SEQUOIA-PROJECT

Sequoia Project healthcare interoperability operates Carequality TEFCA.

Definition

Sequoia Project portfolio: (1) Carequality (since 2014): trusted exchange framework + interoperability network for cross-network US patient records exchange. (2) eHealth Exchange (since 2012, formerly NHIN Nationwide Health Information Network from federal ONC): federal/military/state network connecting VA + DoD + SSA + multiple commercial HIEs + state HIEs, ~75+ Participants 2024, exchange ~200M+ documents annually. (3) TEFCA Recognized Coordinating Entity (RCE): Sequoia Project designated 2019 by ONC as Recognized Coordinating Entity for Trusted Exchange Framework + Common Agreement (TEFCA), operationalizes TEFCA via designating + onboarding + monitoring Qualified Health Information Networks (QHINs), ~5+ QHINs designated 2023-2024 (eHealth Exchange + Epic Nexus + KONZA + Health Gorilla + CommonWell + multiple). (4) Patient Centered Data Home (PCDH) Coalition. (5) Multiple workgroups: Privacy + Security + Trust + Standards. (6) Annual Health Information Exchange Summit conference. Sequoia Project ~50+ employees ~$25M+ annual revenue 2024 (membership fees + federal contracts).

Origin

HealtheWay founded 2009 by ONC + commercial spinoff ; renamed The Sequoia Project 2014 ; designated TEFCA RCE 2019 ; ~200+ member organizations 2024.

Example in context

VA medical center treats veteran patient ; physician needs prior records from civilian Cerner-using hospital + Allscripts-using clinic + state HIE: VA uses eHealth Exchange to query civilian providers via Carequality interconnect + state HIE via direct connection ; queries return CCDA documents aggregated VA EHR display.

Related terms

• Carequality — operated initiative.