first in the nation to meet federal interoperability requirements a full eight months ahead of the final Jan. 1, 2027 deadline.
Spotlight on Community Networks
The Network for Regional Healthcare Improvement (NRHI) and the Strategic Health Information Exchange Collaborative (SHIEC) announced a formal affiliation between the two organizations to form a new organization named Civitas Networks for Health. The organization serves as a platform for local nonprofit health collaboratives and health information exchanges to grow and thrive. Read their latest news. Follow them @civitas4health.
Civitas2026 Annual Conference Sponsorship Prospectus Now Available
They are pleased to share that the 2026 Civitas Annual Conference Sponsorship Prospectus is now available! The Civitas Annual Conference brings together leaders from across the health data and health improvement ecosystem—including Health Information Exchanges (HIEs), Health Data Utilities (HDUs), Community Information Exchanges (CIEs), Regional Health Improvement Collaboratives (RHICs), public health organizations, quality improvement organizations, policymakers, and national partners, to advance collaboration and real-world implementation.
Introducing the First-Ever Civitas Networks for Health® Impact Report
They are proud to share the first-ever Civitas Networks for Health® Impact Report, highlighting the collective progress, growth, and real-world impact of our national networks.
Since their founding in 2021, Civitas has been built on a simple but powerful belief: local implementation, grounded in trusted relationships and strong data, drives national health improvement. In just a few years, that belief has grown into a network of more than 160 mission-driven organizations working across states and communities to strengthen health data exchange, collaboration, and decision-making.
State HIE News
South Dakota Health Link Rural Health Transformation
South Dakota Health Link is thrilled to announce it is releasing the Request for Applications (RFA) for the Digital Health Modernization and Technology Grant Program! This isn’t just a funding opportunity; it’s a high-speed upgrade for our state’s healthcare infrastructure. SD Health Link is putting the latest tech in the hands of those who care for our communities, ensuring that every South Dakotan benefits from a faster, smarter, and more connected health system.
WISHIN is Excited to Announce the Go-Live Date of August 3, 2026, for WISHIN 2.0
WISHIN is excited to announce the go-live date of August 3,2026, for the long-awaited WISHIN 2.0 launch. The new system will be made available to WISHIN customers in a staged rollout through the month of August. Details about the many benefits and enhancements will be on the WISHIN website soon.
Hires and Openings
Delaware Health Information Network
Delaware Health Information Network (DHIN) was the first live, statewide health information exchange in the nation. Launched in 2007, today it serves all of Delaware’s acute care hospitals and nearly 100% of the state’s medical providers. More than 14 million clinical results and reports are delivered through DHIN each year. There are over three million unique patients with results on DHIN, including patients from all 50 states. DHIN shares real-time clinical information to improve patient outcomes, eliminate the duplication of services and reduce the cost of healthcare. Check out their current opening for Chief Growth Officer.
VITL
Vermont Information Technology Leaders is seeking a Director of Client Services and Communications to join its leadership team and help advance its mission of improving health through secure data exchange across Vermont. This senior role will lead the organization’s client engagement strategy, oversee communications and external affairs, and guide a growing team focused on strengthening relationships with providers and stakeholders statewide. The position plays a critical role in shaping how VITL delivers value—from developing scalable service offerings and expanding provider participation to building a cohesive brand and communications platform. The Director will also serve as a key public-facing leader, representing VITL in Vermont and nationally while helping translate strategic priorities into operational impact. This is a unique opportunity for a leader with experience in healthcare, health IT, or client engagement to drive meaningful improvements in data sharing, collaboration, and health outcomes across the region.
healthEconnect Alaska
Hiring: Healthcare Engagement Specialist – healthEconnect Alaska is seeking an experienced healthcare professional who thrives on building relationships, supporting others, and driving healthcare efficiency. If you have at least five years of professional healthcare experience, a strong understanding of healthcare workflows, and a passion for whole-person care, they want to hear from you. View more information about the position.
Contexture
Contexture is a nonprofit organization that provides strategic, technical and administrative support to communities committed to advancing health through information sharing. As the leading health information exchange for Arizona and Colorado, Contexture is the largest health information organization in the western region. Check out all their current openings.
CIVHC (Center for Improving Value in Health Care)
The Center for Improving Value in Health Care (CIVHC) is an independent non-profit that equips partners and communities in Colorado and across the nation with the resources, services and unbiased data needed to improve health and health care. As the designated administrator of Colorado’s All Payer Claims Database (CO APCD), CIVHC oversees the collection of health care claims from Colorado’s public and private health care insurers and uses that information to promote price transparency, inform policy, advance health equity, conduct research, and much more. Check out their Current Openings.
