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Workforce Transformation Health Information Management Alberta Health Services Kathleen Addison Senior Provincial Director, HIM, AHS.

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Presentation on theme: "Workforce Transformation Health Information Management Alberta Health Services Kathleen Addison Senior Provincial Director, HIM, AHS."— Presentation transcript:

1 Workforce Transformation Health Information Management Alberta Health Services Kathleen Addison Senior Provincial Director, HIM, AHS

2 Agenda HIM Organizational Structure Vision Measures of Success Why Do We Need to Change New Expectations HIM Business Transformation Program (BTP) Relating New Roles to HIM BTP What Are We Doing About It Your opportunities Conclusion Questions

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4 HIM Vision One Patient – One Record Electronic access to longitudinal health information through a single access point

5 HIM Measures of Success Adoption of standards-based technology and establishing/ implementing leading practice. Expand services to support information integration/ interoperability. A workforce with the credentials, knowledge and skills to work in a fully electronic health information environment. Through enablement of people, process and technology Local Service Delivery Centralized Provincial Services Standardization Technology enabled health information management workflow to support the full life cycle of health information. e-HIM® or Electronic Health Information Management is the process by which electronic health records (both institutional and personal) are created, managed and retained for both business and legal purposes.

6 Why Do We Need to Change Overarching Trends: o Shift to supporting, optimizing, and utilization of e-Health technologies; o Continued expansion of EHR repositories to inform clinical decisions – data standards, data quality & information governance becoming more critical; o Health system use of data (information to change care delivery) will expand & become more critical; o Introduction of SNOMED CT coding into point of care systems (i.e. Clinical Information Systems) and the need for maintaining reference sets, data mapping, provider education, monitoring data quality, supporting automated coding, etc.;

7 Why Do We Need to Change Overarching Trends: o EHR/EMR information sharing will be the norm; more multi-disciplinary/multi-site teams, more integration with other jurisdictions will create the need for more skilled HIM Professionals in information management issues; o Changes in professional practice for the electronic environment; o Increasing use of mobile and cloud computing; o Increasing involvement of consumers in entering and using health information (Personal Health Portal / Personal Health Record); o Increasing and diverse range of data quality and data integrity issues; (Cont’d)

8 Why Do We Need to Change Overarching Trends: o Integration of new technologies into the healthcare system; o Clinical devices connected to EHR’s for direct input of information; o Use of Terminology Services and Taxonomies to support clinic content; o Increasing clinical and productivity benefits from existing investments will create a demand for corresponding roles; o Need to broaden the skills of current clinical professionals; and o Retirement of current professionals will be a challenge. (Cont’d)

9 New Expectations (Roles) HIM and eHealth systems working in collaboration Privacy: o Monitoring and auditing; enterprise-wide web-based education; support team-based breach education; Standards: o Assisting clinicians to do a better job of documenting; expertise in taxonomies, terminology management; demonstration of adoption of standards through audit and interoperability; Data Quality Management: o Data quality and integrity i.e. source systems, repositories, registries, etc. Content Management

10 New Expectations (Roles) Decision Support: o More clinical decisions at point of care i.e. synoptic coding; Health Record Management: o Less doing and more oversight; less records and more information; Coding, Terminology and Classifications o Shift in focus to coding activity to working with professionals to improve documentation and information. Auditing, assisting and supporting others at the point of care. Understanding of language, clinical documentation, classification & terminology frameworks by specialty. Data Repositories and Dictionaries: o Metadata management, enterprise dictionary maintenance and management; (Cont’d)

11 Background of HIM BT in AHS In the fall of 2010, and refreshed in the spring of 2012, HIM developed a Strategic Roadmap, using an outcome and value based process, identifying HIM Business Transformation as a priority program with 5 strategic initiatives: Enterprise Information Management Program HIM Workforce Transformation Information Capture Service Optimization New Services

12 Coordinated Structure of Initiatives Enterprise Information Management Service Optimization Workforce Transformation Information Capture HIM Business Transformation Program New Services Enterprise Information Management Program Terminology Services Registries (Client, Provider, Delivery Site, & Location) Registration Roadmap Coded Data Quality Improvement Plan Workforce Transformation Plan Workforce Modeling Professional Development Program Enterprise Content Management Dictation/Speech Recognition / Transcription System Consolidation Collaborative Toolset (SharePoint/Lync) Information Stewardship Office Personal Health Portal Registry Personal Health Record Document Scanning Centers

13 Care delivery is information enabled; Information is managed as an asset; Manual functions are automated to enable electronic health information management, such as: o Digitizing paper to electronic format; o Automated coding from structured clinical documentation; o Automated health record completion; o Front-end and back-end speech recognition including e-Signature of transcribed reports. Costs are decreased (burden in managing the paper based and hybrid systems are significantly reduced). Major Objectives

