Workforce Transformation
Health Information Management
Alberta Health Services
Kathleen Addison
Senior Provincial Director, HIM, AHS
Agenda
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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
HIM Vision
One Patient – One Record
Electronic access to longitudinal
health information through a single
access point
HIM Measures of Success
Adoption of standards-based technology and establishing/ implementing
leading practice.
Expand services to support information integration/ interoperability.
Technology enabled health information management workflow to support
the full life cycle of health information.
Through
enablement of
people, process
and technology
Standardization
Centralized Provincial
Services
Local Service Delivery
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.
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.;
Why Do We Need to Change
• Overarching Trends:
(Cont’d)
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;
Why Do We Need to Change
• Overarching Trends:
(Cont’d)
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.
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
New Expectations (Roles)
• Decision Support:
(Cont’d)
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;
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:
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Enterprise Information Management Program
HIM Workforce Transformation
Information Capture
Service Optimization
New Services
Coordinated Structure of
Initiatives
HIM
Business Transformation Program
Enterprise
Information
Management
Enterprise
Information
Management
Program
Workforce
Transformation
Workforce
Transformation
Plan
Information
Capture
Registries
(Client, Provider,
Delivery Site, &
Location)
Workforce
Modeling
Terminology
Services
Professional
Development
Program
Collaborative
Toolset
(SharePoint/Lync)
Registration
Roadmap
Service
Optimization
Enterprise Content
Management
Dictation/Speech
Recognition /
Transcription System
Consolidation
New Services
Information
Stewardship Office
Personal Health Portal
Registry
Personal Health
Record
Coded Data Quality
Improvement Plan
Document Scanning
Centers
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:
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).
Relating New Roles to HIM BTP
HIM
Business Transformation Program
Enterprise
Information Management
Enterprise Information
Management 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
Sample for HIM
Enterprise Information
Management
Organizational Structure
Senior Provincial Director
Health Information Management
Executive Director
HIM Provincial Standards & Strategies
Director
Enterprise Information
Management
Senior Advisor
IMG Business Unit
Administrative
Assistant
Senior Advisor
Information Management
Senior Advisor
Standards
Standard Specialist
Lead
Data Standards
Lead
HL7 Messaging
Lead
Reference Data
Management
Standard Specialist
Data Architect
Standards Analyst
Clinical Documents
Lead
Data Governance
Standard Analyst
Registries
Lead
Standards
Administrative
Support
Lead
Information
Architecture
Sample for HIM
Provincial Terminology
Services
Organizational Structure
Senior Provincial Director
Health Information Management
Executive Director
HIM Provincial Standards & Strategies
Director
Provincial Terminology Services
Senior Advisor
Terminology Standards
Senior Advisor
HIM Learning &
Development
Provincial Lead
HIM Compliance
Admin Assistant
Project Manager
Terminology Services
Strategy Project
Terminology Lead
(Generalist)
Provincial Lead
Learning &
Development
Health Informatics Consultant
Terminology Services
Strategy Project
Provincial Lead
Clinical
Documentation
Communication
Coordinator
Health Informatics Consultant
Terminology Services
Strategy Project
Relating New Roles to HIM BTP
(Cont’d)
HIM
Business Transformation Program
Information Capture
Registries
(Client, Provider, Delivery Site,
& Location)
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
Registration Roadmap
Coded Data Quality
Improvement Plan
Data Capture:
Specialist In:
• Clinical Data
• Code Validation
• Concurrent Coding
• Clinical Documentation Improvement
• Code/Data Mapping
• Clinical Data Analyst
• Data Steward
Sample for HIM
Registry Management
Organizational Structure
Senior Provincial Director
Health Information Management
Executive Director
HIM Provincial Standards & Strategies
Director
Registry Management
Provincial Lead
Client Registry
Provincial Lead
Provider Registry
Administrative
Assistant
Provincial Lead
Delivery Site Registry
Relating New Roles to HIM BTP
(Cont’d)
HIM
Business Transformation Program
Service Optimization
Legal Record of Care:
.Enterprise Content & Records
Management
• Content Management Expert
• Compliance Officer
• Process Improvement Engineer
Medical Transcription:
• Medical Text Editor
Enterprise Content
Management
Dictation/Speech Recognition
/ Transcription System
Consolidation
Relating New Roles to HIM BTP
(Cont’d)
HIM
Business Transformation Program
New Services
Information Manager Services:
.Data/Information Steward
Information Stewardship
Office
Consumer Support:
• Information Broker
• Registry Agent
• Portal Agent
• Consumer Services Agent
• Information Reconciliation Officer
• Registration Application Coordinator
Personal Health Portal
Registry
Personal Health Record
Wait Time Measurement
Program
Document Scanning
Centers
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
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.
Your Opportunities
• 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.
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
Q&A
Appendix
Future Work Skills
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Social Intelligence
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Novel and Adaptive Thinking
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Computational Thinking:
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Ability to develop content that uses new media forms
Trans-disciplinary:
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ability to translate vast amounts of data into abstract
concepts and applying reasoning to understand
New Media Literacy:
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ability to develop solutions and responses that are
beyond rote or rule based
Understand concepts across multiple disciplines
Virtual Collaboration