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INFORMATION GOVERNANCE IN HEALTHCAREAHIMA: InformationGovernance UpdateTweet:#ignowAHIMA 2014

Leading the Adoption of IG in HealthcareGreater Challenges thanVolume and rate of data growth AHIMA.ORG/INFOGOV

Challenges to Ensuring TRUST in ourInformation Lack of agreed upon rules/standards Growing numbers of systems and devices Expanding uses of information State of interoperabilityAHIMA.ORG/INFOGOV

Why Adopt IG in Healthcare ?AHIMA.ORG/INFOGOV

IG in Healthcare - Respond toDemandsCostsQuality, Safe CarePop HealthReimb ChangesDelivery System ChangesBI & Clinical AnalyticsAHIMA.ORG/INFOGOVImperativeFor TrustedInformation

IG in Healthcare Benchmarking SurveyDrivers for IGRegulatory compliance80%Improve patient safety/patient care73%Need to manage and contain costs61%Need for clinical, quality and/orbusiness analytics57%Changing payment environment54%Need for increased standardization50%Need to integrate and/or improvesystems and technologies / 90%32%Agreement by35%over 1,000Respondents on38%Drivers for IG in41%Healthcare.46%New care delivery models(population health management)Lack of trust or confidence in set Associates AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt InformationGovernance Practices”. http://www.ahima.org/IGwhitepaper.

First HealthcareIG Benchmarking Survey—White PaperWhite paper availablenow:ahima.org/infogovCohasset Associates AHIMA 2014“Information Governance in Healthcare—A Call to Adopt Information epaper.

2015 Second Survey on IG inHealthcare—Evolving Roles

Framework DevelopmentIG Task ForceIG ExpertAdvisoryGroupAppointedReviewGroup(s)Task ForcesHIM JDs RNs MDs IGPs CRMs JudgeInformaticists Executives Attorneys Privacy Officer CIOs Security Financial Ops Acute CareLong Term & Skilled Care Home Care Assisted LivingPharmaceuticals Teaching Facilities ACO HIE

Association, Organizations, and AgenciesContributing to Healthcare IG Effort ARMA International CHIME NAHQ HFMA Information Governance Initiative (IGI) ISACA National Archives and Records Administration, US Govt US Technical Advisory Group to ISO TC 215 CA DHHS Center for Medical Interoperability The Joint Commission

AHIMA: Leading IG for HealthcareAHIMA DefinitionAn organization-wide framework for managinginformation throughout its lifecycle and forsupporting the organization’s strategy,operations, regulatory, legal, risk, andenvironmental requirements.

AHIMA: Leading IG for Healthcare

AHIMA: Leading IG for ORITIZES

AHIMA: Leading IG for HealthcareORGANIZATION-WIDEALL TYPES—ORGANIZATIONALL TYPES—INFOALL MEDIAA Healthcare Ecosystem Imperative

IG—DG—ITGDataGovITGovInfoGov

Naming Matters“Why call it Information Governance,and not the traditional Data Governance?”*Data GovInfo Gov*Ralf Teschner, Capgemini Blog, February 2, nal-data

Data Governance vs.Information Governance

Data Governance vs.Information GovernanceDataInformation Facts, Measurements Building blocks ofinformation Data in Context Examples: Core Measures Collection of PtDemographics A vendor record inthe AP systemData Governance Granular orientation Tactical in nature Essential to InformationGovernanceInformation Governance Strategic Establishes rules fortreatment of data,records andinformation across theenterprise

Data Governance vs.Information GovernanceDataInformation Facts, Data in ContextMeasurements Data GovernanceInformation Governance Examples: Building blocks of-Core Measuresinformation-Collection of Pt Strategic Granular orientationDemographics Enterprise-wide Information-A vendor recordin Tactical in natureData Governance All types and all mediaGovernancetheAPsystem Essential toDG IG, BUTdata andIG ofInformation DG and Granularinformation StrategicGovernanceorientation Establishes rulesAre InextricablyLinked Establishesrulesfortreatment of Tactical in naturefortreatment of data,data, records and Essential toinformation, & recordsinformation acrossInformationacross the enterprisethe enterpriseGovernanceAHIMA.ORG/INFOGOV

MaturityModelPrinciplesFramework for IG AdoptionTool & ResourcesAHIMA.ORG/INFOGOV

AHIMA: Leading InformationGovernance for HealthcarePrinciples—IGPHC Accountability TransparencyADAPTED FORHEALTHCARE Integrity Protection Compliance Availability Retention ribution – ARMAInternational. GARParma.org

AHIMA: Leading IG for HealthcareAHIMA DefinitionAn organization-wide framework for managinginformation throughout its lifecycle and forsupporting the organization’s strategy,operations, regulatory, legal, risk, andenvironmental requirements.

