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An Introduction to Information Governance. Lydia Washington, MS. RHIA, CPHIMS Sr. Director, Practice Excellence, AHIMA. Objectives. Define Information Governance, Data Governance, Enterprise Information Management & the relationship between them

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an introduction to information governance

An Introduction to Information Governance

Lydia Washington, MS. RHIA, CPHIMS

Sr. Director, Practice Excellence, AHIMA

  • Define Information Governance, Data Governance, Enterprise Information Management & the relationship between them
  • Understand why Information Governance is important for healthcare organizations today
  • Discuss how to get started with developing an information governance program
  • Discuss personal preparation for leading an IG initiative
what is information governance
What is 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.

(Source: Gartner)

how does this differ from data governance
How does this differ from Data Governance?

Data Governance is an important part of Information Governance, but not all of it.

Information Governance addresses all types of unstructured & structured information that is collected or stored in the organization,

whereas Data governance is focused only on structured data.

what is enterprise information management
What is Enterprise Information Management?

All the things we do with and to information in order to

1) reduce risks ( examples: disaster recovery/business continuity; e-discovery/litigation response)

2) increase efficiencies (examples: enterprise content management; workflow management)

3) achieve competitive advantages (examples: business intelligence; predictive analytics; knowledge creation)

information governance in health care why now
Information Governance in Health CareWhy Now?
  • Post EHR era
  • Information Management Crisis
  • Current environment requires data and information to be leveraged and optimized
post ehr era
Post-EHR era
  • 4700 hospitals, 453,000 EP’s* have EHRs
  • HIM professionals – EHRs were “slammed in”
  • ~31% will soon adopt a second or third system
  • Poor data integrity, poor workflows, inadequate training
                  • Attestations as of Feb 2014
current environment demands solid data and information
Current Environment Demands Solid Data and Information
  • Emphasis on quality, safety, patient experience
  • Value based payment
  • ACO’s
  • Patient Centered Medical Home
  • Coordination of care
  • Population health management
  • Consumer and patient engagement
clinical and business intelligence in healthcare
Clinical and Business Intelligence in Healthcare

“Intelligence”= insight—not only what, but why and how

Information and analytics --the core --no longer just a byproduct

Information and data governance are foundational for Clinical and Business Intelligence

Essential for population health management

Analytics-transforms data into insight for improving careand reducing costs

what is the difference between analytics and analysis
What Is the difference between Analytics and Analysis?



Applying scientific or quantitative methods to discern patterns and provide insights

Statistics, algorithms, data mining and machine learning


Who will need early re-admission?

Is fraudulent activity occurring?

What diseases am I at high risk for?

  • Deconstructing or breaking a complex issue, part, topic or substance into smaller parts to gain a better overall understanding
  • Examples:
    • Coding
    • Auditing
    • Workflow assessments
    • quality measurements
the bottom line for information governance in health care
The Bottom Line for Information Governance in Health Care

There is an increasing need to ensure that information is trustworthy and actionable.

haven t we always done ig
Haven’t we always done IG?
  • Yes, we have some of the elements relative to some policies/processes/structures
  • No, IG is different in that it is:
    • Strategic
    • Enterprise focused, takes holistic approach
    • Addresses risk and compliance AND using information for business advantage
where are we with ig in healthcare
Where Are We With IG in Healthcare?

85% of health care delivery organizations have weak or no enterprise IG initiatives*

According to AHIMA case studies, initial efforts on EHR remediation

In some organizations, efforts are driven by internal counsel

Is 2015 the year of IG?


what s under the ig umbrella
What’s Under the IG Umbrella?


  • Data standards, integrity and quality
  • Privacy and security
  • Disaster preparedness and business continuity
  • Litigation response/ e-discovery
  • Lifecycle management/

preservation/ retention

Health care specific:

  • Clinical documentation improvement??
  • Clinical content management??
  • Legal Health Record/Designated Records Set policy
  • Other?
initiating information governance
Initiating Information Governance
  • Establishing IG is at minimum a 12- to 18-month effort just to get started
  • Get an executive sponsor
  • Start with current state assessment
    • Level of trust in information
    • Existing Governance Infrastructure Assessment
    • Business goals, strategy, drivers
    • Cultural assessment
    • Available resources (financial and other)
what to do first
What To Do First
  • Build a compelling business case
    • Start with your organization’s pain points, or look for a strategic business opportunity
    • Timing is critical
  • Acknowledge and get others to understand that this is not another another IT project
    • Collaborate with your CIO/IT—they may agree!
  • Develop a strategy
    • Identify goals, define purpose
    • Determine whose in charge/responsibility
    • Create high level work plan
    • Define measures of success
how to get started
How to get started:

1. Identify pain points

2. Make me money or save me money?

3. Collect and assess existing policies for gaps and deficiencies

4. Get and engage an executive sponsor

5. Plan your attack

6. Identify and engage stakeholder group of committed individuals (look for those who are not happy with or mistrust current state about data/info quality, availability, security, etc.)

7. Develop metrics to assess progress and support evaluation

what to do after the initial push
What to do after the initial push
  • Develop longer term IG Strategic Plan
    • Align with organization’s goals and strategy
    • Determine program scope
  • Identify required resources
    • Staff roles and responsibilities, budget, technology
  • Develop an IG framework
    • Core policies, standards, principles
  • Address enterprise communication and training needs
establishing a program continued
Establishing a program--continued

Set up audit and enforcement mechanisms

Identify metrics, benchmarks and reporting mechanisms

Establish internal consulting role (contracts, IT purchases, compliance with plan, etc.)

the 4 r s
The 4 “R”s

Information governance insures that accurate information gets to the

right person, for the

right reason, at the

right time to make the

right decisions.

preparing to lead information governance
Preparing to Lead Information Governance
  • Natural fit and opportunity for growth for some HIM professionals
  • Where HIM is going/growing
  • Required skills/competency areas
      • soft skills associated with leadership, collaboration, and engagement, facilitation, critical thinking, problem-solving
      • Strategic vs. tactical outlook and perspective
      • change management and strategic communications
      • project management
      • information lifecycle management
      • business process improvement
      • understanding of healthcare regulatory compliance
      • information privacy and security
      • litigation and e-discovery
      • understanding of business intelligence and data analytics
      • information technology planning and governance
      • EHR/clinical decision support
ahima leading information governance for healthcare
AHIMA: Leading Information Governance for Healthcare

Establishing an expert advisory panel

Conducting surveys on IG in healthcare

Publishing white papers on IG

Develop principles for IG in healthcare

Developing a maturity model and self-assessment tools

Developing, refining and providing resources to operationalize IG

Providing reference, webinars and forums to raise awareness of IG

additional resources
Additional Resources

AHIMA Information Governance Page

questions discussion