Imagine that you have been hired as the chief information officer (CIO) of an academic healthcare system. The healthcare system consists of several large hospitals and several dozen outpatient clinics, all using the same EHR system. There is an affiliated 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 Figure 23-2, 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.
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