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iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas e-Health Alliance and Dr. Leanne Field, Director, University of Texas HIT Program, Presentation “Challenges & Initiatives Surrounding Workforce Development in HIT”

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iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas e-Health Alliance and Dr. Leanne Field, Director, University of Texas HIT Program, Presentation “Challenges & Initiatives …

iHT2 Health IT Summit in Austin 2012 –Nora Belcher, Executive Director, Texas e-Health Alliance and Dr. Leanne Field, Director, University of Texas HIT Program, Presentation “Challenges & Initiatives Surrounding Workforce Development in HIT”

HT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.

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  • 1. Challenges & Initiatives SurroundingWorkforce Development in Health IT Nora BelcherExecutive Director, Texas e-Health Alliance nora@txeha.org and Leanne H. Field, Ph.D. Director, Health IT Programs field@austin.utexas.edu
  • 2. About the Texas e-Health Alliance• The Texas e-Health Alliance is the states leading advocate, from local communities to the national level, for the use of information technology to improve the health care system for patients.• The Alliance was founded in 2009, and represents the e-health industrys interest in promoting improved health care for all Texans.
  • 3. Texas eHealth Alliance Policy Advocacy Information Education • Pass through Medicaid • Develop & implement a state incentive funds: up to $2b plan for HIE through 2019 • Support the development of • Develop & implement a local & regional HIE Medicaid HIE (HB 1218) • Foster the development of • Pass through planning and HIT policy for the state implementation funds to • $28.8m planning & THSA implementation funds Texas through ONC via MOU with HHSC HealthPublic Stakeholders HHSC Services Provider StakeholdersConsumers Authority PhysiciansNon-profits (THSA) HospitalsPublic Health Agencies FQHCs Laboratories Pharmacies Regional Universities Extension & Centers Community (HITRECs) Colleges • Funded by ONC to offer technical assistance, guidance & information on • ONC award: Strategic Health IT best practices to support & accelerate Advanced Research Projects (SHARP) efforts to become meaningful users of for research on barriers to EHR EHRs adoption: UTHSC- Houston, $15M • CentrEast REC (TAMU): $5.3m • ONC award: Program of Assistance for • North TX REC (DFW Hospital University-Based Training to increase Council): $8.5m availability of HIT professionals: Texas • West TX HIT REC (Texas Tech): State University, $5.4m $6.7m • Gulf Coast REC (UTHSC): $15.2m Payers Insurers Employers State & Local Government
  • 4. Industry Goals• Address immediate issues with HIT workforce – Original employer that identified the need had 60 openings• Develop curriculum that reflected industry needs – Emphasis on office workflow• Create showplace for new and emerging technologies to build general support for HIT in Texas
  • 5. It’s fun to be a fairy godmother!
  • 6. Innovative Workforce Development Programs in Health Information Technology
  • 7. History: Health IT CNSNOVEMBER 2009 Texas e-Health Alliance - a workforce is needed for Health IT College of Natural Sciences respondsJANUARY 2010 Curriculum development – UT Austin in partnership with industry Apply for university-based training grant ONCAPRIL 2010 PURE-HIT consortium – receives $5.4 million; UT Austin $2.7 million Curriculum development continues; recruit facultyMAY 2010 Recruit first class of studentsJUNE 2010 Inaugural Summer Certificate program begins with 55 studentsJULY 2010 Graduate 54 students from the program!AUGUST 2010– NOVEMBER 2011 97% of graduates are hired
  • 8. PURE-HIT CONSORTIUM• Texas State University• UT School of Biomedical Informatics• The University of Texas at Austin
  • 9. • Delisi Communications • maxIT • Dell Healthcare and Life • McKesson Sciences • NextGen Healthcare • Dell Services • Orion • eClinicalWorks • Sandlot • e-MDs • Sentry Data SystemsGenerous • ePortation • Seton Family of Hospitals • FujitsuCorporate • GE Healthcare • STC • TEKsystemsSupporters • • GRIDdesign Gulf Coast Regional • Texas e-Health Alliance Extension Center • TMF Health Quality• Availity Institute • Healthcare• Allscripts Transformation Solutions • Texas Medical• Austin Regional Clinic Association • ICA• Blue Cross Blue Shield • UT School of Biomedical • Intel of Texas Informatics • Labcorp• Cisco • Vitera • Lone Star Circle of• CTG Healthcare Care/Centex System • Welch Allyn Solutions Support Services • White Glove Technologies
