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 AddisonSenior Provincial Director, HIM, AHS
2 Agenda HIM Organizational Structure Vision Measures of Success Why Do We Need to ChangeNew ExpectationsHIM Business Transformation Program (BTP)Relating New Roles to HIM BTPWhat Are We Doing About ItYour opportunitiesConclusionQuestions
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.Throughenablement of people, process and technologyExpand services to support information integration/ interoperability.Technology enabled health information management workflow to support the full life cycle of health information.A workforce with the credentials, knowledge and skills to work in a fully electronic health information environment.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.Local Service DeliveryCentralized Provincial ServicesStandardization
6 Why Do We Need to Change Overarching Trends: Shift to supporting, optimizing, and utilization of e-Health technologies;Continued expansion of EHR repositories to inform clinical decisions – data standards, data quality & information governance becoming more critical;Health system use of data (information to change care delivery) will expand & become more critical;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.;The paper health record is the legal record of care.The “bulk” of health records are generated in paper format and are primarily site or program based.Information contained in most clinical information systems is printed and stored.Management of the hybrid health record.Clinical and organizational risk in managing multiple sources, formats and versions of the same information.The amount of paper generated exceeds physical storage capacity.New/redeveloped sites are planned and designed for the electronic health record and without adequate physical storage capacity for the paper health record.High labour costs due to manual paper processes and duplication of effort i.e. number of times the health record is “handled” from receipt to archive.The amount of medical dictation exceeds the supply of traditional Transcriptionists.Health Record Completion by physicians is primarily a manual process.Little to no infrastructure to enable client “self serve” i.e. remote access to health information.
7 Why Do We Need to Change Overarching Trends: (Cont’d)Overarching Trends: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;Changes in professional practice for the electronic environment;Increasing use of mobile and cloud computing;Increasing involvement of consumers in entering and using health information (Personal Health Portal / Personal Health Record);Increasing and diverse range of data quality and data integrity issues;
8 Why Do We Need to Change Overarching Trends: (Cont’d)Overarching Trends:Integration of new technologies into the healthcare system;Clinical devices connected to EHR’s for direct input of information;Use of Terminology Services and Taxonomies to support clinic content;Increasing clinical and productivity benefits from existing investments will create a demand for corresponding roles;Need to broaden the skills of current clinical professionals; andRetirement of current professionals will be a challenge.
9 New Expectations (Roles) HIM and eHealth systems working in collaborationPrivacy:Monitoring and auditing; enterprise-wide web-based education; support team-based breach education;Standards: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:Data quality and integrity i.e. source systems, repositories, registries, etc.Content Management
10 New Expectations (Roles) (Cont’d)Decision Support:More clinical decisions at point of care i.e. synoptic coding;Health Record Management:Less doing and more oversight; less records and more information;Coding, Terminology and ClassificationsShift 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:Metadata management, enterprise dictionary maintenance and management;
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 ProgramHIM Workforce TransformationInformation CaptureService OptimizationNew Services
12 Coordinated Structure of Initiatives HIMBusiness Transformation ProgramEnterpriseInformation ManagementWorkforce TransformationInformation CaptureService OptimizationNew ServicesEnterprise Information Management ProgramWorkforce Transformation PlanRegistries(Client, Provider, Delivery Site, & Location)Information Stewardship OfficeEnterprise Content ManagementWorkforce ModelingPersonal Health Portal RegistryDictation/Speech Recognition / Transcription System ConsolidationRegistration RoadmapTerminology ServicesProfessional Development ProgramPersonal Health RecordCoded Data Quality Improvement PlanCollaborative Toolset (SharePoint/Lync)Document Scanning Centers
13 Major Objectives Care delivery is information enabled; Information is managed as an asset;Manual functions are automated to enable electronic health information management, such as:Digitizing paper to electronic format;Automated coding from structured clinical documentation;Automated health record completion;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).
