Leading Health Systems Pledge to Join TEFCA

Updated 1/20/2025

Health systems across the U.S. are pledging to join a nationwide health information sharing framework called Trusted Exchange Framework and the Common Agreement (TEFCA). TEFCA is a public-private partnership authorized in the 21^st Century Cures Act, a bipartisan congressional initiative to advance interoperability across the country. 

The health systems that have pledged to join TEFCA include some of the most renowned and respected medical organizations in the U.S. and span from large hospitals to safety nets. These health systems already use Epic’s interoperability tools to advance information sharing and have pledged to use Epic’s software to share health information through the emerging TEFCA framework.

“By joining TEFCA, these health systems reaffirm their ongoing commitment to improving patient care by advancing health information exchange,” said Matt Doyle, Interoperability Software Development Lead at Epic. “Our plan is to deliver software this year that will help our customers to be among the initial participants in TEFCA, and we’re optimistic that nearly all of the 2,000 hospitals and 600,000 clinicians that use Epic across the U.S. will participate.”

“Stanford Health Care is excited to join the nationwide TEFCA framework. We have long supported regional partnerships to promote data sharing for treatment and our North California partners have been trailblazers in national interoperability as early participants in the Carequality Framework,” said Dr. Matthew Eisenberg, Associate CMIO at Stanford Health Care, one of the pledging hospitals. “We are excited about the vision of a simpler if not single on-ramp to secure, national health information exchange that will benefit all of our patients and providers.”

Epic TEFCA Interoperability Services was among the first set of applicants accepted to continue to the testing phase of the QHIN Designation process under TEFCA in February. Making TEFCA a reality is the next step in Epic’s long history of pioneering interoperability.

In 2008, Epic’s provider community began using Care Everywhere, the first interoperability platform of its kind. Today, providers use Care Everywhere to exchange 14 million full patient charts daily, and half of those exchanges occur with organizations using other vendor systems.

In 2014, Epic was a founding member of the Carequality framework with support from the broader healthcare community and federal government stakeholders. Today, 100% of Epic’s U.S.-based hospital and clinic customers participate in Carequality.

Starting in 2018, Epic collaborated with the Office of the National Coordinator for Health IT (ONC), The Sequoia Project as the Recognized Coordinating Entity (RCE), and the broader healthcare community to refine the principles and policies of TEFCA, and was the first EHR to announce its intent to join TEFCA last spring.

Live Organizations: 96 Health Systems Representing 631 Hospitals and 12,018 Clinics

• Advocate Aurora Health
• Altru Health System
• AnMed
• Ardent
• Atrium Health
• Ballad Health
• Baptist Health (Jacksonville, FL)
• Baptist Memorial Health Care
• Boulder Community Health
• Broward Health
• CarolinaEast Health System
• Cheyenne Regional Medical Center
• Columbus Regional Health
• Community Health Network
• Community Medical Centers
• Conemaugh Health System
• Corewell Health
• Covenant HealthCare
• Dayton Children’s Hospital
• Denver Health
• El Rio Health
• Emory Healthcare
• EngleWood Hospital and Medical Center
• Erlanger Health
• Franciscan Missionaries of Our Lady Health System, Inc.
• Hamilton Health Care System
• Hattiesburg Clinical and Forrest County General Hospital
• Health Ventures of Central Iowa
• Hennepin Healthcare
• Hospital Sisters Health System (HSHS)
• Hurley Medical Center
• Illinois Bone and Joint, LLC
• Intermountain Health
• Kelsey-Seybold Clinic
• JPS Health Network
• Jupiter Medical Center
• Lakeland Regional Health
• Legacy Health
• Licking Memorial Health Systems
• M Health Fairview
• Mayo Clinic
• McLeod Health
• Mercy Medical Center
• Mercyhealth
• Methodist Le Bonheur Healthcare
• MetroHealth (OH)
• Montage Health
• Monument Health
• NCH Healthcare System
• New Jersey Urology
• North Memorial Health
• Northeast Georgia Health System
• NYC Health and Hospitals
• OptumCare
• Orlando Health
• OrthoVirginia
• OSF HealthCare
• Pacific Dental Services
• Parkview Health
• Pikeville Medical Center
• Powers Health
• Presbyterian Healthcare Services
• Reid Health
• RWJBarnabas Health
• Saint Francis Health System
• Saint Francis Healthcare System
• Saint Luke’s Health System (MO)
• Salem Health
• Sansum Clinic
• Singing River Health System
• Skagit Regional Health
• South Georgia Medical Center
• Southeast Health
• Spartanburg Regional Healthcare System
• St Jude Children’s Research Hospital
• St. Charles Health System, Inc.
• Stanford Children’s Health
• Stanford Health Care
• Stormont Vail Health
• Tampa General Hospital
• Texas Health Resources
• The Guthrie Clinic
• The Portland Clinic
• TriHealth
• UK Healthcare
• UMass Memorial Health
• United Regional Health Care System
• UnityPoint Health
• University Health
• University of Arkansas for Medical Sciences
• University of Chicago Medical Center
• University of Kansas Health System
• UTHealth Houston
• UW Medicine
• VHC Health
• WellSpan Health

Pledging Organizations: 219 Health Systems Representing 1,687 Hospitals and 36,958 Clinics