  • 10. UT Austin Certificate Programs• Health IT 9 Week Certificate Program - designed for recent college graduates and others who want to enter the Health IT workforce (ongoing)• Health IT Privacy and Security Certificate - Computer Science students (2011)• Public Health Leader Certificate - jointly with UT School of Biomedical Informatics - public health informatics certificate program for public health professionals (2011-2013)
  • 11. Public Health Leader Certificate Program
  • 12. Public Health Leader Certificate Program• Training public health professionals in public health informatics – 1 year certificate program – 5 courses – Train 22 students at TDSHS and ATCHHSD in two years – Guest speakers: • Mr. Jim Daniel, Public Health Coordinator, ONC • Dr. Herman Tolentino, Director, Public Health Informatics Fellowship Program, CDC • Dr. Taha-Hass Hout, Director of Informatics Solutions and Operations, CDC
  • 13. First Cohort of Public Health Leader Graduates
  • 14. • Alison Little, MPP• Texas Cancer Registry• Texas Department of State Health Services• Alison.Little@dshs.state.tx.us• August 8, 2012 14
  • 15. Data Reporting by Early Childhood Intervention Providers BY: SARAH JANE SHAW, M.P.H. QUALITY ASSURANCE SPECIALIST TEXAS EARLY HEARING DETECTION AND• Alison Little, MPP INTERVENTION (TEHDI) PR OGRAM• Texas Cancer Registry M E N T O F S T A T E H E A L T H S E R V I C E S DEPART• Texas Department of s a r a h . s h a w @ d sServices t x . u s State Health h s . s t a t e .• Alison.Little@dshs.state.tx.us 1• August 8, 2012 15
  • 16. • Alison Little, MPP — —• Texas Cancer Registry• Texas Department of State Health Services Sydney Minnerly, MA Texas Department of State Health Services• Alison.Little@dshs.state.tx.usTB/ Viral Hepatitis Branch HIV/ STD/ August 8, 2012• August 8, 2012 16
  • 17. Health Information Technology and Health Information Exchange Certificate Program
  • 18. 9 WEEK CERTIFICATE PROGRAM• Purpose: Prepare post-baccalaureate students to rapidly enter the Health IT workforce• Overview: 9 week integrated, spiral curriculum – 15 hours- 5 – 3 hour courses – 6 weeks: Didactic courses; hands-on exercises with workflow and process redesign, EHRs and HIE software, data analytics – 3 weeks: Practicum with industry; career development, research posters, job interviews
  • 19. Educational Partnership with UT Southwestern Medical Center• Successful program for distance learning – Remotely trained 23 students in Dallas to date – UT Southwestern CIO lectures on hospital systems; provides hospital-based practicum in medical center
  • 20. Proven three-fold approach to prepare graduates for the Health IT workforce• Knowledge and Skills Development• Professional Development• Real-World Experience
  • 21. STUDENT CHARACTERISTICS• Recent College Graduates •Variety of majors and degree programs •GPA > 2.75 •Strong interest in healthcare •Variety of college experiences – shadowing medical professionals, research, global travel• Working Professionals – desire to enter Health IT •Previous healthcare experience •Previous computer or IT experience •Other professions (e.g. teachers)
  • 22. Recruiting• E-mails• Posters and flyers• Informational sessions• Newspaper advertisements• Webinars• Exhibiting at regional and national meetings• Former students recommending the program to their friends!
  • 23. UPCOMING ELECTRONIC ADDon’t move home with Healthcare + Technology = Exciting Career!your parents Average starting salary of after you $52,000 GRADUATES graduate! OF ALL MAJORS Apply now for the Health IT 9–week WELCOME! Certificate Program Classes begin January 7, 2013 http://biosci.utexas.edu/healthit
  • 24. FIVE COURSES1. Fundamentals of Health IT2. Workflow, Process Redesign and Project Management3. Electronic and Health Information Exchange Systems4. Operational Models of Healthcare Practice5. Practicum in Health IT
  • 25. ENRICHMENT OPPORTUNITIES• Disease du Jour• Guest Speakers• EHR Demonstrations• Hands-on skill development in the Health IT Learning Center • Workflow simulations in mock ambulatory clinic • 6 EHR software systems • 2 HIE software systems • Data analytics exercises
  • 26. Health IT Learning Center Classroom Longhorn ClinicHealth Information Exchange Laboratory
  • 27. Classroom: Expert Lectures
  • 28. Classroom: Group Activities
  • 29. TheLonghornClinic
  • 30. Hands-on Skill Development with EHR Systems EHR systems: Allscripts, eClinicalWorks, e-MDs, Greenway, NextGen, Vitera
  • 31. Telemedicine Demonstration
  • 32. Workflow Exercises in the Longhorn Clinic: Telemedicine Simulation
  • 33. Workflow Exercises: Simulation of LaboratoryReporting, Vital Signs, and Superbill Management
  • 34. Health Information Exchange Laboratory
  • 35. HIE Laboratory – Phase 1• Longhorn Innovation Fund for Technology (awarded 9/11)• Goals • Create a “living” interoperability learning laboratory • Exchange simulated healthcare data in real-time • Mimic the “network of networks” being implemented by Texas • Engage students in the newest HIE technologies
