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Regional extension centers. Workforce training. Medicare
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1. Transforming the Nation’s Health System: : The Role of Information Technology and the Workforce Norma Morganti
Executive Director Midwest Community College Health Information Technology Consortium
Cuyahoga Community College
Wednesday March 16, 2011
Greater Chicago HIMSS
3. HELP WANTED!
4. How We Built the Program Identified 12 key roles (not jobs) looking to the future and aligned with the HITECH program
6 roles compatible with community college education
6 roles compatible with university based training
Validated the roles at a multi-stakeholder workshop
Designed and funded four grant/cooperative agreement programs ($118 Million)
3 programs supporting the community college roles
1 program supporting the university roles
5. Programs Addressing The Community College Roles
6. Six Roles Targeted by the Community College Program Mobile workforce supporting adoption process
1. Practice workflow & information management redesign specialists
2. Clinician/practitioner consultants
3. Implementation support specialist
4. Implementation managers
Onsite support personnel (post-adoption)
5. Technical/software support staff
6. Trainers
7. How the Gears Mesh
8. University-Based Training: Targeted Roles Targets 6 Roles Requiring More Specialized Technical Training (Health Care and Public Health):
Clinician/Public Health Leader
Health Information Management & Exchange Specialist
Health Information Privacy & Security Specialist
Research and Development Scientist
Programmers & Software Engineer
Health IT Sub-specialist
9. University Based Training Program Training grants : NLM program with faster metronome
Will support ~ 1700 trainees over three years
Trainees appointed for at least 1 and up to 2 years
One year of training leads to institutional certificate or masters degree
Two years of training leads to masters degree with thesis
10. Program Evaluation All ONC HITECH programs will be evaluated by separate contracts
National Opinion Research Center (NORC) awarded Workforce Program Evaluation
Formative and summative purpose
Will work with training sites (community college and university) to track program graduates
12. William Hersh, MD
Department of Medical Informatics & Clinical Epidemiology
Oregon Health & Science University
hersh@ohsu.edu
http://informaticsprofessor.blogspot.com/
http://www.ohsu.edu/informatics/
13. Curriculum Development Centers (CDCs) Five universities granted awards
Oregon Health & Science University
Johns Hopkins University
University of Alabama at Birmingham
Columbia University
Duke University
Oregon Health & Science University additionally serves as National Training & Dissemination Center (NTDC)
Training – event for community college faculty in August, 2011 and additional activities
Dissemination – web site to distribute curricular materials and collect feedback
General support of curriculum use
14. Curriculum components Producing 20 “components” (four per CDC) that are turned into “courses” by community colleges
Introduction to Health Care and Public Health in the U.S.
The Culture of Health Care
Terminology in Health Care and Public Health Settings
Introduction to Information and Computer Science
History of Health Information Technology in the U.S.
Health Management Information Systems
Working with Health IT Systems
Installation and Maintenance of Health IT Systems
Networking and Health Information Exchange
Fundamentals of Health Workflow Process Analysis & Redesign
Configuring EHRs
Quality Improvement
Public Health IT
Special Topics Course on Vendor-Specific Systems
Usability and Human Factors
Professionalism/Customer Service in the Health Environment
Working in Teams
Planning, Management and Leadership for Health IT
Introduction to Project Management
Training and Instructional Design
15. Components assigned to workforce roles via “set table”
16. HIT/EHR laboratory courses All HIT students at all levels need “hands on” learning with real systems
Three components are “lab” components
Using EHRs
Installing and maintaining EHRs
Configuring EHRs
Have developed VistA for Education
Thanks to gracious efforts of VHA
Based on FOIA VistA system with added data for education
Most graduates will use other systems in jobs, but VistA provides a state-of-the-art common system for all
Runs standalone or networked on most versions of Windows between XP and 7 (32 and 64 bit) – but not without challenges!
