1. Working with Information Governance

2. Outline What is Information Governance? Why? How? Benefits
Do nothing option
How?
Principles & approach
6 aspects to the development of an IG framework

3. Information Governance
Information component of clinical governance.
“Framework for handling personal information in a confidential and secure manner to appropriate ethical and quality standards in a modern health service”

4. Information Governance
Integration/Way of thinking/Way of Working
interrelationship between initiatives
unites law/ethics/policy
A framework to provide “a positive & enabling tension” between IT
Cultural issues
Modernisation programme

5. Information Governance in the NHS
Health Service Functions
Service Quality Research Management
Caldicott Report
HSC 1999/053
Records Management
EPR
/Common Clinical Systems
The Law: DPA 1998
Human Rights Act 1998
Freedom of Information Act 2000
Common Law
Data Accreditation Process
Data quality audit
Security & confidentiality audit
ISO17799
Quality
Risk Management
Controls Assurance
NHS Numbers project
NSTS/Exeter
Professional regulations
Ethics, Ethnicity& Beliefs
Local Traditions & Practices
Technological & Sociological Change
Choice Seamless Services Protection Privacy

6. Information Governance - Why?
Information & Communications Technological developments
portability, duplication, access, sharing, manipulation, integration of patient records and information contained within them
Societal changes – Human Rights, Ethics, Choice, Privacy
Service expectations – seamless privacy, demonstrable quality, confidential teamworking
Electronic clinical information systems

7. The do nothing option? Confusion, fragmentation & frustration
Lack of progress
Excess work for staff
Litigation and expense
Inability to set up robust flows between multiple systems
Difficulties integrating systems into a seamless whole
inability to produce reliable performance indicators

8. Information Governance - How?
Principles & Approach
Six aspects to consider when developing and Information Governance Framework

9. Principles & Approach
Work with and understand system, process and people
confidential communities working in confidential environments
Focus on organisational structure
Focus on the user
Work on specifics, develop solutions, consider generic implications
Policy from specifics (bottom up)
Basic principles - healthcare & privacy

10. Six Aspects of an IG Framework
1. Teambuilding
2. Organisational structures
3. Service and work planning
4. Policy, procedure and guidance
5. Education, training and awareness
6. Standards

11. 1. The Team Clarify the approach Always user focused Advice Guidance
service
new developments
new systems
Helpdesk
Hands on practical support (we do it)

12. 1. The Team
Clarify aims
Team may be working across multiple organisations
Consistency, consensus & cohesion
Secure, confidential & quality assured systems & process
The cycle of monitor, review, audit and informed, appropriate actions for change that respect the position of all stakeholders

13. 2. Organisation Ensuring organisational and managerial commitment
Information Governance Steering Group
engage at an appropriate level
work with authority
Terms of reference
Policy
principles
organisational responsibilities
confirms standards
sets out structure

14. 2. Organisation IG Steering Group - membership Caldicott Guardian
Director of Finance and Information
Head of IT
Head of Medical Records
Assistant Chief Executive HR

15. 3. Planning One plan IGT to baseline the organisation
Plan maps back to requirements, provides the foundation to apply and implement standards, evaluate progress
System
Process
People

16. 4. Policy, procedure, guidance
Agreed policy
Related and documented procedure and guidance
Policy reflects reality
Policy, procedure, guidance inform training.

17. 5. Education, Training, Awareness
Education and communication at the heart of the process
Develop good quality, professional multi media training materials
Design and deliver user focused training and awareness sessions
Ideally integrating with an ETD strategy

18. 6. Standards
Standards currently being drawn together from the core IG initiative
Modelled around
H eld securely and confidentially
O btained fairly and efficiently
R ecorded accurately and reliably
U sed effectively and ethically
S hared appropriately and lawfully

19. Conclusion Connects Clinical & Corporate Governance
Provides a flexible framework capable of responding to change.
Effective use of limited resources
Increases the ability to secure information flows.
Increases the ability to respond to patient choice and preferences
Creates a safer working environment for staff