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A Primer on Health Information Governance

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Title: A Primer on Health Information Governance


1
A Primer on HealthInformation Governance
By Sandra K. Kersten, MPH, RHIA
2
Objectives
  • Define enterprise information management and
    information governance for healthcare
  • Review trends driving the need for information
    governance
  • Distinguish between information governance (IG),
    data governance, and information technology (IT)
    governance
  • Assess your organizations IG maturity
  • Explore the role of HI Professionals

3
Basic Definitions
  • Enterprise Information Management (EIM) involves
    the infrastructure, policies, andprocedures to
    ensure information is trustworthy across the
    organization
  • Information governance (IG) involves the
    accountability framework and decision rights to
    achieve EIM

4
Enterprise Information Management and Governance
5
Enterprise Information Management and Governance
6
Enterprise Information Management and Governance
7
Enterprise Information Management and Governance
8
Enterprise Information Management and Governance
9
Enterprise Information Management and Governance
10
Enterprise Information Management and Governance
11
What Is Governance?
In the case of a business or organization,
governance relates to consistent management,
cohesive policies, guidance, processes, and
decision-rights for a given area of
responsibility.
12
Types of Governance
13
Data and IT Governance
  • Data governance refers to the overall management
    of the availability, usability, integrity, and
    security of the data employed in an organization
    or enterprise.1
  • IT Governance primarily deals with connections
    between business focus and IT management.
  • 1The Data Governance Institute

14
So What Is Information Governance?
  • Technically defined, information governance is
    the exercise of authority and control over the
    management of an organizations data and
    information assetsincluding planning and
    monitoring data, and the enforcement of data
    rules, and management of the information systems.
  • Information governance is a system of decision
    rights and accountability that encompasses the
    information lifecycle and information systems of
    an organization.
  • 1The Data Governance Institute

15
Why Now?
  • Increasing focus on healthcare data and HIT to
    drive improved care
  • Rapid adoption of technology shift from
    paper-based processes is needed
  • Mergers and acquisitions new organizational care
    models

16
Specific Drivers of Information Governance
  • Technology
  • Cost
  • Meaningful use
  • Innovation
  • Safety
  • Healthcare consumers
  • Legal and compliance pressures

17
What Are the Potential Benefits?
  • More accurate data and informationData-driven
    decision-making, atincreased speed
  • Better security of data and information
  • Organization is prepared to advance
    interoperability and HI exchange
  • Potential of achieving lower costs related to
    data and information management

18
Information Governance Goals
  • Improve decision-making
  • Reduce operational friction
  • Protect the needs of data andinformation
    stakeholders
  • Standard, repeatable processes for dataand
    information management
  • Ultimately Lower costs andincreased efficiency
    of information management processes

19
Justification
  • ...the business costs of non-quality data,
    including irrecoverable costs, rework of products
    and services, workarounds, and lost and missed
    revenue may be as high as 10 to 25 percent of
    revenue or total budget of an organization.
  • Larry English
  • Father of Data Quality

20
What Does IG Look Like?
  • Three Layers of Governance
  • Executive Leadership drives strategic direction
    for information management
  • Multidisciplinary Steering Groups address
    specific priorities
  • Working groups address operations

21
IG Model
22
Creating the Vision
  • Raise awareness of the value of the
    organizations information assets
  • Do you/can you measure the actual and potential
    value generated from your organizations
    information assets?
  • Consider positive and negative values

23
Assessing YourInformation Assets
  • What are the main repositories of information in
    your organization?
  • Classification
  • Visibility
  • How are they used to drive business value?
  • Clinical or business decision-making
  • Reimbursement or financial
  • Measurements of quality or other performance
    goals
  • External reputation

24
Assessing Your OrganizationsIG State
  • For each repository
  • Policies and procedures addressingEIM
    components?
  • Are they followed manually or through technology?
  • Is there an organizational leader with
    responsibility for the domain?
  • Is this repository covered by an overarching
    governing body?

25
Assessing the Health of Your Clinical Information
Assets
  • Do you know where the data are?
  • Who controls the data?
  • Do you know who will use the data?
  • Does your organization need to better safeguard
    information?
  • Does your organization need to keep auditors and
    regulators satisfied?
  • Does your organization need to improve data
    quality?
  • Are you ready for meaningful use and data
    sharing?

26
Benefits of a Mature IG Program
  • Optimized access to information through processes
    and technology that maintain confidentiality and
    security
  • Decreased liability through maintenance of an
    accurate and complete clinical record
  • Better and faster data-driven decision-making
  • Decreased risk of litigation based on appropriate
    retention of data
  • Decreased liability and enhanced reputation
    through reduction of breaches

27
Lead from Any Seat
  • Data Administrator
  • Data Mining
  • Clinical Terminologies
  • ICD-10-CM/PCS Classification codes
  • Governmental Audits
  • Privacy and Security related to Access
  • Quality/Compliance
  • Chief Knowledge Officer
  • EMPI Manager
  • Others?

