HIM Workforce Transformation – eHealth
2013
Gail Crook, CHE, CHIM
CEO and Registrar
Canadian Health Information Management Association
Presenter Disclosure
Presenters: Gail Crook / Kathleen Addison / Kelly Abrams
“NOTHING TO DISCLOSE”
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“ As the voice for the HIM professional,
CHIMA is redefining an essential role for
the organization and HIM Professionals
into the future.”
About CHIMA
The Canadian Health Information Management
Association (CHIMA) represents approximately 5,000
Health Information Management (HIM®) professionals
across Canada and is the certifying body and national
association that represents leadership and excellence in
health information management. CHIMA supports
continuing education and professional practice of HIM
professionals; develops strategic partnerships to advance
the development and integration of electronic HIM; and
advocates for and strengthens the HIM role in health care
settings across the continuum of care.
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Situation Analysis
Recap of Important Events
ICTC
Competencies
Long Range
Scenario Planning
LOHIM
2008
2009
Membership
Survey
2010
Membership
Survey
2011
2012
Sector Study
AHS
New Roles
2013
Transformation
HIM Report
Board Strategic
Planning
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Who is involved?
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HIM leadership
HR leadership
Professional Associations (CHIMA, COACH, CCHL)
Employers (CEOs, CIOs, Managers)
• Guarantee time for training & assistance in change
management
• Industry
• Vendors, product specific training opportunities
• Other agencies, i.e. Infoway, CIHI
• Educators
• Colleges, universities, continuing professional education
• HIMs
• What skill sets do I need to develop?
• Determine via gap analysis – what skills do I need? Where
can I get them?
HIM New Roles
Kathleen Addison, CHIM
Vice President, Health Information
Management
Alberta Health Services
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New roles are defined based on the requirements
and functions necessary to accomplish
comprehensive and meaningful information
management within a health care organization...
in an electronic environment
New Roles
Category
Data Capture
Service Scope
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.
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.
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Health information Safety Officer
(includes hybrid record)
Data Integrity Specialist
Risk Management Analyst
Forensic Investigation Officer
Managing the systems responsible for the unique
identification of consumers, providers, organizations and
services.
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.
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Data Quality Analyst
Data Integrity Specialist
Identity Management Coordinator
Release of Information Analyst
Access and Disclosure Specialist
Request Coordinator
Privacy Officer
Identity Management
Access, Disclosure and
Retention
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New Roles/Titles
Clinical Data Specialist
Data Profiler
Medical Text Editor
Research Associate
Concurrent Coding Specialist
Imaging Clerk
Code Mapping Specialist
Data Mapping Specialist
Clinical Data Analyst
Central Intake Coordinator
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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.
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.
Information/Knowledge Developing, auditing, evaluating, maintaining and
Asset Management
mapping clinical information and knowledge assets.
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Information Management Liaison
Standards Coordinator
Policy Analyst
Auditor
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Content Management Expert
Compliance Officer
Process Improvement Engineer
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Data Modeler
Health Information Semantics
Content Expert
Clinical Terminology Standards
Specialist
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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, selfregistration)
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Information Broker
Registry Agent
Portal Agent
Customer Service Agent
Registration Application
Coordinator
Information Reconciliation Officer
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New Roles 2012-2017
How it all fits together
NEW HIM ROLES—AHS
Changing education
of health
professionals
New ICTC
role profiles
and HRSDC
NOC
NEW HIM
ROLES – Across
Canada
Workforce
shortages
“EHIS technologies will eliminate a number of nonprofessional, clerical occupations, while altering the skill
requirements for virtually all professionals in the HIM
occupational group”
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Canadian College of Health Information
Management (CCHIM): Evolve the
College
Kelly Abrams, MPA, CHIM
Vice President
Canadian College of Health Information Management
Mandate of Evolve the College project
• Investigate and evaluate the services provided by the College
and services that are not currently provided
• Assist the College in setting priorities and participate in
ongoing planning activities of the initiatives
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Objectives of Evolve the College Committee
• Provide for the future generation of HIM professionals
• Identify future certification requirements and opportunities
• Formalize strategic alliances appropriate to the future
Environment scan - findings
• Health records management includes “less doing and more
oversight”
• HIMs are playing a bigger role in decision support
• HIM professionals are the leaders in the life cycle
management of health information
• CHIMA will work with partners/alliances towards HIM
standards setting within Canada
Why new certifications?
• HIMs graduate as generalists
• Demonstrated need and demand for specific certifications
• Provides standard measurement to assess new
graduates/new hires
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Four new certifications
• Coding classification and advanced coding classification
• Decision support
• Clinical documentation improvement
• Terminologies, standards
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How can you get involved?
• Critical to the success of the E.H.R.
• Employer engagement and support
• Determine what new roles are a priority
• Work together to do a gap-analysis (SWOT) on readiness to new
roles
• Continuing Education Development (Academic Institutions)
• To develop new courses or workshops
• To develop curriculum (for accelerated learning)
• Offer courses by on-line education
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