Transforming the Nation s Health System: : The Role of Information Technology and the Workforce

1. Transforming the Nation’s Health System: : The Role of Information Technology and the Workforce Norma Morganti Executive Director Midwest Community College Health Information Technology Consortium Cuyahoga Community College Wednesday March 16, 2011 Greater Chicago HIMSS

3. HELP WANTED!

4. How We Built the Program Identified 12 key roles (not jobs) looking to the future and aligned with the HITECH program 6 roles compatible with community college education 6 roles compatible with university based training Validated the roles at a multi-stakeholder workshop Designed and funded four grant/cooperative agreement programs ($118 Million) 3 programs supporting the community college roles 1 program supporting the university roles

5. Programs Addressing The Community College Roles

6. Six Roles Targeted by the Community College Program Mobile workforce supporting adoption process 1. Practice workflow & information management redesign specialists 2. Clinician/practitioner consultants 3. Implementation support specialist 4. Implementation managers Onsite support personnel (post-adoption) 5. Technical/software support staff 6. Trainers

7. How the Gears Mesh

8. University-Based Training: Targeted Roles Targets 6 Roles Requiring More Specialized Technical Training (Health Care and Public Health): Clinician/Public Health Leader Health Information Management & Exchange Specialist Health Information Privacy & Security Specialist Research and Development Scientist Programmers & Software Engineer Health IT Sub-specialist

9. University Based Training Program Training grants : NLM program with faster metronome Will support ~ 1700 trainees over three years Trainees appointed for at least 1 and up to 2 years One year of training leads to institutional certificate or masters degree Two years of training leads to masters degree with thesis

10. Program Evaluation All ONC HITECH programs will be evaluated by separate contracts National Opinion Research Center (NORC) awarded Workforce Program Evaluation Formative and summative purpose Will work with training sites (community college and university) to track program graduates

12. William Hersh, MD Department of Medical Informatics & Clinical Epidemiology Oregon Health & Science University hersh@ohsu.edu http://informaticsprofessor.blogspot.com/ http://www.ohsu.edu/informatics/

13. Curriculum Development Centers (CDCs) Five universities granted awards Oregon Health & Science University Johns Hopkins University  University of Alabama at Birmingham Columbia University Duke University Oregon Health & Science University additionally serves as National Training & Dissemination Center (NTDC) Training – event for community college faculty in August, 2011 and additional activities Dissemination – web site to distribute curricular materials and collect feedback General support of curriculum use

14. Curriculum components Producing 20 “components” (four per CDC) that are turned into “courses” by community colleges Introduction to Health Care and Public Health in the U.S. The Culture of Health Care Terminology in Health Care and Public Health Settings Introduction to Information and Computer Science History of Health Information Technology in the U.S. Health Management Information Systems Working with Health IT Systems Installation and Maintenance of Health IT Systems Networking and Health Information Exchange Fundamentals of Health Workflow Process Analysis & Redesign Configuring EHRs Quality Improvement Public Health IT Special Topics Course on Vendor-Specific Systems Usability and Human Factors Professionalism/Customer Service in the Health Environment Working in Teams Planning, Management and Leadership for Health IT Introduction to Project Management Training and Instructional Design

15. Components assigned to workforce roles via “set table”

16. HIT/EHR laboratory courses All HIT students at all levels need “hands on” learning with real systems Three components are “lab” components Using EHRs Installing and maintaining EHRs Configuring EHRs Have developed VistA for Education Thanks to gracious efforts of VHA Based on FOIA VistA system with added data for education Most graduates will use other systems in jobs, but VistA provides a state-of-the-art common system for all Runs standalone or networked on most versions of Windows between XP and 7 (32 and 64 bit) – but not without challenges!

17. Vista for Education

18. Accomplishments and future plans Community college faculty training event held August 9-11, 2010 in Portland, OR with 210 attendees Delivered Version 1 of curriculum, including VistA for education, to community colleges by October, 2010 Supported through NTDC Currently working on Version 2, which is mostly a maintenance update of Version 1, for delivery to community colleges in May, 2011 Surveying colleges for additional feedback for revisions In July, 2011, will release Version 2 of curriculum to all institutions of higher education Further goals include updated version of VistA for Education and release of a Version 3 before end of grant period (April 2, 2012) Have goal of sustainability beyond end of grant Likely to be useful for UBT and other graduate programs

19. Community College Consortia to Educate Health Information Technology Professionals Norma Morganti Executive Director Midwest Community College Health Information Technology Consortium Cuyahoga Community College

20. The Five Regional Consortia Leads

21. Our Role for Workforce Training Under the Grant Using the nationally developed curriculum, develop and deliver training programs for the six ONC identified roles Training must be completed in 6 months or less and allow for student flexibility. Looking for individuals with educational and work experience in Healthcare or Information Technology; Non-degree; Certificate awarded; Training must begin by September 30, 2010; Not locked into semester or quarter system All six roles must be available in all parts of the regions; Rapid deployment of training.

22. Consortia Training Programs are Ready to Meet the Workforce Need Quality of students enrolled and graduating from our programs Quality of the faculty teaching / subject matter expertise Rigor of the coursework Partnership with REC’s, private and public health care community, vendors Program development based upon industry needs and advisory committees engagement Professionalism/Customer Service/Leadership training Customized training opportunities Online learning environments Online Labs Community colleges = quality workforce training programs  

23. Region C: Midwest HIT Training The Midwestern Region has enrolled over 1,200 students since September 30th, 2010. Over 100 students have successfully completed the program.

24. Region C Student Profile: Educational Background

25. Top Common Certifications Among Region C Students Certified Coding Associate Certified Coding Specialist Certified Coding Specialist - Physician-based Certified Health Data Analyst Certified in Healthcare Privacy/Security Certified Medical Assistant Certified Network Associate Routing & Switching Certified Nursing Assistant Certified Professional Coder Certified Professional in Healthcare Management Cisco Certified Entry Networking Associate CompTIA A+ CompTIA Network+ CompTIA Security+ Microsoft Certified Professional Microsoft Certified System Administrator Microsoft Office Specialist Project Management Professional Registered Health Information Administrator Registered Health Information Technician Registered Nurse Six Sigma

26. Student Work Experience

27. Top Commonly Held Job Titles Among Region C Students Assistant Administrator of Information Services Billing and Coding Manager Billing System Specialist/Trainer Business Systems Analyst Coding and Compliance Specialist Consultant Data Base Administrator EMR Support Specialist Health Information Manager Information Technology Operations Manager Medical Record Specialist Office Manager Project Manager Registered Nurse Senior Database Administrator Systems Analyst Technical Coordinator Technology Consultant

28. Student Employment Status

30. Develop & administer a set of health IT competency examinations Enable health IT professionals, employers, & other stakeholders to assess health IT competency levels Enable employers to identify training gaps & personnel needs integral to achieving meaningful use of electronic health records This will also be a source of feedback to the community colleges

31. Primary deliverables are: Develop competency exams based on the six workforce roles Develop exam blueprints based upon competencies for the six workforce roles Develop a system for delivery of high volume computer-based assessments Develop a comprehensive test administration plan Develop a process for revision of exams for the purpose of continuous improvement Administration of examinations to candidates 27,500 to be free of charge

33. Project Stakeholders Additional NOVA Partners Houston Community College Tidewater Community College University of Pittsburgh National Health IT Collaborative for the Underserved NoVaHealthFORCE Workforce Stakeholders Community College Consortium Member Colleges Curriculum Development Centers Regional Extension Centers

34. Accomplishments

35. Future Project Timeline

36. Questions?Comments Thank You