Within healthcare information system implementations, formal governance and structured change control are essential components of effective project management. When a critical gap is identified during the requirements phase—particularly one that affects scope, cost, or resource allocation—the appropriate action is to initiate a formal change request process . This ensures that the proposed modification is documented, evaluated, and reviewed through established governance channels before execution.

Creating a change request allows the project manager to formally define the scope impact, cost implications, resource adjustments, timeline changes, risks, and expected benefits. The request is then submitted to key stakeholders, sponsors, or a steering committee for structured review and approval. This aligns with healthcare IT governance best practices, which emphasize transparency, accountability, and executive oversight—especially when budget or strategic objectives are affected.

Option A relates to organizational change management but does not address scope or funding authorization. Option B assumes approval and prematurely adjusts baseline plans without formal authorization. Option D may be useful earlier during gap analysis but does not resolve funding or approval requirements.

Healthcare Information and Management Systems governance principles stress that scope, cost, and resource changes must follow formal change control procedures , making option C the correct and most compliant response.