February 10, 2011 BDPA Charlotte Program meeting. Presented by: Karen D. Hill, RHIA Recruitment/Placement Specialist ONC HIT Grant Health Sciences Division Central Piedmont Community College Health Information Technology Workforce Development Program Central Piedmont Community College

1. Central Piedmont Community College

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 number
90CC0078/01 as a component of the American
Recovery and Reinvestment Act of 2009 Public
Law 111-5: Title XIIL

3. The Federal Government has
mandated “Meaningful Use” of
electronic health records (EHRs)
by 2014. Initially, this will affect
Primary Care facilities, Family
Practices, OB/GYN practices, and
Pediatric practices. The remaining
medical specialties will soon
follow.

5. Expected Benefits of
Electronic Health Records
• Quality of Care
• Coordination of Care
• Organizational Efficiency
• Patient Privacy and
• Medical Information
Security

6. Meaningful Use Definition (Evolving)
2011
Data Capture and Sharing (Focus)
• Computer Physician Order Entry ALL Orders
• Drug Interaction Checks
• Problem Lists
• Generate Prescription
2013
Advance Clinical Practice (Focus)
• Ability to Use Evidence Based Order Sets
• Manage Chronic Diseases Using Decision Support
Functions
• Provide Medical Decision Making Support
2015
Improved Outcomes (Focus)
• Performance, Quality Safety Efficiency
• Clinical Decision Support for national High Priority
Conditions
• Medical Device Interoperability
• Multimedia Support

7. Current Status
Electronic Health Record Implementation
As of February 2011, more than 14,000 hospitals and
physicians had registered for the Medicare and Medicaid
EHR incentive payment program. There is $27 billion in
federal incentive payments available to be paid for the
adoption and meaningful use of EHRs.
81% of hospitals and 41% of physician practices currently
intend to take advantage of federal incentive payments for
adoption of EHR.
Source: Providers Lining up for EHR Incentives, Journal of AHIMA, March 2011
DHHS ONC 2011 The data released comes from surveys commissioned by ONC and carried out in the course
of regular annual surveillance by the American Hospital Association (AHA) and the National Center for Health
Statistics (NCHS), an agency of HHS’ Centers for Disease Control and Prevention (CDC),
http://www.hhs.gov/news/press/2011pres/01/20110113a.html

8. “Unprecedented resources, including the EHR incentive and
technical assistance programs created under HITECH (Health
Information Technology for Economic and Clinical Health
Act), are available. Never again will the same level of
resources and talent be devoted to helping providers make
the switch to health IT.”
Dr. David Blumenthal,
Office of the National Coordinator

9. GAP
The work to select, install, and maintain these
systems will create an unprecedented demand for
qualified Health Information Technology Professionals
The Bureau of Labor Statistics, Department of
Education, and independent studies have projected a
shortfall over the next five years of approximately
50,000 qualified health IT workers required to meet
the needs of hospitals and physicians as they move to
adopt electronic health record systems.
So where will the local supply of qualified Health IT
Professionals come from?

10. Accelerated Cross Training
Individuals From Healthcare Background
About Computer Technology
Individuals From Computer Technology
Background About Healthcare Environment
To be Functional in Health Information
Technology to Work on Electronic Health
Records

12. Community College Consortia
To Educate Health IT Professionals

13. 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 – Birmingham
Components of this curriculum:
Components vary depending upon the workforce role, but the following lists of all components
developed for this curriculum.
1. Introduction to Health Care and Public Health in the U.S.
2. The Culture of Health Care
3. Terminology in Health Care and Public Health Settings
4. Introduction to Information and Computer Science
5. History of Health Information Technology in the U.S.
6. Health Management Information Systems
7. Working with Health IT Systems
8. Installation and Maintenance of Health IT Systems
9. Networking and Health Information Exchange
10. Fundamentals of Health Workflow Process Analysis & Redesign
11. Configuring EHRs
12. Quality Improvement.
13. Public Health IT
14. Special Topics Course on Vendor-Specific Systems
15. Usability and Human Factors
16. Professionalism/Customer Service in the Health Environment
17. Working in Teams
18. Planning, Management and Leadership for Health IT
19. Introduction to Project Management
20. Training and Instructional Design.

14. Three colleges in North Carolina: Catawba Valley Community
College, Central Piedmont Community College, and Pitt
Community College have undertaken an innovative approach
to train professionals to step into critical roles.

15. Health Information Technology Workforce
Development Program
Intensive Cross Training designed to provide the pool
of qualified professionals with enough health IT
knowledge 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

16. Roles
1. Practice Workflow and Information
Management Redesign Specialist
2. Clinician/Practitioner Consultant
3. Implementation Support Specialist
4. Implementation Manager
5. Health Information Technology
Software Support Specialist
6. Health Information Systems Trainer

17. 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

18. Role 1: Clinician/Practitioner Consultant
General Description
Workers 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 use of health IT to improve health and care. In addition, this role brings to bear the background and experience of
a professional licensed to provide clinical care or a public health professional.
Suggested Background
Individuals in this role will be licensed clinical or public health professionals; or in the case of public health, they would bring
into the role significant experience in federal, state or local public health agencies.
Competencies
In 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 clinical
expertise 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 answers
they 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 the
deployment 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

19. Role 2: Implementation Manager
General Description
Workers in this role provide on-site management of mobile adoption support teams for the period of time before and during
implementation of health IT systems in clinical and public health settings.
Suggested Background
Workers in this role will, prior to training, have experience in health and/or IT environments as well as some administrative or
managerial experience.
Competencies
Workers in this role will be able to:
Provide leadership ensuring that implementation teams, consisting of workers in the roles described above, function
cohesively.
Apply project management and change management principles to create implementation project plans to achieve the project
goals.
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 product
improvement.
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 in
achieving 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

20. Role 3: Implementation Support Specialist
General Description
Workers in this role provide on-site user support for the period of time before and during implementation of health IT systems
in clinical and public health settings. These individuals will provide support services, above and beyond what is provided by
the vendor, to be sure the technology functions properly and is configured to meet the needs of the redesigned practice
workflow.
Suggested Background
Individuals training for this role will have a general background in information technology or health information management.
Competencies
Workers 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 implementation
Test 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 capabilities
are 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

21. Role 4: Practice Workflow and Information Management Redesign Specialist
General Description
Workers 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 use
of health IT to improve health and care.
Suggested Background
Individuals in this role may have backgrounds in health care (for example, as a practice administrator) or in information technology, but are not
licensed clinical professionals.
Competencies
Workers 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. Revised
models will anticipate implementation of:
o General practice automation (e.g. appointment scheduling) to the extent not yet implemented
o Electronic documentation and results review
o 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 2013
and Stage 3 in 2015.
As the practice implements the EHR, work directly with practice personnel to implement the revised workflow and information management
model.
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 implement
these 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

22. Program Description
• Under Six Months
• Intensive
• Online Program 24/7/365
• Nominal Cost ($360)
• 100% Tuition Reimbursement (with
successful completion)
• Competency Exam
• Job Placement Assistance

23. Benefits for the Students
Training 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.

24. 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

25. 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

26. 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

27. 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

28. 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