📅 Epic Refuel Governance –
The Shared Governance Framework provides a structured process for evaluating, prioritizing, and governing technology changes, enhancement requests, resource requests, and strategic initiatives across Rochester Regional Health.
🧠Governance Path
Governance Path
Request → Workgroup → Domain Committee → OSC (as needed)
This approach ensures consistent prioritization, cross-functional alignment, and transparent decision-making across the organization.
⚙️ Governance Structure
The Governance Framework is designed to support enterprise decision-making while ensuring that operational, clinical, and technical stakeholders are engaged at the appropriate level.
The governance structure consists of four primary levels:
🤝 Level 1 — Workgroups
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Workgroups
a. Workgroups serve as the primary intake and collaboration forum for technology, workflow, process improvement, and enhancement requests.
b. Workgroups include operational leaders, clinicians, informaticists, and subject matter experts who evaluate requests, discuss impacts, and develop recommendations.
|
Workgroup |
Chair(s) |
HI Member(s) |
|---|---|---|
|
Allied Health (PT/OT/SLP/RT/RD) |
Rick Adrid |
Michelle Conti |
|
Ambulatory & Community Care |
Scott Stratton-Smith |
Mary King, Guyla Lockhart, Dr. Stratton-Smith |
|
Anesthesia |
Daniel Jedrysiak |
Krista Carson |
|
Behavioral Health |
Aurelian Niculescu |
Guyla Lockhart |
|
CDS / Orderset |
Tamer Altamimi Salhab |
Dr. Altamimi, Dr. Nasar, Michelle Conti, Paulo Silva Pestana |
|
Critical Care |
Damanpaul Sondhi |
Topacio Cruz |
|
Emergency Medicine |
Michael Higgins |
Krista Carson |
|
Geriatrics & Post Acute Care |
Scott Schabel |
Krista Carson, Vielka Gause |
|
Heart Institute |
Devesh Rai |
Guyla Lockhart |
|
Inpatient Care |
Farhad Nasar |
Dr. Mudgundi, Dr. Nasar, Michelle Conti |
|
Interoperability |
Paul Cabral |
Krista Carson, Dr. Cabral |
|
Lab |
Roberto Vargas |
Topacio Cruz |
|
Med Ambulatory Specialties (Endo, AIR) |
Michael Quartuccio |
Guyla Lockhart |
|
Med Surg Nursing |
Jessica Powell |
Guyla Lockhart, Mary King |
|
Medicine (Hospitalist & Admitting) |
Venugopal Mudgundi |
Dr. Mudgundi, Topacio Cruz |
|
Neurosciences |
John Holton-Burke |
Michelle Conti |
|
OB GYN & Inpatient Peds |
Megan Carmel |
Claire Hutter, Dr. Cabral |
|
Oncology (incl. RadOnc + Palliative) |
Mohammed Khan |
Guyla Lockhart |
|
Orthopedic |
David Cywinski |
|
|
Patient Digital Experience |
Janene Baase |
Mary King, Dr. Weiss, Janene Baase, Guyla Lockhart |
|
Patient Flow |
Deepa Patel |
Dr. Mudgundi, Krista Carson |
|
Pediatric Primary Care |
Suzanne Mullin |
Mary King |
|
Perioperative |
Danielle Davis |
Paulo Silva Pestana, Krista Carson |
|
Pharmacy |
Anthony Mendicino III |
Topacio Cruz |
|
Dentistry and Ophthalmology |
Adela Guset |
Guyla Lockhart |
|
Quality & Efficiency |
Tamer Altamimi Salhab |
Erica Famania, Michelle Conti, Dr. Altamimi |
|
Radiology / Imaging |
Adam Zinkin |
Paulo Silva Pestana |
|
Revenue Cycle & HIM |
Tamara Imm |
Erica Famania, Dr. Mudgundi, Dr. Cabral |
|
Surgery |
Lewis Zulick |
Paulo Silva Pestana, Dr. David Krusch, Dr. Paul Cabral |
|
VBC / Pop Health |
Lorinda Parks/Jennifer Hajecki |
Mary King, Dave Krusch |
⚖️ Level 2 — Domain Committees
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Domain Committees
a. Domain Committees provide governance and prioritization within their respective scopes.
b. They are responsible for reviewing requests coming from Workgroups, maintaining domain roadmaps, and ensuring that SWIFTs and Resource Requests are prioritized holistically across the domain
|
Domain Committee |
Scope |
Operational Lead(s) |
Clinical Lead(s) |
Informatics Rep |
|---|---|---|---|---|
|
Acute & Post-Acute Care |
Emergency Medicine, Inpatient Care, Post-Acute Care, Home Care & Hospice |
Deepa Patel Dan Sokac |
Keith Grams Mohammad Jawish |
Farhad Nasar |
|
Ambulatory Care |
Ambulatory Practices, Urgent Care, Population Health, ElderONE, Patient Access |
Kurt Calman Janene Baase |
Lorinda Parks Shazad Mustafa |
Greg Genysenko |
|
Surgical & Procedural Care |
Surgical and Procedural Services |
Selma Mujezinovic |
Matt Schiralli |
Paul Cabral |
|
Finance, Administration & Revenue (FAR) |
Revenue Cycle, HIM, Privacy, Risk, Administrative Functions |
Tamara Imm |
- |
Venugopal Mudgundi |
|
IT & Informatics |
Innovation, Artificial Intelligence, Interoperability, Informatics, Technology Enablement |
Jennifer Thibault Matt Philips |
- |
- |
Note: Domain scopes are not exhaustive and may evolve based on organizational priorities and technology initiatives.
🏢 Level 3 — Operational System Committee (OSC)
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Operational System Committee (OSC)
a. The OSC consists of Domain Committee leadership and supporting stakeholders.
b. The committee reviews cross-domain priorities, coordinates enterprise initiatives, and escalates significant decisions requiring additional governance review.
đź“Ą Request Intake and Escalation
Request Intake and Escalation
· All requests should begin within the appropriate Workgroup. Workgroups evaluate requests, gather stakeholder feedback, and develop recommendations before escalation to Domain Committees.
· Domain Committees review, prioritize, and govern requests within their area, escalating cross-functional or strategic items through the OSC and Steering Committees when necessary.
Have a workflow concern or Refuel-related request?
Start with the appropriate Workgroup. Your governance representatives can help determine the appropriate review and escalation pathway.