About Us - The Sequoia Project
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The
Sequoia Project
Connected We Stand!
Sequoias are among the oldest, tallest trees on earth. Individually, they cannot reach the great heights of giant sequoias. Together, their complex, interconnected root system helps them withstand nature’s forces and flourish. Only connected can they reach great heights.
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The Sequoia Project
We are an independent, trusted advocate for nationwide health information exchange. The Sequoia Project, through our initiatives, and our engagement with government and industry, are experts who can identify the barriers to interoperability and pioneer processes to make health information exchange work on a national level. We are a neutral body, inclusive of diverse participants, which allows us to create practical solutions to data exchange problems. As a nonprofit operating in the public interest, our governance process ensures transparent oversight of this work.
2012
Year We were Founded
501
(c)(3)
Non Profit Organization
10+
Years of Experience
100+
Member Strong Organization
Our Vision
Our vision is to make the right health information accessible at the right place and time to improve the health and welfare of all Americans. At the Sequoia Project we are:
Trustworthy
Inclusive
Pioneering
Exploring our Roots
When we were founded, The Sequoia Project supported a single initiative that now operates as an independent health information network. Today, we continue to incubate new initiatives through our Interoperability Matters cooperative. Learn more about our history below.
2012
The Sequoia Project forms and launches its first initiative, a federal health information network.
2013
9 Founding Members
Federal health information network grows to 40 participants
Collaboration with Care Connectivity Consortium
2014
Carequality launches as a second initiative
2015
Image Share Validation program launches as third initiative
Carequality publishes national-level Interoperability Framework, the first of its kind
Federal health information network reaches 100 members
2016
First Carequality Implementers go live
CommonWell adopts the Carequality framework
Patient Identity Matching Workgroup launches
2017
Published Patient Matching Whitepaper and Case Study
Connected PULSE to federal health information network to respond to California wildfires
Carequality Interoperability Framework participants grow
2018
The Sequoia Project launches federal health information network and Carequality as separate organizations
600,000+ physicians exchange 2.4m+ clinical documents monthly under Carequality
Interoperability Matters cooperative launches
2019
Office of the National Coordinator for Health Information Technology (ONC) selects The Sequoia Project as TEFCA Recognized Coordinating Entity (RCE)
RCE works on QHIN-to-QHIN transactions standards issues
Information Blocking Compliance Workgroup forms under Interoperability Matters cooperative
2020
Information Blocking Compliance Workgroup releases implementation guidance, and the first workgroup boot camp is launched
Data Usability Workgroup launches
RCE enlists feedback on initial draft QHIN Technical Framework (QTF)
2021
Interoperability Matters establishes 3 Information Blocking Compliance Workgroup subgroups
Emergency Preparedness Information Workgroup launches
RCE publishes first draft of the TEFCA Common Agreement, and draft of TEFCA QTF
2022
The Sequoia Project celebrates 10 years!
Emergency Preparedness Workgroup publishes Pandemic Response Planning Recommendations
Information Blocking Compliance Workgroup releases suite of resources
Data Usability Workgroup publishes first Implementation Guide
2022 - Cont.
Consumer Voices Workgroup launched
With ONC, RCE publishes Trusted Exchange Framework and the Common Agreement for health information networks
RCE publishes final versions of TEFCA QTF and Common Agreement
RCE begins accepting QHIN applications
2023
Publishes recommendations from Consumer Voices Workgroup
RCE processes initial group of QHIN applications. Applicants are recognized at HHS TEFCA event
Government Affairs Roundtable launched
Data Usability Taking Root Movement begins
2024
The Sequoia Project grows to 100 members.
Payer-to-Payer FHIR API Implementation Workgroup launched.
Consumer Engagement Strategy Workgroup launched.
Privacy & Consent Workgroup launched.
Interoperability Matters Steering Committee launched.
2024 - Contd.
Pharmacy Workgroup Listening Sessions held.
Information Sharing Compliance Toolkit published.
Data Usability Implementation Guide V2.0 published.
Interoperability Testing Platform expanded for Data Usability Conformance.
Member Directory established.
Branching Out member newsletter established.
2024 - Contd.
Data Usability Taking Root Movement secures industry commitment to implement DUWG V1.0.
Data Usability Taking Root Movement improves data quality for 70+% of US patients.
TEFCA SOPs and Updated RCE Resources released:
- Public Health Exchange Purpose (XP) Implementation SOP
- Health Care Operations XP Implementation SOP
- Individual Access Services XP Implementation SOP (updated)
- Exchange Purposes (XP) SOP (updated)
- QHIN Security for the Protection of TEFCA Information (updated)
2025
Pharmacy Workgroup launched
Privacy & Consent Published "Moving Toward Computable Consent: A Landscape Review"
Payer-to-Payer FHIR API Readiness Checklist Published
ISWG hosted Unlocking Compliance: Tools for Compliance with the Information Blocking Rule (IBR) Webinar
Taking Root Data Usability Virtual Workshop
ISWG published two resources; (1) Enforcement Process for Information Blocking Penalties and (2) State-Level Activities on Information Blocking
2026
Privacy & Consent Published “Guidance to States: Legislating Technical Standard Definitions for Existing State Sensitive Health Data Laws”
Pharmacy Workgroup Published “Pharmacy Care: Use Cases for Health Information Exchange”
Public Health Workgroup Published “Public Health Interoperability Policy Roadmap”
The Sequoia Project
Independent
Initiatives
Our work takes the form of independent initiatives, each with its own mission, governance, membership and structure. We are an ideal home for projects that require a collaborative environment in which multiple parties with differing perspectives can work together. We can provide the sustaining management services and governance support required to allow new initiatives to grow and succeed. Our initiatives work independently but draw upon each other’s perspective and expertise as appropriate.
We welcome the addition of new health IT interoperability initiatives. Contact us below to determine if The Sequoia Project is a good fit for your next interoperability implementation project.
Member Spotlight
Thank You To Our Members
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Become a Member
Join other organizations as a corporate member of The Sequoia Project and engage in The Sequoia Project-sponsored initiatives and various cross-industry collaborative efforts to advance nationwide health information exchange implementation.
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