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Information Governance in the

Health Care Enterprise

Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSS

Senior Director of HIM Innovation

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© 2014 Nuance Communications, Inc. All rights reserved. 2

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

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Information Governance

– Information governance provides parameters based on

organizational and compliance policies, processes, decision-rights 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.

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© 2014 Nuance Communications, Inc. All rights reserved. 4

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.

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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.

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© 2014 Nuance Communications, Inc. All rights reserved. 6

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.

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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

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© 2014 Nuance Communications, Inc. All rights reserved. 8

IG Prevalence in Healthcare

Cohasset Associates | AHIMA 2014 “Information Governance in Healthcare – A Call to Adopt Information Governance Practices”. http://www.ahima.org/IGwhitepaper.

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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.

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© 2014 Nuance Communications, Inc. All rights reserved. 10

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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.”

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© 2014 Nuance Communications, Inc. All rights reserved. 12

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”.

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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.

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© 2014 Nuance Communications, Inc. All rights reserved. 14

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”.

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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.

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© 2014 Nuance Communications, Inc. All rights reserved. 16

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.

Accountability

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An organization’s processes and activities relating to

information governance shall be documented in an open and verifiable manner.

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© 2014 Nuance Communications, Inc. All rights reserved. 18

Leading the Adoption of IG in Healthcare

AHIMA.ORG/INFOGOV

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.

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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.

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© 2014 Nuance Communications, Inc. All rights reserved. 20

IG shall be constructed to comply with applicable laws, regulations, standards and organizational policies.

Compliance

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Leading the Adoption of IG in Healthcare

An organization shall maintain information in a manner that ensures timely, accurate, and efficient retrieval.

Availability

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© 2014 Nuance Communications, Inc. All rights reserved. 22 An organization shall maintain its

information for an appropriate time, taking into account

its legal, regulatory, fiscal,

operational, risk and historical requirements.

Retention

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An organization shall provide secure and appropriate

disposition for information no longer required to be

maintained by applicable laws and the organization’s policies.

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© 2014 Nuance Communications, Inc. All rights reserved. 24

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.

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– Available Now! – Free Download

– ahima.org/infogov

AHIMA: Leading Information Governance

for Healthcare

ADAPTED FOR HEALTHCARE ADAPTED FOR

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© 2014 Nuance Communications, Inc. All rights reserved. 26

– Collaborators

– ARMA International – CHIME – HFMA – NAHQ – NARA – ISACA – ACHE

– The Joint Commission – US TAG-ISO TC 215 – Center for Medical

Interoperability

AHIMA: Leading IG for Healthcare

– Promoters

– IGI

– Health Data Consortium – eHealth Initiative

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© 2014 Nuance Communications, Inc. All rights reserved.

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