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Information Governance in the
Health Care Enterprise
Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSS
Senior Director of HIM Innovation
December 16, 2014
© 2014 Nuance Communications, Inc. All rights reserved.
Information Governance
The specification of decision rights and an accountability
framework to ensure appropriate behavior in the valuation,
creation, storage, use, archiving, and deletion of information.
The processes, roles and policies, standards, and metrics
that ensure the effective and efficient use of information in
enabling an organization to achieve its goals.
© 2014 Nuance Communications, Inc. All rights reserved. 2
Information Governance
– Information governance provides parameters based on
organizational and compliance policies, processes, decisionrights and responsibilities.
– Governance functions and stewardship ensure the use and
management of health information is compliant with
jurisdictional law, regulation, standards, and organizational
policies.
– As stewards of health information, HIM roles and functions
strive to protect and assure the ethical use of HIM.
© 2014 Nuance Communications, Inc. All rights reserved. 3
AHIMA: Leading the Information Governance
Initiative
 Organizations across multiple industries recognize the need to control
their information, and nowhere does this make more sense than in
healthcare.
• Control requires governance.
• Governance requires adoption and ingraining of principles, a
framework, rules, and managed processes.
• We believe the time has come for the healthcare eco-system to adopt
governance of information.
•
Trust in health information depends on it.
© 2014 Nuance Communications, Inc. All rights reserved. 4
Why Information Governance
Technological advances are enabling creation, capture, and
retention of more data and information, from more sources.
We are living in the information age.
Data and information are changing the way we live, work,
socialize, communicate, and conduct business. We are
experiencing exponential data growth.
© 2014 Nuance Communications, Inc. All rights reserved. 5
Why Information Governance in HC
– Healthcare needs IG for the same reasons all industries
need it. These needs are underscored by the nature of, and
unique challenges to healthcare.
– Healthcare is undergoing changes in payment approaches
and changes in care delivery models. With these changes,
the value of healthcare decisions must be demonstrated.
This requires information that can be trusted. IG across
healthcare will help ensure trust in our information.
© 2014 Nuance Communications, Inc. All rights reserved. 6
AHIMA:
Leading IG for Healthcare
AHIMA Definition
An organization-wide framework for
managing information throughout its
lifecycle and for supporting the
organization’s strategy, operations,
regulatory, legal, risk, and
environmental requirements.
© 2014 Nuance Communications, Inc. All rights reserved. 7
IG Prevalence in Healthcare
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information
Governance Practices”. http://www.ahima.org/IGwhitepaper.
© 2014 Nuance Communications, Inc. All rights reserved. 8
The HIM Professional’s Key to Successful
Information Governance
– The specification of decision rights and an accountability
framework to ensure appropriate behavior in the valuation,
creation, storage, use, archiving, and deletion of information
– The processes, roles and policies, standards, and metrics
that ensure the effective and efficient use of information in
enabling an organization to achieve its goals.
© 2014 Nuance Communications, Inc. All rights reserved. 9
AHIMA Principles for IG
© 2014 Nuance Communications, Inc. All rights reserved. 10
Information Governance for
Healthcare
“For healthcare, like other industries,
adopting IG underscores the value of
information as an asset essential for
advancing the goals and priorities of the
organization.”
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”.
http://www.ahima.org/Iwhitepaper.
© 2014 Nuance Communications, Inc. All rights reserved. 11
IG-Healthcare Benchmarking
Survey Highlights
1.
Overall, IG programs are less prevalent and less mature in
healthcare organizations than is warranted, given the importance
of information.
2.
Most organizations have not yet established a comprehensive strategy
for information governance.
3.
The information governance framework and its foundational
components call for strengthening and expansion.
4.
Information lifecycle management practices related to core functions
require improvement.
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”.
© 2014 Nuance Communications, Inc. All rights reserved. 12
http://www.ahima.org/IGwhitepaper.
IG-Healthcare Benchmarking
Survey Highlights
1.
