ARRA-HITECH Stimulus Money for Health HIM & IT Jobs

Transcription

1 Women in Government: Jobs Evolution: States Response to Emerging Economic Challenges ARRA-HITECH Stimulus Money for Health HIM & IT Jobs Dan Rode, MBA, CHPS, FHFMA Vice President, Policy and Government Relations American Health Information Management Association

2 Proposition: The ARRA-HITECH programs provide significant stimulus for development of a HIM or HIT workforce. In spite of the HITECH funding, education programs at all levels need local support and funding in order to educate and produce a skilled HIM/HIT workforce. HITECH funding is limited and the need to continue to graduate new members of the workforce is key given the dual impact of the baby boomers Members of the workforce trained in short term program will need a career path and additional education to succeed.

3 Agenda: Proposition AHIMA ARRA HITECH HITECH Workforce Programs and Funding Workforce Needs for Support Resources Questions

4 AHIMA: 82-year old non-profit, professional association health information management (HIM) Eight professional credentials 57,000 + members/ 40 employer types/ close to 125 different functions related to HIM and informatics HIM: collection, abstraction, coding, reporting, transfer, storage, analysis, and protection of health information Standards for: data collection, use and exchange, classifications and terminologies, privacy and security, and education of the profession.

5 AHIMA and Workforce: Information and data New and existing careers image Industry transformation Evolution ARRA-HITECH: Meaningful Use Professional transformation and career paths Clinical Health Information Technology (IT) Management (Operations) or Data Baby Boomers

6 CAHIIM: Commission on Accreditation for Health Informatics and Information Management Education Independent 501 (c) (3) accreditation organization ~ 240 Associate Degree Programs 59 Bachelors Degree Programs (more coming) 6 Masters Degree Programs (more coming) Health Information Management and Informatics

7 HIM Education: Limited programs and faculty Limitations on funding Public Health Law Title VII ARRA-HITECH Funding Campus politics Electronic health records education beyond HIM and HIT Allied health training Clinician training Standards

8 ARRA-HITECH American Recovery and Reinvestment Act (ARRA) Public Law Title XIII: Health Information Technology for Economic and Clinical Health Act (HITECH) Subpart C/ Subtitle B: Grants and Loans Funding Incentives for the Use of Health Information Technology Title IV Medicare and Medicaid Incentive Program (Meaningful Use)

9 HITECH SEC 3011: Immediate Funding to Strengthen the Health Information Technology Infrastructure SEC 3012: Health Information Technology Implementation Assistance SEC 3013: State Grants to Promote Health Information Technology SEC 3015: Demonstration Program to Integrate Information Technology into Clinical Education SEC 3016: Information Technology Professionals in Health Care

10 HITECH Programs State Health Information Exchange Cooperative Agreement Program Grants to State or State Designated Entities Establish health information exchange (HIE) ~ $548M across all states 4-year cooperative agreement Workforce impact limited

11 HITECH Programs (continued) Health Information Technology Extension Program 60 Regional Extension Centers (RECs) extension agents HIT Research Center (HITRIC) ~ $375M initially across all centers more funding up to 4 years. Support 100,000 priority primary care practices Workforce impact significant but undefined

12 HITECH Programs (continued) Strategic Health IT Advanced Research Projects (SHARP) Program 4 Universities Research and best practices $15 M per university Workforce impact insignificant

13 HITECH Programs (continued) Community College Consortia to Educate Health Information Technology Professionals in Health Care Program Programs offered through on-campus or distance learning or combination Training to be completed within 6 months or less 10,500 graduates annually $36M to 5 Consortia covering approximately 70 community colleges -- $34M in year 2. Programs begin September 2010 Workforce impact significant

14 HITECH Programs (continued) Curriculum Development Centers Program Develop curriculum for Community College Consortia Program $10M to 5 institutions of higher learning: Oregon Health and Science, Univ. of Alabama, Johns Hopkins, Columbia, and Duke Oregon to become the National Training and Dissemination Center Delivery before September?

15 HITECH Programs (continued) Program of Assistance for University-Based Training University-level training in specific health IT professional roles including: Clinician/Public Health Leader Health Information Management and Exchange Specialist Health Information Privacy and Security Specialists Research and Development Scientists Programmers and Software Engineer Health IT Sub-specialist 9 Universities $1.4M - $5.4M Columbia, Colorado, Duke, GW, Indiana, Johns Hopkins, Minnesota, Oregon, and Texas

16 HITECH Programs (continued) Competency Examination Program Certification for those taking the non-degree HIT program or members of the workforce with relevant experience or other types of training $6M two year program 22,000 test takers free Northern Virginia Community College Could impact workforce

17 HITECH Programs (continued) Beacon Community Program Community demonstrations of technology, best practices, infrastructure and exchange capabilities 15 community entities $11.9M $16.1M Coordinated with the REC and SHIE programs Could affect workforce

18 Workforce and HITECH Program Support HIM Workforce Needs (BLS-2007) Baby boomer = increase need for healthcare Increase need for HIT in healthcare = more careers (19-24% increase) Baby boomer retirements Sophisticated technology and more data Unique demands on health information, data, and protection

19 Workforce and HITECH Program Support Education Limited HIM/HIT programs - access Limited faculty Limited funding for programs beyond 6 months Reduced funding at colleges and universities Need for education at bachelors and graduate levels Limited understanding of the profession recruitment Limited organizations willing to take interns Funding Federal (Title VII) and State Programs beyond 6 months integration with other workforce program?

20 Workforce and HITECH Program Support Other issues (for example): Compatible confidentiality, privacy, and security laws healthcare does not stop at the border 21 st century data laws and regulations Electronic records, signature, and authentication laws and regulations Fair payment for healthcare services

21 Resources HHS-Office of the National Coordinator for HIT (ONC) Public Law 111-5: ARRA-HITECH AHIMA AHIMA Statement on HIM Professional Workforce same address under AHIMA position

22 Resources Building the Workforce for Health Information Transformation AHIMA and the American medical Informatics Association s (AMIA) report on the transition to an electronic health record (EHR) system and the need to address workforce associated with the planning, implementation, maintenance, and protection of the EHR Health Information Management and Informatics Core Competencies for Individuals Working with Electronic Health Records This second report from the AHIMA/AMIA Work Force Task Force addresses the core competencies needed by individuals working with electronic health records across the spectrum of the healthcare industry.

23 Q&A - Contact Questions??? Comments!!! Questions??? Dan Rode, MBA, CPHS, FHFMA Vice President, Policy and Government Relations American Health Information Management Association 1730 M Street, NW, Suite 502 Washington, DC Telephone: (202) dan.rode@ahima.org