Health Information Technology Workforce Development Program Presentation


Published on

February 10, 2011 BDPA Charlotte Program meeting.

Presented by:

Karen D. Hill, RHIA
Recruitment/Placement Specialist
Health Sciences Division
Central Piedmont Community College

Health Information Technology Workforce Development Program
Central Piedmont Community College

Published in: Health & Medicine, Business
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Health Information Technology Workforce Development Program Presentation

  1. 1. Central Piedmont Community College
  2. 2. The Health Information Technology Workforce Development Program is Funded by the US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology, award number90CC0078/01 as a component of the AmericanRecovery and Reinvestment Act of 2009 Public Law 111-5: Title XIIL
  3. 3. The Federal Government has mandated “Meaningful Use” of electronic health records (EHRs) by 2014. Initially, this will affect Primary Care facilities, FamilyPractices, OB/GYN practices, andPediatric practices. The remaining medical specialties will soon follow.
  4. 4. Expected Benefits ofElectronic Health Records • Quality of Care • Coordination of Care • Organizational Efficiency • Patient Privacy and • Medical Information Security
  5. 5. Meaningful Use Definition (Evolving) 2011Data Capture and Sharing (Focus)• Computer Physician Order Entry ALL Orders• Drug Interaction Checks• Problem Lists• Generate Prescription 2013Advance Clinical Practice (Focus)• Ability to Use Evidence Based Order Sets• Manage Chronic Diseases Using Decision Support Functions• Provide Medical Decision Making Support 2015Improved Outcomes (Focus)• Performance, Quality Safety Efficiency• Clinical Decision Support for national High Priority Conditions• Medical Device Interoperability• Multimedia Support
  6. 6. Current Status Electronic Health Record ImplementationAs of February 2011, more than 14,000 hospitals andphysicians had registered for the Medicare and MedicaidEHR incentive payment program. There is $27 billion infederal incentive payments available to be paid for theadoption and meaningful use of EHRs.81% of hospitals and 41% of physician practices currentlyintend to take advantage of federal incentive payments foradoption of EHR.Source: Providers Lining up for EHR Incentives, Journal of AHIMA, March 2011DHHS ONC 2011 The data released comes from surveys commissioned by ONC and carried out in the courseof regular annual surveillance by the American Hospital Association (AHA) and the National Center for HealthStatistics (NCHS), an agency of HHS’ Centers for Disease Control and Prevention (CDC),
  7. 7. “Unprecedented resources, including the EHR incentive andtechnical assistance programs created under HITECH (HealthInformation Technology for Economic and Clinical HealthAct), are available. Never again will the same level ofresources and talent be devoted to helping providers makethe switch to health IT.” Dr. David Blumenthal, Office of the National Coordinator
  8. 8. GAPThe work to select, install, and maintain thesesystems will create an unprecedented demand forqualified Health Information Technology ProfessionalsThe Bureau of Labor Statistics, Department ofEducation, and independent studies have projected ashortfall over the next five years of approximately50,000 qualified health IT workers required to meetthe needs of hospitals and physicians as they move toadopt electronic health record systems.So where will the local supply of qualified Health ITProfessionals come from?
  9. 9. Accelerated Cross TrainingIndividuals From Healthcare BackgroundAbout Computer TechnologyIndividuals From Computer TechnologyBackground About Healthcare EnvironmentTo be Functional in Health InformationTechnology to Work on Electronic HealthRecords
  10. 10. Community College ConsortiaTo Educate Health IT Professionals
  11. 11. This curriculum was developed by the following institutions through federal funding: Johns Hopkins University Duke University Columbia University Oregon Health Sciences University University of Alabama – BirminghamComponents of this curriculum:Components vary depending upon the workforce role, but the following lists of all componentsdeveloped for this curriculum.1. Introduction to Health Care and Public Health in the U.S.2. The Culture of Health Care3. Terminology in Health Care and Public Health Settings4. Introduction to Information and Computer Science5. History of Health Information Technology in the U.S.6. Health Management Information Systems7. Working with Health IT Systems8. Installation and Maintenance of Health IT Systems9. Networking and Health Information Exchange10. Fundamentals of Health Workflow Process Analysis & Redesign11. Configuring EHRs12. Quality Improvement.13. Public Health IT14. Special Topics Course on Vendor-Specific Systems15. Usability and Human Factors16. Professionalism/Customer Service in the Health Environment17. Working in Teams18. Planning, Management and Leadership for Health IT19. Introduction to Project Management20. Training and Instructional Design.
  12. 12. Three colleges in North Carolina: Catawba Valley CommunityCollege, Central Piedmont Community College, and PittCommunity College have undertaken an innovative approachto train professionals to step into critical roles.
