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Wagner, explains IT governance in health care as principles, processes, and organization structures that govern the IT resources . The IT governance determines the distribution of responsibility for making decisions, defines roles of various organizational members, develops IT-centric organizational process, es and defines policies and procedures .  The roles of IT are to develop plans for the IT plans, develop process IT standards and procedures, inventory of installed and planned systems, manage the professional growth, establish communications and relationships.  As far as the users, they understand the scope and quality of IT activities, ensure the goal of IT, develop IT projects, verify that the applications of the department are working properly, and maintain the IT agenda .  The senior management ensures the organization understand the IT strategy, ensure an appropriate balance between the perspectives and IT organization, establishes standard processes and purchases, developing roles of the IT organization and the users, ensure the IT applications conform to all the legal regulations and review all new IT opportunities .  The factors that enable sustained excellence in the application of IT in a health care organization are the effectiveness in IT in a variety of ways, information system that defined an industry, organization that has a reputation for being effective over decades .  In the area of competitiveness, it improves processes, gathers critical data that can be used to enhance the company, and help define new business models.

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