Led by Deborah Green, MBA, RHIA EVP/Chief Innovation and Global Services Officer of AHIMA, who has had key responsibility for AHIMA's IG initiative, and featuring Katherine Lusk, MHSM, RHIA is the Chief Health Information Management and Exchange Officer for Children's Medical Health System of Texas, who has been instrumental in promoting and shepherding information governance (IG) at her organization, this webinar will provide insights on key findings of the second survey of IG adoption in Healthcare. The webinar will feature: - Specific findings on progress in IG adoption - A discussion of the evolving disciplines of IG - Perspectives on the readiness and needs of professionals working in IG and related roles

1. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Information Governance –
Where is the Healthcare Industry
and Where Are You?
Deborah K. Green, MBA, RHIA
EVP/Chief Innovation and Global Services Officer
AHIMA
Tweet: @debgreen_AHIMA #IGNOW
Katherine Lusk, MHSM, RHIA
Chief HIM & Exchange Officer
Children’s Medical Health System of Texas

2. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Deborah Green, MBA, RHIA
EVP/Chief Innovation and Global Services Office
AHIMA
Information Governance
Standards
Global Services
Katherine Lusk, MHSM, RHIA
Chief Health Information Management and Exchange Officer
Children's Medical Health System of Texas
Health Information Management
Health Information Exchange
Meaningful Use
Personal Health Records
Information Governance – Where is the
Healthcare Industry and Where are You?

3. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Professional Readiness and Opportunity
Review of Findings
• Thank you to Iron Mountain
and Nuance for support in
this effort
• March & April of 2015
• 1260 Respondents
• Multiple Provider and Non-
Provider Settings Across
HealthCare

4. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
The first survey* found that
the industry recognizes
information as an asset and
agrees on important drivers
for IG. The second survey
focused on how prepared
professionals are to take on
governance roles.
*(Cohasset|AHIMA 2014)
Professional Readiness and Opportunity
Review of Findings

5. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Survey Respondent Work Settings
Acute Care - 42% LTPAC - 12%
IDS - 9% Clinic/Phys Prx - 8%
4% or Less Included:
Outsourced or Consulting Services
Educational Institutions
Behavioral Health
Government/Vendor
Ambulatory Surgery
Rehab
HIE
Payer/Health Plan
Public Health
1260 Respondents !

6. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
2013
2014
2015
2016
2017
IG Adoption Model
IG Survey-Readiness
IG Pilots Launch
AHIMA IG Toolkit
IG Solutions Launch:
IGPulseRate, IG Advisors
IGIQ
IG Survey-State of IG
IG Principles
for HealthCare
Strategic Initiative:
Driving the Adoption
of IG in Healthcare
Refine IGPulseRate
IG Pilots, Grow Toolkit
Share Learnings
Launch IGHealthRate
Refine IGHealthRate
Grow Toolkit
Pilot Learnings
AHIMA - Advancing IG

7. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Findings on Adoption – Encouraging!
• 44% Have established IG
oversight bodies and 16% are
in process of establishing
them
• 44% Report modest or
significant IG progress
• 38% Have included IG
objectives in strategic goals
• 36% Have designated senior
executive sponsors
IG Gaining Traction !

8. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Findings on Adoption –
Flip Side, Not Surprising
• 40% Report no council, committee,
work group and no plans
• 32% Report no progress
• 24% Report that IG is not an
organizational priority

9. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
What Will Drive Increased Adoption?
• IG Drivers - over 90%
agreement in 1st IG Survey
• Triple Aim
• Reimbursement Changes:
VBP
Bundling
Capitation
• Competition

10. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
What Will Drive Increased Adoption?
• Perspectives from the
Field

11. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Who Should Help Steer IG?
Senior Sponsorship
With Designated
Lead for IG
Essential Organization Supports: Project Management, Training , and Communications
Perspectives
from the Field –
Who should
Help to
Steer IG?

12. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
EHRs– Disruptive Technology – Rapid Role Evolution
Rate and volume of electronic systems adoption
Rate of growth, types and volume of devices
Lack of agreed upon rules/standards
Expanding sources of data and volumes
State of interoperability

13. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Disciplines of IG, Evolving Roles
Data
Governance
EMR & Data
IntegrityInfo & Records
Management
Audit
Retention Schedules
& Management
Master Data
Management
Identity Mgmt
Information
SecurityLegal Holds –
Legal Matters
Privacy & Data
Protection
Continuity-
Disaster
Recovery
BI & Data
Analytics
Contract – Vendor
Management
<2% Identified IG
as their primary
job function

14. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• Data Quality
Management
• Regulatory Compliance
• Legal Processes
• Risk Management
• HIM and IT
Management
Self-Reported Strengths

15. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• Information Lifecycle
Management
• Communication Skill
Self-Reported Strengths

16. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• Data Governance
• Analytics Skills
Good – But Work Needed

17. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• 41% Not confident to
train staff in IG
• 52% Do not feel they
are seen internally as
credible experts in IG
• Leadership
Development – an
ongoing needGood, But Work Needed

18. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• Professional
Readiness –
Perspectives from
the Field
Professional Development
Strengths and Needs

19. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• 31% Agree that they have
clearly defined goals
• 38% Have input into the
goals
• 40% Feel supported as they
advance IG
• 48% Feel that their IG skills
are valued
• 49% Feel their participation
in cross-functional strategy
is encouraged
Reward, Recognition,
Satisfaction

20. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• 43% Feel their IG role enables
more visibility in the
organization
• 39% Feel their IG efforts afford
them advancement opportunity
• 35% Feel they are fairly
compensated
• 76% Feel on-line IG
Communities will benefit them
• 65% Want specialized IG
education and training
• 63% Agree that IG credentialing
will facilitate formal attestation
to IG competencyReward, Recognition,
Satisfaction

21. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Professional Readiness and Opportunity
Review of Findings
• Perspectives
from the Field
Reward, Recognition,
Satisfaction

22. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Survey Finding – Resources for IG
89% Of the respondents identified
the AHIMA as their go-to source for
reliable and timely IG guidance

23. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
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.
Survey Finding – Resources for IG
69% Are Aware of
AHIMA Definition

24. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Attribution—ARMA
International. GARP
arma.org
AHIMA: Leading Information Governance for Healthcare
IG Work Plan
Principles—IGPHC™
• Accountability
• Transparency
• Integrity
• Protection
• Compliance
• Availability
• Retention
• Disposition
ADAPTED FOR
HEALTHCARE

25. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
IG Tools and Resources
• Toolkit Released
August 31, 2015
• Member Benefit
• 78 Pages of Resources
• Ongoing Refinement /
Evolution

26. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Get Your
Organization’
s IG
PulseRate
Today!
IGIQ.org

27. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
Introducing AHIMA Products and Services
for Information Governance in Healthcare

28. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity

29. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
AHIMA IG Staff
• Kathy Downing, Director, HIM Practice Excellence and IG
Service Line Manager:
kathy.downing@ahima.org
• Barb Glondys, Director, HIM Practice Excellence
AHIMA IG Team: barb.glondys@ahima.org
• Deborah Green – EVP Chief Innovation
and Global Services Officer:
deborah.green@ahima.org
• Lesley Kadlec, Director, HIM Practice Excellence
AHIMA IG Team: lesley.kadlec@ahima.org
• Lydia Washington, Senior Director, HIM Practice Excellence and
IG Pilot Project Lead:
lydia.washington@ahima.org

30. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
AHIMA IG Advisors and Contributors
• AHIMA Board
• AHIMA IG Taskforce
• Expert Advisory Group
• Appointed Review Groups –
PC Members, Volunteers, AHIMA SMEs
• IG Toolkit Workgroup
• Pilot Sites

31. © 2015
Source © 2015 Cohasset Associates |AHIMA
Information Governance in HealthCare, Professional Readiness and Opportunity
© 2015
Driving IG for HealthCare: Recommended Reading
• Enterprise Health Information Management
and Data Governance, 2015. Merida L
Johns, PhD, RHIA.
• The Information Governance Initiative. “The
Information Governance Initiative Annual
Report”. 2014 and 2015 . New York, NY.
www.IGinitiative.com
• The Joint Commission. “Information
Management (IM) Chapter”,
Comprehensive Accreditation Manual for
Hospitals, 2014, Oakbrook Terrace, IL: The
Joint Commission, 2014, pp.IM-1—IM-10.
• The Sedona Conference. “Commentary on
Information Governance” The Sedona
Conference® Working Group Series. A
project of The Sedona Conference®
Working Group on Electronic Document
Retention and Production (WGI)
• AHIMA. “Information Governance
Principles for Healthcare™” 2014.
Chicago, IL. AHIMA, 2014. Available at:
www.ahima.org/infogov
• ARMA International. “Generally
Accepted Recordkeeping Principles”.
ARMA International, 2013. Available at
www.arma.org
• Cohasset Associates and AHIMA. “A Call
to Adopt Information Governance
Practices.” 2014 Information Governance
in Healthcare. Minneapolis, MN.
• Cohasset Associates, 2015. Cohasset
Associates and AHIMA. “Professional
Readiness and Opportunity” 2015
Information Governance in Healthcare.
Minneapolis, MN. Cohasset Associates,
2015.
• Implementing Health Information
Governance, 2015. Linda Kloss, MA,
RHIA, FAHIMA