Leading Health Systems Pledge to Join TEFCA

Updated 7/7/2025

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: 198 Health Systems Representing 1,237 Hospitals and 27,338 Clinics

• Access Community Health Network
• AdventHealth
• Advocate Aurora Health
• Alameda Health System
• Allegheny Health Network
• AltaMed
• Altru Health System
• AnMed
• Ardent
• Arkansas Children’s
• Aspen Valley Hospital
• Atrium Health
• Ballad Health
• Baptist Health (AR)
• Baptist Health (Jacksonville, FL)
• Baptist Memorial Health Care
• Baton Rouge General
• Beth Israel Lahey Health
• Bon Secours Mercy Health
• Boulder Community Health
• Bronson Healthcare Group
• Broward Health
• Brown University Health
• Buffalo Medical Group
• Cape Cod HealthCare
• Cape Fear Valley Health System
• CarolinaEast Health System
• CaroMont Health
• Cedars-Sinai Health System
• CentraCare
• Central Ohio Primary Care Physicians
• Charlotte Eye Ear Nose & Throat Associates
• Cheyenne Regional Medical Center
• Children’s Healthcare of Atlanta
• Children’s Hospital Colorado
• Children’s Wisconsin
• CHRISTUS Health
• Cincinnati Children’s Hospital Medical Center
• Cleveland Clinic
• Clinica Sierra Vista
• Columbus Regional Health
• Community Health Network
• Community Medical Centers
• Cone Health
• Conemaugh Health System
• Connecticut Children’s
• Corewell Health
• Covenant HealthCare
• Dayton Children’s Hospital
• Denver Health
• Driscoll Children’s Hospital
• ECU Health
• El Rio Health
• Emory Healthcare
• EngleWood Hospital and Medical Center
• Enloe Medical Center
• EPIC Management (Beaver Medical Group)
• Erlanger Health
• Family Care Network
• FastMed
• FirstHealth of the Carolinas
• Franciscan Missionaries of Our Lady Health System, Inc.
• Genesis Healthcare System
• Greater Baltimore Medical Center
• GW University Medical Faculty Associates
• Hamilton Health Care System
• Hattiesburg Clinical and Forrest County General Hospital
• Hawaii Pacific Health
• Health First, Inc
• HealthPoint
• Health Ventures of Central Iowa
• Hennepin Healthcare
• Hospital Sisters Health System (HSHS)
• Houston Methodist
• Hurley Medical Center
• Illinois Bone and Joint, LLC
• Inova Health System
• Intermountain Health
• Jefferson Health
• Johns Hopkins Medicine
• JPS Health Network
• Jupiter Medical Center
• Kaiser Permanente Colorado
• Kaiser Permanente Georgia
• Kaiser Permanente Hawaii
• Kaiser Permanente Mid-Atlantic
• Kaiser Permanente Washington
• Kaiser Permanente Northern California
• Kaiser Permanente Northwest
• Kaiser Permanente Southern California
• Kelsey-Seybold Clinic
• Kettering Health
• Lakeland Regional Health
• Legacy Health
• Leon Medical Centers
• Licking Memorial Health Systems
• Luminis Health
• M Health Fairview
• MaineHealth
• Main Line Health
• Mary Washington Healthcare
• Mayo Clinic
• McLeod Health
• Mercy
• Mercy Medical Center
• Mercyhealth
• Mercy Health Services (MD)
• Methodist Le Bonheur Healthcare
• MetroHealth (OH)
• Midwestern University
• Montage Health
• Monument Health
• MultiCare Health System
• NCH Healthcare System
• New Jersey Urology
• North East Medical Services
• North Memorial Health
• Northeast Georgia Health System
• NYC Health and Hospitals
• Ohio Department of Mental Health and Addiction Services
• OhioHealth
• Onvida Health
• OptumCare
• Optum Care Washington
• Oregon Health & Science University
• Orlando Health
• OrthoVirginia
• Ochsner Health System
• OSF HealthCare
• Overlake Hospital Medical Center
• Pacific Dental Services
• Parkview Health
• Piedmont Healthcare
• Pikeville Medical Center
• Pine Rest Christian Hospital
• Powers Health
• Premier Health
• Presbyterian Healthcare Services
• Prisma Health
• ProMedica
• Reid Health
• Riverside Health System
• Rush University Medical Center
• RWJBarnabas Health
• Saint Francis Health System
• Saint Francis Healthcare System
• Saint Luke’s Health System (MO)
• Salem Health
• Sansum Clinic
• Scripps Health
• Shannon Health
• Singing River Health System
• Skagit Regional Health
• South Georgia Medical Center
• Southern Illinois Healthcare
• Southeast Health
• Spartanburg Regional Healthcare System
• Summa Health
• Summit Health
• St. Charles Health System, Inc.
• St Jude Children’s Research Hospital
• St Luke’s University Health Network
• Stamford Health
• Stanford Children’s Health
• Stanford Health Care
• Stormont Vail Health
• Tallahassee Memorial Healthcare
• Tampa General Hospital
• Texas Health Resources
• The Guthrie Clinic
• The Ohio State University Wexner Medical Center
• The Portland Clinic
• TriHealth
• UK Healthcare
• UMass Memorial Health
• United Regional Health Care System
• UnityPoint Health
• University Health
• University Hospital
• University Hospitals Cleveland
• University of Arkansas for Medical Sciences
• University of Chicago Medical Center
• University of Florida
• University of Kansas Health System
• University of Rochester Medical Center
• University of Texas Medical Branch
• University of Utah Health
• UT Health Houston
• UT Health San Antonio
• UW Medicine
• Valleywise Health
• VHC Health
• WakeMed Health and Hospials
• Washington Health
• Watson Clinic
• WellSpan Health
• Wellstar
• WVU Medicine

