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.