Enterprise Governance

Clear ownership for every decision, control, and operational dependency.

Elizian governance is designed to establish accountable ownership across implementation, workflow configuration, data, access, integrations, artificial intelligence, provider participation, escalation, performance, and the organizations involved in care execution.

Because Elizian operates across organizational boundaries, responsible governance requires more than software permissions. It requires defined decision rights, approved workflows, documented responsibilities, visible escalation, and measurable execution.

Document Information

Effective
July 2026
Last reviewed
July 2026
Version
1.0

Governance connects authority to accountability.

Elizian governance operates across multiple layers so that strategic decisions, implementation choices, operational actions, technical controls, and performance responsibilities remain visible and assigned.

Layer 1

Corporate Governance

Oversight of Elizian strategy, platform stewardship, enterprise risk, security, privacy, contractual responsibility, and organizational controls under MyWoosah Inc.

Layer 2

Customer Governance

Joint oversight of objectives, scope, priorities, decisions, risks, performance, adoption, and expansion.

Layer 3

Implementation Governance

Control over discovery, design, configuration, integrations, testing, acceptance, go-live, and optimization.

Layer 4

Operational Governance

Ownership of cases, queues, provider response, readiness, exceptions, escalations, service initiation, completion, and follow-up.

Layer 5

Control Governance

Oversight of data, access, artificial intelligence, changes, security, privacy, records, and reporting.

Principles that guide Elizian governance.

01Named Accountability

Every material workflow, decision, issue, risk, escalation, approval, and control should have an identifiable owner.

02Defined Decision Rights

Clinical, authorization, provider, operational, data, security, privacy, and platform decisions should remain with the appropriate responsible organization.

03Documented Configuration

Workflow rules, permissions, integrations, definitions, escalation logic, reports, and operating responsibilities should be documented and approved.

04Minimum Necessary Access

Users should receive only the information and functionality reasonably required for their authorized responsibilities.

05Evidence-Based Change

Material changes should be assessed, reviewed, approved, tested, implemented, documented, and monitored.

06Transparent Escalation

Stalled workflows, high-priority exceptions, risks, and unresolved decisions require visible ownership and clear escalation paths.

07Measured Execution

Performance should be evaluated through approved definitions, baselines, populations, exclusions, time periods, and attribution.

08Human Accountability

Automation and artificial intelligence may assist work, but responsible organizations and professionals retain appropriate authority and accountability.

Elizian is developed, owned, and operated by MyWoosah Inc.

Elizian is the enterprise healthcare execution platform developed, owned, and operated by MyWoosah Inc.

MyWoosah Inc. maintains responsibility for the corporate operation of Elizian, including platform stewardship, contractual obligations, security governance, privacy governance, vendor oversight, product direction, and organizational controls under its authority.

01Executive Accountability

Strategic direction, major enterprise commitments, material risks, corporate policies, and executive escalation.

02Platform Accountability

Core platform architecture, shared functionality, product standards, platform direction, and release stewardship.

03Security Accountability

Security risk management, access-control standards, vulnerability management, incident coordination, and security communications.

04Privacy Accountability

Personal-information practices, privacy requests, data-use restrictions, notices, and privacy coordination.

05Implementation Accountability

Deployment planning, configuration management, integration coordination, testing support, go-live readiness, and implementation handoff.

06Operational Accountability

Platform support, service processes, customer escalation, issue ownership, and managed operations when included in a signed agreement.

Specific individuals, service levels, and governance roles may be identified in applicable customer agreements, implementation plans, and operating documentation.

Enterprise deployments require joint governance.

Elizian governance is designed to operate with; not around; the accountable leadership, operational teams, technology teams, clinical teams, security teams, and program owners within each customer organization.

1

Executive Steering Committee

Purpose: Provide strategic oversight, resolve major decisions, review value realization, address material risks, and approve significant scope or operating changes.

Typical participants

  • Customer executive sponsor.
  • Customer operational executive.
  • Customer technology, security, or data leader.
  • Elizian executive sponsor.
  • Elizian program leader.
  • Other accountable stakeholders as required.

Typical agenda

  • Strategic objectives.
  • Scope.
  • Major risks.
  • Performance.
  • Adoption.
  • Investment.
  • Expansion.
  • Executive escalations.
2

Program Governance Committee

Purpose: Direct implementation and ongoing program performance.

Typical agenda

  • Implementation milestones.
  • Workflow decisions.
  • Integrations.
  • Data.
  • Training.
  • Provider readiness.
  • Reporting.
  • Open risks.
  • Change requests.
  • Adoption.
  • Issue resolution.
3

Operational Working Group

Purpose: Manage ongoing workflow execution, exceptions, and process improvement.