Information Access and UseInformation LifecycleLevel 5Level 4CaptureProcessUseLevel 2Level 1TimeStoreDispose

Information LifecycleInformation Access and UseShareCaptureLevel 5Level 4ProcessUseStoreLevel 2DisposeLevel 1TimeAHIMA.ORG/INFOGOV

Information LifecycleInformation Access and UseShareCaptureAvailabilityLevel nceStoreLevel 2DisposeLevel 1ProtectionTimeIntegrityAHIMA.ORG/INFOGOV

IG Components—OverviewRoles&AuthorityPolicies &,ProcessesStructures &InfrastructureOrg Supports

IG Components—Roles andAuthorityInformation Governance Leader (e.g. CIGO, SVP of IG, VP of IG)Roles&AuthorityBusUnitsHIM &EIMITBI, rg-WideProgramsAccountabilityAHIMA.ORG/INFOGOV

IG Components—Policies,Processes, are / ion - DispositionRolesDisposeAHIMA.ORG/INFOGOV

IG Components—Structures lesRolesStructures&InfrastructureTechnology Architecture,Standards, Formats, & ProtocolsInformation Architecture, Standards,Taxonomy, & MetadataApplicationsEAI, APIs,WebServicesNetworks &ConnectivityHostingSLAs &LicensingHardwareAccountability – Transparency – IntegrityProtection – Compliance - AvailabilityRetention - DispositionAHIMA.ORG/INFOGOV

IG tOrganizationalSupportsCommunicationStandards,Best �Transparency—IntegrityProtection—Compliance —AvailabilityRetention - DispositionAHIMA.ORG/INFOGOV

AHIMA: Leading InformationGovernance for HealthcarePrinciples—IGPHC Accountability Transparency IntegrityADAPTED FORHEALTHCARE Protection Compliance Availability Retention DispositionAttribution—ARMAInternational. GARParma.org

AccountabilityLeading the Adoption of IG inHealthcareAn accountable member ofsenior leadership, or a person ofcomparable authority, shalloversee IG and delegateresponsibility for informationmanagement to INFOGOV

Increased Adoption of Governanceand Appointment of C-Level LeaderCapgeminiSurvey52% are sufficientlyconvinced of thebusiness value ofinformation to appointa c-level leader of IG 1,000 Survey Respondents9 Industries10 Countries43% - Restructuring to Exploit DataOpportunities 33% - Have Appointed a CDO or C-LevelLeader 19% - Will Do so within 12 monthsRalf Teschner, Capgemini Blog, 3/12/15 – CDO IS IG IR IE

Chief IG Officer or Chief Data OfficerCIGO IS IG IR IEInformation StrategyInformation GovernanceInformation RiskInformation ExploitationRalf Teschner, Capgemini Blog, 3/12/15 – CDO IS IG IR IE

IG Senior Leader – CIGO or other C-Level Focused on the business-benefits of the organization’sinformation Sits in the Business, but has a solid understanding of datatechnology and information architecture Involved in Board-level discussions on strategy Owns and drives Information Strategy, Information Governance,Information Risk and Information Exploitation Influential advisor but not necessarily the owner of BI,Analytics, Big Data, MDM, ECMRalf Teschner, Capgemini Blog, 3/12/15 – CDO IS IG IR IE

Healthcare organizations must alsodefine USES of Information andassure Governance of those Uses.An organization’s processesand activities relating toinformation governance shallbe documented in an openand verifiable manner.AHIMA.ORG/INFOGOVAHIMA.ORG/INFOGOV

Trust in Information requiresdefinition of and focus onthe quality and reliability ofinformation.Leading the Adoption of IG inHealthcareINTEGRITY: Information generatedby, managed for, and provided tothe organization must have areasonable and suitable guaranteeof authenticity and reliability.Information must be trustworthy.AHIMA.ORG/INFOGOV

ProtectionAppropriate levels of protectionfrom breach, corruption and lossmust be provided for informationthat is private, confidential,secret, classified, essential tobusiness continuity, or otherwiserequires protection.Must address all sources, all media andmust apply throughout the life of theinformation.AHIMA.ORG/INFOGOV

ComplianceInformation practices andprocesses must comply withorganization policies and allapplicable laws, regulations,and standards.

