{"id":165739,"date":"2026-02-11T12:15:23","date_gmt":"2026-02-11T17:15:23","guid":{"rendered":"https:\/\/beta.healthit.gov\/dashboard_stats\/non-federal-acute-care-hospitals-awareness-and-plans-participate-trusted-exchange\/"},"modified":"2026-02-11T12:15:24","modified_gmt":"2026-02-11T17:15:24","slug":"non-federal-acute-care-hospitals-awareness-and-plans-participate-trusted-exchange","status":"publish","type":"quick-stat","link":"https:\/\/healthit.gov\/data\/quickstats\/non-federal-acute-care-hospitals-awareness-and-plans-participate-trusted-exchange\/","title":{"rendered":"Non-Federal Acute Care Hospitals\u2019 Awareness of and Plans to Participate in the Trusted Exchange Framework and Common Agreement (TEFCA)"},"content":{"rendered":"\n<p>The Trusted Exchange Framework and Common Agreement (TEFCA) for health information networks was published in January 2022 and the first set of Qualified Health Information Networks (QHINs) were approved to implement TEFCA and began exchanging data in late 2023. A 2025 survey of U.S. hospitals found that over 40 percent of hospitals are aware of TEFCA and currently participate.&nbsp;<\/p>\n\n\n\n<p>Differences in awareness and plans to participate in TEFCA can provide insight into the hospitals and populations most likely to participate in and benefit from TEFCA. Approximately 5 out of 10 hospitals that participated in national networks (eHealth exchange, CommonWell Health Alliance, or Carequality) or health information exchanges (HIEs) are currently participating in TEFCA, compared to 1 out of 10 hospitals that did not participate in either type of network.<\/p>\n\n\n\n<h2 class=\"wp-block-heading text-align-center has-tertiary-color has-text-color has-link-color has-medium-font-size wp-elements-9fa8d7725d989d0730544ed7a405cde5\" id=\"h-hospital-awareness-of-and-plans-to-participate-in-tefca-2025\" style=\"margin-bottom:0\">Hospital Awareness of and Plans to Participate in TEFCA, 2025<\/h2>\n\n\n\n<div class=\"wdt-wrapper-chart-loader\" data-id=\"37\"\n     style=\"height: 400px;\">\n    <div class=\"wdt-main-item\">\n                <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left wdt-chart-one\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4 wdt-chart-three\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7 \"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2 wdt-chart-two\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5 wdt-chart-four\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6 wdt-chart-five\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-static-background\">\n            <div class=\"wdt-background-masker\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n    <script 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           engine: \"chartjs\",\n            type: \"chartjs_stacked_bar_chart\",\n            title: \"Hospital Awareness of and Plans to Participate in TEFCA\",\n            container: \"wpDataChart_37\",\n            follow_filtering: 0,\n            wpdatatable_id: 84,\n            group_chart: 0        }\n    <\/script>\n\n    <div id=\"chartJSContainer_37\">\n        <canvas id=\"chartJSCanvas_37\" aria-label=\"Hospital Awareness of and Plans to Participate in TEFCA\"\n                role=\"img\"><\/canvas>\n    <\/div>\n\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-center\" data-align=\"center\">&nbsp;<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and currently participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and plan to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and do not know if they plan to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA but not planning to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\">Not aware of TEFCA<\/th><\/tr><\/thead><tbody><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Overall<\/th><td class=\"has-text-align-center\" data-align=\"center\">43%<\/td><td class=\"has-text-align-center\" data-align=\"center\">37%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><td class=\"has-text-align-center\" data-align=\"center\">2%<\/td><td class=\"has-text-align-center\" data-align=\"center\">13%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading text-align-center has-tertiary-color has-text-color has-link-color has-medium-font-size wp-elements-a7ddb76702ec7a0dd8fb45c33002dcf4\" id=\"h-hospital-awareness-of-and-plans-to-participate-in-tefca-by-key-hospital-characteristics-2025\"><br>Hospital Awareness of and Plans to Participate in TEFCA, by Key Hospital Characteristics, 2025<\/h2>\n\n\n\n<div class=\"wdt-wrapper-chart-loader\" data-id=\"67\"\n     style=\"height: 400px;\">\n    <div class=\"wdt-main-item\">\n                <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left wdt-chart-one\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4 wdt-chart-three\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7 \"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n      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     <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6 wdt-chart-five\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-chart-animated-background\" style=\"height: 100px\">\n            <div class=\"wdt-background-masker wdt-btn-divide-left\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-2\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-3\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-4\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-5\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-6\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-7\"><\/div>\n            <div class=\"wdt-background-masker wdt-btn-divide-left-8\"><\/div>\n        <\/div>\n        <div class=\"wdt-static-background\">\n            <div class=\"wdt-background-masker\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n    <script type=\"text\/javascript\">\n        if (typeof (wpDataCharts) == 'undefined') wpDataCharts = {};\n        wpDataCharts[67] = {\n            render_data: {\"options\":{\"data\":{\"labels\":[\"Multi-Hospital System Member (68%)\",\"Independent Hospital (32%)\",null,\"Critical Access Hospital (31%)\",\"Not-Critical Access Hospital (69%)\",null,\"National Network Participant (76%)\",\"State, Regional, or Local Network (82%)\",\"Both Network Types (65%)\",\"Neither (7%)\"],\"datasets\":[{\"label\":\"Aware of TEFCA and currently 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           engine: \"chartjs\",\n            type: \"chartjs_stacked_bar_chart\",\n            title: \"Hospital Awareness of and Plans to Participate in TEFCA, by Key Hospital Characteristics, 2025\",\n            container: \"wpDataChart_67\",\n            follow_filtering: 0,\n            wpdatatable_id: 127,\n            group_chart: 0        }\n    <\/script>\n\n    <div id=\"chartJSContainer_67\">\n        <canvas id=\"chartJSCanvas_67\" aria-label=\"Hospital Awareness of and Plans to Participate in TEFCA, by Key Hospital Characteristics, 2025\"\n                role=\"img\"><\/canvas>\n    <\/div>\n\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">&nbsp;<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and currently participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and plan to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA and do not know if they plan to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\" scope=\"col\">Aware of TEFCA but not planning to participate<\/th><th class=\"has-text-align-center\" data-align=\"center\">Not aware of TEFCA<\/th><\/tr><\/thead><tbody><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"rowgroup\" colspan=\"6\"> System Affiliation <\/th><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Multi-Hospital System Member (68%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">51%<\/td><td class=\"has-text-align-center\" data-align=\"center\">41%<\/td><td class=\"has-text-align-center\" data-align=\"center\">3%<\/td><td class=\"has-text-align-center\" data-align=\"center\">1%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Independent Hospital (32%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">25%<\/td><td class=\"has-text-align-center\" data-align=\"center\">29%<\/td><td class=\"has-text-align-center\" data-align=\"center\">11%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><td class=\"has-text-align-center\" data-align=\"center\">30%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"rowgroup\" colspan=\"6\"> Critical Access <\/th><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Critical Access Hospital (31%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">30%<\/td><td class=\"has-text-align-center\" data-align=\"center\">33%<\/td><td class=\"has-text-align-center\" data-align=\"center\">9%<\/td><td class=\"has-text-align-center\" data-align=\"center\">4%<\/td><td class=\"has-text-align-center\" data-align=\"center\">24%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Not-Critical<br>Access Hospital (69%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">48%<\/td><td class=\"has-text-align-center\" data-align=\"center\">39%<\/td><td class=\"has-text-align-center\" data-align=\"center\">4%<\/td><td class=\"has-text-align-center\" data-align=\"center\">2%<\/td><td class=\"has-text-align-center\" data-align=\"center\">7%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"rowgroup\" colspan=\"6\"> Network Participation <\/th><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">National Network Participant (76%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">49%<\/td><td class=\"has-text-align-center\" data-align=\"center\">38%<\/td><td class=\"has-text-align-center\" data-align=\"center\">4%<\/td><td class=\"has-text-align-center\" data-align=\"center\">2%<\/td><td class=\"has-text-align-center\" data-align=\"center\">6%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">State, Regional, or Local Network (82%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">44%<\/td><td class=\"has-text-align-center\" data-align=\"center\">39%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><td class=\"has-text-align-center\" data-align=\"center\">2%<\/td><td class=\"has-text-align-center\" data-align=\"center\">9%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Both Network Types (65%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">49%<\/td><td class=\"has-text-align-center\" data-align=\"center\">40%<\/td><td class=\"has-text-align-center\" data-align=\"center\">4%<\/td><td class=\"has-text-align-center\" data-align=\"center\">1%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><\/tr><tr><th class=\"has-text-align-left\" data-align=\"left\" scope=\"row\">Neither (7%)<\/th><td class=\"has-text-align-center\" data-align=\"center\">10%<\/td><td class=\"has-text-align-center\" data-align=\"center\">22%<\/td><td class=\"has-text-align-center\" data-align=\"center\">7%<\/td><td class=\"has-text-align-center\" data-align=\"center\">5%<\/td><td class=\"has-text-align-center\" data-align=\"center\">56%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><a href=\"https:\/\/healthit.gov\/data\/wp-content\/uploads\/sites\/2\/2026\/01\/TEFCA-Plans-and-Participation_Data-Download.xlsx\" data-wpel-link=\"internal\">Download Excel [xlsx &#8211; 27 KB] <\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Trusted Exchange Framework and Common Agreement (TEFCA) for health information networks was published in [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"template":"","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","footnotes":""},"categories":[],"topics":[126,65,66],"class_list":["post-165739","quick-stat","type-quick-stat","status-publish","hentry","topics-data","topics-interoperability","topics-tefca"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Non-Federal Acute Care Hospitals\u2019 Awareness of and Plans to Participate in the Trusted Exchange Framework and Common Agreement (TEFCA) - ONC Health IT Research &amp; Analysis<\/title>\n<meta name=\"description\" content=\"Health IT Research and Analysis provides access to datasets, analysis, and reporting that monitor health information technology trends and Office of the National Coordinator for Health IT programs and policies.\" \/>\n<meta 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