FDRHPO Fort Drum Regional Health Planning Organization

1. Careers in Health Information Technology • Pat Fontana, HITPRO IS-IM-SS • Health IT Implementation Specialist - FDRHPO • Health IT Instructor – SUNY Jefferson • Liza Darou, RN • Nurse Informaticist - FDRHPO • Registered Nurse FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

2. Careers in Health Information Technology EDUCATIONAL GOALS • Degrees • Health Informatics – Bachelors/Masters • Computer Science, Health Policies, Clinical Research • Health Information Management – Bachelors/Masters • Health Information Technology - Associates FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

3. Careers in Health Information Technology EDUCATIONAL GOALS • Certification • Health Information Technology • Requiring an existing Bachelor’s Degree • in Science, Mathematics, or Health Care related • Requiring • An existing Associate’s Degree • Work experience in IT or Health Care FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

4. Careers in Health Information Technology WHAT TYPES OF JOBS? • Healthcare IT Technician • EMR Consultant • Implementation Specialist • Software Support Specialist • Health IT Trainer • Workflow Redesign Specialist • Data Analyst • Nursing Informatics FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

5. Careers in Health Information Technology WHY CONSIDER HEALTH IT? The U.S. Department of Health and Human Services and the Bureau of Labor Statistics estimate there will be a shortage of about healthcare IT workers during the next several years. 50,000 FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

6. Careers in Health Information Technology WHY CONSIDER HEALTH IT? It is one of the fastest growing occupations in one of the fastest growing industries in the United States. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

7. Careers in Health Information Technology WHY CONSIDER HEALTH IT? • The industry needs you! • SUPPLY and DEMAND: • There are Development Programs to train a new workforce of health IT professionals. • INCENTIVES and OPPORTUNITIES are available NOW, but not forever. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

8. Careers in Health Information Technology WHAT IS HEALTH IT ? The application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making. IT’S MORE THAN JUST ELECTRONIC MEDICAL RECORDS. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

9. Careers in Health Information Technology WHAT IS A HEALTH IT PROFESSIONAL ? A health IT professional is someone who is qualified to support the adoption and implementation of Electronic Health Records (EHRs). FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

10. Careers in Health Information Technology FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

11. Careers in Health Information Technology WHAT IS A HEALTH IT PROFESSIONAL ? A health IT professional is someone who is qualified to support the adoption and implementation of information exchange across health care providers and public health authorities. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

12. Careers in Health Information Technology FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

13. Careers in Health Information Technology WHAT IS A HEALTH IT PROFESSIONAL ? A health IT professional is someone who is qualified to analyze workflow processes and redesign. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

14. Careers in Health Information Technology FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

15. Careers in Health Information Technology WHAT IS A HEALTH IT PROFESSIONAL ? A health IT professional is someone who is qualified to support the improvement of public health FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

16. Careers in Health Information Technology FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

17. Careers in Health Information Technology WHAT IS A HEALTH IT PROFESSIONAL ? A health IT professional is someone who is qualified to adopt and implement ways to increase greater patient involvement in their own healthcare. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

18. Careers in Health Information Technology SAMPLE FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

19. Careers in Health Information Technology WHY NOW? • Published 1999 by Institute of Medicine • Up to 98,000 adverse events per year resulting in unnecessary injuries and deaths. • Death due to medical errors as 8th leading cause of death FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

20. Careers in Health Information Technology WHY NOW? • Published in 2001 • Lack of information and care fragmentation called out as leading contributors • Meaningful use of Health IT will decrease this number FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

21. Careers in Health Information Technology IOM’s SUGGESTIONS for improvement • Redesigning care processes • Effective use of Information Technology • Knowledge and skills management • The development of effective treatment teams • The coordination of care across patient conditions, services, and settings over time • Use of performance measures/outcomes for continuous quality improvement and accountability FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

22. Careers in Health Information Technology Health System in the USA • Most expensive system in the world • Outcomes are better in other countries • Mortality amenable to health care is poorest in the USA compared to other countries • But variations across the states – very large FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

23. Total expenditures on healthas percent of GDP Average spending on healthper capita ($US PPP) Exhibit 1. International Comparison of Spending on Health, 1980–2009 Note: PPP = Purchasing power parity—an estimate of the exchange rate required to equalize the purchasing power of different currencies, given the prices of goods and services in the countries concerned. Source: OECD Health Data 2011 (Nov. 2011).

24. P. Rosenau; US Health Reform 2011

28. Careers in Health Information Technology • WHAT IS THE HEALTH INFORMAITON EXCHANGE (HIE)? • People often visit many different physicians, hospitals, specialties, and other health care organizations when getting help with a medical condition. • With the HIE, your information goes where you go, which helps your “care team” make more informed decisions about your care and treatment with accurate, up to date information. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

29. Careers in Health Information Technology The HIE is a secure, electronic data repository that gives authorized Hospitals and private Practitioners (Specialists, Urgent Care Facilities, etc.) access to essential patient information such as test and radiology results, lab reports, medication history, referrals, and allergies. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

30. Other • HIEs Careers in Health Information Technology • PublicHealth • Medicaid • Immunization & Child Health • Physicians HIE • Hospitals • Diagnostic Centers • Pharmacies FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

31. Other • HIEs Careers in Health Information Technology • PublicHealth YOU and your PRIMARY CARE PHYSICIAN • Medicaid HERE YOU GO HIE • Hospital • Pharmacies • Diagnostic Centers FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

32. Careers in Health Information Technology WHAT ARE SOME BENEFITS OF THE HIE? • Medical professionals will have access to information they need to treat patients quickly and safely. • Duplicate tests and procedures will be avoided. • Your medical information can speak for you in an emergency. • Quality, safety, and efficiency will help control healthcare costs. • More efficient, patient centered, care coordination. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

33. Careers in Health Information Technology FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

34. Careers in Health Information Technology WHAT ABOUT PATIENT CONSENT? • Policy: NYS law requires that Participating Organizations and Private Practices obtain patient consent before disclosing Protected Health Information (PHI) for non-emergency treatment. • Procedures: • Each Participating Organization and Private Practice must obtain and maintain a written, affirmative Consent before accessing PHI. • This consent will cover any Physician practicing under the tax ID of the Hospital, or the private practice. • Patients can withdraw their consent at any time by filling out a Withdrawal of Consent form. • Providers cannot deny treatment on patients willingness to sign a consent. FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

35. Careers in Health Information Technology • WHAT IS THE LOCAL IMPACT? • Instant access to results from referring facilities. • Better coordination of care between primary care providers, specialists, and Hospitals. • A proactive care model rather than reactive. • Better educated consumer/patient population. • Patient’s access to their own Electronic Health Record. • Fort Drum has access to the Virtual Health Record (VHR). FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

36. Careers in Health Information Technology Questions FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System

37. Thank You Pat Fontana, HITPRO IS-IM-SS HIT Implementation Specialist Email:  pfontana@fdrhpo.org Liza Darou, RN Nurse InformaticistEmail:  lwinters@fdrhpo.org FDRHPOFort Drum Regional Health Planning Organization Building a Strong North CountryHealthcare System