Leading the Adoption of IG inAvailabilityHealthcareAccess toinformation whereand when it isFor Healthcare – focuson standards,practices, techinfrastructure andcontingency measuresto assure Availability.AHIMA.ORG/INFOGOVneeded—critical tosafe, quality careand timely decisionmaking.

RetentionAn organization must retaininformation in accordancewith its legal, regulatory,fiscal, operational, risk andhistorical requirements.

DispositionInformation no longerrequired to bemaintained byapplicable laws andthe organization’spolicies, must bedispositioned in asecure andappropriate manner.AHIMA.ORG/INFOGOV

MaturityModelPrinciplesFramework for IG AdoptionTool & ResourcesAHIMA.ORG/INFOGOV

HealthCare Information GovernanceMaturity Model Broad use of the Maturity Model will ultimately enable:– A recognized scoring mechanism for IG maturity level– Peer group benchmarking– An indication of trustworthiness of an organization‘sinformation– A indication of partnership desirability for accountablecare, preferred provider networks, information exchangemembershipLevel 1Level 2Level 3Level 4Level 5AHIMA.ORG/INFOGOV

HealthCare Information GovernanceMaturity Model - Draft Maturity Markers by PrincipleLevel 1Level 2Level 3Level 4Level 5352932665541223TotalsNote: Maturity Markers - subject to AHIMA IG Pilot validation of relevance,rigor, fit, completeness and appropriateness by Principle and Maturity Level.

Business IT DrivenNot StartedFragmentedAdapted from informatics.com/perspectives.2/1/13 Rob KarelAHIMA HealthcareIG Maturity ModelHolisticAHIMA.ORG/INFOGOV

AHIMA.ORG/INFOGOVMaturityModelPrinciplesFramework for IG AdoptionTool & Resources

IG Tools and Resourceswww.arma.orgEXAMPLES:ChartersOrg ChartsSample PlansRole DefinitionsPractice GuidelinesSample ProceduresArticlesCase StudiesTools for:ROI, Classification,Valuation,Defining Data & Info Uses

IG FrameworkIGPHCMaturityModelTools 5 Level Modelfor Assessingand ScoringMaturity ofAdoption ofInformationGovernance ineach of the 8GuidingPrinciplesTools andResourcesforOperationalizing IG forHealthcareIG Pilots

AHIMA IG Pilot—Objectives Validate and refine maturity modelDevelop, use, and refine IG ToolkitDocument “lessons learned” in IG implementationIdentify and document best practices for IG in healthcareDocument healthcare IG case studiesBuild an IG maturity scoring, reporting, benchmarkingsolution Beta test IG maturity solution

AHIMA LeadingAdoption ofInformationGovernance inHealthcareGOVERNANCEStraight AheadAHIMA.ORG/INFOGOV

AHIMA—InformationGovernanceNowis the Time

AHIMA: Leading InformationGovernance for Healthcare—Recommended Reading AHIMA. “Information Governance Principles for Healthcare ” 2014.Chicago, IL. AHIMA, 2014. Available at: www.ahima.org/infogov ARMA International. “Generally Accepted Recordkeeping Principles”.ARMA International, 2013. Available at www.arma.org Cohasset Associates and AHIMA. “A Call to Adopt Information GovernancePractices.” 2014 Information Governance in Healthcare. Minneapolis, MN.Cohasset Associates, 2014. The Information Governance Initiative. “The Information GovernanceInitiative Annual Report”. 2014. New York, NY. www.IGinitiative.com The Joint Commission. “Information Management (IM) Chapter”,Comprehensive Accreditation Manual for Hospitals, 2014, Oakbrook Terrace,IL: The Joint Commission, 2014, pp.IM-1—IM-10. The Sedona Conference. “Commentary on Information Governance” TheSedona Conference Working Group Series. A project of The SedonaConference Working Group on Electronic Document Retention andProduction (WGI)

Information Governance Information Governance Strategic Enterprise-wide All types and all media of data and information Establishes rules for treatment of data, information, & records across the enterprise DG IG, BUT DG and IG Are Inextricably Linked AHIMA.ORG/INFOGOV Data Govern