Pledging Organizations: 163 Health Systems Representing 1,053 Hospitals and 23,110 Clinics

• Acumen Physician Solutions, LLC
• Akron Children’s
• Allina Health System
• Altais
• Arrowhead Regional Medical Center
• Asante Health System
• Atrius Health
• Baptist Healthcare System
• Bassett Healthcare
• Bayhealth Medical Center
• Baylor College of Medicine
• Baylor Scott & White Health
• Beebe Healthcare
• Benefis Health System
• BJC HealthCare & Washington University
• Blessing Health System
• Boston Children’s Hospital
• Boston Medical Center
• Bryan Health
• Care New England
• Carle
• Carilion Clinic
• Catholic Health (Buffalo)
• Catholic Health (Long Island)
• Cayuga Health System
• CGH Medical Center
• Chickasaw Nation
• Children’s Nebraska
• Children’s Hospital of Philadelphia
• Children’s of Alabama
• Children’s Health
• Cook Children’s Health Care System
• City of Hope
• Citizen Potawatomi Nation Health Services
• CommonSpirit Health National
• Community Technology Cooperative
• Confluence Health
• Contra Costa Health
• Cooper University Health Care
• Dartmouth Health
• Deaconess Health System
• Duke University Health System
• Eisenhower Health
• El Camino Health
• Emplify Health
• Endeavor Health
• Essentia Health
• EvergreenHealth
• Franciscan Alliance, Inc.
• Grady Health System
• Group Health Cooperative – South Central Wisconsin
• Hackensack Meridian Health
• Halifax Hospital Medical Center
• Harris Health System
• Hawaii Health Systems Corporation
• Health Choice Network
• Henry Ford Health
• Hill Physicians Medical Group
• HonorHealth
• Infirmary Health System
• Kaleida Health
• Kennedy Krieger Institute
• KeyCare
• Lancaster General Hospital
• LCMC Health
• Lee Health
• Loma Linda University Medical Center
• Mass General Bingham
• MediSys Health Network
• Memorial Healthcare System
• Memorial Health Services (MemorialCare)
• Memorial Hermann
• Meritus
• Methodist Hospitals (IN)
• Michigan Medicine
• Middlesex Health
• Mohawk Valley Health System
• Mosaic Life Care
• Mount Sinai Health System
• MyMichigan Health
• NeighborHealth
• Nemours
• New York Consortium
• NOMS Healthcare
• North Oaks Health System
• North Mississippi Health Services
• Northwestern Medicine
• Norton Healthcare
• Novant Health New Hanover Regional Medical Center
• NYU Langone Health
• OCHIN
• Oklahoma Heart Hospital
• Olmsted Medical Center
• One Brooklyn Health
• OU Health
• Parkland Health
• PeaceHealth
• Pediatric Physicians’ Organization at Children’s
• Penn Medicine
• Phelps Health
• Premise Health
• Prime Healthcare
• ProHealth
• Providence
• QuadMed
• Reliant Medical Group
• Renown Health
• Riverside Medical Center
• Riverside Medical Clinic
• Salinas Valley Health
• Sanford Health
• San Francisco Dept of Public Health
• San Ysidro Health
• SBH Health System
• Seattle Children’s Hospital
• Sentara Health
• Sharp HealthCare
• SolutionHealth
• Southcoast Health
• South Shore Health System
• SSM Health
• St Elizabeth Healthcare
• St Luke’s Health System (Idaho)
• Sutter Health
• The Brooklyn Hospital Center
• The Queen’s Health System
• TidalHealth
• Tower Health
• Trinity Health
• Tucson Medical Center
• Tufts Medicine
• UC Davis Health
• UC Health
• UC Health – Colorado
• UC Irvine
• UConn Health
• UCSF Health
• UI Health
• UCLA Health
• UMC Southern Nevada
• UNC Health Care System
• Unity Health Care
• 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 Texas MD Anderson Cancer Center
• University of Texas Southwestern Medical Center
• University of Toledo
• UPMC
• UVA Health
• Valley Health System
• Valley Health Systems, Inc FQHC
• Valley Medical Center
• Vanderbilt University Medical Center
• VCU Health
• Waco Family Medicine
• Washington Regional Medical Center
• West Tennessee Healthcare
• 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.