Plenty of questions remain following the announcement this week that The Sequoia Project has been designated as TEFCA’s RCE

Earlier this week, industry stakeholders got a key health IT policy question of theirs answered when the Office of the National Coordinator for Health IT (ONC) named The Sequoia Project as the organization that will be the Recognized Coordinating Entity (RCE), and which will manage and oversee Qualified Health Information Networks (QHINs) under the Office of the National Coordinator for Health IT’s Trusted Exchange Framework and Common Agreement (TEFCA).

For months, as health IT observers anxiously awaited the release of TEFCA’s second draft, which was finally released in June, rumors about which group would make for the right choice to serve as RCE concurrently began to ramp up. Part of the second draft’s release included a $900,000 funding announcement for a nonprofit RCE in year one, with funding in additional years contingent upon availability of funds and satisfactory completion of milestones.

In the eyes of many, The Sequoia Project—originated in 2012 to advance healthcare interoperability, and which has managed the eHealth Exchange, which has become the largest health information network in the U.S., as well as supporting the Carequality initiative—felt like a natural fit. “Sequoia seemed to be the consensus likely choice, so this wasn’t a surprise. Most are eager to see what’s next and how this will advance interoperability,” says Dan Golder, principal at the Illinois-based consulting firm Impact Advisors.

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