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Health IT ● New Landmarks in a Difficult to Navigate Profession. STEMTech ● 2012. The Time for Health IT is Now!. President Bush’s goal in 2004

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the time for health it is now
The Time for Health IT is Now!
  • President Bush’s goal in 2004
  • “… an Electronic Health Record for every American... By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” - State of the Union address,
  • January 20, 2004
  • President Barack Obama announces an audacious plan in 2009“Computerize all health records...”
  • - Speech at George Mason University,
  • January 12, 2009
  • Through HITECH Act—part of the February 2009 American Reinvestment and Recovery Act (i.e., ARRA, the Stimulus Bill), Congress:
    • Authorized an unprecedented investment in health IT (e.g., incentives, technical assistance)
    • Charged HHS ONC with coordinating the Federal Government’s efforts to realize the implementation of a nationwide health IT infrastructure within a legislatively mandated timeline
    • Established meaningful use as a framework for advancing health IT adoption and a foundation for improving the healthcare system
hitech catalyst for transformation
HITECH: Catalyst for Transformation

Three-Part Aim:

Better Healthcare Better Health Reduced Costs

Paper Records



Pre 2009



EHR Incentive Program and 62 Regional Extension Centers

A system plagued by inefficiencies

Widespread adoption & meaningful use of EHRs

onc health it workforce training
ONC Health IT Workforce Training

Office of the National Coordinator for Health Information Technology

community college consortia
Community College Consortia

Bellevue CollegeBellevue, WA

Cuyahoga Community CollegeCleveland, OHIO

Tidewater Community CollegeNorfolk, VA

Los Rios Community College

Sacramento, CA

Pitt Community College, winterville, NC

5 Consortia82 member colleges

health information careers

Health Information Careers

Employment Outlook:

Are there jobs?

from paper medical records
From paper medical records . . .

“Health information technology is the circulatory system for the vital organs of health care.”

David Blumenthal, MD, MPP

Former National Coordinator

Office of the National Coordinator for Health Information Technology

To the EHR…

blending the medical clinical profession and the it profession

Blending the medical/clinical profession and the IT profession…

Roots of this profession lie in the Health Information Management profession with RHIAs and RHITs and the conversion of paper records to the EHR…but with the extension/addition of critical IT knowledge


Health Information Professionals

US Bureau of Labor Statistics

  • What Medical Records and Health Information Technicians Do
    • organize and manage health information data by ensuring quality, accuracy, accessibility, and security in paper and electronic systems. Use various classification systems to code/categorize patient information for reimbursement purposes, for databases and registries, and to maintain patients’ medical/treatment
  • Employment
      • Expected to increase by 21% -faster than average
      • Number of jobs 2010 – 179,500
      • Employment change 2010-2020 – 37,700
      • Median Pay $32, 350/yr ($15.55/hr)
  • CHANGES NEEDED – in Standard Occupational Classification….in process…next major review & revision expected to begin in 2013 for2018 SOC
      • Education: Post secondary non degree award (BLS)Medical records/health information technicians typically need a postsecondary certificate to enter the occupation, although they may have an associate’s degree. Many employers also require professional certification.

Employment Growth:

Medical Records and Health Information Technicians


Health Information Professionals

US Bureau of Labor Statistics

  • What Medical and Health Services Managers Do
      • Medical and health services managers, also called healthcare executives or healthcare administrators, plan, direct, and coordinate medical and health services….might manage an entire facility, specialize in managing a specific clinical area or department, or manage a medical practice for a group of physicians.
  • Employment
      • Expected to increase by 22% - faster than average
      • Number of jobs 2010 – 303,000
      • Employment change 2010-2020 – 68,000
      • Median Pay $84,270 year ($40.52/hr)
    • Entry level education: Bachelor’s degree

Employment Growth:

Medical and Health Services Managers

it professionals us bureau of labor statistics
IT Professionals: US Bureau of Labor Statistics


