Data Strategy Briefing — December 13, 2023
ONC issued the HTI-1 final rule, updating USCDI adoption, decision support transparency, and information blocking requirements that health data platforms must prepare for.
Executive briefing: The Office of the National Coordinator for Health IT released the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) final rule on 13 December 2023, advancing United States Core Data for Interoperability (USCDI) v3 adoption and algorithm risk disclosures.
Key data governance checkpoints
- Certification updates. Plan upgrades to Certified Health IT Modules to meet USCDI v3 data element capture, decision support reporting, and FHIR API requirements.
- Algorithm transparency. Catalogue predictive models and decision support tools that will require risk management policies, source attribution, and evaluation reporting.
- Information blocking. Refresh information-sharing policies, especially around insights derived from machine learning models and predictive analytics.
Operational priorities
- Roadmap integration. Align HTI-1 timelines with TEFCA participation and CMS interoperability obligations to sequence investment.
- Governance committees. Empower data ethics and compliance boards to oversee algorithm transparency documentation and ongoing monitoring.
- Vendor alignment. Engage EHR and analytics suppliers on certification roadmaps, test bed availability, and risk management support.
Enablement moves
- Educate clinical and product leaders on HTI-1 reporting requirements, including disclosure of data sources, limitations, and validation for decision support.
- Implement audit trails that capture data lineage, algorithm versioning, and access logs to evidence compliance.
Sources
Zeph Tech partners with health data teams to implement HTI-1 certification upgrades, algorithm transparency workflows, and information sharing governance.