Overall, IG programs are less prevalent and less mature in healthcare
organizations than is warranted, given the importance of information.
2.
Most organizations have not yet established a comprehensive
strategy for information governance.
3.
The information governance framework and its foundational
components call for strengthening and expansion.
4.
Information lifecycle management practices related to core functions
require improvement.
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”.
© 2014 Nuance Communications, Inc. All rights reserved. 13
http://www.ahima.org/IGwhitepaper.
IG-Healthcare Benchmarking
Survey Highlights
1.
Overall, IG programs are less prevalent and less mature in healthcare
organizations than is warranted, given the importance of information.
2.
Most organizations have not yet established a comprehensive strategy
for information governance.
3.
The information governance framework and its foundational
components call for strengthening and expansion.
4.
Information lifecycle management practices related to core functions
require improvement.
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”.
© 2014 Nuance Communications, Inc. All rights reserved. 14
http://www.ahima.org/IGwhitepaper.
IG-Healthcare Benchmarking
Survey Highlights
1.
Overall, IG programs are less prevalent and less mature in healthcare
organizations than is warranted, given the importance of information.
2.
Most organizations have not yet established a comprehensive strategy
for information governance.
3.
The information governance framework and its foundational
components call for strengthening and expansion.
4.
Information lifecycle management practices related to core
functions require improvement.
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”.
© 2014 Nuance Communications, Inc. All rights reserved. 15
http://www.ahima.org/IGwhitepaper.
Accountability
Leading the Adoption of IG in Healthcare
An accountable member of
senior leadership, or a person of
comparable authority, shall
oversee IG and delegate
responsibility for information
management to appropriate
individuals.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 16
An organization’s processes
and activities relating to
information governance shall
be documented in an open
and verifiable manner.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 17
Leading the Adoption of IG in Healthcare
INTEGRITY: IG shall be constructed
so the information generated by,
managed for, and provided to the
organization has a reasonable
and suitable guarantee of
authenticity and reliability.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 18
Protection
IG must ensure appropriate
levels of protection from breach,
corruption and loss are provided
for information that is private,
confidential, secret, classified,
essential to business continuity,
or otherwise requires protection.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 19
Compliance
IG shall be constructed to
comply with applicable laws,
regulations, standards and
organizational policies.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 20
Leading the Adoption of IG inAvailability
Healthcare
An organization shall
maintain information
in a manner that
ensures timely,
accurate, and
efficient retrieval.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 21
Retention
An organization shall maintain its
information for an appropriate
time, taking into account
its legal, regulatory, fiscal,
operational, risk and historical
requirements.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 22
Disposition
An organization shall provide
secure and appropriate
disposition for information no
longer required to be
maintained by applicable
laws and the organization’s
policies.
AHIMA.ORG/INFOGOV
© 2014 Nuance Communications, Inc. All rights reserved. 23
IG in Healthcare
First Benchmarking
Survey – White
Paper
White paper available now:
ahima.org/infogov
Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt
Information Governance Practices”. http://www.ahima.org/IGwhitepaper.
© 2014 Nuance Communications, Inc. All rights reserved. 24
AHIMA: Leading Information Governance
for Healthcare
– Available Now!
– Free Download
– ahima.org/infogov
ADAPTED FOR
HEALTHCARE
© 2014 Nuance Communications, Inc. All rights reserved. 25
AHIMA.ORG/INFOGOV
AHIMA: Leading IG for Healthcare
– Collaborators
–
–
–
–
–
–
–
–
–
–
ARMA International
CHIME
HFMA
NAHQ
NARA
ISACA
ACHE
The Joint Commission
US TAG-ISO TC 215
Center for Medical
Interoperability
– Promoters
– IGI
– Health Data Consortium
– eHealth Initiative
© 2014 Nuance Communications, Inc. All rights reserved. 26
© 2014 Nuance Communications, Inc. All rights reserved. 27
Thank you
© 2014 Nuance Communications, Inc. All rights reserved.