Scope

Where I help

Three recurring failure modes slow work and raise risk. Each has a simple, testable fix.

Decision rights & governance

Decision‑rights matrix, RACI, and escalation rules
Standards roster with owners and change cadence
Exception register with trend reporting

Interoperability & data standards

USCDI/FHIR profiles, mappings, and validation
Lineage and artifact store with version control
Smoke tests and harness for integrations

AI guardrails

Use‑case register, risk screen (NIST AI RMF)
Consent/opt‑out patterns and monitoring
Governance board with decision log