Presentation Transcript

1. Health IT ●New Landmarks in a Difficult to Navigate Profession

   STEMTech ● 2012
2. The Time for Health IT is Now! President Bush’s goal in 2004 “… an Electronic Health Record for every American... By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” - State of the Union address, January 20, 2004 President Barack Obama announces an audacious plan in 2009“Computerize all health records...” - Speech at George Mason University, January 12, 2009 Through HITECH Act—part of the February 2009 American Reinvestment and Recovery Act (i.e., ARRA, the Stimulus Bill), Congress: Authorized an unprecedented investment in health IT (e.g., incentives, technical assistance) Charged HHS ONC with coordinating the Federal Government’s efforts to realize the implementation of a nationwide health IT infrastructure within a legislatively mandated timeline Established meaningful use as a framework for advancing health IT adoption and a foundation for improving the healthcare system
3. HITECH: Catalyst for Transformation Three-Part Aim: Better Healthcare Better Health Reduced Costs Paper Records HITECH Act EHRs & HIE Pre 2009 2009 2014 EHR Incentive Program and 62 Regional Extension Centers A system plagued by inefficiencies Widespread adoption & meaningful use of EHRs
4. ONC Health IT Workforce Training Office of the National Coordinator for Health Information Technology
5. Community College Consortia Bellevue CollegeBellevue, WA Cuyahoga Community CollegeCleveland, OHIO Tidewater Community CollegeNorfolk, VA Los Rios Community College Sacramento, CA Pitt Community College, winterville, NC 5 Consortia82 member colleges

6. Health Information Careers

   Employment Outlook: Are there jobs?
7. From paper medical records . . . “Health information technology is the circulatory system for the vital organs of health care.” David Blumenthal, MD, MPP Former National Coordinator Office of the National Coordinator for Health Information Technology To the EHR…

8. Blending the medical/clinical profession and the IT profession…

   Roots of this profession lie in the Health Information Management profession with RHIAs and RHITs and the conversion of paper records to the EHR…but with the extension/addition of critical IT knowledge
9. Health Information Professionals US Bureau of Labor Statistics What Medical Records and Health Information Technicians Do organize and manage health information data by ensuring quality, accuracy, accessibility, and security in paper and electronic systems. Use various classification systems to code/categorize patient information for reimbursement purposes, for databases and registries, and to maintain patients’ medical/treatment Employment Expected to increase by 21% -faster than average Number of jobs 2010 – 179,500 Employment change 2010-2020 – 37,700 Median Pay $32, 350/yr ($15.55/hr) CHANGES NEEDED – in Standard Occupational Classification….in process…next major review & revision expected to begin in 2013 for2018 SOC Education: Post secondary non degree award (BLS)Medical records/health information technicians typically need a postsecondary certificate to enter the occupation, although they may have an associate’s degree. Many employers also require professional certification. Employment Growth: Medical Records and Health Information Technicians
10. Health Information Professionals US Bureau of Labor Statistics What Medical and Health Services Managers Do Medical and health services managers, also called healthcare executives or healthcare administrators, plan, direct, and coordinate medical and health services….might manage an entire facility, specialize in managing a specific clinical area or department, or manage a medical practice for a group of physicians. Employment Expected to increase by 22% - faster than average Number of jobs 2010 – 303,000 Employment change 2010-2020 – 68,000 Median Pay $84,270 year ($40.52/hr) Entry level education: Bachelor’s degree Employment Growth: Medical and Health Services Managers
11. IT Professionals: US Bureau of Labor Statistics OCCUPATION/JOB SUMMARY/ENTRY-LEVEL EDUCATION /2010 MEDIAN PAY Computer and Information Research Scientists – 19% average Invent/design technology…find uses for existing technology… study/solve complex problems in computing for business/science/medicine/other uses Doctoral or professional degree $100,660 Computer Programmers – 12% average Write code to create software…turn program designs created by developers/engineers into instructions a computer can follow Bachelor’s degree $71,380 Computer Support Specialists– 18% average Provide help/advice to those using computer software/equipment - support IT - helpdesk techs, assist non-IT with computer problems. Some college, no degree $46,260
12. IT Professionals: US Bureau of Labor Statistics Software Developers – 30% much faster than average creative minds behind computer programs… develop the applications that allow people to do specific tasks on a computer or other device. Others develop the underlying systems that run the devices or control networks. Bachelor’s degree $90,530 Database Administrators – 31% much faster than average Use software to store/organize data, …make sure that data are available to users and secure from unauthorized access Bachelor’s degree $73,490
13. IT Professionals: US Bureau of Labor Statistics Computer Systems Analysts – 22% faster than average Study … systems/procedures & make recommendations so organization operates efficiently/effectively. …bring business & IT together by understanding needs/limitations Bachelor’s degree $77,740 Network and Computer Systems Administrators – 28% faster than average responsible for day-to-day operation of organization’s computer networks…organize/install/support computer systems Bachelor’s degree $69,160 Info Security Analysts, Web Developers, & Computer Network Architects – 22% faster than average Use IT to advance organization’s goals - Security analysts ensure information stays safe -Web developers create websites -Computer network architects create internal networks within organizations Bachelor’s degree $75,660
14. Health Information Careers AHIMA http://hicareers.com www.ahima.org HIMSS www.himss.org
15. Where are the jobs? www.indeed.com 10.23.12
16. What are the jobs?
17. Issues Varying responsibilities within profession (clerk to executive) Wide diversity of types of employment, job titles and duties Growing field…expanding, altering, diversifying Need to cross train..clinical to IT..and IT to clinical Time crunch to get to EHR/MU Needs of many not yet realized Adoption of ICD-10 in healthcare – complicating factor and will compete for those credentialed as RHIAs and RHITs