Typical agenda

  • Case aging.
  • Queue performance.
  • Provider response.
  • Readiness barriers.
  • Escalations.
  • Exceptions.
  • Service initiation.
  • Completion.
  • User feedback.
  • Operational defects.
4

Technical, Security, Privacy, and Data Working Group

Purpose: Coordinate integrations, identity, permissions, data exchange, privacy, security, testing, changes, incidents, and technical dependencies.

Typical agenda

  • Integration status.
  • Data quality.
  • Access.
  • Security requirements.
  • Privacy requirements.
  • Environment readiness.
  • Test results.
  • Change requests.
  • Technical incidents.
  • Release readiness.

The frequency, membership, authority, decision rights, and documentation requirements of each governance group are established according to the customer’s implementation, operating model, and signed agreements.

Every implementation stage should have defined ownership and approval.

  1. Stage 01

    Discovery

    Confirm objectives, populations, workflows, users, systems, dependencies, constraints, measures, risks, and responsible stakeholders.

  2. Stage 02

    Workflow Design

    Document intake, requirements, decision points, statuses, ownership, deadlines, escalation rules, completion milestones, and exception handling.

  3. Stage 03

    Data and Integration Design

    Define source systems, data elements, exchange methods, mapping, access, retention, reconciliation, errors, and ownership.

  4. Stage 04

    Configuration

    Configure roles, pathways, permissions, forms, statuses, notifications, escalations, dashboards, reporting, and customer terminology.

  5. Stage 05

    Validation

    Review workflow, data, security, privacy, clinical boundaries, provider responsibilities, reporting, and operational requirements with accountable stakeholders.

  6. Stage 06

    User Acceptance Testing

    Customer-designated users test approved scenarios, roles, integrations, reporting, exceptions, defects, and readiness.

  7. Stage 07

    Go-Live Approval

    Named decision-makers confirm operational, technical, security, privacy, training, support, integration, and data readiness.

  8. Stage 08

    Hypercare

    Monitor adoption, defects, exceptions, support needs, data quality, workflow performance, and urgent change requirements after launch.

  9. Stage 09

    Optimization

    Review outcomes, operational friction, reporting needs, provider performance, user feedback, workflow changes, and approved enhancements.

Elizian does not treat silence as approval for material implementation decisions. Approvals should be documented through the applicable governance process.

Data should have a defined purpose, owner, source, and lifecycle.

01Customer Data Ownership

Customers retain applicable rights in the information they provide or direct Elizian to process. Elizian does not claim ownership of customer healthcare records.

02Purpose Limitation

Information should be processed only for authorized operational, contractual, security, support, reporting, and legal purposes.

03Minimum Necessary Information

Workflows should be designed to avoid collecting, exposing, or retaining information that is not needed for the authorized task.

04Data Stewardship

Relevant data elements, definitions, quality expectations, source systems, and responsible parties should be identified.

05Data Quality

Missing, conflicting, inaccurate, stale, duplicated, or failed data requires visible handling and reconciliation.

06Data Lineage

The source, transformation, exchange, use, and destination of material data should be documented where appropriate.

07Access

Data access is governed by roles, workflow purpose, customer instructions, permissions, and applicable obligations.

08Retention and Deletion

Retention depends on customer instructions, signed agreements, legal requirements, security needs, records obligations, and technical limitations.

09Reporting Definitions

Operational reports should use approved definitions, populations, denominators, milestones, exclusions, and time periods.

10Sensitive Information

Protected health information, identity information, credentials, and other sensitive data require heightened access, purpose, disclosure, and security controls.

Elizian’s public marketing forms should not be used to submit patient, member, clinical, referral, authorization, or other protected health information.

Artificial intelligence supports work under human and organizational accountability.

Elizian may use artificial intelligence and automated processing to assist with operational tasks such as summarization, classification, requirement extraction, provider-match recommendations, prioritization, risk identification, forecasting, communication drafting, and executive insights.

01Approved Use

AI features should be used only for approved operational purposes within the configured service.

02Human Review

AI-assisted output should be reviewed by an appropriate person when it may affect a material operational, provider, authorization, clinical, or customer decision.

03Clinical Boundaries

AI does not replace licensed clinical judgment, diagnosis, treatment decisions, or professional supervision.

04Authorization Boundaries

AI does not independently determine medical necessity, eligibility, or benefit authorization.

05Provider Boundaries

AI recommendations do not independently establish that a provider is licensed, credentialed, available, appropriate, or required to accept a case.

