Health Information Management. Workforce Issues

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1 Health Information Management Workforce Issues

2 Inform You About America s s Community Colleges Northern Virginia Community College Medical Education Campus HIM Career Field The Hidden Professions in Biomedical Security HIM Initiatives HIM Workers Northern Virginia Workforce Shortage

3 America s Community Colleges

4 Community College Facts Number of Community Colleges: Total: 1,117 Public: 988 Independent: 158 Tribal: 31

5 Community College Facts Enrollment: 11.7 million students total 6.7 million credit students 5.0 million noncredit students Enrollment Percentages: 44% - all U.S. undergraduates 40% - first-time time freshmen 60% - part time 40% - full time (full time = 12 + credit hours)

6 Healthcare The majority of the US healthcare workforce are educated in community colleges: 59% of the new nurses The majority of Allied Health Workers

7 Homeland Security Approximately 80% of. Firefighters Law Enforcement Officers Emergency Medical Technicians are credentialed at Community Colleges.

8 NOVA: Northern Virginia Community College

9 Northern Virginia Community College Approximately 67,000 students enrolled annually in credit courses

10 Northern Virginia Community College Largest Institution of Higher Education in the Commonwealth of Virginia

11 Northern Virginia Community College Second largest community college in the United States. One of the most diverse colleges in the U.S. Students representing over 150 nationalities

12 Six campus locations, including two new centers in Arlington and Reston.

13 Registered Nursing Respiratory Therapy Radiographic Technology Dental Hygiene NOVA: The Region s Leading Provider of Trained Healthcare Workers Health Information Management Physical Therapist Assistant Medical Laboratory Technology Emergency Medical Technician

14 Law Enforcement Fire Administration Environmental Safety Cyber Security NOVA Provides Front-Line Training to First Responders Power Grid Security Emergency Response Management Food Safety HazMat

15 Medical Education Campus

16 Unique Aspects Specialized Campus (1 st in state) Academic Partnerships with Universities State-of of-the-art Design Dental Clinic Community-Based Network Clinics

17 Two Year Health Care A.A.S Degree Programs Dental Hygiene (RDH) Emergency Medical Services Tech (EMT-P) Health Information Management (RHIT) Medical Laboratory Technology (MLT-ASCP) Nursing (RN) Physical Therapist Assistant (PTA) Radiography Diagnostic Imaging (RT-R) R) Respiratory Therapy (CRT) and (RRT) Diagnostic Medical Sonography (Fall 2008)

18 A.A.S In Development Occupational Therapy Assistant Revised HIM AAS Program Concentrated Cohort Hybrid Program Distanced Clinical Coding Lab Sessions

19 Healthcare Certificate Programs Computerized Tomography Clinical Coding Specialist Mammography Phlebotomy Basic Emergency Medical Technician EMT-I Magnetic Resonance Imaging Radiation Oncology

20 Certificate In Development Electronic Health Record Management

21 Workforce Development/Continuing Education Office

22 Pre-Employment Training Programs Nursing Assistant Medical Office Assistant Dental X-ray X Safety Seminar Pharmacy Technician Dental Chair Side Assistant Medical Billing and Coding Medical Terminology Medical Office Specialist ESL for Healthcare Medical Transcription Certified Clinical Coding Apprentice (CCA) Certified Professional Apprentice -Outpatient

23 Career Enhancement Programs Limited Radiography Phlebotomy for Healthcare Professional I.V. Therapy Physical Assessment EKG Review Registered Nurse Return to Practice Dental X-ray X Safety Seminar Spanish for Nurses American Heart Association Classes and Testing

24 Health Information Management Career Field

25 HIM Career Field The glue that holds the healthcare delivery system together An Adventure in the Middle Clinical Information Technology

26 HIM and The Electronic Health Record By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care. (President George W. Bush, State of the Union Address, January 20, 2004) Within ten years every American must have a personal electronic medical record. (President George W. Bush. American Association Annual Association of Community Colleges Annual Convention, April 26, 2004)

27 President Obama on Electronic Medical Records "To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that within five years, all of America's medical records are computerized. This will cut waste, eliminate red tape, and reduce the need to repeat expensive medical tests. But it just won't save billions of dollars and thousands of jobs - it will save lives by reducing the deadly, but preventable, medical errors that pervade our health care system." February 2009

28 American Health Information Management Association (AHIMA) Press Release on President Obama The administration s s firm commitment and support are necessary to improve the accessibility, safety and effectiveness of the national healthcare system. Reformer-in in-chief discusses why leadership is needed so the seven health information issues on healthcare reform can be achieved: patient privacy and confidentiality; public health education and access to health information; quality improvement; electronic health record adoption; nationwide health information exchange; data standards that support sophisticated exchange of information between electronic systems; and the health information management and technology workforce.

29 Medical Records and Health Information Management Increased demand for HIM will be fueled by: Rising health care demand Increased scrutiny of medical documentation Continued emphasis on the electronic medical record Growth will be primarily distributed among physician offices/clinics, hospitals, and long-term care facilities

30 Medical Records and Health Information Management (cont.) Third-party payers and government regulators are expected to add to the demand Quality of Medial Records

31 The Hidden Professions in Biomedical Security

32 Medical and Clinical Laboratories Provide first validated identification of Bioterrorism and Biohazards Trained in proper specimen collection and processing Provides rapid ID of infectious agents 80% of validated data in a patient s s medical record is clinical laboratory data

33 Health Information Management Three main HIM needs are identified for bioterrorism: A standardized communications mechanism that will allow healthcare providers to report and to query public health resources A way to use technology to both alert and educate healthcare professionals about the threat A method of reviewing certain aspects of collective health information on individuals to determine if there is a public health threat that warrants follow up and reaction