14 Relating New Roles to HIM BTP Business Transformation ProgramEnterpriseInformation ManagementEnterprise Information Management:.Data/Information Governance SpecialistStandards Analyst/Coordinator/SpecialistInformation Lifecycle ManagementMetadata SpecialistData StewardTaxonomistPolicy AnalystAuditorBusiness Intelligence AnalystInformation Management LiaisonEnterprise Information Management ProgramInformation/Knowledge Management:Health Information Semantic Content ExpertClinical Terminologies Standards SpecialistsTerminologistCode/Data Mapping SpecialistTerminology Services
15 Enterprise Information Management Organizational Structure Executive DirectorHIM Provincial Standards & StrategiesSenior Provincial DirectorHealth Information ManagementSample for HIMEnterprise Information Management Organizational StructureDirectorEnterprise Information ManagementSenior AdvisorIMG Business UnitStandard SpecialistAdministrative SupportAdministrative AssistantStandardsInformation ManagementLeadData StandardsHL7 MessagingData ArchitectStandards AnalystClinical DocumentsStandard AnalystRegistriesReference Data ManagementInformation ArchitectureData Governance
17 Business Transformation Program Relating New Roles to HIM BTP(Cont’d)HIMBusiness Transformation ProgramInformation CaptureIdentity Management:.Master Data Management SpecialistReference Data Management SpecialistRepository/Registry ManagementData Quality AnalystData Integrity SpecialistIdentify Management CoordinatorData Integration SpecialistRegistries(Client, Provider, Delivery Site, & Location)Registration RoadmapData Capture:Specialist In:Clinical DataCode ValidationConcurrent CodingClinical Documentation ImprovementCode/Data MappingClinical Data AnalystData StewardCoded Data Quality Improvement Plan
18 Organizational Structure Sample for HIMRegistry ManagementOrganizational StructureExecutive DirectorHIM Provincial Standards & StrategiesSenior Provincial DirectorHealth Information ManagementDirectorRegistry ManagementProvincial LeadClient RegistryProvider RegistryDelivery Site RegistryAdministrative Assistant
19 Business Transformation Program Medical Transcription: Relating New Roles to HIM BTP(Cont’d)HIMBusiness Transformation ProgramService OptimizationLegal Record of Care:.Enterprise Content & Records ManagementContent Management ExpertCompliance OfficerProcess Improvement EngineerEnterprise Content ManagementEnterprise Content and Records Management – combines 2 concepts – electronic records management and enterprise content managementMedical Transcription:Medical Text EditorDictation/Speech Recognition / Transcription System Consolidation
20 Business Transformation Program Information Manager Services: Relating New Roles to HIM BTP(Cont’d)HIMBusiness Transformation ProgramInformation Manager Services:.Data/Information StewardNew ServicesInformation Stewardship OfficeConsumer Support:Information BrokerRegistry AgentPortal AgentConsumer Services AgentInformation Reconciliation OfficerRegistration Application CoordinatorPersonal Health Portal RegistryPersonal Health RecordWait Time Measurement ProgramDocument Scanning Centers
21 Sample for HIM Information Stewardship Office Organizational Structure Senior Provincial DirectorHealth Information ManagementDirectorInformation Stewardship OfficeService CoordinatorResearch CoordinatorAdministrative CoordinatorISO
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 Your Opportunities Become more informed and knowledgeable such as: Membership in your Professional AssociationRead Practice Briefs and Professional Journals;Access websites i.e. HIMAA, CHIMA, AHIMA, COACH, etc. ;Attend Webinars;Volunteer for Committee Participation;Identify and work with your employer to plan your career path;Formalize learning i.e. continuing education and advanced certifications;Join a Standards Development Organization; andWrite an article and contribute it to your departmental newsletter or professional association.
24 “And…..that is how change happens. In Conclusion“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
27 Future Work Skills Social Intelligence Novel and Adaptive Thinking ability to develop solutions and responses that are beyond rote or rule basedComputational Thinking:ability to translate vast amounts of data into abstract concepts and applying reasoning to understandNew Media Literacy:Ability to develop content that uses new media formsTrans-disciplinary:Understand concepts across multiple disciplinesVirtual Collaboration