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Viewed through the socialization, externalization, combination, and internalization model of knowledge creation by Nonaka, the root cause is a \u201csocialization failure\u201d: high turnover fractures the social networks required for mentorship, rendering the traditional apprenticeship model of informatics unsustainable. To address this failure, we used a design science research approach synthesizing evidence from health care informatics, knowledge management, and natural language processing to develop a sociotechnical framework: human-in-the-loop knowledge governance (HITL-KG). HITL-KG is designed to shift the locus of organizational knowledge from volatile human memory to durable semantic artifacts called \u201cvalidated query triples,\u201d each comprising a natural language intent, executable SQL, and rationale metadata. By embedding knowledge capture into the daily query workflow, the framework aims to convert ephemeral analytics into permanent institutional assets. The accompanying 3-pillar assessment rubric enables organizations to identify compounding vulnerabilities across analytics maturity, workforce agility, and technical enablement. The \u201cvalidator paradox\u201d (who validates the AI when experts leave?) is addressed by reframing validation through lean \u201cstandard work\u201d: each validated query establishes the current known standard rather than eternal truth, functioning as a \u201cknowledge ratchet\u201d that prevents regression. Decoupling analytical capability from individual tenure lets analytics maturity advance even as the workforce evolves. This paper proposes and theoretically motivates the framework; empirical validation is deferred to a companion study.<\/jats:p>","DOI":"10.2196\/96541","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T16:10:06Z","timestamp":1783959006000},"page":"e96541-e96541","source":"Crossref","is-referenced-by-count":0,"title":["Health Care Analytics Challenges: A 3-Pillar Framework Connecting Analytics Maturity, Workforce Agility, and Technical Enablement"],"prefix":"10.2196","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4596-6921","authenticated-orcid":false,"given":"Samuel Thomas","family":"Harrold","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"R1","unstructured":"Analytics Maturity Assessment Model (AMAM). Healthcare Information and Management Systems Society. 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