34 Health Information Management Initiatives

35 Personal Health Record -- My HealtheVet

36 My HealtheVet VA Veteran "owns" his/her personal health record in My HealtheVet Veteran can request a copy of his/her VistA record be sent to the My HealtheVet system

37 Personal Health Record (PHR) Personal Health Record (PHR)

38 Personal Health Record (PHR) Internal pilot -- MHS: Madigan AMC McChord AFB (Dec 08) External pilot -- Hampton Roads: Collaborating with State of Virginia Sharing standardized EHR data with private sector provider

39 Proceeding in Partnership Aligning Health IT to Economic Development a A Virtual Office Powerful Lever Galax/Twin County Economic Strike Force, 2006 Clinical Coder vacancy rate in Northern Virginia 11.5%, with an expected 2,500 FTE demand by 2020 Goal: Establish clinical coder education and employment options as a means of economic revitalization Problem: Plant closures have left Galax with soaring unemployment rates and lagging per capita income Strategy: Form strategic partnerships with Northern VA Community College (graduates 7 per year between 1999 and 2003) and clinical coding companies to establish distributed training and employment opportunities Furniture industry has lost 8,000 jobs since 1990; projected to shrink 11.5% per year over the next six years With five years experience, coders can make between $50-75,000 Average Income 2005 $17.4K Galax Per Capita $35.0K Clinical Coder Source: VEC, Northern Virginia Health Care Workforce Alliance

40 Seeking Partners Vision: Develop Applications Center of Excellence in Rural Virginia E-Store for EHRs Goal: Establish a public-private partnership to support multiple EMR applications in a shared services center In October, 2006, Virginia invested $150K in the OnePartner Advanced Technology and Applications Center, expected to employ 40 jobs Problem: Deliver EMR services at lowcost in an environment that encourages rapid best practice adoption Strategy: Simplify EMR acquisition, drive public sector adoption, and promote rural economic development

41 HIM vs. HIT Health Information Management (HIM) Workers Manage Health Information Health Information Technology (HIT) IT Hardware Software

42 IT Professionals Those who install, maintain and optimize the hardware and software Recent research indicates that as health organizations implement advance IT up to 40,000 new jobs will be created

43 HIM Workers

44 HIM Health information management professionals have skills and competencies in: data management information policy information systems administrative and clinical work flow HIM is operations management - essential to ensuring an accurate and complete record and cost effective information processing

45 HIM (cont.) In hospitals HIM is often part of the team including the IT staff and clinical informatics that oversees electronic health records. HIM skills are also critical to the quality improvement and revenue cycle processes, ensuring the availability of accurate data. The role of HIM in helping medical practices adopt EHRs is growing and will be an ideal skill set for EHR technical assistance.

46 HIM is a profession that: Is a value-added added bridge between clinicians, payors, regulators, patients/consumers and technology (EHRs, PHRs) A synthesis profession Has critical skills and competencies essential to build the nationwide health information network (NHIN, HIEs) Established educational, accreditation and credentialing processes

47 ehim represents HIM in an electronic environment Promotes the migration from paper to an electronic medical records information infrastructure; Reinvents how institutional and personal health information and medical records are managed Delivers measurable cost and quality results from improved information management practices

48 HIM Professional Domains Data content, structure and standards Privacy, confidentiality and security management Electronic health record life cycle Data administration and analytics Personal health information management Reimbursement, regulatory compliance and fraud surveillance Organization and management

49 Registered Health Information Technician (RHIT) Pass the RHIT certification exam. RHITs ensure the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems. They use computer applications to assemble and analyze patient data for the purpose of improving patient care, quality, research & controlling costs. Education: Associate Degree 18% projected growth rate ( ) 2016) DOL Fastest Growing # 27 (Associate Degree)

50 Registered Health Information Administrator (RHIA) Pass the RHIA certification exam. RHIAs are skilled in the collection, interpretation, and analysis of patient data. Additionally, they receive the training necessary to assume managerial positions related to these functions. Education: Bachelor s s or Master s s Degree

51 Clinical Coding (CCA,CCS, CC-P) Are professionals skilled in classifying medical data from patient records. These coding practitioners review patients' records and assign numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in the ICD-9-CM CM coding system. The Clinical Coder is knowledgeable of medical terminology, disease processes, and pharmacology. Education: RHIA, RHIT or Certified Coder Demand: Healthcare organizations are finding it difficult to hire qualified people.

52 The Pathways of Success towards a Career in Health Information Management (HIM) Clinical Data Coding Career Studies Certificate Certified Coding Associate (CCA) Registered Health Information Technician (RHIT) (Associate Degree) Certified Coding Specialist (CCS) Registered Health Information Administrator (RHIA) (Bachelors Degree) Masters of Science degree in Health Information Management

53 HIM Career Information

54 The Healthcare Workforce Shortage

55 PricewaterhouseCoopers Study of the Northern Virginia Healthcare Workforce Shortage Update January 2008

56 In Northern Virginia, without intervention by 2020: There will be 17,651 Allied Health and Nursing workforce vacancies The Nursing and Allied Health workforce estimated FTE worker shortage is estimated to grow to: 36% These estimates do not consider impacts that may result from the Department of Defense Base Realignment (BRAC) initiatives

57 Today in Northern Virginia: RNs dominate the current and projected shortage, with more than 1,300 current vacancies. Today, there is also severe shortages for: Medical Records/Health Information Technicians Diagnostic Imaging Technicians Physical Therapist Assistants

58 Community College Graduates

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