06Data Controls

Information made available to AI services should follow applicable customer agreements, privacy requirements, security controls, and approved data-use practices.

07Output Reliability

AI-generated output may be incomplete, outdated, or inaccurate and should not be treated as infallible.

08Change Oversight

Material changes to AI providers, data use, use cases, automation authority, and decision impact require appropriate review.

Elizian does not authorize customer-controlled healthcare information for external model training unless expressly permitted through applicable agreements and approved controls.

The platform connects responsibilities without erasing them.

Responsibility 01

Clinical diagnosis and treatment

Primary accountable organization
Licensed healthcare professionals and responsible provider organizations
Elizian’s role
No independent clinical authority; supports authorized operational workflows

Responsibility 02

Medical necessity

Primary accountable organization
Authorized health plan, provider, government program, or responsible organization
Elizian’s role
May support documentation and workflow; does not independently decide

Responsibility 03

Eligibility and benefit authorization

Primary accountable organization
Health plan, government program, employer plan, or authorized administrator
Elizian’s role
May route, record, communicate, and track the decision

Responsibility 04

Provider employment and professional supervision

Primary accountable organization
Provider organization or employing entity
Elizian’s role
May support provider information, routing, capacity, and workflow

Responsibility 05

Credential approval

Primary accountable organization
Customer, delegated credentialing entity, payer, or provider organization as applicable
Elizian’s role
May collect, organize, monitor, and route credential information

Responsibility 06

Provider capacity and availability

Primary accountable organization
Provider or provider organization confirms current capacity
Elizian’s role
Supports visibility, requests, matching, responses, and status tracking

Responsibility 07

Patient, family, and environmental readiness

Primary accountable organization
Shared across the patient, family, customer, care team, and designated support organizations
Elizian’s role
Supports structured assessment, ownership, communication, escalation, and tracking

Responsibility 08

Case coordination and workflow execution

Primary accountable organization
Allocated according to the customer operating model and contract
Elizian’s role
Provides platform workflow and contracted managed operations where applicable

Responsibility 09

Service initiation and completion verification

Primary accountable organization
Responsible service provider and customer-defined workflow participants
Elizian’s role
Supports tracking, documentation, communication, reporting, and escalation

Signed agreements, customer policies, delegation arrangements, and implementation documentation control when responsibilities differ from this general public overview.

Provider participation requires defined status, authority, and accountability.

01Provider Onboarding

Provider information is collected and organized according to the applicable participation pathway and customer requirements.

02Credential Information

Licenses, certifications, insurance, payer participation, documentation, service categories, and related requirements may be tracked.

03Approval Responsibility

The responsible customer, payer, delegated entity, employing organization, or provider organization retains approval authority unless a signed agreement states otherwise.

04Expiration Monitoring

Configured workflows may identify expiring documents, unresolved requirements, and changes in participation status.

05Capacity Representation

Providers and provider organizations are responsible for accurately representing their availability, service area, competencies, and current capacity.

06Case Acceptance

Case acceptance should be attributable to an authorized provider or provider-organization representative.

07Rejection Reasons

Rejection information may be recorded to support operations, escalation, matching, and network intelligence.

08Provider Performance

Customer-approved performance measures may include responsiveness, acceptance, service initiation, completion, documentation, readiness, and other operational measures.

09Suspension or Removal

Provider access or participation may be suspended or removed according to applicable agreements, customer direction, compliance concerns, security issues, inaccurate information, or platform rules.

Elizian credentialing workflow support does not automatically constitute delegated credentialing.

Every role should have a defined purpose and approval path.

01Role Design

Roles should reflect operational responsibility and legitimate information need.

02Account Approval

Accounts should be approved by the appropriate customer or Elizian administrator.

03Provisioning

Access should be assigned according to approved roles, organizations, workflows, and environments.

04Privileged Access

Administrative and privileged permissions should be limited and controlled.

05Customer Administrators

Authorized customer administrators may manage users and permissions within their organization.

06Role Changes

Access should change when responsibilities change.

07Periodic Review

Access should be reviewed periodically according to risk, customer requirements, and system capabilities.

08Deprovisioning

Access should be removed promptly when no longer authorized.

09Emergency Access

Emergency access, where available, should be restricted, documented, and reviewed.

10Segregation of Duties

Conflicting responsibilities should be separated where appropriate.

11Audit Records

Material account, permission, and administrative actions may be recorded.

Customers remain responsible for the accuracy of customer-managed users, role assignments, and administrator decisions within their control.

Material change requires assessment, testing, approval, and evidence.

01Standard Change

A low-risk, repeatable, preapproved action performed through an established procedure.

