The webinar presented by Mary C. Zarba focuses on essential skills for business analysts in the healthcare domain, including the increasing demand for healthcare jobs and essential business analysis skills. It highlights the importance of understanding healthcare IT, regulations, and the software development life cycle to navigate a field that is behind in automation and facing interoperability challenges. Additionally, it offers resources for training and certification in healthcare business analysis and IT.

1. #ASPEevents

2. Essential Skills for Business
Analysts in the Healthcare
Domain

3. Essential Skills for Business
Analysts in the Healthcare
Domain
Presented By
Mary C. Zarba, MBA
Vail, Colorado

4. Welcome!!
One hour webinar
45 minute PowerPoint slide presentation
15 minute Q&A to follow

5. Webinar Agenda
- Healthcare domain labor statistics
- Essential business analysis training
- Essential healthcare domain training
- Healthcare areas of knowledge for employment
- Healthcare domain resources
- Healthcare employment resources

6. Your Presenter
30+ years of healthcare experience in the clinical, management and
information technology arenas
Implementation, training and maintenance of multiple EPM/EMR and
medical software systems
Healthcare IT project planning & management
Owner of HeadFirst Consulting, LLC, independent contractor providing
training through the American Society of Professional Education (ASPE)
and American Health Sciences Institute (AHSI) for healthcare business
analysts and IT project managers

7. Healthcare Labor Statistics
* Over 32,800 new healthcare positions were added in the
U.S. in May 2012
* More than 340,000 new positions were added the first
half of 2012
* Healthcare jobs have increased at twice the rate as the
general economy
* Creation of more than 4.2 million new healthcare jobs
in the U.S. by 2020
* One in nine U.S. jobs will be in healthcare by 2020
Center for Healthcare Workforce Studies, University of Albany

8. Why are new U.S. healthcare positions
skyrocketing?
•Increasing age of Baby Boomers
•More illness as we age
•Baby Boomers retiring from healthcare
•New treatment options becoming available
•Numerous new government regulations and security guidelines
(HIT Initiative, Meaningful Use, HITECH Act, HIPAA)
•Affordable Care Act (ObamaCare)
Bureau of Labor Statistics

9. Healthcare is one of the least automated industries in the USA
Other industries at the bottom of the list are retail, education and
construction
Healthcare IT is at least twenty years behind most other U.S. industries
Majority of healthcare organizations are using 25-30% of their
Electronic Health Records (EHR) functionality
30% of EHR implementations are considered a failure by practice or
hospital stakeholders
Electronic Health Records : Perspectives from the Adapters MGMA
Additional Healthcare IT Statistics

13. The American Recovery & Reinvestment Act of 2009
* Signed into law February 17, 2009 by Pres. Obama
* $790 billion total
* $30 billion dedicated to healthcare (HITECH Act)
- Healthcare IT
- Training of primary care providers
- Research on chronic diseases
- Community health centres (urban and
underserviced areas)
- “Comparative Effectiveness” (what works in real
life)
Federal HIT Initiative

14. HITECH Act
-$17 billion earmarked as provider incentives distributed by
Medicare & Medicaid starting in 2011
-$2 billion to be used by the national health IT coordinator
- $ going to individual states
- Interoperability issues
- Regional HIT centres (RHIO)
- Telemedicine issues
-Goal of the HITECH Act
- HIT interoperability
- Establish CCHIT standards
- Government savings of $12 billion
- Strengthen federal privacy and security laws/regulations
HITECH Act

15. HITECH Act includes tightening of HIPAA guidelines
- Clear definition of “breach”
- Imposes restrictions and disclosures
- Requires accounting of disclosures
- Increased civil penalties for violations
- State attorneys can enforce HIPAA
HITECH Act

16. Essential Business Analysis Skills
-Experience with the Software Development
Life Cycle (SDLC)
-CBAP or CCBA certification through the IIBA
-Project management experience
-Agile and/or Six Sigma training
-Elicitation, scoping, requirements analysis
skills
-Communication and critical thinking skills
-Change Management
-Conceptual modeling skills
-Industry and business knowledge

17. Essential Business Analysis Skills
Need to establish fundamental requirements in order to control our fragmented
healthcare system
Patient info currently remains in proprietary silos of information
Increases duplication of work
Increases chance of errors
Perpetuates lack of coordination
Incorporate established standards that all health IT software & products must
eventually conform to
Currently several government organizations are setting or enforcing standards
ONCHIT - Office of the National Coordinator for HIT
HL7 - Health Level 7
CCHIT - Certification Commission for Healthcare Information Technology
ASTM - American Society for Testing and Materials
RHIO - Regional Health Information Organization

