CASE STUDY 7 ' '" , ' , v . _ .. ,__,,,., Imagine that you have been hired as the chief information ofcer (CIO) of an academic healthcare system. The health- care system consists of several large hospitals and several dozen outpatient clinics, all using the same EHR system. There is an afliated but independent physician practice group as well as a School of Medicine with a strong research focus. The current health IT governance structure is as described in Fig. 29.2, except that the current committees function independently of one another, and as a result, health IT resources are being overwhelmed by requests coming from a variety of sources, each with its own priority list. As one of your rst tasks on the job, you have been asked to lead the formulation and implementation of a new health IT gover- nance structure. The effectiveness of the new governance W structure will be critical to your success and the success of your team and the institution as a whole. Discussing} Questions 1. How would you go about assessing the current state of health 1T governance and your organization's health IT governance capabilities? 2. What issues would you need to consider in recommending improved health IT governance at your institution? _ 3. How could the informatics g0vernance at your institution be more centralized to allow an enterprise-wide approach to prioritizing informatics efforts