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.
Corporate Governance
Oversight of Elizian strategy, platform stewardship, enterprise risk, security, privacy, contractual responsibility, and organizational controls under MyWoosah Inc.
Customer Governance
Joint oversight of objectives, scope, priorities, decisions, risks, performance, adoption, and expansion.
Implementation Governance
Control over discovery, design, configuration, integrations, testing, acceptance, go-live, and optimization.
Operational Governance
Ownership of cases, queues, provider response, readiness, exceptions, escalations, service initiation, completion, and follow-up.
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.
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.
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.
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.
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.
- Stage 01
Discovery
Confirm objectives, populations, workflows, users, systems, dependencies, constraints, measures, risks, and responsible stakeholders.
- Stage 02
Workflow Design
Document intake, requirements, decision points, statuses, ownership, deadlines, escalation rules, completion milestones, and exception handling.
- Stage 03
Data and Integration Design
Define source systems, data elements, exchange methods, mapping, access, retention, reconciliation, errors, and ownership.
- Stage 04
Configuration
Configure roles, pathways, permissions, forms, statuses, notifications, escalations, dashboards, reporting, and customer terminology.
- Stage 05
Validation
Review workflow, data, security, privacy, clinical boundaries, provider responsibilities, reporting, and operational requirements with accountable stakeholders.
- Stage 06
User Acceptance Testing
Customer-designated users test approved scenarios, roles, integrations, reporting, exceptions, defects, and readiness.
- Stage 07
Go-Live Approval
Named decision-makers confirm operational, technical, security, privacy, training, support, integration, and data readiness.
- Stage 08
Hypercare
Monitor adoption, defects, exceptions, support needs, data quality, workflow performance, and urgent change requirements after launch.
- 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
- 1Request
- 2Classify
- 3Assess impact
- 4Review security and privacy
- 5Review clinical or operational impact where relevant
- 6Design
- 7Configure or develop
- 8Test
- 9Approve
- 10Release
- 11Monitor
- 12Document
- 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
- 1Identify.
- 2Record.
- 3Classify.
- 4Assign severity.
- 5Assign owner.
- 6Establish action.
- 7Set due date.
- 8Escalate where required.
- 9Resolve or mitigate.
- 10Verify.
- 11Close.
- 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.
