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flag Most U.S. healthcare orgs haven’t budgeted for TEFCA in 2026, risking delays despite expected efficiency gains.

flag A Black Book Research survey of 97 HIM leaders at AHIMA 2025 found that 61% of healthcare organizations have not yet budgeted for TEFCA onboarding in fiscal year 2026, despite growing vendor support for national data exchange. flag While 54% remain undecided on a Qualified Health Information Network, 68% plan to keep existing HIE connections, risking parallel systems and duplicated testing. flag Expected benefits include cost savings from retiring redundant interfaces, though uncertainty remains. flag Key challenges include legal, security, data quality, and training issues. flag Primary 2026 use cases are query-for-treatment, transitions of care, and referrals. flag Experts stress the need for dedicated funding, clear timelines, and structured migration planning to avoid delays and achieve efficiency gains.

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