  13. 13. Health Information Technology Workforce Development ProgramIntensive Cross Training designed to provide the poolof qualified professionals with enough health ITknowledge and skills to effectively: • Select • Install • Adopt • Maintain electronic health records and/or • Train medical / support staff to maximize the potential of electronic health records systems
  14. 14. Roles1. Practice Workflow and Information Management Redesign Specialist2. Clinician/Practitioner Consultant3. Implementation Support Specialist4. Implementation Manager5. Health Information Technology Software Support Specialist6. Health Information Systems Trainer
  15. 15. Roles Offered•Catawba Valley Community College: -Technical/ Software Support Curriculum - HIT Trainer Curriculum• Central Piedmont Community College: -Clinician/Practitioner Consultant -Implementation Manager -Implementation Support Specialist -Practice Workflow & Information Management Redesign Specialist
  16. 16. Role 1: Clinician/Practitioner ConsultantGeneral DescriptionWorkers in this role assist in reorganizing the work of a provider to take full advantage of the features of health IT in pursuit ofmeaningful use of health IT to improve health and care. In addition, this role brings to bear the background and experience ofa professional licensed to provide clinical care or a public health professional.Suggested BackgroundIndividuals in this role will be licensed clinical or public health professionals; or in the case of public health, they would bringinto the role significant experience in federal, state or local public health agencies.CompetenciesIn addition to the activities noted above for the “Practice Workflow and Information Management Redesign Specialist” role,workers in this role will be able to:Analyze and recommend solutions for health IT implementation problems in clinical and public health settings, bringing clinicalexpertise directly to bear.Advise and assist clinicians in taking full advantage of technology, enabling them to make best use of data in electronic form,including data in registries, to drive improvement in the quality, safety and efficiency of care.Assist in selection of vendors and software by helping practice personnel to ask the right questions and evaluate the answersthey receive.Advocate for users’ needs, acting as a liaison between users, IT staff, and vendors.Ensure that the patient/consumer perspective is incorporated into EHR deployments and that full attention is paid in thedeployment to critical issues of patient privacy.Train practitioners in best use of the EHR system, conforming to the redesigned practice workflow. Course Curriculum 1)Health Management Information Systems 2)Working with Health IT Systems 3)Fundamentals of Health Workflow Process Analysis and Redesign 4)Quality Improvement 5)Planning, Management and Leadership for Health IT
  17. 17. Role 2: Implementation ManagerGeneral DescriptionWorkers in this role provide on-site management of mobile adoption support teams for the period of time before and duringimplementation of health IT systems in clinical and public health settings.Suggested BackgroundWorkers in this role will, prior to training, have experience in health and/or IT environments as well as some administrative ormanagerial experience.CompetenciesWorkers in this role will be able to:Provide leadership ensuring that implementation teams, consisting of workers in the roles described above, functioncohesively.Apply project management and change management principles to create implementation project plans to achieve the projectgoals.Interact with diverse personnel to ensure open communication across the end-users and with the support team.Lead implementation teams consisting of workers in the roles described above.Manage vendor relations, providing schedule, deliverable, and business information to health IT vendors for productimprovement.Coordinate implementation-related efforts across the implementation site and with their Health Information Exchange partners,troubleshooting problems as they arise.Apply to these activities an understanding of health IT, meaningful use, and the challenges practice settings will encounter inachieving meaningful use. Course Curriculum 1)The Culture of Health Care 2)History of Health Information Technology in the U.S. 3)Fundamentals of Health Workflow Process Analysis and Redesign 4)Working in Teams 5)Planning, Management and Leadership for Health IT 6)Introduction to Project Management
  18. 18. Role 3: Implementation Support SpecialistGeneral DescriptionWorkers in this role provide on-site user support for the period of time before and during implementation of health IT systemsin clinical and public health settings. These individuals will provide support services, above and beyond what is provided bythe vendor, to be sure the technology functions properly and is configured to meet the needs of the redesigned practiceworkflow.Suggested BackgroundIndividuals training for this role will have a general background in information technology or health information management.CompetenciesWorkers in this role will be able to:Execute implementation project plans, by installing hardware (as needed) and configuring software to meet practice needs.Incorporate usability principles into software configuration and implementationTest the software against performance specifications.Interact with the vendors as needed to rectify technical problems that occur during the deployment process.Proactively identify software or hardware incompatibilities.Assist the practice in identifying a data back-up and recovery solution, and ensure the solution is effective.Ensure that the mechanism for hardware/software recovery (e.g., data backup or redundant systems) and related capabilitiesare appropriately implemented to minimize system downtime.Ensure that privacy and security functions are appropriately configured and activated in hardware and software.Document IT problems and evaluate the effectiveness of problem resolution.Assist end users with the execution of audits. Course Curriculum 1)Terminology in Health Care and Public Health Settings 2)Introduction to Information and Computer Science 3)Working with Health IT Systems 4)Installation and Maintenance of Health IT Systems 5)Networking and Health Information Exchange 6)Configuring EHRs 7)Special Topics Course on Vendor-Specific Systems