Virginia Health Information
Virginia Health Information is seeking a Client Support Coordinator to join its team in Richmond, VA. This role plays a critical part in supporting VHI’s data programs, serving as a primary point of contact for data clients and helping manage the end-to-end data request and delivery process, including work with the All-Payer Claims Database (APCD). The position offers a unique opportunity to work at the intersection of data, operations, and client engagement, supporting communication between stakeholders and internal teams while helping ensure timely, effective service delivery. Ideal candidates will bring strong organizational skills, attention to detail, and an interest in healthcare data and analytics. This hybrid role is based in Richmond, VA, with applications due May 22, 2026. Interested candidates can submit a resume and cover letter to hr@vhi.org.
Upcoming Events
Civitas Annual Conference
When: September 22-24, 2026
Where: Crystal City VA
Event Page
Register coming soon.
Hashtag: #Civitas2026
They are pleased to share that the 2026 Civitas Annual Conference Sponsorship Prospectus is now available! The Civitas Annual Conference brings together leaders from across the health data and health improvement ecosystem—including Health Information Exchanges (HIEs), Health Data Utilities (HDUs), Community Information Exchanges (CIEs), Regional Health Improvement Collaboratives (RHICs), public health organizations, quality improvement organizations, policymakers, and national partners—to advance collaboration and real-world implementation.
2026 eHealth Exchange Annual Meeting
When: Tuesday, October 27, 2026
Where: Lost Pines Resort & Spa, Austin TX
Event Page
Register coming soon.
This year’s theme, Recharging the Connection, reflects the resilience required to advance nationwide interoperability and the importance of sustaining the people who power it. Healthcare transformation demands focus, endurance, and collaboration, and this gathering is designed to create space for both strategic dialogue and renewal.
The Sequoia Project Annual Meeting
When: October 28-29, 2026
Where: Lost Pines Resort & Spa, Austin TX
Event Page
Register Now
The Sequoia Project & Carequality 2026 Annual Meeting is the premier gathering of healthcare leaders, policy experts, and technology innovators dedicated to advancing nationwide health data exchange. This two-day event will bring together key stakeholders committed to shaping the future of trusted exchange.
ONC's Cures Act Final Rule
In May of 2020 the 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program released by the ONC and published in the Federal Register.
The TEFCA Players
ONC Recognized Coordinating Entity (RCE)
The Recognized Coordinating Entity (RCE) – The Sequoia Project (@sequoiaproject)is responsible for developing, implementing, and maintaining the Common Agreement component of the Trusted Exchange Framework and Common Agreement (TEFCA). The Common Agreement is 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).
In addition they will collaborate with ONC to designate and monitor Qualified Health Information Networks (QHIN), modify and update an accompanying QHIN Technical Framework, engage with stakeholders through virtual public listening sessions, adjudicate noncompliance with the Common Agreement, and propose sustainability strategies to support TEFCA beyond the cooperative agreement’s period of performance.
On August 28, 2023, the ONC awarded The Sequoia Project 5-Year TEFCA RCE Contract to continue their services.
RCE Resource Library – which includes a guide to the Common Agreement, Standard Operating Procedures (SOPs), technical documents, and other resources that make up TEFCA’s rules of the road. Start your journey to next generation interoperability here.
The Sequoia Project and Carequality Annual Meeting 2025
See keynote from CMS DOGE & ASTP Keynote ( Welcome & CMS DOGE & ASTP Keynote | Sequoia & CEQ Annual Meeting 2025 ), trusted exchange (Putting the Trust in Trusted Exchange | Sequoia & CEQ Annual Meeting 2025), CMS-Aligned Networks (CMS Aligned Networks | Sequoia & Carequality 2025 Annual Meeting),and more sessions, speakers and topics.
To review all of the recordings post event and see what everyone is talking about:
- Videos here and scroll down: The Sequoia Project
Designated QHINs as of February 2024
Interoperability Market
According to research by Grand View Research, the global healthcare interoperability solutions market size was estimated at USD 3.42 billion in 2023 and is projected to grow at a compound annual growth rate (CAGR) of 14.15% from 2024 to 2030. An increase in the adoption of interoperability solutions by healthcare authorities, a rise in investments to enhance healthcare facilities, favorable government initiatives to improve patient care, high government funding, and a focus on patient-centric care are some major factors propelling the market growth. In February 2023, the federal government provided USD 505 million to federal data partners and Canada Health Infoway to advance digital health tools and an interoperability roadmap. Thus, the rising investments and funding from government bodies are anticipated to drive the industry growth.










