Information Governance

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

Availability Leading the Adoption of IG in 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 AHIMA.ORG/INFOGOV 2014 Nuance Communications, Inc. All rights reserved. 25

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.