Aug 01

Governance not governing

Governance (1 of 1)


If your project does not have good governance it has a 99% chance of failure.  Organizations often expect employees to adopt and adapt to the new processes or tools before securing the necessary organizational buy-in. Similar to Nobody likes change, while everyone will say they want control, very few people will want to be controlled.  Your governance model needs to reflect what you want for your business, a functional democracy or a dictatorship; benevolent or otherwise.


3 major things that Governance will achieve for your eHealth project

  • Increases the value of an eHealth implementation by ensuring the project is on time, on budget and being used to meet the business objectives.
  • Keeps everyone on the same page with roles and responsibilities clearly defined, while making sure that everyone and every project is moving in the same direction and it is pointed clearly at the strategy.
  • Most importantly makes sure the project is business-driven rather than just a technology project.

3 major lessons we have learned about Governance in eHealth projects

  • Your governance framework needs to be properly sized and balanced. The level of governance you implement must be appropriate for your specific needs and initiatives.
  • Must be led from the top and represent all parties Obtaining executive leadership and support is a pre-requisite to the success of any major initiative. If this does not happen in addition to the establishing a governance function it becomes a marketing role with you spending a lot of time and effort competing for resources and selling the value of your project / governance to management. This is both difficult and ineffective.
  • Measurement and reporting. This doesn’t just tell them where you have been, it also has to help you guide where you want to go.  Measure to improve, not simply prove.

People want to be successful. They also want to understand what success looks like, both in terms of what will be achieved and what needs to happen to get them there. COBIT 5 defines governance as:

Governance ensures that stakeholder needs, conditions and options are evaluated to determine balanced, agreed-on enterprise objectives to be achieved; setting direction through prioritization and decision making; and monitoring performance and compliance against agreed-on direction and objectives.

Organizational perspectives must be coordinated in the context of eHealth to deliver best decision and ensure required actions are indeed undertaken for the success of any eHealth vision. “If management is about running the business, governance is about seeing that it is run properly.” [1]

[1] (“Corporate Governance”: Robert Ian Tricker)


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