From Ego-Centric to Eco-Centric: Realizing Principle 1 of the Pan-Canadian Health Data Charter

The Canadian healthcare landscape's deep fragmentation of service-centric data silos is causing harm to patients, providers, and the overall healthcare system. This article examines Principle 1 of the Pan-Canadian Health Data Charter: Person-Centric Health Information Design (PCHID). Unlike traditional models, PCHID creates a technical architecture organizing data around individuals to ensure continuity of information across the care continuum. Canada can realize significant gains in health equity, clinical safety, and population health and innovation by moving from an "ego-centric" system of institutional data control to an "eco-centric" model of shared stewardship. This article outlines pathways for health leaders to operationalize PCHID. These include governance and public engagement, harmonized policies and legislation, investment in health data literacy, culture change, and embedding Indigenous data sovereignty. Ultimately, PCHID serves as the foundational blueprint for a trusted, integrated health ecosystem that prioritizes the well-being and agency of all people in Canada.