Meeting Health IT Workforce Needs in Rural MN. Kathy Johnson, Sunny Ainley and Tracy Mastel

Transcription

1 Meeting Health IT Workforce Needs in Rural MN Kathy Johnson, Sunny Ainley and Tracy Mastel

2 What is Health IT? Health Information Technology (H.I.T.) The umbrella framework to describe the comprehensive management and use of information technology in healthcare and the secure functionality between consumers, providers, government and quality entities and insurers. 2 Information Technology, Process Improvement, Training The accumulation, storage and accuracy of patient data. 1 Revenue Cycle Management Health Information Management (H.I.M) Health Informatics (HI) Applies the data gathered and stored through HIM systems and creates actionable knowledge. 1 Public Health, Research

3 What s Driving the Need? Health Care Reform Care Transformation Payment Models Reimbursement Changes Shift from Quantity to Quality Population Health Care Coordination Interoperability / Health Information Exchange (HIE) Technology will Continue to Advance!

4 What s Driving the Need? Example: Care Coordination Hospital Clinic LTC Home Health Telehealth (mhealth) External Providers (Social Services, Mental Health)

5 What Does it Take? People Culture Processes Systems

6 What Does it Take? Processes People Culture Systems

7 Gaps in Rural Workforce Preliminary Environmental Scan Much grayer than urban Unmet HIT needs Fewer attesting to Meaningful Use 1 and/or 2 Implement and optimize an EHR Ability to think and work strategically Ability to understand disparate parts of the healthcare business, systems and care delivery Ability to bridge healthcare and technology systems to improve workflows, systems and outcomes. Lack of resources to build HIT-skills

8 Gaps in Rural Workforce Preliminary Environmental Scan Training/educational opportunities No HIT associate or bachelor degree programs (HIM or IT only) Lack of awareness of non-credit training available Vendor training functional only don t help with transition from paper to electronic or vendor to vendor

9 Who we are

10

11 Needs Assessment Design Methodology Who do we want to talk to? Doer Manager Decision- Maker Hospital Clinical Business Information Technology RN MD Tech Therapy Emergency Pharmacy X Reg/ Sched /Intake X X X X X X X Fin $ HIM Facilities HR Community Relations Helpdesk Infrastructure Data Mgmt X X X Clinic X X X X X X X X X X X LTC X X X X X X X X X X Hospital X X X X X X X X X X X Clinic X X X X X X X X X X X X X LTC X X X x X X X X X X X Hospital Clinic LTC PRIORITY YES YES YES YES YES YES YES YES Quantity Subtotal TOTAL 70 Titles CNA RN LPN DON Rad Tech Lab Tech Phys Th Resp Th Card Th X X X X Various positions across facilities

12 Needs Assessment Design Methodology What do we want to know? What is hindering, advancing or doing nothing to advance the effective use and productivity of the HIT systems? Gaps/Deficiencies Best practices Trends/Outliers Aha moments Commonalities Influences (behavioral, cultural, technical, environmental, financial)

13 Needs Assessment Design Methodology What do we want to know? What motivates rural organizations? What nuances about the people are there? Working styles Motivations Demographics What is working and why? Best Practices, Secret Sauces Priority Projects and/or Hot Initiatives over the next 2 years? Possibility of synergizing efforts to support these through the training and/or apprenticeship program

14 Unhealthy HIT Workforce Healthy HIT Workforce Working in Silos IT Makes all HIT Decisions Systems Oriented Fixing Problems (Just in Time) Threatened by New Ideas Resistance to Change Collective Competency Workflow Analysis & Redesign Planning & Preparing Knowledge is Shared Embrace Continuous Improvement

15 Unhealthy HIT Workforce Healthy HIT Workforce Working in Silos IT Makes all HIT Decisions Systems Oriented Fixing Problems (Just in Time) Threatened by New Ideas Resistance to Change Collective Competency Workflow Analysis & Redesign Planning & Preparing Knowledge is Shared Embrace Continuous Improvement What We re Doing Grow Your Own Environment Creating a Culture of Learning Stackable / Latticed Training Collective Competency (facility, network, region) HIT Teams Building Liaisons Between Clinical and IT Learning Communities (sustainability)

