In healthcare, the volume of data and the demand for data can easily outpace an organization's capacity to deliver data products. This cartoon offered a high-level view of the available data delivery options.
Engineering solutions alone, like bigger data storage (Data Lakes), fatter pipelines (Cloud Services), and faster nozzles (SAP HANA), just tend to increase the chaos and make a bigger mess of things.
Since people play a big role in how well the system works, data governance programs help people get the most facts to the most people in the most elegant way possible by modeling good behaviors through methodologies like master data stewardship, element models, ontologies, data glossaries and data catalogs.
Stick figure style from http://xkcd.com