Building a Governance and Accountability Framework The third section should help leadershipdesign the structures and processesthat will guide modernization over time.

• Propose aformal governance structurefor EHR decision-making, defining key roles, authority levels, oversight responsibilities, and escalation pathways.
• Identify the multidisciplinary stakeholders who should be involved (clinical, operational, financial, IT, compliance, patient services), and explain how including diverse voices strengthens decisions.
• Recommendprocedures for evaluating, approving, and monitoringmodernization initiatives, ensuring alignment with strategic goals and efficient use of resources.
• Discuss how governance can promotetransparency, cross-departmental collaboration, and adaptive leadershipas the hospital's needs evolve over time.

This section should demonstrate that governance is not just about adding meetings or paperwork; it is about creating discipline, alignment, and accountability across a complex system. Be sure to connect governance structures to Mercy General's mission, showing how good governance helps the hospital stay mission-focused even under pressure.