Career Opportunities Health Care Pathways 2010

1. Career OpportunitiesHealth Care Pathways2010 Alysia Ordway Boston Private Industry Council November 18, 2010

2. Career Opportunities • Data Projections • Demographics Changing • National Healthcare Reform • Primary Care • Home healthcare / community-based • Information technology • Laboratory

3. Occupational ProjectionsMA 2006-2016Actual Number of Openings

5. Baby Boomers • January 1, 2011 which "officially" starts the Era of the Golden Boomers • By 2030 • Nearly one in five U.S. residents will be aged 65 and older • The number of Medicare eligible seniors will double

8. Healthcare Reform • March 23, 2010 the Patient Protection and Affordable Care Act • $940 billion over ten years • Expand coverage to 32 million Americans who are currently uninsured. • Individual mandate • Expansion of public programs • Cost containment • Prevention/Wellness • ACA & National Strategy through Workforce Advisory Committee • November 2, 2010 Elections

9. ACA & National Strategy through Workforce Advisory Committee • Scholarships & loans • Primary care training & capacity building • Establish a public health workforce loan program • Promote training of a diverse workforce • Promote cultural competency • Nursing & creating a career ladder to nursing • Support development of training programs that focus on primary care models

10. Why these occupations?

11. Where will the opportunities be? • Primary Care • Home healthcare • Laboratory Technician and Technologists • Information Technology

12. Headlines • Shortage of Primary Care Doctors • CBS News March 25, 2010 4:06 PM • The new healthcare bill will extend insurance to 32 million Americans who do not already have it. Estimates are that the U.S. needs about 13,000 more primary care doctors to care for them. • The Doctor Won’t See You Now • Newsweek February 26, 2010 • A critical shortage of primary-care physicians is yet another symptom of our ailing healthcare system.

13. The long path …. • Undergraduate degree in pre-medical program • Medical College Admission Test (MCAT), essays, letters of reference • 4 years of medical school • Earn Doctor of Medicine degree • Take licensing exam • Post- graduate residency program (2 to 6 years)

14. Where will the opportunities be? • Primary Care • Home healthcare • Laboratory • Information Technology

15. 2006 -2016 MA Projections: • 2006 labor force: 17,330 • 2016 projected labor force: 23,150 33.6% change • New jobs: 5,830 • Replacement jobs: 1,550 • Total 7,380 • 2007 MA Average Wage & Salary: $12.16 $25,290 Home Health Aides

16. Education Requirements • High School diploma • On the Job Training from RNs, LPNs, experienced HHAs • If with employers who receive Medicare reimbursement, must pass competency test • National Association for Home Care and Hospice (NAHC). • Licensing as a Certified Nursing Assistant (CNA) • Move on to Medical Assistants, LPNs, RNs

18. Where will the opportunities be? • Primary Care • Home healthcare / community-based • Laboratory • Information Technology

19. Medical & Clinical Technicians & Technologists

20. 2006 – 2016 Projections

21. Salary Comparisons

22. Laboratory • Medical & Clinical Laboratory Technicians: • Assoc. Degree plus 12 semester hours biology and chemistry • Prepare specimens and operate automated analyzers • Perform manual tests • Work under the supervision of medical and clinical laboratory technologists or laboratory managers. • Medical & Clinical Laboratory Technologists • Bachelor’s degree plus 30 semester hours of biology and chemistry • Prepare specimens for examination, count cells, and look for abnormal cells in blood and body fluids. • Use microscopes, cell counters, and other sophisticated laboratory equipment. Use automated equipment and computerized instruments capable of performing a number of tests simultaneously. • Analyze the results and relay them to physicians

23. Insert BWH slide here

24. Where will the opportunities be? • Primary Care • Home healthcare / community-based • Laboratory • Information Technology

25. Information Technology • Health Information Technology • Health Informatics • Health Information Management

26. Health Information Technology • BLS: Through 2018, 20% increase in demand • health information systems • internet • wireless connections • hardware • handheld devices • as well as applications for information management, decision-support tools, communication, and transactional programs • EMRs • computer software • EHR security

27. Health Information Technology, continued • Associate degree & Registered Health Information Technicians (RHIT) credential. • College Courses: • medical terminology, • anatomy and physiology, • health data requirements and standards, • clinical classification and coding systems, • data analysis, • healthcare reimbursement methods, • database security and management, • and quality improvement methods. • High School Students: • biology, • math, • chemistry, • health, and computer science courses

28. Health Informatics the application of the computing and information technology disciplines to solving problems in the field of health care. “Because I have the vocabulary of both sides, I can serve as translator between them.” http://www.nytimes.com/2009/04/12/jobs/12starts.html?_r=2

29. Health Informatics • “My rough estimate is that we need about 70,000 health informaticians,” said Don E. Detmer, president and chief executive of the American Medical Informatics Association, a nonprofit industry group. • As of 2009, no educational, licensing or credential requirements for health informaticians. • Training programs are proliferating - master’s programs or certificates in health informatics • “medical” or “biomedical” informatics: data that doctors need for treating patients. “Bioinformatics” : biological or genetic data • “health informatics”: clinical data and health records

30. Health Information Management • Interdisciplinary: medicine, management, finance, IT, and law • Design and manage health information systems to ensure they meet medical, legal and ethical standards. • Database management, designing, generating and analyzing reports for administrators and physicians.

31. Roles for Health Information Managers • Practice workflow and information management redesign specialists • Clinician/practitioner consultants • Implementation support specialists • Implementation managers • Technical/software support staff • Trainers

32. IT Salary Comparisons

33. 2010 Career Opportunities • Range of Opportunities • Career Pathways • New Opportunities