  • Computer and Information Research Scientists – 19% average
    • Invent/design technology…find uses for existing technology… study/solve complex problems in computing for business/science/medicine/other uses
      • Doctoral or professional degree $100,660
  • Computer Programmers – 12% average
    • Write code to create software…turn program designs created by developers/engineers into instructions a computer can follow
      • Bachelor’s degree $71,380
  • Computer Support Specialists– 18% average
    • Provide help/advice to those using computer software/equipment - support IT - helpdesk techs, assist non-IT with computer problems.
    • Some college, no degree $46,260
it professionals us bureau of labor statistics1
IT Professionals: US Bureau of Labor Statistics
  • Software Developers – 30% much faster than average
    • creative minds behind computer programs… develop the applications that allow people to do specific tasks on a computer or other device. Others develop the underlying systems that run the devices or control networks.
      • Bachelor’s degree $90,530
  • Database Administrators – 31% much faster than average
    • Use software to store/organize data, …make sure that data are available to users and secure from unauthorized access
      • Bachelor’s degree $73,490
it professionals us bureau of labor statistics2
IT Professionals: US Bureau of Labor Statistics
  • Computer Systems Analysts – 22% faster than average
    • Study … systems/procedures & make recommendations so organization operates efficiently/effectively. …bring business & IT together by understanding needs/limitations
      • Bachelor’s degree $77,740
  • Network and Computer Systems Administrators – 28% faster than average
    • responsible for day-to-day operation of organization’s computer networks…organize/install/support computer systems
      • Bachelor’s degree $69,160
  • Info Security Analysts, Web Developers, & Computer Network Architects – 22% faster than average
    • Use IT to advance organization’s goals - Security analysts ensure information stays safe -Web developers create websites -Computer network architects create internal networks within organizations
      • Bachelor’s degree $75,660
health information careers1
Health Information Careers

Where are the jobs? 10.23.12

  • Varying responsibilities within profession (clerk to executive)
  • Wide diversity of types of employment, job titles and duties
  • Growing field…expanding, altering, diversifying
  • Need to cross train..clinical to IT..and IT to clinical
  • Time crunch to get to EHR/MU
  • Needs of many not yet realized
  • Adoption of ICD-10 in healthcare – complicating factor and will compete for those credentialed as RHIAs and RHITs
health information careers2

Health Information Careers

Assessing and Customizing ONC Curricula

customizing the onc curriculum
Customizing the ONC Curriculum

ONC Curriculum

College-Specific Adaptations

Countless minor adaptions to fit college delivery structure

Some significant modifications

Rural communities

Entry-Level Workers


Customizations for specific customer needs

  • Curriculum prepared by research universities
  • Six workforce roles
  • 20 components w/ multiple units per role
  • Designed for professionals

Gretchen LeFever Watson, Ph.D. [email protected]

region e customization example
Region E - Customization Example

6 Workforce Roles 2 Training Tracks


Software Support

Health IT Consulting

Backgrounds in Healthcare, Business, or Related Field

Implementation Support Specialist


Clinician Consultant

Implementation Manager

Workflow Redesign Specialist

Health IT Engineering

Backgrounds in IT

Gretchen LeFever Watson, Ph.D. [email protected]

customizing for sustainability
Customizing for Sustainability

Wide-Range of Programs for Local Markets

Professional Training

Consumer Education

Patient privacy, security, rights & responsibilities for safe care

Community College Outreach

Large employers

Health insurance carriers

Direct to consumer education

In-office education

  • Continuing existing workforce training
  • New academic offerings – certificate and degree programs
  • Timely CME/CE programs
  • Health IT and patient safety modules for every health-related degree program
  • Consumer education preparation

Gretchen LeFever Watson, Ph.D. [email protected]

health information careers3

Health Information Careers

What’s on the Horizon? Considerations for Keeping Health IT Programs Current

healthcare it needs of the future
Healthcare IT Needs of the Future
  • Stage 1 Meaningful Use (2011 – 2013): Adoption and Implementation of EHR Technology (both Hospital and Physician)
  • Stage 2 Meaningful Use (2014 – 2016?): Development of the information highway; interconnectivity issues; patient education and engagement (both Hospital and Physician)
  • Stage 3 Meaningful Use (2017 and beyond): Data Analytics; advanced business needs for support of ACO structure
meaningful use where we are today
Meaningful Use…Where We are Today

Progress to Primary Care Provider Goal

Current Workforce Shortage ONC training programs

Education and Training to Support Transformation


Develop learning resources that will provide health care professionals with the fundamental knowledge of key topics involved in the transformation of health care, that provide better health, better care and lower costs for patients nationwide.


Medical Home

Data Analytics








some additional tools and resources
Some Additional Tools and Resources
  • Core Competencies for Interprofessional Collaborative Practice
  • Patient Centered Primary Care Collaborative – Education and Training
health information careers4

Health Information Careers

Industry Partnership






Grown Up$


Free Health IT Community College Program

Start Up Kit

National Veteran’s Health IT


New Entry Level HIMSS

Certification & Free Curriculum

Free Community College Rural Clinic

Curriculum & Trainer Training

lessons learned
Lessons Learned
  • Evolving market place
  • Training needed for all health care providers
  • Broad band issues for rural areas
  • Hands on experience with vendor products
  • Need for internship opportunities
  • Soft skills – working in teams
  • Career pathway – stackable credentials
  • Articulation agreements with Universities
  • Availability of Faculty


Funded by the Office of the National Coordinator for Health IT

U.S. Department of Health and Human Services

STEMTech ● 2012