Gunjan ShahContact
Transformation Noteglobalgovernancesafety

Configurability with standards

How to support global variation without making safety and accountability optional.

The tension

Global systems need configurability. Clinical systems need consistency and traceability.

Patterns

  • Define what must be standardized (auditability, escalation, evidence cues)
  • Make what can vary explicit (templates, defaults, workflow mapping)
  • Treat configuration as a governed asset (versioning, review, rollback)

Why it matters

You scale faster when teams can adapt responsibly without re-building.