Data Strategy Briefing — December 30, 2024

Executive briefing: The ONC Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) final rule establishes 30 December 2024 as the compliance date for updated certification criteria. Certified health IT developers must provide decision support intervention transparency, predictive decision support testing plans, and new data provenance reporting that depend on verifiable data quality and governance controls.

Key governance checkpoints

Certification scope. Confirm which EHR and analytics modules require HTI-1 updates, including the new § 170.315(b)(11) decision support criterion and § 170.315(b)(13) predictive DSI requirements.
Transparency artefacts. Prepare datasets documenting training data, risk mitigation strategies, and performance metrics for predictive algorithms surfaced in certified products.
Information blocking alignment. Ensure data export, bulk FHIR, and patient access workflows remain compliant with information blocking exceptions while integrating HTI-1 updates.

Operational priorities

Developer coordination. Work with certified health IT vendors to validate release timelines, sandbox testing, and implementation guides for HTI-1 compliant features.
Data quality controls. Embed monitoring for bias, drift, and completeness in datasets feeding predictive decision support interventions.
Customer enablement. Update training materials and governance policies so provider organisations can interpret new transparency reports and manage algorithm risk.

Enablement moves

Run joint reviews with compliance and clinical safety teams to attest readiness ahead of ONC audits.
Document how HTI-1 transparency outputs integrate into enterprise risk management and AI governance programmes.

Sources

Zeph Tech helps certified health IT developers and providers integrate HTI-1 transparency features with auditable data governance.