True North Circle
Health Information Management & Healthcare Data Consulting

Better healthcare decisions start with better data.

True North Circle helps healthcare organizations identify where data quality deteriorates, understand why it happens and implement measurable improvements across people, processes and technology.

The problem

Your data is the result of everything that happened before it.

Healthcare data does not begin in a report or database. It begins with care, documentation and thousands of processes performed throughout the organization. When the final data is incomplete, inaccurate or late, the visible error may be several steps removed from its true cause.

Clinical Care
Documentation
Health Record
HIM & Coding
Operational Systems
Reporting & Analytics
Funding & Planning
Government
Research & Policy

True North Circle follows the data back to the source.

What we do

Find the problem. Find the cause. Fix the process.

Understand

Assess the people, processes, technology and information flows producing the data.

Improve

Identify root causes and develop practical interventions.

Measure

Implement the changes and demonstrate whether they produced the intended result.

Our methodology

The True North Improvement Cycle

An engagement progresses through defined stages — and the final measurement stage feeds directly back into reassessment and continuous improvement.

Continuous Data Quality Improvement
01

Assess

Understand what is happening today.

Map the current processes, workflows, systems, responsibilities and data flows.

Stakeholder interviewsWorkflow reviewsData reviewDocumentation reviewProcess observationExisting report analysisQuality indicator reviewSystem and workflow mapping
Solutions

Improvement can take many forms.

There is no single solution to healthcare data quality. We don't begin with a predetermined solution — we begin by understanding the problem.

Process Improvement

Redesign workflows and processes that create, transform or use healthcare information.

Documentation Improvement

Identify gaps in information capture and improve the processes that allow clinicians and other healthcare professionals to document what the organization needs.

Data Quality & Audit

Review data for quality, completeness, consistency and opportunities for improvement.

HIM & Coding Improvement

Evaluate coding, abstraction and HIM workflows and identify opportunities to improve accuracy, efficiency and data quality.

Change Management

Support teams through process and organizational change so improvements are implemented, adopted and sustained.

Education & Training

Address knowledge gaps identified during the assessment.

Staff Augmentation

Provide temporary or targeted expertise where capacity or specialist skills are contributing to a problem.

Technology & Software

Evaluate whether technology can address an identified problem and recommend appropriate solutions — without beginning with a predetermined product.

Data Governance

Help clarify ownership, accountability, standards and processes surrounding important healthcare information.

Measurement & Reporting

Establish meaningful indicators to determine whether interventions are achieving the intended results.

Across the healthcare data lifecycle

From the point of care to the decisions made with the data.

True North Circle's work is not limited to coding or HIM. We follow a data-quality issue wherever the evidence leads — across the full information lifecycle.

Patient Encounter
Clinical Documentation
Health Information Management
Coding & Abstraction
Systems & Data
Analytics & Reporting
Organizational Decisions
Government / Research / Policy
Looking ahead

AI doesn't fix bad data. It scales it.

Computer-assisted and autonomous coding, and AI-generated clinical documentation, are already arriving in Canadian healthcare. Both depend on the same underlying data, documentation and workflows a True North Circle assessment examines today.

Computer-Assisted & Autonomous Coding

Autonomous coding depends on complete, accurate clinical documentation. Gaps that are manageable today become embedded and repeated at scale once coding is automated — with less human review left to catch them.

AI in Clinical Documentation

Ambient scribes and AI-assisted charting are built to produce a clinical narrative. Whether that output still serves coding, reporting and funding needs is a separate question — and one that often isn't asked until after go-live.

HIM Leadership Forums

Conversations Between the People Doing the Work

True North Circle hosts monthly HIM Leadership Forums bringing healthcare information leaders together to discuss the challenges they are seeing across Canadian healthcare.

No sales presentations. No vendors. Just HIM professionals sharing experience, challenges and ideas.

Epic

Monthly forum

Oracle Health (Cerner)

Monthly forum

MEDITECH

Monthly forum

The Clinical Coding Podcast — exploring the people, data and technology shaping clinical coding
Clinical Coding Podcast

Join the Conversation

The Clinical Coding Podcast explores the people, issues and ideas shaping clinical coding and health information management — hosted by Carol Adam of True North Circle, joined by an expert co-host.

Visit the Clinical Coding Podcast Listen to Recent Episodes

What is affecting the quality of your data?

Sometimes the organization already knows. Sometimes the visible problem is only a symptom. Let's find out.