16 Stackable/ Latticed Training Collective Competency / HIT Teams Liaison Between Clinical & IT Sustainability of Learning MU 2.0, 3.0 and Beyond Workflow Analysis & Redesign Data Analysis, Reporting & Management Design Drivers Health IT Informatics X X X X X X Training Tracks Health IT Technical Support X X X X Health IT Analyst X X X X X X Health IT Trainer X X X X Certified EHR Hands-on Learning Labs (Healthland) X X X Learning Enrichment Apprenticeship X X X X X X X Learning Communities X X Credit for Prior Learning X X Industry Certification X Recruitment Approach X X X X X X X Operational Training Delivery X X X Continuum of Training Tracks X X X X X X X

17 Training Tracks Health IT Informatics Professional - Support the people, processes, data, healthcare systems and technology. Year 1 & 2 Health IT Support Professional - Support the electronic health record and other related systems. Year 2 Health IT Training Professional - Understand adult learning principles, training assessments and design methodology. Year 3 Health IT Analyst - Further develops the skills of trainees with some existing knowledge of HIT. Targets the more advanced skills required to analyze data, improve integration, utilization and optimization of technology. Year 3

18 Intended Outcomes Retaining Talent Building Internal Capacity Regional Collaboration Apprenticeship Sharing Learning Communities Cohort Model

19 Vendor Training Informatics Technical Support / Trainer Analyst Intended Outcomes Analyst More Than Just a Training Program Stackable / Latticed Opportunities Built Upon Existing Skills Creating a Culture of Learning and Continuous Improvement Liaison / HIT Team Trainer / HIT Team Super User CNA

20 Unintended Outcomes/Insights Rewarding employees Job sharing multiple sites Encouraging those who naturally coach and mentor others to take program to optimize the learning Building HIT Teams on their own Robust Apprenticeship two for one Working closely with certified EHR vendor - liaison

21 Unintended Outcomes/Insights Building a Collective Competency Interdisciplinary NOT just IT Time Constraints (employer support) Student Commitment (stake in the game) Limited New Job Opportunities

22 Meet the HIT Teams Meet Wendy Formal title(s): LPN, Education Coordinator, EHR Super User Informal role(s): EHR Optimizer, Trainer, Communications, IT Support Interest: Advance knowledge to perform better at work and gain a deeper understanding of HIT issues Challenges of rural: Isolation from information Best part of experience: MU, Workflow Redesign & Flow Chart Development, History of HIT Wendy completed the Informatics track and is currently enrolled in the Technical Support track.

23 Meet the HIT Teams Meet Chad Formal title(s): EMR Coordinator Informal role(s): Privacy & Security Officer Interest: Believes in continuing education to stay on top of all the changes in regulations, laws, processes, technology, so his knowledge doesn t become outdated. Challenges of rural: One person wears many hats. Lack of specialty skilled resources. Ability to be actively involved in statewide initiatives driving HIT. Best part of experience: Workflow Analysis & Change Management Chad completed the Informatics track, is currently enrolled in the Technical Support track and will be enrolling in the Analyst track this fall.

24 Meet the HIT Teams Meet Rachel Formal title(s): HIM Coder/Director of HIM Informal role(s): EMR Super User Interest: Organization has no on-site IT support. She and a handful of coworkers decided upon themselves to fill the day to day gap and form their own HIT Team. How has this training helped you: Understanding the EMR configuration and how to implement and work with multiple areas to ensure that we are setting up and operating our technology in the best possible way. Best part of experience: Learning how networks are structured to better understand interoperability and health information exchange. Also, through Apprenticeship, learning how another facility supports their systems and bringing those options back to discuss with her own facility Rachel completed the Informatics track and was the only student to complete her apprenticeship at another facility besides where she worked full-time..

25 Persistent Issues Still a need for pure IT Jobs Sustainability

26 What Can YOU Do? Best Practices Modeling Opportunities PTN ONC SIM MN ehealth Shared Resources (LqPHN) Shared Training (MENTOR) Start Small Learning Community Shadowing Ask people where they crave more learning then keep evolving from there

27 What Can YOU Do? Create a HIT Team and Commit to it! Work With an Educational Institution Experts in learning and development Non-degree training options Time & Commitment vs. Tuition may be an option Do a Needs Assessment or Hire Someone to do it Watch for Grant Opportunities Sign up for Next MENTOR HIT Cohort Starting This Fall ONC Training PTN

28 References

29 Contact Information Kathy Johnson, CEO Johnson Memorial Health Services in Dawson, MN or Sunny Ainley, Associate Dean of Continuing Education & Customized Training Normandale Community College in Bloomington, MN Tracy Mastel, Health IT Program Director Normandale Community College in Bloomington, MN