18. Essential Healthcare Knowledge
EDI = Electronic Data Interchange
-Ability to send & receive paperless documentation between two or
more organizations using an ANSI x 12 EDI standardized format
-Automate numerous practice/hospital business processes
-Multiple functions
- Electronic claim submission
-Electronic remittance and fund transfer
-Benefits include
Decreases the cost of doing business
Decreases paper use and storage costs
Increases data accuracy
Decreases postage costs, cost of faxes, phone calls etc.
Speeds up business processes
-Integral part of a complete and integrated EHR system

19. -Security Teams
Access controls
Disaster guidelines
Audit and access controls and reporting
HIPAA and state regulations
-“Need to know” basis (CRUD Matrix)
-Audit controls & reporting
-HIPAA and state regulations
-Restricted visit types
HIV, mental health, drug abuse
Employees
VIP’s
Healthcare IT Vulnerabilities

20. Healthcare IT Vulnerabilities
-Remote access (home & hospital)
-Internet use by staff
-Backup systems
-Printed documentation, research data
-Exam rooms, printers, scanners, fax machines
-Biometrics, proximity badges, secure computer
screens
-Encryption
-EKG , PAC and Echo systems

21. Business Analysis Opportunities
In Healthcare
-Interoperability between multiple organizations and systems
-Third party interfaces
- EDI (Electronic Data Interchange)
- IT Security/Liability from both internal and external sources
- Disaster Recovery
- Wireless capabilities (HIPAA)
-Support and maintenance of numerous new healthcare IT systems
-Implementations aligning with numerous new security guidelines
and Meaningful Use requirements

22. Essential Healthcare Knowledge
-ICD-9 and ICD-10
-Health insurance and claims process/pricing
-DRG’s
-Healthcare reform & recent government
regulations
-EDI/Clearinghouses
-4010 vs. 5010 compliance
-Content Management Systems
-PAC Systems

23. -Prescription systems/regulations
-Healthcare data mining
-Document management
-Healthcare and medical terminology
-CMS Medicare, FEP and Medicaid
-Medical software (EMR/EPM etc.)
-NHIN (National Health Information Network (RHIO)
Essential Healthcare Knowledge

24. Healthcare Experience – How Do I Get Started?
-BA experience/skills
-CBAP/CCBA certification helpful
-Healthcare industry knowledge
-Knowledge of the inner workings of hospitals, medical
practices, labs and/or healthcare R&D
-Training in latest healthcare federal guidelines
-Understanding of electronic medical billing processes
-Get involved in blogs, discussion groups, LinkedIn,
HIMSS etc.

25. Healthcare Experience – How Do I Get Started??
-Involvement in your local IIBA chapter
-Network with other healthcare BA’s through
your state IIBA
-Training classes in medical terminology,
healthcare IT
-Prep for interviewing for healthcare IT jobs
-Explore the numerous healthcare
employment resources
-Membership in HIMSS, MGMA etc.

26. CPEHR – Certified Professional in Electronic Health Records
CISSP – Certified Information System Security Professional
CPHIT – Certified Professional in Health Information Technology
CHISM – Certified Healthcare Informatics Manager
CHP – Certified HIPAA Professional
CHSS – Certified HIPAA Security Specialist
CHA – Certified HIPAA Administrator
Certifications

27. Business Analysis Resources
International Institute for Business Analysis (IIBA)
www.theiiba@com
State IIBA Chapters www.theiiba.org
St. Louis University, St. Louis, Missouri
American Society for Professional Education (ASPE)
American Health Sciences Institute (AHSI)

28. http://www.himss.org/StateDashboard/
‐Grant Information – Contains information on grants awarded to
communities, hospitals, providers and healthcare systems with
information on funding, hiring and grant specifics.
‐Regional Health Information Organization (RHIO) Specifics –
Information on RHIOs and their current status.
‐State Legislation Tracking – Descriptions and summaries of pending
legislation and HIMSS positions on legislation.
‐Davies Award Winners (HIMSS) – recognizes excellence in the
implementation and use of HIT
‐HIMSS Chapter Information – Locations of HIMSS Chapters.
State HIT Resources

29. Healthcare Resources
HIMSS (Health Information Management Systems Society)
http://www.himss.org/ASP/index.asp
MGMA (Medical Group Management Association)
http://www.mgma.com/
Office of the National Coordinator for Health Information Technology
Health IT http://healthit.hhs.gov/
Center for Medicare & Medicaid Services http://www.cms.gov/
Fierce Healthcare IT http://www.fiercehealthit.com/
Government Healthcare IT http://www.govhealthit.com/
Healthcare IT News (iPad app) http://www.healthcareitnews.com/
American Association of Healthcare Administrative Management
http://www.aaham.org/
LinkedIn (Numerous healthcare IT discussion groups)

30. Q & A

31. How to Claim Your PDU
• Go to aspe‐sdlc.com/pdu/ for instructions on
submitting your PDU.
• You can submit your PDU by mail or
electronically.
• The Activity code for today’s presentation is
WS100912 and ASPE’s REP number is 2161.
• The seminars are Category A for one PDU