• Access Community Health Network
• Acumen Physician Solutions, LLC
• AdventHealth
• Akron Children’s
• Alameda Health System
• Allegheny Health Network
• Allina Health System
• Altais
• AltaMed
• Arkansas Children’s
• Asante Health System
• Atrius Health
• Baptist Health
• Baptist Healthcare System
• Bassett Healthcare
• Baton Rouge General
• Bayhealth Medical Center
• Baylor College of Medicine
• Baylor Scott & White Health
• Benefis Health System
• Beth Israel Lahey Health
• BJC HealthCare & Washington University
• Bon Secours Mercy Health
• Boston Children’s Hospital
• Bronson Healthcare Group
• Bryan Health
• Buffalo Medical Group
• Cape Cod HealthCare
• Cape Fear Valley Health System
• Care New England
• Carle
• Carilion Clinic
• CaroMont Health
• Catholic Health (Buffalo)
• Catholic Health (Long Island)
• Cedars-Sinai Health System
• CentraCare
• Central Ohio Primary Care Physicians
• Charlotte Eye Ear Nose & Throat Associates
• Children’s Healthcare of Atlanta
• Children’s Hospital Colorado
• Children’s Nebraska
• Children’s of Alabama
• Children’s Wisconsin
• Children’s Health
• CHRISTUS Health
• Cincinnati Children’s Hospital Medical Center
• City of Hope
• Cleveland Clinic
• CommonSpirit Health National
• Community Technology Cooperative
• Cone Health
• Confluence Health
• Connecticut Children’s
• Contra Costa Health
• Cooper University Health Care
• Dartmouth Health
• Deaconess Health System
• Duke University Health System
• ECU Health
• Eisenhower Health
• El Camino Health
• Emplify Health
• Endeavor Health
• Enloe Medical Center
• EPIC Management (Beaver Medical Group)
• Essentia Health
• EvergreenHealth
• Family Care Network
• FastMed
• FirstHealth of the Carolinas
• Franciscan Alliance, Inc.
• Genesis Healthcare System
• Greater Baltimore Medical Center
• Group Health Cooperative – South Central Wisconsin
• GW University Medical Faculty Associates
• Hackensack Meridian Health
• Harris Health System
• Hawaii Health Systems Corporation
• Hawaii Pacific Health
• Health Choice Network
• Health First, Inc
• HealthPoint
• Henry Ford Health
• Hill Physicians Medical Group
• HonorHealth
• Houston Methodist
• Illinois Bone & Joint Institute
• Infirmary Health System
• Inova Health System
• Jefferson Health
• Johns Hopkins Medicine
• Kaiser Permanente – National
• Kaiser Permanente – Washington
• Kennedy Krieger Institute
• Kettering Health
• KeyCare
• Lancaster General Hospital
• LCMC Health
• Lee Health
• Leon Medical Centers
• Lifespan
• Loma Linda University Medical Center
• Luminis Health
• MaineHealth
• Mary Washington Healthcare
• MediSys Health Network
• Memorial Healthcare System
• Memorial Health Services (MemorialCare)
• Memorial Hermann
• Mercy
• Mercy Health Services (MD)
• Meritus
• Methodist Hospitals (IN)
• Michigan Medicine
• Middlesex Health
• Midwestern University
• Mount Sinai Health System
• MultiCare Health System
• MyMichigan Health
• Nemours
• New York Consortium
• NOMS Healthcare
• North East Medical Services
• North Oaks Health System
• North Mississippi Health Services
• Northwestern Medicine
• Norton Healthcare
• Novant Health New Hanover Regional Medical Center
• NYU Langone Health
• OCHIN
• Ochsner Health System
• Ohio Department of Mental Health and Addiction Services
• Oklahoma Heart Hospital
• Olmsted Medical Center
• One Brooklyn Health
• OU Health
• Overlake Hospital Medical Center
• Parkland Health
• PeaceHealth
• Pediatric Physicians’ Organization at Children’s
• Phelps Health
• Piedmont Healthcare
• Pine Rest Christian Hospital
• Premier Health
• Premise Health
• Prime Healthcare
• Prisma Health
• ProHealth
• ProMedica
• Providence
• QuadMed
• Reliant Medical Group
• Renown Health
• Riverside Health System
• Riverside Medical Center
• Riverside Medical Clinic
• Rush University Medical Center
• Salinas Valley Health
• Sanford Health
• San Ysidro Health
• SBH Health System
• Seattle Children’s Hospital
• Sentara Health
• Shannon Health
• Southcoast Health
• Southern Illinois Healthcare
• South Shore Health System
• Stamford Health
• St Elizabeth Healthcare
• St Luke’s Health System (Idaho)
• St Luke’s University Health Network
• Sutter Health
• Summit Health
• Tallahassee Memorial Healthcare
• The Brooklyn Hospital Center
• The Ohio State University Wexner Medical Center
• The Queen’s Health System
• TidalHealth
• Tower Health
• Trinity Health
• Tucson Medical Center
• Tufts Medicine
• UC Davis Health
• UC Health
• UCHealth – Colorado
• UConn Health
• UCSF Health
• UI Health
• UMC Southern Nevada
• UNC Health Care System
• University Hospital
• University Hospital Cleveland
• University of Florida
• University of Iowa Health Care
• University of Louisville Physicians
• University of Maryland Medical System
• University of Miami
• University of Michigan Health-Sparrow
• University of Michigan Health-West
• University of Mississippi Medical Center
• University of Rochester Medical Center
• University of Texas MD Anderson Cancer Center
• University of Texas Medical Branch
• University of Toledo
• UPMC
• UT Health San Antonio
• UVA Health
• Valley Health Systems, Inc FQHC
• Valley Medical Center
• Valleywise Health
• Vanderbilt University Medical Center
• Waco Family Medicine
• WakeMed Health and Hospials
• Washington Hospital Healthcare System
• Watson Clinic
• Wellstar
• West Tennessee Healthcare
• WVU Medicine
• Yale New Haven Health System and Yale University

If your organization is interested in joining this list by pledging to join TEFCA, reach out to your Epic BFF.