28
Best Practice Commit from the Top Down
  • Executive Leadership (CEO, CIO, CFO) are
    criticalstakeholders, and must take
    responsibility for the information management.
  • Steering Committee should include individuals
    frommany areas
  • Revenue cycle
  • Patient registration
  • Health information
  • Clinical
  • Data quality/compliance
  • Information technology

29
Best Practice Work from the Bottom Up
  • Data Dictionary A tool for supporting
    documentation that provides a descriptive list of
    names, definitions, and attributes of data
    elements to be captured in an information system
    or database
  • Supports data sharing, exchange, and integration

30
Best Practice Keep Training
  • Share the results of your efforts
    withoperational teams
  • Registration/access staff can use data dictionary
    as a training resource
  • Reporting staff can use the data dictionary to
    better understand data meaning

31
Best Practice Communicate
  • Communication may include questions such as
  • Are we making progress?
  • Are we improving our data integrity?
  • Are we reducing our error data-related tasks?

32
Certification Opportunities
  • Be a leader
  • Make a statement
  • AHIMA Certified Health Data Analyst (CHDA)
  • AHIMA Certified Documentation Improvement
    Professional (CDIP)

33
Resources
AHIMA Resources InformationGovernance Webpage
Source http//ahima.org/resources/InfoGov.aspx
34
Information Governance Events
  • Watch for presentations and workshops at future
    AHIMA conferences and meetings
  • Atlanta, GA, October 2013IG Workshop

35
Questions
36
Resources
  • Strategic
  • Casonato R, Lapkin A, Beyer M, Genovese Y,
    Friedman T, Information Management in the 21st
    Century Gartner, Inc. 2011 Sept. 2 cited 2013
    Feb. 7.
  • Abstract
  • The growth in information volume, velocity,
    variety, and complexity, and the increased
    importance of information to the business makes
    the discipline of information management
    radically different from the past. Old techniques
    are no longer adequate a dramatically different
    approach is needed.
  • Stackpole B, Information Governance Strategy
    Developing a Roadmap for Managing Corporate
    InfoTechTarget, 2012 Sept. 5 cited 2013 Feb.
    21.
  • Abstract
  • Utilizing best practices and practical advice on
    developing an information governance strategy are
    included in the article a checklist of what to
    do and what not to do as part of a successful
    information governance initiative.
  • Sallam R, Cearley D, Advanced Analytics
    Predictive, Collaborative Published Gartner,
    Inc. 2012 Feb. 16 cited 2013 Jan. 23.
  • Abstract
  • Organizations that deliver next generation
    advanced analytics to an expanded set of users
    will realize significant value in terms of
    innovation, productivity, and growth. A lack of
    skills will be the biggest barrier to success.

37
Resources
  • Logan D, IT Cost Savings With Information
    Governance Gartner, Inc. 2012 Apr. 17 cited
    2013 Jan. 29.
  • Abstract
  • By systematically eliminating redundant
    information, Cisco has retired multiple legacy
    systems, eliminated "shadow IT," reclaimed
    storage space in its data centers and saved 12
    million in IT costs. Its approach demonstrates a
    number of best practices.
  •  
  • O'Kane B, White A, Bugajski J, Logan D, Sholler
    D, Predicts 2013 The Nexus of Forces Boosts
    Information Governance and MDM Gartner, Inc.
    2012 Nov. 28 cited 2013 Feb. 7.
  • Abstract
  • Gartner predicts that the Nexus of Forces
    (mobile, social, cloud, and information) will
    lead to unprecedented levels of enterprise data
    being exposed to the public. The trust required
    for corporate data will lead to major
    improvements in information governance and master
    data management practices
  • Kloss, Linda L. Healthcare Data Life Cycle
    Governance and Stewardship. In Health
    Information Management Concepts, Principles, and
    Practice. 4th ed. Edited by Kathleen M. LaTour,
    Shirley Eichenwald Maki, and Pamela K. Oachs.
    Chicago AHIMA Press, 2013.
  • Abstract
  • A rich discussion of enterprise information
    management, information governance, and the
    components included in each.
  •  

38
Resources
  • Core
  • Glaser J, Preparing for the growing role of
    analytics and business intelligence Hospitals
    Health Networks Internet 2012 Oct. 9 cited
    2013 Feb. 14. Available from http//www.hhnmag.c
    om/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id553000
    8606
  • Abstract
  • Providers will need to enhance their measurement
    and reporting so they can implement strategies
    with new care models at the individual patient
    and population levels to manage diverse payment
    arrangements using both business intelligence and
    analytics as tools to help assess quality measure
    and metrics real-time.
  • Management
  • Independent Information Governance Review Scope
    NHS Future Forum Summary report Internet 2012
    Jul. 9 cited 2013 Feb. 14. Available from
    https//www.wp.dh.gov.uk/caldicott2/files/2012/06/
    20120712-Approved-Scope.pdf
  • Abstract
  • Information governance should aim to balance
    sharing usage of information along with
    protecting information to improve patient care to
    reduce data breaches under the new landscape of
    organizational structure and technology.
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