14 Enterprise Information Management HIM Business Transformation Program Terminology Services Enterprise Information Management:.Data/Information Governance Specialist Standards Analyst/Coordinator/Specialist Information Lifecycle Management Metadata Specialist Data Steward Taxonomist Policy Analyst Auditor Business Intelligence Analyst Information Management Liaison Information/Knowledge Management: Health Information Semantic Content Expert Clinical Terminologies Standards Specialists Terminologist Code/Data Mapping Specialist Enterprise Information Management Program Relating New Roles to HIM BTP

15 Executive Director HIM Provincial Standards & Strategies Senior Provincial Director Health Information Management Sample for HIM Enterprise Information Management Organizational Structure Director Enterprise Information Management Senior Advisor IMG Business Unit Standard Specialist Administrative Support Administrative Assistant Senior Advisor Standards Senior Advisor Information Management Lead Data Standards Lead HL7 Messaging Data Architect Standards Analyst Clinical Documents Standard Analyst Registries Lead Standards Lead Reference Data Management Lead Information Architecture Lead Data Governance Standard Specialist

16 Sample for HIM Provincial Terminology Services Organizational Structure Executive Director HIM Provincial Standards & Strategies Senior Provincial Director Health Information Management Director Provincial Terminology Services Senior Advisor Terminology Standards Terminology Lead (Generalist) Provincial Lead Clinical Documentation Senior Advisor HIM Learning & Development Provincial Lead HIM Compliance Project Manager Terminology Services Strategy Project Health Informatics Consultant Terminology Services Strategy Project Health Informatics Consultant Terminology Services Strategy Project Provincial Lead Learning & Development Communication Coordinator Admin Assistant

17 Relating New Roles to HIM BTP Information Capture Registries (Client, Provider, Delivery Site, & Location) Registration Roadmap Coded Data Quality Improvement Plan Identity Management:.Master Data Management Specialist Reference Data Management Specialist Repository/Registry Management Data Quality Analyst Data Integrity Specialist Identify Management Coordinator Data Integration Specialist Data Capture: Specialist In: Clinical Data Code Validation Concurrent Coding Clinical Documentation Improvement Code/Data Mapping Clinical Data Analyst Data Steward HIM Business Transformation Program (Cont’d)

18 Sample for HIM Registry Management Organizational Structure Executive Director HIM Provincial Standards & Strategies Senior Provincial Director Health Information Management Director Registry Management Provincial Lead Client Registry Provincial Lead Provider Registry Provincial Lead Delivery Site Registry Administrative Assistant

19 Relating New Roles to HIM BTP (Cont’d) Service Optimization HIM Business Transformation Program Enterprise Content Management Dictation/Speech Recognition / Transcription System Consolidation Legal Record of Care:.Enterprise Content & Records Management Content Management Expert Compliance Officer Process Improvement Engineer Medical Transcription: Medical Text Editor

20 Relating New Roles to HIM BTP (Cont’d) HIM Business Transformation Program New Services Information Stewardship Office Personal Health Portal Registry Personal Health Record Wait Time Measurement Program Document Scanning Centers Consumer Support: Information Broker Registry Agent Portal Agent Consumer Services Agent Information Reconciliation Officer Registration Application Coordinator Information Manager Services:.Data/Information Steward

21 Sample for HIM Information Stewardship Office Organizational Structure Senior Provincial Director Health Information Management Director Information Stewardship Office Service Coordinator Research Coordinator Administrative Coordinator ISO

22 So, What Are We Doing About It Creating an organizational structure that supports the leadership for future roles i.e. EIM, Terminology Services, etc.; Leaders mentoring staff into new roles i.e. Terminology services, Standards Specialists, etc.; Delivering and supporting learning opportunities that identify and explain future roles i.e. Lunch and Learns, conference/webinar attendance, etc.; Working with our staff on their career path that identifies opportunities for future roles; Advocating professional bodies and educational institutions to develop and deliver Informatics Programs.

23 Become more informed and knowledgeable such as: o Membership in your Professional Association o Read Practice Briefs and Professional Journals; o Access websites i.e. HIMAA, CHIMA, AHIMA, COACH, etc. ; o Attend Webinars; o Volunteer for Committee Participation; o Identify and work with your employer to plan your career path; o Formalize learning i.e. continuing education and advanced certifications; o Join a Standards Development Organization; and o Write an article and contribute it to your departmental newsletter or professional association. Your Opportunities

24 “Destiny is not a matter of chance; it is a matter of choice. It is not a thing to be waited for, it is a thing to be achieved.” Quote by William Jennings Bryan “And…..that is how change happens. One gesture. One person. One moment at a time.” Quote by Libba Bray In Conclusion

25 Q & A

26 Appendix

27 Future Work Skills Social Intelligence Novel and Adaptive Thinking ability to develop solutions and responses that are beyond rote or rule based Computational Thinking: ability to translate vast amounts of data into abstract concepts and applying reasoning to understand New Media Literacy: Ability to develop content that uses new media forms Trans-disciplinary: Understand concepts across multiple disciplines Virtual Collaboration


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