  • 36. Sample HIE Teaching Module
  • 37. HIE Symposium June 27, 2012• All day focus on HIEs• Presented by industry partners and Texas governmental officials – Why Health Information Exchange? – What is an HIE? – How does an HIE work? • Workflow panel
  • 38. HIE Laboratory “Go Live” for Student Use July 5, 2012• Health IT students complete hands-on HIE exercises in the laboratory
  • 39. HIE Lab Phase 1: “Use Cases”• Students gain hands-on experience with: – Viewing Patient Records in the Orion HIE portal • “Breaking the Privacy Seal” • Reconciling similar but not identical patient demographics – Exchanging Continuity of Care Documents (CCDs) via HIEs – Comparing the progress note in the EHR with the CCD – Comparing and contrasting two HIE models • ICA vs Orion
  • 40. HIE Laboratory – Phase 2Goals• Complete the integration of the current EHRs and HIEs• Activate the “network of networks” to exchange simulated patient data between the two HIEs• Exchange simulated laboratory orders and results• Transfer immunization records from a simulated physician practice to a simulated public health immunization registry and a cancer registry
  • 41. Professional Development
  • 42. Employer Information Day
  • 43. Etiquette Dinner Civility Consulting Jan Goss
  • 44. Two Week PracticumLone Star Circle of Care/NextGen
  • 45. • CTG Healthcare • Office of the National Solutions Coordinator for Health • Delisi Communications Information Technology • Dell Services • OZ Systems • e-MDs • Premiere Family • Gulf Coast Regional Physicians Extension Center • Sandlot • Harden Healthcare • Scott & White • HealthcarePractica Healthcare Transformation • Texas e-Health Alliance Solutions • Texas Health Services Hosts • Legacy Community Health Services • Authority University Health • Lone Star Circle of System Care/Centex System • UT Medicine San Support Services Antonio • maxIT • UT Southwestern • McKesson Medical Center • MedSpring Urgent Care • Village Health Partners • Memorial Hermann • Vitera Healthcare System • West Texas Regional • Operational Strategies Extension Center • Your Doctor Program
  • 46. Research Poster Presentations• Judged by members of Health IT industry and healthcare organizations
  • 47. Job Interviews
  • 48. Program Milestones
  • 49. July 20101st in the Nation tograduate studentsfrom an ONC-fundedprogram, and tomove graduates intothe workforce!
  • 50. Visit from Dr. David Blumenthal,National Coordinator for Health IT October 2010 “This program has hit a home run!” Dr. David Blumenthal
  • 51. June 2011The program movesto the Norman HackermanBuilding, a new scienceresearch and teachingbuilding in the center ofThe University of Texasat Austin campus. Norman Hackerman Building photo by Paul Finkel
  • 52. Innovation Award October 2011 Program awarded aTexas-Based Innovation in Healthcare Delivery Award
  • 53. Visit from Dr. Farzad Mostashari, National Coordinator for Health IT January 2012“Students in this program get jobs after only 9 weeks of training! Terrific!” --- Dr. Farzad Mostashari
  • 54. Launch of the Health Information Exchange (HIE) Laboratory December 2012"With the launch of our new HIE learning lab, UT Austins Health IT Certificate students have thefuture of American health care in their hands. . . . I applaud the vision of our faculty and theenthusiastic support of our private sector partners in making this critical resource available to ourstudents," William M. Sage, M.D., JD, Vice Provost for Health Affairs, The University of Texas at Austin
  • 55. Program Evaluations, 2010
  • 56. Summative (Outcome) Measures• Knowledge Questionnaire – Targeted participants’ basic understanding of the broad HIT subject areas• Confidence Ratings of Knowledge – Self-report of how confident participants’ felt about understanding key areas of course content
  • 57. Knowledge Questionnaire: Sample results Describe an EHR implementation challenge Pretest Post Test Partial Response 3% Dont Know 30% Full Response 64% Full Response Partial 97% Response 6% n=54
  • 58. Knowledge Confidence Ratings 43.5 32.5 2 Interim1 Interim21.5 Final 1Note: *p<.05, **p<.01, ***p<.001
  • 59. Most Helpful Aspects of ProgramFive most common helpful aspects: Percent ResponsePracticum (45%)Working with EHR software (37%)Relevant lectures/class discussions (22%)Group exercises (12%)Large amount of information (10%)
  • 60. Employment Outcomes 2010-2012 Graduates
  • 61. Enrollment 2010-2012 Session Graduates Funding SourceSummer 2010 54 PURE-HIT grantSummer 2011 54 PURE-HIT grant ProfessionalFall 2011 54 Education ProfessionalSpring 2012 48 Education 55 AustinSummer 2012 PURE-HIT grant 9 Dallas 50 Austin ProfessionalFall 2012 10 Dallas EducationTotal in 2.5 334years!