17. Vista for Education
18. Accomplishments and future plans Community college faculty training event held August 9-11, 2010 in Portland, OR with 210 attendees
Delivered Version 1 of curriculum, including VistA for education, to community colleges by October, 2010
Supported through NTDC
Currently working on Version 2, which is mostly a maintenance update of Version 1, for delivery to community colleges in May, 2011
Surveying colleges for additional feedback for revisions
In July, 2011, will release Version 2 of curriculum to all institutions of higher education
Further goals include updated version of VistA for Education and release of a Version 3 before end of grant period (April 2, 2012)
Have goal of sustainability beyond end of grant
Likely to be useful for UBT and other graduate programs
19. Community College Consortia to Educate Health Information Technology Professionals Norma Morganti
Executive Director Midwest Community College Health Information Technology Consortium
Cuyahoga Community College
20. The Five Regional Consortia Leads
21. Our Role for Workforce Training Under the Grant Using the nationally developed curriculum, develop and
deliver training programs for the six ONC identified roles
Training must be completed in 6 months or less and allow for student flexibility.
Looking for individuals with educational and work experience in Healthcare or Information Technology;
Non-degree;
Certificate awarded;
Training must begin by September 30, 2010;
Not locked into semester or quarter system
All six roles must be available in all parts of the regions;
Rapid deployment of training.
22. Consortia Training Programs are Ready to Meet the Workforce Need Quality of students enrolled and graduating from our programs
Quality of the faculty teaching / subject matter expertise
Rigor of the coursework
Partnership with REC’s, private and public health care community, vendors
Program development based upon industry needs and advisory committees engagement
Professionalism/Customer Service/Leadership training
Customized training opportunities
Online learning environments
Online Labs
Community colleges = quality workforce training programs
23. Region C: Midwest HIT Training The Midwestern Region has enrolled over 1,200 students since September 30th, 2010.
Over 100 students have successfully completed the program.
24. Region C Student Profile: Educational Background
25. Top Common Certifications Among Region C Students Certified Coding Associate
Certified Coding Specialist
Certified Coding Specialist - Physician-based
Certified Health Data Analyst
Certified in Healthcare Privacy/Security
Certified Medical Assistant
Certified Network Associate Routing & Switching
Certified Nursing Assistant
Certified Professional Coder
Certified Professional in Healthcare Management
Cisco Certified Entry Networking Associate
CompTIA A+
CompTIA Network+
CompTIA Security+
Microsoft Certified Professional
Microsoft Certified System Administrator
Microsoft Office Specialist
Project Management Professional
Registered Health Information Administrator
Registered Health Information Technician
Registered Nurse
Six Sigma
26. Student Work Experience
27. Top Commonly Held Job Titles Among Region C Students Assistant Administrator of Information Services
Billing and Coding Manager
Billing System Specialist/Trainer
Business Systems Analyst
Coding and Compliance Specialist
Consultant
Data Base Administrator
EMR Support Specialist
Health Information Manager
Information Technology Operations Manager
Medical Record Specialist
Office Manager
Project Manager
Registered Nurse
Senior Database Administrator
Systems Analyst
Technical Coordinator
Technology Consultant
28. Student Employment Status
30. Develop & administer a set of health IT competency examinations
Enable health IT professionals, employers, & other stakeholders to assess health IT competency levels
Enable employers to identify training gaps & personnel needs integral to achieving meaningful use of electronic health records
This will also be a source of feedback to the community colleges
31. Primary deliverables are:
Develop competency exams based on the six workforce roles
Develop exam blueprints based upon competencies for the six workforce roles
Develop a system for delivery of high volume computer-based assessments
Develop a comprehensive test administration plan
Develop a process for revision of exams for the purpose of continuous improvement
Administration of examinations to candidates
27,500 to be free of charge
33. Project Stakeholders Additional NOVA Partners
Houston Community College
Tidewater Community College
University of Pittsburgh
National Health IT Collaborative for the Underserved
NoVaHealthFORCE
Workforce Stakeholders
Community College Consortium Member Colleges
Curriculum Development Centers
Regional Extension Centers
34. Accomplishments
35. Future Project Timeline
36. Questions?Comments Thank You