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IT Careers in Healthcare Emerging opportunities for IT professionals Prof. Vance Wilson Arizona State University. What’s New in Healthcare?. Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates Standardization of health information systems
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IT Careers in HealthcareEmerging opportunities for IT professionalsProf. Vance WilsonArizona State University IT in Healthcare
What’s New in Healthcare? • Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates • Standardization of health information systems • Increased focus on privacy and security of data • Mergers, acquisitions, and search for cost reductions are driving massive IT integration in healthcare • Reduced insurance coverage (e.g., higher co-pay) gives patients more incentive to comparison shop • E-health gives patients more information, creating a population of informed consumers who want online access to their doctors, pharmacists, and insurers IT Careers in Healthcare
2005 2011 Why Should We Care? • Healthcare is a HUGE industry, accounting for at least 16% of U.S. GDP in 2009 and projected to grow at 7.3% per year through 2013 • IT investments are growing FASTER than overall healthcare, with some sectors growing over 15% per year Healthcare ITInvestmentProjection $35billion $16.4billion BCC Research IT Careers in Healthcare
Areas of Healthcare IT Transaction Systems Clinical Systems Patient-ConnectedSystems IT Careers in Healthcare
Areas of Healthcare IT Transaction Systems • Admissions / Releases • Insurance Claims • Patient Billing • Payment Processing • Inventory Management • Workflow • Administrative Reports • Electronic Medical-Health-Patient Records (EMR, EHR, EPR) IT Careers in Healthcare
Transaction Systems “A person can walk into an electronics store and use a credit card to buy a $1,200 television within a matter of minutes. That same person can walk into a doctor's office for a $50 medical test, but neither the doctor nor the patient knows whether insurance will cover it. At the end of the month, the doctor's office files a claim. Then, several weeks later, the insurance company acknowledges receipt of the claim. After two months, the office is reimbursed. And finally, after a total of three months, the patient receives a bill for the balance, but can't recall why he had gone to the doctor to begin with.” — http://www.healthcare-informatics.com/issues/2000/06_00/dejesus.htm IT Careers in Healthcare
http://www.healthleaders.com/magazine/factfile46721.html Transaction Systems "Healthcare business transactions account for about a $250 billion share of a $1.2 trillion industry that desperately needs an information technology solution"— MedUnite CEO “By the authority vested in me as President by the Constitution and the laws of the United States of America, and to provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care, it is hereby ordered . . .” — President George Bush, 2004 IT Careers in Healthcare
Areas of Healthcare IT Transaction Systems Clinical Systems • Prescription • Billing • Documentation • Diagnosis • Treatment • Monitoring IT Careers in Healthcare
Clinical Systems IT Careers in Healthcare
Areas of Healthcare IT Transaction Systems Clinical Systems • Telemedicine • Diagnosis • Treatment • Monitoring Patient-ConnectedSystems • Web Transactions • Insurance • Records • Billing • E-Health • Content • Connectivity • Community • Clinical Care IT Careers in Healthcare
The Connected Healthcare Community Patient Social Services Life Insurer Healthcare Provider Employee Health Program Vendor Network Credit Card Company Retail Pharmacy State Health Commission Clearinghouse Health Plan Patient-Connected Systems Note how important networking is in automating each of these links IT Careers in Healthcare
Connectivity Content Community Clinical Care Patient-Connected Systems IT Careers in Healthcare
Opportunities for IT Professionals • IT professionals are essential for effective organizational computing, so organizational changes in healthcare point to new job opportunities, such as: • Migrate Healthcare Transactions to the Internet • Build and test new systems to link healthcare sectors, e.g., clinics, labs, pharmacies, and insurance • Manage databases to store new forms of clinical data, e.g., digital images and electronic records • Develop web systems to connect monitoring devices • Administer communication between patients and healthcare providers • Provide programming support for e-health projects IT Careers in Healthcare
Where to Find Out More… • Organizations • American Medical Informatics Association (AMIA) • Healthcare Information and Management Systems Society (HIMSS) • Job Boards • biohealthmatics.com • meditjobs.com • General-purpose sites, searching for health IT keywords • Monster.com • Careerbuilder.com IT Careers in Healthcare