02Normal Change

A material change requiring documented impact assessment, testing, and approval.

03Emergency Change

An urgent change required to address security, service interruption, safety, privacy, or material operational risk.

04Customer Configuration

A change to a customer-specific workflow, role, rule, report, integration, or environment.

05Core Platform Release

A shared Elizian platform change that may affect multiple customers or common functionality.

Change-control process

  1. 1Request
  2. 2Classify
  3. 3Assess impact
  4. 4Review security and privacy
  5. 5Review clinical or operational impact where relevant
  6. 6Design
  7. 7Configure or develop
  8. 8Test
  9. 9Approve
  10. 10Release
  11. 11Monitor
  12. 12Document
  13. 13Review

Emergency changes should be documented and retrospectively reviewed after implementation.

Measures must be defined before results are interpreted.

Elizian supports operational measurement, but valid reporting requires agreement on what each measure means, which population is included, when a workflow begins, when it is complete, which system supplies the data, and which organization owns the underlying action.

Potential governed measures

  • Time to provider response.
  • Time to provider acceptance.
  • Time to scheduling.
  • Time to service initiation.
  • Referral completion.
  • Authorization utilization.
  • Transition completion.
  • Case aging.
  • Escalation volume.
  • Family-readiness barriers.
  • Provider rejection reasons.
  • Provider responsiveness.
  • Capacity gaps.
  • Completion verification.
  • Post-transition follow-up.

Every governed measure should define

  • Measure name.
  • Business purpose.
  • Numerator.
  • Denominator.
  • Start event.
  • Completion event.
  • Included population.
  • Exclusions.
  • Source system.
  • Data owner.
  • Reporting frequency.
  • Attribution.
  • Limitations.

Illustrative planning models are not customer-performance results and must remain clearly distinguished from verified implementation outcomes.

Different events require different ownership and response.

01Risk

A potential condition that may affect objectives, security, privacy, operations, implementation, compliance, performance, or customer obligations.

02Issue

A current problem requiring investigation, ownership, decision, or corrective action.

03Operational Exception

A workflow event outside the expected pathway requiring intervention.

04Incident

An event affecting platform availability, security, privacy, data integrity, contractual obligations, or material operations.

05Clinical Concern

A concern that must be referred to the appropriately licensed or accountable clinical organization.

Risk, issue, and incident governance process

  1. 1Identify.
  2. 2Record.
  3. 3Classify.
  4. 4Assign severity.
  5. 5Assign owner.
  6. 6Establish action.
  7. 7Set due date.
  8. 8Escalate where required.
  9. 9Resolve or mitigate.
  10. 10Verify.
  11. 11Close.
  12. 12Review lessons.

Escalation should identify who must act and by when.

01Routine Operational Escalation

Missing response, incomplete information, delayed routine action, minor workflow exception.

02Time-Sensitive Escalation

Approaching deadline, expiring authorization, unresolved readiness barrier, case aging beyond an approved threshold.

03High-Priority Operational Escalation

Material discharge delay, urgent placement barrier, inability to identify qualified capacity, repeated provider failure.

04Executive Escalation

Repeated systemic failure, unresolved cross-organizational decision, material contractual risk, program-level performance concern.

05Security, Privacy, or Clinical Referral

Suspected unauthorized access, sensitive-data concern, security event, privacy concern, or matter requiring responsible clinical review.

Escalation through Elizian does not transfer legal, clinical, authorization, employment, or regulatory authority to Elizian. The responsible organization retains its applicable decision rights.

Governance depends on records that show what happened.

Potential governance records include

  • Workflow definitions.
  • Responsibility matrices.
  • Approvals.
  • Configuration records.
  • Access changes.
  • Authentication events.
  • Case-status history.
  • Ownership history.
  • Provider responses.
  • Communications.
  • Escalations.
  • Integration events.
  • Data-quality exceptions.
  • Change records.
  • Test results.
  • Release history.
  • Incident records.
  • Training records.
  • Performance reports.
  • Governance-meeting decisions.

Record availability, retention, export, customer access, and disclosure depend on the relevant purpose, system capability, signed agreements, customer instructions, and applicable law.

Governance materials for qualified organizations.

Qualified customers and prospects may request governance materials relevant to their enterprise evaluation or implementation planning.

Available materials

  • Enterprise Governance Overview
  • Sample Joint Governance Structure
  • Implementation RACI
  • Responsibility Matrix
  • Data Governance Summary
  • AI Governance Summary
  • Identity and Access Governance Overview
  • Change Management Overview
  • Escalation Framework
  • Performance Measurement Framework

Customer-specific or confidential governance documents are not exposed publicly.

Requested materials