1. Experiences from the Front Line – Being a Pilot Site for Governance Principles for Healthcare (IGPHC)
Kyle McElroy, MS-HSA, RHIA
Assistant Vice President, Health Information Management
IASIS Healthcare

2. What does IG mean to you? Right data at the right time?
Safe care for patients?
Reduce clinical risk?
Reduce cost?
Information in one system?

3. What does IG mean to you? All forms of information within healthcare

4. What does IG mean to others?
Finding my correct medical records?
Not having to fill out the same two
page form every time I visit?
Medical records are available to other
providers?
Ability to share information safely with
clinical providers?

5. In the news:

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11. In the news: Consumer Demand – Quality
Lower Cost – Increase out of pocket
Patient Engagement – Patient access to information

12. Why Information Governance?
“IG serves the dual purpose of optimizing the ability to extract clinical and business value from healthcare information while simultaneously meeting compliance needs and mitigating risk. Without some level of information governance, it is difficult – if not impossible– for HCOs to address these needs”

13. Health Information Management’s Role
“The HIM professional’s training, experience, and understanding of the clinical, financial, regulatory, and technology aspects of healthcare and information management often makes her/him a natural fit for IG. Working in concert with senior business and clinical leaders, HIM professionals can help strengthen an organization’s performance related to managing information and data that is necessary for achieving strategic goals.”

14. IASIS Healthcare – AHIMA Pilot Site
AHIMA’s Information Governance Principles for HealthCare (IGPHC)
AHIMA HealthCare Information Governance Maturity Model
AHIMA IG Toolkit – tools to facilitate implementation
IG Advisory visit
Organization webinar series

15. IASIS Healthcare – AHIMA Pilot Site
Why was IASIS interested?
DNV requirement to comply with ISO Document Control guidelines (4.2.4 Control of Records)
Establish a documented procedure to define the controls needed for record:
Identification
Storage
Protection
Retrieval
Retention
Disposition
Keep records legible, readily identifiable, and retrievable.

16. IASIS Healthcare – AHIMA Pilot Site
Why was IASIS interested?
CEO concern around data breach
Cost savings
Elevated need around data conversion (McKesson to Cerner)
Establish better coordination of risk between areas
Develop metrics

17. IASIS Healthcare – AHIMA Pilot Site
IG Pulse Rate score ~ Getting Started
Baseline scoring
Identify early gap areas

18. IASIS Healthcare – IG Charter

19. IASIS Healthcare – IG Charter

20. IASIS Healthcare – AHIMA Pilot Site
IGHealthRate™ Assessment
2 day event
Executive sponsors (CIO & VP Rev Cycle), Chief Privacy Officer, Director IT Security, Director IT Project Management, Director Business Intelligence, Manager Physician Group Compliance, HIM Operations Coordinator, Clinical Document Manager, 3 HIM Directors

21. Information Governance – Getting Started
Leadership & Relating Relevance
Clear Goals
Knowledge Experts

22. Leadership & Relating Relevance
Think Organization Wide
“Dream Big” Patty Thierry Sheridan, 2012 AHIMA President
Jump on board without an end view
Collection of small projects that forms an organizational culture
Project management skills
Challenge knowledge gaps
Organizational awareness
Takes time and effort to
create the awareness

23. Leadership & Relating Relevance
Redefining organizational value?
Is Health Information Management really IG?

24. Leadership & Relating Relevance
Invest your own time
More than reciting bullet points
Develop as a skill similar to coding
Connection to current events
Healthcare breaches
Tie into organizational framework
Understand leadership interest

25. Information Governance Goals
Patient Identification (Availability)
$95 per duplicate (Hansard, L. (2014). The Risk of Duplicate Patient Records, Gallagher Healthcare Practice)
Patient portal
Integration with physician group clinics
Reduce duplicate testing
Limitations in tools offered
Challenges with understanding true duplicate rate
Cost Reduction = Annual Return on Investment
Clean up, conversion costs, single source of truth

26. Information Governance Goals
Destruction of Records (Disposition)
Enterprise inventory
Utilize storage partner for help
Department heads and compliance
to support
Manual survey of all areas
Cost Reduction = Annual Return on Investment
Silver reclamation reinvestment, monthly savings
Projected annual savings of $100K - $200K per year

27. Information Governance Goals
Data Normalization (Integrity)
Knowledge of systems used and purpose
Organization of all types of data
Understand capture format
Standards for format
Improve quality
Cost Reduction = Annual Return on Investment
Reduce system overlap, Value-based purchasing

28. Information Governance Goals
PHI Security (Compliance)
Security Management Process (§ (a)(1)(ii)(D)
Implement procedures to regularly review records of information system activity, such as audit logs, access reports, and security incident tracking reports.
Workforce security (§ (a)(3)(ii)(A)
Implement procedures for the authorization and/or supervision of workforce members who work with electronic protected health information or in locations where it might be accessed.
Access Control (§ (a)(2)(i)
Assign a unique name and/or number for identifying and tracking user identity. Ensure that system activity can be traced to a specific user. Ensure that the necessary data is available in the system logs to support audit and other related business functions.

29. IG Knowledge Experts IG Advisors™ Formalize Project
Maintain Engagement
Project Management
Use Available Tools

30. IG Knowledge Experts IG HealthRate™ 3 Hospitals – Baseline Score 2.6
Higher score = Privacy & Security
Lower score = IG Structure, Strategic Alignment, IG Performance

31. Free IG Resources Small projects Add IG to existing committees
important resources or articles
Post content in high traffic areas

32. ARMA International Generally Accepted Recordkeeping Principles

33. Questions?
Kyle McElroy