Rockin' HIT Sales Podcast
Interoperability, AI and Policy: What Health IT Builders Need to Know Now
Steve Posnack, MS, MHS, is the Principal Deputy Assistant Secretary for Technology Policy and Principal Deputy National Coordinator for Health Information Technology in the Office of the National Coordinator for Health IT.
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Episode Summary
In this episode of Rockin’ HIT Sales, David Hacker sits down with Steven Posnack, MS, MHS, from ASTP/ONC for a practical conversation on how health IT policy, interoperability, standards, and AI are shaping the market for builders, sellers, and investors.
Steve explains ONC’s role in helping define how health data moves, how certification and interoperability standards influence product design, and why founders should understand policy not just as compliance, but as a source of market opportunity. The discussion also covers information blocking, TEFCA, USCDI, health IT certification, AI governance, clinical adoption, and the practical resources early-stage companies should know about as they build products for regulated healthcare environments.What You’ll Hear in This Episode
- How ASTP/ONC thinks about health data access, exchange, and use
- Why policy and standards matter early in a Health IT company’s roadmap
- How interoperability, certification, and information blocking shape market entry
- What builders of AI copilots and decision-support tools should understand about trust
- Why clinical context and governance matter before AI tools are deployed
- Key resources for founders, including healthit.gov, USCDI, and the Interoperability Standards Advisory
- The question every founder should ask before building for the clinical environment
3 Brief Takeaways
About the Guest
Steven Posnack, MS, MHS, is a longtime health IT policy leader with the Office of the National Coordinator for Health IT, where his work focuses on health data movement, interoperability standards, certification, information blocking, and nationwide data exchange.
In this conversation, Steve brings a practical policy and standards perspective for Health IT companies trying to build products that can work in real-world healthcare environments — not just technically, but within the regulatory, interoperability, and clinical adoption realities that shape whether solutions can scale.Transcript
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