18. Health Information Careers

    Assessing and Customizing ONC Curricula
19. Customizing the ONC Curriculum ONC Curriculum College-Specific Adaptations Countless minor adaptions to fit college delivery structure Some significant modifications Rural communities Entry-Level Workers Military Customizations for specific customer needs Curriculum prepared by research universities Six workforce roles 20 components w/ multiple units per role Designed for professionals Gretchen LeFever Watson, Ph.D. glefever@tcc.edu
20. Region E - Customization Example 6 Workforce Roles 2 Training Tracks Technical/ Software Support Health IT Consulting Backgrounds in Healthcare, Business, or Related Field Implementation Support Specialist Trainer Clinician Consultant Implementation Manager Workflow Redesign Specialist Health IT Engineering Backgrounds in IT Gretchen LeFever Watson, Ph.D. glefever@tcc.edu
21. Customizing for Sustainability Wide-Range of Programs for Local Markets Professional Training Consumer Education Patient privacy, security, rights & responsibilities for safe care Community College Outreach Large employers Health insurance carriers Direct to consumer education In-office education Continuing existing workforce training New academic offerings – certificate and degree programs Timely CME/CE programs Health IT and patient safety modules for every health-related degree program Consumer education preparation Gretchen LeFever Watson, Ph.D. glefever@tcc.edu

22. Health Information Careers

    What’s on the Horizon? Considerations for Keeping Health IT Programs Current
23. Healthcare IT Needs of the Future Stage 1 Meaningful Use (2011 – 2013): Adoption and Implementation of EHR Technology (both Hospital and Physician) Stage 2 Meaningful Use (2014 – 2016?): Development of the information highway; interconnectivity issues; patient education and engagement (both Hospital and Physician) Stage 3 Meaningful Use (2017 and beyond): Data Analytics; advanced business needs for support of ACO structure
24. Meaningful Use…Where We are Today Progress to Primary Care Provider Goal Current Workforce Shortage ONC training programs Education and Training to Support Transformation
25. Develop learning resources that will provide health care professionals with the fundamental knowledge of key topics involved in the transformation of health care, that provide better health, better care and lower costs for patients nationwide. Patient-Centered Medical Home Data Analytics Population Management Meaningful Use Health Information Exchange
26. Some Additional Tools and Resources Core Competencies for Interprofessional Collaborative Practice http://tinyurl.com/cz3k4tf Patient Centered Primary Care Collaborative – Education and Training http://tinyurl.com/c9wthw2

27. Health Information Careers

    Industry Partnership
28. Immature Industry Full of Grown Up$
29. Industry Attention = Health IT Program Viability
30. Source: College of Healthcare Information Management Executives
31. Imagine This
32. Free Health IT Community College Program Start Up Kit ● National Veteran’s Health IT Initiative ● New Entry Level HIMSS Certification & Free Curriculum ● Free Community College Rural Clinic Curriculum & Trainer Training
33. Lessons Learned Evolving market place Training needed for all health care providers Broad band issues for rural areas Hands on experience with vendor products Need for internship opportunities Soft skills – working in teams Career pathway – stackable credentials Articulation agreements with Universities Availability of Faculty
34. THANK YOU! Funded by the Office of the National Coordinator for Health IT U.S. Department of Health and Human Services STEMTech ● 2012