HIM New Roles, New Futures

1. HIM New Roles, New Futures Candace J Gibson, PhD, CHIM Assistant Dean, BMSUE

2. The Health Information Management Lifecycle HIM standards – A new domain of practice

3. CHIMA – Domains of Practice Data Quality Privacy e-HIM HIM Standards

4. HIM Lifecycle Health Information Management Lifecycle

5. Stage 1: IM Planning • Information strategies • IM governance and accountability frameworks • Legislation and regulations governing health information • - Policies and procedures for the access and privacy of information • - Retention and destruction policies • Information classification systems • Education framework; staff competencies and training requirements • Measurement/Evaluation

6. Stage 2: Data collection, receiptand capture • Data quality frameworks • Data standards (coding and classification, acceptable medical abbreviations) • Clinical documentation standards • Security procedures • Authentication requirements • Version controls • Need to refer back to IM governance and accountability frameworks (including local, provincial and national requirements for data collection); Multi-jurisdictional IM plans

7. Stage 3: Organization • Following the departmental IM plan • Information models (the qualitative and quantitative analysis of the record for completeness, accuracy, integrity and consistency) • Information classification system framework • Information architecture • Documentation standards • Stewardship and ownership • Security procedures • Authentication requirements • Version controls

8. Stage 4: Access, use, and disclosure • Provide right environment for easy access to timely, accurate, and available information within security and privacy guidelines and legislation • Includes uses for clinical diagnostic and therapeutic purposes; quality performance assessment; planning, managing, and deploying health services; business analysis; accreditation; research and education • Patient access and request for changes to information • Rules for access and disclosure

9. Stage 5: Maintenance & Protection • Retention plans (and local, provincial retention requirements) • Records disposal/destruction plan • Security of information; referral to access and privacy policy and procedures • Transfer of records, if applicable • Disaster recovery plan (including essential records) • Information models • Documentation standards

10. Stage 6: Disposition • When is a record / information deemed non-active? • Implementing decisions on retention and disposition of records • - See policies on retention as outlined in Stage 5 • Methods of destruction • - Physical destruction • - Digital destruction • Tracking of completed disposition actions • Discontinuing records systems • Recovery of destroyed records

11. Stage 7: Evaluation • Purpose of Evaluation • - An ongoing part of the cycle - for continuous improvement. • - How effective are our IM strategies and processes? • - Incorporate changes in standards or legislation, or information technology, or information sharing arrangements. • Process of Evaluation / Evaluation Frameworks • Metrics used • - Performance should be compared against benchmarks established in Stage 1 and based on information gathered through re-abstraction studies or other data quality control procedures (e.g., turn-around times, record completion rates, outcomes of re-abstraction studies). • - Sharing best practices across organizations

12. Building a Career Roadmap HIM CAREER MATRIX

13. Our Approach • Background • Research approach • Analysis • Draft career matrix

14. New Roles – from work with AHS

15. New Roles (cont’d)

16. New Roles (cont’d)

17. Levels

18. Bringing it all together

19. Privacy and Security

20. Health Information Analytics

21. Business Intelligence & Sustainability

22. HIM Career Matrix

23. HIM Transition Roadmap

24. AHIMA Career Matrix http://hicareers.com/careermap/

25. Example: Privacy

26. Example: Data Analytics