  • 62. Employment Outcomes No. (%) of graduates seeking a Cohort No. Trained job in Health IT who are employed in Health IT Summer 2010 54 30 (94%) Summer 2011 54 39 (97%) Fall 2011 54 44 (94%) Spring 2012 48 36 (80%) since March 9th Summer 2012 62 37 (62%) since July 27th Fall 2012 60 26 (43%) since November 2ndAverage percent employed first four cohorts – 91%
  • 63. Employment Outcomes• Each cohort of graduates has been hired at a faster rate – 94% of Summer 2010 graduates found jobs within 15 months – 89% of Summer 2011 graduates found jobs within 9 months – 88% of Fall 2011 graduates found jobs within 6 months – 43% of Fall 2012 graduates hired in one month!• Average salaries increased from $50,000 to $53,000/year – Salary range (first 3 cohorts): $21,600-76,200
  • 64. On-Campus Interviews 300 Number of Interviews 250 200 150 100 50 0 Summer 2010 Summer 2011 Fall 2011Fall 2011 statistics: – 280 interviews in 1.5 days with 15 employers – 3 to 11 interviews per student, average of 4 interviews per student
  • 65. Who Hires UT Health IT graduates? Third Party Payer 2% Recruiter Other 2% 2% Government 7% Healthcare Consulting Provider 13% 35% Vendor 37% N = 45
  • 66. Employers of UT Health IT Graduates No. of No. of Company Graduates Company Graduates Employed EmployedAllscripts 1 Medix 3Arcadia 2 MedSpring Urgent Care 1Ascension Health Information Services (Seton) 4 Memorial Hermann Hospital 7Athena Health 2 New Mexico REC (NM Medical Review Association) 1Austin Community College 1 NextGen 3Cerner Corporation 7 People’s Community Clinic 1Concentra 2 Providence Health Services 2Cumberland Consulting Group 1 Sandlot 1Dartmouth-Hitchcock Medical Center 2 Scott & White Healthcare 25eCaresoft 2 St. David’s Hospital 1eClinicalWorks 33 TecNex 1eMDs 22 Texas Health and Human Services Commission 1Epic 7 The Advisory Board Company 3Health Information Associates 8 UT Medicine San Antonio 2Health Texas Providers Network 1 UT Southwestern 31ICC 1 Valley Baptist Hospital 1Intelagen 1 VersaSuite 2Intellica 1 Village Health Partners 1Legacy Community Health Services 1 Vitera 9Lone Star Circle of Care 1McKesson 6
  • 67. Job Titles• Application System Analyst • Product Innovation Manager• Associate Consultant • Project Manager• Business Analyst • Project Manager II• Clinical Analyst Support • Software Developer• Consultant • Software Systems Specialist I• Customer Service Specialist • Software Training Specialist• Data Management Specialist • Support Analyst• EHR Template Developer • Velocity Delivery Consultant• Epic Application Analyst• Epic Implementation Specialist• Health Informaticist I• Implementation Analyst• Implementation Consultant• IT Project Management Coordinator
  • 68. Recent Developments/ Future Plans
  • 69. Recipient of St. David’s Foundation Grant• Health Information Technology Training for Safety Net Clinics in Central Texas • One year grant (9/1/12- 8/31/12 • Fund HIT education for 45 clinic personnel in 3 low income clinics served by the St. David’s Foundation • El Buen Samaritano • Lone Star Circle of Care • People’s Community Clinic
  • 70. Training for Office of e-Health Coordination• Contract to provide 60 hours of didactic content and hands-on learning with EHR and HIE systems• 10 individuals in the Office of e-Health Coordination, Texas Health and Human Services Commission
  • 71. What’s Next?• Conclude grant funded programs - 2013• Continue professional education programs • 3- 9 week certificate programs per year• Develop executive education and customized employee training programs
  • 72. Continued Development of Health IT Learning Center •“Physician’s Office of the 21st Century” •Expand HIE lab • Home Health • Telemedicine • Other emerging technologies/ mobile applicationsNorman Hackerman Building
  • 73. Learn More at:http://www.biosci.utexas.edu/HealthIT
  • 74. Thank you!
  • 75. The information in this presentation about the University ofTexas at Austin Health IT program is copyrighted. In no event shall all or any portion of this presentation be disclosed or disseminated without the express written permission of the University of Texas at Austin.Copyright © 2012 The University of Texas at Austin. All rights reserved.