Health Information Technology Framework

Governance

Governance is where stakeholder expectations, roles and responsibilities, decision-making, and accountability for your HIE are defined. Good governance supports the vision and mission of an HIE by making sure that the interests of all of the stakeholders are represented in the key policy and strategic decision making of the organization. Governance also provides the overarching framework for operations and supports the management and staff by defining clear objectives and parameters for your HIE.

  1. What is your legal structure? (More details)

    • Identify various legal structures to support the services provided by your HIE
    • Analyze each structure, identify and present the costs and benefits of each, and recommend the appropriate structure to support the HIE
    • Identify and propose the HIE leadership
    • Develop the operating principles
    • Propose a legal structure for organization and upon approval, execute required documents to create the legal structure
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  2. Why was it chosen? (More details)

    • Demonstrate that it addresses your main purpose of improved healthcare, lower costs, broader coverage, or whatever your reason is.
    • Identify how it satisfies the communities wants and needs
    • Identify how it satisfies each stakeholders value proposition(s)
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  3. How is your entity organized, including who is on the board, how voting is conducted, what decisions require board action? (More details)

    • Determine and approve the governance model
    • Draft and obtain approval for the Business Associate Agreements
    • Identify and propose your HIE Board of Directors
    • Obtain formal legal status
    • Execute agreements signed by all stakeholders
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  4. What are your operating, financial, and other policies? (More details)

    • Develop the operating policies and procedures
    • Define roles and responsibilities for the Board of Directors
    • Establish your financial policies and procedures
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  5. How can new participants (both individuals and organizations) join your exchange? (More details)

    • Develop a process for adding additional participants
    • Determine their financial obligations and responsibilities
    • Establish their voting rights, if any
    • Determine the distribution of any financial surplus
    • Design your accountability model
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  6. Expected Outcomes (More details)

    • Strong multi-stakeholder group in place committed to building your HIE and getting it funded
    • Articles of Incorporation approved
    • Board of Directors approved
    • Vision, mission and principles approved
    • Charter developed and decision-making protocols are in place
    • Internal operating policies written and adopted.
    • Operational roles and responsibilities documented
    • Approved legal structure in place
    • HIE Board appointed
    Close
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Achieve Meaningful Use.