Governing the Profession Initiative

© 2011 LEADERSHIP IN ACTION

WINTER TEAM TALKS

Association Best Practices“Today's associations face a climate of constant change. The ability

to adapt quickly is a must for successful organizations.” The Will to Govern Well: Knowledge, Trust & NimblenessGlenn H Tecker, Jean S. Frankel and Paul D. Meyer. ASAE Foundation

“ The irreversible trends that are making our traditional, accepted practice obsolete: rapid advances in technology, high member expectations, increased competition and diverse member markets.” Race for Relevance: Five Radical Changes for AssociationsHarrison Coerver and Mary Byers, CAE

© 2011 LEADERSHIP IN ACTION

WINTER TEAM TALKS

AHIMA Board of Directors Recommendation:

AHIMA Bylaws Revision:

• Address the current state of AHIMA bylaws ‘fatigue’

• Research association best practices

• Comply with Illinois State Law, corporate law

• Reduce risk, exposure and liability of delegates, directors and AHIMA

• Leverage profit vs non-profit corporate law alignment

© 2011 LEADERSHIP IN ACTION

WINTER TEAM TALKS

Defining Roles

“Board governs the association, House governs the profession”

© 2011 LEADERSHIP IN ACTION

WINTER TEAM TALKS

Consider Roles of Board & House

Board House

Fiduciary Responsibility Set Code of Ethics

Strategy Development & Oversight Conduct Environmental Scanning

Authority over Governing Documents Vet Professional and Practice Issues, Propose Resolutions

Fiscal and Financial Management Recommend Action to the Board

© 2011 LEADERSHIP IN ACTION

HOUSE OFDELEGATES

2011 Annual House Business MeetingFramework for Dialogue and Discussion

I. Dialogue to Inform the Issue

II. Dialogue to Identify & Evaluate Choices

III. Discussion to Assess Consensus

© 2011 LEADERSHIP IN ACTION

HOUSE OFDELEGATES

House Mega Issues1. How will the EHR initiative and its nationwide implementation affect the way

that members do their jobs?Thought prompters:• In what ways will traditional HIM principles need to be modified?• How do we to address data content, integrity, and format? 2.Which skills, if any, will be required to address changes in the demand for coding

professionals in the next 3 years? Thought prompters:• How will the demand for coding professionals change in the next 3 years? • How will the healthcare industry address these changes? 3.How can the HIM professional position him/herself to lead the revenue cycle

function? Thought prompters:• Which skills are required? • How should he/she promote the HIM professional as the appropriate leader of this

function? 

© 2011 LEADERSHIP IN ACTION

HOUSE OFDELEGATES

 4.  What must happen for the HIM professional to be considered a master of these

HIM practice realms: Clinical Documentation Improvement, Compliance and Quality Assurance?

Thought prompters: • How can the HIM professional master the expertise or skills of these individuals?• Why has HIM lost ground in these realms? 5. How can the HIM professional position him/herself as the Chief Information

Officer, Chief Knowledge Officer or Data Integrity Executive? Thought prompters:• What approaches should he/she use in the healthcare vs. non-healthcare

organization?  • Which skills will be required that the HIM professional does not possess today? 6. Which emerging issues will every successful HIM professional need to

understand?Thought prompters:• How will the emerging regulatory environment impact the HIM profession?  • Which 3 issues are most important for each HIM professional to thoroughly understand

and why?

© 2011 LEADERSHIP IN ACTION

HOUSE OFDELEGATES

7.How can the HIM professional use “meaningful use,” Healthcare Reform or “ACO” to advance the profession? 

Thought prompters:• What action steps should the HIM professional take in a healthcare organization to be

recognized for their leadership acumen for either of these topics/initiatives?  • How will the action steps differ if the professional works for a payer?

8. What skills will be required of the HIM professional to effectively serve as the decision support executive of an organization? 

Thought prompters: • Should these skills be mandated for CEUs by the profession?  • What are the advantages of a mandate?• What are the disadvantages of a mandate?   9. How does the HIM professional create urgency for employers to employ AHIMA

credentialed professionals? Thought prompters:• What differentiates the AHIMA credentialed professional from other professionals

working in the HIM space?• What are the advantages and disadvantages for being a credentialed professional? 

© 2011 LEADERSHIP IN ACTION

HOUSE OFDELEGATES

 10. How do we make sure our HIM professionals are positioned effectively and our role remains relevant in the healthcare marketplace?

Thought prompters:• Which positions should the HIM professional hold in the next 5 years?• Which skills must the HIM professional have to be more appealing than others to

achieve these roles?• Which skills do others hold that will compete with our HIM professionals?• How does having an advanced degree with an informatics or health information

focus support or not support relevancy in the marketplace? 11. What are the advantages and disadvantages for the HIM

professional in belonging to more than one association?Thought prompters:• Is AHIMA currently considered a professional or trade association?  Why?•  What are the advantages and disadvantages for the HIM profession when a HIM

professional belongs to more than one professional and/or trade association?

Roles of Board & House (update)Board House

Fiduciary Responsibility Set Code of Ethics

Strategy Development & Oversight Conduct Environmental Scanning

Authority over Governing Documents Develop and vet HIM practice guidance and professional guidelines

Bylaws

Fiscal and Financial Management Recommend Action to the Board

Standing Rules of the House

Develop and propose resolutions

Governing the Profession

House of Delegates

Best Practices Standards

Environmental Scan

House Operations

Volunteer Leadership Development

HIM Higher Education Workforce

Professional Development Recognition

Practice Councils

Clinical Terminology Classification

Consumer Health

Electronic Health Record

Emerging Issues

Health Information Exchange

Long Term and Post Acute Care

Physician Practice

Privacy Security

Quality Initiative Secondary Data Governing the HIM profession

Standard development

Resolutions

Position statements

Speaker of the House

Environmental Scanning

House of Delegates

House Leadership Team

Task Forc

e

Task Forc

e

Task Forc

e

Board of Directors

SETTING STRATEGY

For the AssociationFor the Profession

Our Future State (draft)

Association Best Practices

What is “Environmental Scanning”?

What is “Environmental Scanning”?

• Too tied to their infrastructure• Slow to react, or never really understood the

threat before it was too late• Thought they were too big to fail

What is “Environmental Scanning”?

• Too tied to their infrastructure• Slow to react, or never really understood the

threat before it was too late• Thought they were too big to fail

What is “Environmental Scanning”?• Environmental scanning is a process that collects

information on trends and priorities that are impacting or influencing the HIM profession.

• This information can:– Feed into the strategic planning process. – Identify emerging opportunities, threats or concerns

and adjust plans in a timely manner– Capitalize on opportunities or avert threats

Environmental Scan

11 Healthcare Data Trends in 201211. Healthcare organizations will turn to cyber liability insurance. 10. An increase in fraudsters means an increase in fraud risk education. 9. Privacy and security training to become an annual requirement.8. Emphasis on “willful neglect” will lead to increased enforcements of

HIPAA.7. Mobile will be big in the industry.6. Organizations could see reputation fallout.5. Reliance on business associates could result in new risks.4. Cloud computing is not a panacea.3. Social media risks will grow.2. Class-action litigation firestorms are looming.1. Mobile devices could mean trouble.

Environmental Scanning

As HIM leaders, we all have an opportunity to influence the profession. Proper environmental scanning can help us strategize, prepare, and plan for what lies ahead in the HIM profession.