NCHIMA 66 th Annual Meeting Karen Snyder Director, Healthcare & - - PowerPoint PPT Presentation

NCHIMA 66th Annual Meeting

Karen Snyder

Director, Healthcare & Life Sciences Channels & Solutions Iron Mountain

Redefining the Role of HIM in the New World of Information Governance

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Themes Covered in Today’s Presentation

• Why business as usual is no longer an option for

healthcare providers

• The challenges and risks associated with legacy HIM

models

• Elements needed for enterprise-wide information

management & governance

• A 5-phased roadmap for your transition to Health

Information & Records Management (HIRM)

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Compliance Obligations Budget Pressures Explosive Data Growth

Healthcare represents a significant % of the

• verall Digital

Universe, and is growing at 48% per year. The average cost of a data breach for healthcare

• rganizations is more

than $2.1 Million. Costs are rising and providers are taking on greater risk with shifting payment models.

Business As Usual is No Longer an Option

Organizations realizing significant improvements Organizations realizing significant improvements Maturity ranking for information deletion & destruction Maturity ranking for information deletion & destruction

84% 22% 26%

Organizations that have not initiated a formal IG program Organizations that have not initiated a formal IG program By the Numbers

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What It Means

Improvements

Success should be tracked via audits & metrics Success should be tracked via audits & metrics

84%

No IG Program

IG programs less prevalent & mature IG programs less prevalent & mature

22%

Limited Deletion & Destruction

Lifecycle management needs strengthening Lifecycle management needs strengthening

26%

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Static Role

Residual legacy HIM model Residual legacy HIM model

Policy Gaps

Gaps in development & enforcement Gaps in development & enforcement

HIM Challenges

Organizational Change

Increasing merger & acquisition activity Increasing merger & acquisition activity

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Decentralized, outdated “silo” approach increases: Decentralized, outdated “silo” approach increases:

Duplication Cost Risk

Legacy HIM Models

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Providers are left with a patchwork of inconsistent practices and policies that breed:

REDUNDANCY ‐‐‐‐‐‐‐‐ RISK

‐‐‐‐‐‐‐‐

INEFFICIENCY Increased Merger & Acquisition Activity

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EHR efficiency and quality gains are highly contingent on the development and enforcement of operational processes and policies that address:  Integrity  Accessibility  Efficacy  Security

“Without organizational change, technology alone will not produce desired results.”

‐ Julia Adler‐Milstein, “Health Care Requires Big Changes to Complement New IT,” Harvard Business Review, April 2009

“Without organizational change, technology alone will not produce desired results.”

‐ Julia Adler‐Milstein, “Health Care Requires Big Changes to Complement New IT,” Harvard Business Review, April 2009

Gaps in Policy Development & Enforcement

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Information Governance Defined

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An organization-wide framework for managing information throughout its lifecycle and for supporting an organization’s strategy, operations, regulatory, legal, risk, and environmental requirements.

2014 Information Governance in Healthcare Benchmarking Survey by Cohasset Associates and AHIMA and underwritten by Iron Mountain.

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Aligning IG with Organizational Objectives

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Foundational Elements

• 1. Information is managed as a strategic asset
• 2. Governance is integral to optimized information use

and value

• 3. Information Management is an enterprise‐wide

function

New World HIM

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• II. Consistently

Apply Policy

• III. Get Control of

Your Information

• lV. Deliver

Insight

• I. Create a Governance Structure
• V. Continuous Improvement:

Ongoing Maintenance, Measures & Metrics

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Roadmap to Achieve Compliance & Enable Enterprise‐Wide IG

 Build the high level business case  Establish foundational goals and principles  Secure Executive Sponsorship  Convene a multidisciplinary steering committee

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Phase 1: Create a Governance Structure

 Create a process for policy development, dissemination and maintenance  Continuously update retention guidelines  Ensure consistent application and enforcement of policy  Centralize change management and version control

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Phase 2: Apply Consistent Policy

Less than 15%

• f organizations have

mature Data Maps that identify key data repositories  Inventory systems of information  Identify high-risk, high value data  Centralize/consolidate storage

• ffsite

 Assess your current inventory  Identify duplicate records & cleanup downstream systems

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Phase 3: Get Control of Information

 Provide oversight and visibility of core program metrics  Analyze current and historical trends including inventory activity, status, spend  Aggregate level views with the ability to filter data

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Phase 4: Deliver Insight

 Identify, capture, & review metrics on an on- going basis  Determine an IG assessment cycle  Establish a formal process for review and maintenance of the IG program

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Phase 5: Continuous Improvement

 Align the business case to strategic initiatives  Identify the top‐level business benefits  Tie quantifiable business benefits to governance  Innovate in areas where you have authority  Set performance indicators and measure impact  Prioritize projects based on value  Align the business case to strategic initiatives  Identify the top‐level business benefits  Tie quantifiable business benefits to governance  Innovate in areas where you have authority  Set performance indicators and measure impact  Prioritize projects based on value

Gaining Buy‐In

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Recap: Roadmap for Information Governance Make a break from paper Build the case for Enterprise Info Mgmt Organize for Information Governance Measure results Capture organizational learning

Questions?

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