  19. 19. Role 4: Practice Workflow and Information Management Redesign SpecialistGeneral DescriptionWorkers in this role assist in reorganizing the work of a provider to take full advantage of the features of health IT in pursuit of meaningful useof health IT to improve health and care.Suggested BackgroundIndividuals in this role may have backgrounds in health care (for example, as a practice administrator) or in information technology, but are notlicensed clinical professionals.CompetenciesWorkers in this role will be able to:Document the workflow and information management models of the practice.Conduct user requirements analysis to facilitate workflow design.Develop revised workflow and information management models for the practice, based on meaningful use of a certified EHR product. Revisedmodels will anticipate implementation of:o General practice automation (e.g. appointment scheduling) to the extent not yet implementedo Electronic documentation and results reviewo Computerized Provider Order Entry (CPOE)o Clinical decision support (CDS)o Health information exchange to include: * Sending of lab orders and receipt of results using CPOE *Quality improvement and reporting *E-Prescribing *Other EHR functionalities as required by the Stage 1 Meaningful Use definition for 2011 and its evolution into Stage 2 in 2013and Stage 3 in 2015.As the practice implements the EHR, work directly with practice personnel to implement the revised workflow and information managementmodel.Working with practice staff, develop a set of plans to keep the practice running if the EHR system fails.Working with practice staff, evaluate the new processes as implemented, identify problems and changes that are needed, and implementthese changes.Design processes and information flows for the practice that accommodate quality improvement and reporting Course Curriculum 1)The Culture of Health Care 2)Terminology in Health Care and Public Health Settings 3)Introduction to Information and Computer Science 4)Health Management Information Systems 5)Fundamentals of Health Workflow Process Analysis and Redesign 6)Quality Improvement 7)Usability and Human Factors
  20. 20. Program Description• Under Six Months• Intensive• Online Program 24/7/365• Nominal Cost ($360)• 100% Tuition Reimbursement (withsuccessful completion)• Competency Exam• Job Placement Assistance
  21. 21. Benefits for the StudentsTraining for • New positions • Advancements • Enhance earnings (salary ranges are estimated to be well above $30,000) • Allow current employees to retain jobs which they may have otherwise lost due to the inability to keep up with health information technology.
  22. 22. Benefits for the Health Care Community• Source of Highly Qualified Workforce• Training for Current Employees• Maximize the Benefit of Electronic Health Record Systems• Improve Quality, Efficiency, and Coordination of Care
  23. 23. Outreach Focus / Population Segments• Unemployed or underemployed/in urban, suburban and rural areas• Veterans seeking re-entry into the civilian workforce• Dependents of active military personnel and veterans• Disabled• African Americans• Native Americans• Hispanics• Senior citizens seeking a return to employment
  24. 24. Meaningful Use Criteria• Certified Electronic Health Record• Computerize Provider Order Entry• Drug-Drug, Drug-Allergy Drug-Formulary Checks• Problem Lists• Electronic Prescribing• Medication Lists• Documentation of Allergies or No Allergies• Demographic Information• Smoking Status• Incorporate Lab Results• Generate Problem Lists• Ability to Submit Meaningful Data to CMS• Reminders to Patients Supplemental Slide #1
  25. 25. Meaningful Use Criteria (Continued)• 5 Clinical Decision Support Rules• Electronic Insurance Verification• Electronic Claims Submission• Provide Information to Patients• Electronic Patient Access to Labs Results, Problem Lists, Medication, Allergies within 96 hours• Clinical Summaries of Visits• Ability to Exchange Data with Other Systems (Test)• Summary Provide Summary of Care for 80% of Referrals or Transition of Care• Immunization Registries (Test)• Transmit Reportable Lab Results• Surveillance Data Test Ability to Send data to Public Health Agencies Supplemental Slide #2
  26. 26. Meaningful Use Criteria (Continued)• Privacy Security• Conduct Security Risk Analysis• Clinical Quality Measures• 3 Core Measures• Report Preventive Care Inquiries i.e. Tobacco Use• Blood Pressure Measures• Drugs to be Avoided for Elderly 1- 2• Each Provider Must Report on 3-5 Measures in Respective Specialty E.g. Preventative Colorectal Cancer Screening and Cervical Cancer Screenings Supplemental Slide #3