PCEHR-Governance

PCEHR Governance 12 implementations, 12 Governance models?

It's important to understand the intended purpose of the 'Wave' sites - which are intended to trial bits of the puzzle before the PCEHR launch in July 2012. So yes, each site has its own project governance, but this does not mean that they 'govern' the PCEHR. We have the opportunity therefore to have a say on the governance of the overall system. Chris

There are probably a number things that need to be clarified as far as governance is concerned. Who ultimately owns the data stored in the PCEHR? Who is responsible for maintaining and adding information to the PCEHR? Who will be the governing body in the longer term to ensure that the information stored and maintained in the PCEHR is of an appropriate standard? What auditing be performed? Andrew C

DM - the plan seems to be to create all the layers of governance needed after the system is designed and signed off. This is entirely the wrong way to go about it as the governance framework should be framing and guiding the design.

The entire governance issue is untenable ... the framework is scheduled for development during the last quarter of this year- Oct-Dec. This is after the legislation is introduced to parliament in October 2011. Also, Malcolm C has explained that the Australian, Territorial and State laws that require harmonization will not be complete by July 2012. Organizational governance- quality, registration etc - is being trialled by the Wave sites. A project governance framework for the entire national system will be completed in only 3 months. I don't think health authorities understand the complexity of the job. The governance framework should guide the PCEHR design. This would depoliticize the process and answer burning questions. However governance looks a bit like an afterthought now. The PCEHR leadership vacuum and lack of a governance framework do not bode well for the initial system build. I can't imagine the impact a flawed system build in July 2012 might have on enrollment & future system iterations. People and their clinicians are already quite skeptical of the entire process. Juanita

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