him new roles, new futures
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HIM New Roles, New Futures. Candace J Gibson, PhD, CHIM Assistant Dean, BMSUE. The Health Information Management Lifecycle. HIM standards – A new domain of practice. CHIMA – Domains of Practice. Data Quality Privacy e-HIM HIM Standards. HIM Lifecycle. - PowerPoint PPT PresentationTRANSCRIPT
HIM New Roles, New Futures
Candace J Gibson, PhD, CHIMAssistant Dean, BMSUE
HIM STANDARDS – A NEW DOMAIN OF PRACTICE
The Health Information Management Lifecycle
CHIMA – Domains of Practice
Data QualityPrivacye-HIM
HIM Standards
HIM Lifecycle
IM Planning
Data Collection,
Receipt, Capture
Organization
Access, Use, and
Disclosure
Maintenance & Protection (Security)
Disposition/Destruction
Evaluation
Health Information
Management Lifecycle
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
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
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
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
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
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
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
HIM CAREER MATRIX
Building a Career Roadmap
Our Approach
• Background• Research approach• Analysis• Draft career matrix
New Roles – from work with AHS
Category Service Scope New Roles/TitlesData Capture The data capture service performs all tasks associated
with the capture of health data. This Includes data coded directly from clinical documentation or auto-coded using systems for that purpose, voice and speech recognition systems and scanning or creating a digital image of text based documents. This service will perform audits of the service functions to ensure that best practice and current standards are implemented.
Clinical Data Specialist Data Profiler Research Associate Concurrent Coding Specialist Code Mapping Specialist Data Mapping Specialist Clinical Data Analyst Central Intake Coordinator
Information Integrity
This service evaluates the integrity of health information holdings, identifies risks and implements risk mitigation strategies. This service will respond to inquiries into information integrity and complete an auditing role for both internal and external requests.
Health information Safety Officer (includes hybrid record)
Data Integrity Specialist Risk Management Analyst Forensic Investigation Officer
Identity Management
Managing the systems responsible for the unique identification of consumers, providers, organizations and services.
Data Quality Analyst Data Integrity Specialist Identity Management Coordinator
New Roles (cont’d)
Information Management Governance
Using best practices and information management principles, this service develops, maintains and monitors the accountability framework for information. It includes policies, processes, standards and metrics to ensure unified data and information, as well as efficient, effective and secure information assets.
Information Management Liaison
Standards Coordinator Policy Analyst Auditor
Content Compliance
Management of the clinical content to ensure meets information management best practices including performing quality assurance audits on the content. This is the bridge between the provider content for clinical need, and the information needs of the organization as well as internal and external stakeholders.
Content Management Expert Compliance Officer Process Improvement Engineer
Information/Knowledge Asset Management
Developing, auditing, evaluating, maintaining and mapping clinical information and knowledge assets.
Data Modeler Health Information Semantics
Content Expert Clinical Terminology Standards
Specialist
New Roles (cont’d)
Access, Disclosure and Retention
Protect and promote data and information privacy for consumers, providers, users, and the organization. Manage the access, disclosure, retention, archiving and destruction of Personal Health Information from organizational systems.
Release of Information Analyst Access and Disclosure Specialist Request Coordinator Privacy Officer
Consumer Support
Promotes excellent public relations by fostering and maintaining positive communication with customers in the areas of the Personal Health Record (PHR) and Registration Systems (registration, booking, registries, self-registration)
Information Broker Registry Agent Portal Agent Customer Service Agent
Information Analysis and Business Intelligence
Information needs are identified and data is collected and analyzed. Utilization management and quality improvement practices are supported and enhanced via the services offered. Data analytics, clinical trials ,and research studies are areas of focus.
Health Information and Performance Analyst
Decision Support Analyst Process Improvement Specialist Consultant, Clinical Performance Health Analyst
LevelsLevel Definition
Masters 10+ yrs higher level HIM experienceProven senior leadership & executive level experience Masters degree requiredPhD for academic rolesCHIM certificationAdditional certifications as required (e.g., accounting, PMP)
Advanced 7+ yrs higher level HIM experienceProven leadership experienceMasters degree an asset; minimum Bachelor’s degreeCHIM certificationAdditional certifications as required
Intermediate 3 – 7 yrs HIM experienceBachelor's degree or diplomaCHIM certificationAdditional certifications may be required
Entry 0 – 3 years experienceCHIM certificationBachelor’s degree or diploma
Bringing it all togetherHealth Information Analytics & Research
Information Governance
Business Intelligence & Sustainability
Information Management
HIM Standards
Privacy & Security
HIM Education
The use of health data to strengthen clinical programs of care, health system mgmt & pop., public health, and research. (CIHI definition, 2013)
Develops, maintains & monitors the accountability framework for information.
The sharing of lessons learned, integration and continuous improvement and sustainability of the organization.
Capture and use of health data for improved performance, competitive advantage, innovation, planning & performance.Includes records management, data quality, monitoring & auditing.
Standards supporting health information management. For example, terminology asset management, Standards development specific to HIM.
Privacy, security, & confidentiality of information.
HIM curriculum development, teaching, & research.
Privacy and SecurityLevel Access, Disclosure, and Retention
Master Chief Privacy Officer (Enterprise)
Exp = 10 years; Proven senior leadership & executive level experience Ed = Masters, CHIM, Privacy Certification
AdvancedAccess & Privacy Manager (HIM)
Exp = 7+yrs; Proven leadership experienceEd = Bachelor or Masters, CHIM, Privacy Certification
Intermediate Access & Disclosure Specialist Exp = 5 yrs Ed = Diploma or Bachelor’s, CHIM, Privacy Certification
Entry Request Coordinator
Exp = 2 yrs Ed = Diploma or Bachelor’s, CHIM
Health Information Analytics
Level Data Analytics and Research
Master VP, Analytics and Informatics
Exp = 10 yrs +; Proven senior leadership & executive level experience ED = MSc or PhD
Advanced
Director, Health Analytics Exp = 7 yrs; Proven Leadership experience Ed = MSc
Statistical Information Supervisor; Biostatistician Exp = 7 yrs; proven leadership experience Ed = MSc; 2 yr CGA or CMA
Intermediate
Research Associate Exp = 3 – 5 yrs
Ed = Bachelor or MastersDecision Support Analyst
Exp = 3 – 5 yrs Ed = Bachelors or Masters, CHIM
Entry
Data Analyst - Health Information & Performance Exp = 1-3 yrs Ed = Bachelor, diploma, CHIM
Research Assistant Exp = 1-3 yrs Ed = Bachelor, diploma, CHIM
Business Intelligence & Sustainability
Level Business Intelligence
Master
Vice President, Business Intelligence Exp = 10 yrs, Proven Senior Leadership & Executive
level experience Ed = MBA, CHIM
AdvancedDirector of Knowledge Translation
Exp = Proven Leadership level experience Ed = Masters, CHIM
Inter-mediate
Business Intelligence Analyst Exp = 5 yrsEd = Masters an asset, CHIM, additional business courses
Entry
Junior Business Analyst Exp = 2 yrs Ed = CHIM
HIM Career Matrix
HIM Transition Roadmap
AHIMA Career Matrixhttp://hicareers.com/careermap/
Example: Privacy
Example: Data Analytics