Role of HIM Professionals in the e-health era. Presented by Alan Soskel March 2013

Transcription

1 Role of HIM Professionals in the e-health era Presented by Alan Soskel March 2013

2 Introduction Role of the HIM professional grows larger by the day. Evolving as we move farther into electronic/online era. e-him comprises emerging roles as healthcare industry transitions from paper to computer-based systems. Explosion in e-him job opportunities has been caused by: ARRA / HITECH Push for EHR and HIE Increased demand by the public Need to reduce cost & improve efficiency Need to increase patient safety & improve patient care

3 Meaning of e-health The use of all electronic means available to: Improve patient care and quality Standardize health practices wherever possible Provide for longitudinal medical records across time & places Enhance medical research, and Lower healthcare costs while increasing effectiveness While at the same time: Protecting personal health information (PHI) Assuring patient data confidentiality, integrity and access Meeting HIPAA requirements Many definitions of e-health 51 unique published definitions 1

4 Meaning of e-him What about e-him? AHIMA states that: e-him encompasses managing electronic health information in electronic health records (EHRs), personal health records (PHRs) and other health information technology (HIT) such as health information exchanges (HIEs). 2 What are some skills that HIM professionals need? 3 Analyze & improve work processes Implement new techniques Redesign information management practices Utilize change & transition management Understand EHR & its impact on HIM practices Plan, organize & manage clinical information resources

5 More skills! More skills needed for HIM professionals: Adopt best practices Utilize standards-based technology Maintain existing core fundamental HIM functions & skills The 2003 AHIMA e-him Initiative e-him Task Force 3 developed many core competencies going forward in the new e-health era see notes page below for list of core competencies

6 e-him Professional Roles In 2004, there were over 200 different job titles. 4 AHIMA Framework for HIM Education 2004 has listed the following e-him professional roles: 5 Business process engineer Clinical data analyst Clinical documentation coordinator Clinical research/trials associate Compliance officer Data quality manager Data standards developer Data translator / data analyst EHR data integrity analyst Educator / instructor / trainer Healthcare consumer advocate Patient information coordinator Health data manager Information resource manager HIM director, manager, supervisor HIS applications designer HIS marketing / sales manager HIS implementation manager Privacy / security officer Project manager Quality improvement manager Reimbursement manager Revenue cycle manager

7 Areas of e-him involvement Hospitals and other healthcare facilities HIM Dept. / IT Dept. Revenue / Billing Compliance / Insurance Government agencies HHS, ONC, CMS, CDC Standards development New payment methods Public Health Administration Professional Associations Insurance industry Vendors EHR, HIE, PHRs Ancillary systems Educational Colleges Private organizations Health Information Technology EHR systems HIM liaison HIE networks PHRs

8 EHR Implementation Perhaps biggest area of opportunity in e-health era Leading the migration path to EHR Automating traditional functions Retraining of staff in new roles Automating coding function Automating transcription function Implementing CPOE Implementing e-prescribe Interfacing all other ancillary services Managing EHR project implementation Supervising vendor design, installation, support

9 Public Health Administration HIM professionals are taking on increasing roles in: 6 Public health research Public health policy development Data management Disease classification Epidemiology Population based registries Disaster management State health agencies

10 Health Information Technology Facilitated by ARRA / HITECH Purpose of HIT is the use of devices for the management of information in order to ensure that it is available to the right person at the right time and place 7 Premise on which 21 st century healthcare system in the US must be based HIT now aligning with delivery of care Thus, roles of HIM professionals have expanded into IT Long term strategy: build a national health information infrastructure (tie together HIEs)

11 Health Information Technology Strategic roles exist for HIM professionals 7 in: Planning & development of Nationwide Health Information Network (NwHIN) being spearheaded by ONC Local and regional HIEs Privacy and Security; meeting the electronic requirements of HIPAA and meaningful use Interoperability Further adoption of HIT Collaborative governance

12 Health Information Technology Hospital staffing of IT professionals 8 Programmers 29% Management 11% PC support 11% Network administration 9% Operations 8% Help desk 8% Depicts workforce needed to implement HIT agenda 8

13 Other roles of interest Patient portals for stage 2 meaningful use Requires providers to give patients quick, electronic and online access to their medical information 9 Medical informatics Ill defined and evolving American Nurses Association now certifying nurse informaticians American Medical Informatics Association (AMIA) Quality Management Study by Patrice L. Spath, RHIT describes numerous functions involving quality management 10

14 Other roles of interest Bringing e-him to small physician practices Physician practices must install EHR and meet meaningful use or get penalized by CMS Only 20% of small group physician practices have adopted EHRs (research by Medical Group Management Association) BIG opportunity for a consultant! Emerging aspects of HIM are so diverse that total mastery is beyond most individuals, especially new entrants into the profession 11

15 Where do I fit in? I have strong interest in the following areas: EHR and HIE specification, design, implementation, support and training Hospital or physician practice Vendor Government agency Public health administration Program development Policy development Government agencies Standards development Reimbursement methodologies Accrediting agency

16 How will I fit in? Couple my BS, HIA with my BS, Biomedical Engineering Obtain several certifications, starting with my RHIA Obtain Masters in Public Health Administration Membership in AHIMA and HIMSS Attend meetings and conferences Aggressive continuing education Extensive networking Giving back to the HIM profession Submitting relevant articles Volunteering through local AHIMA and HIMSS groups

17 References 1. Oh, H. BSc, Rizo, C. MD, Enkin, M. MD, & Jadad, A. MD, Dphil. (2005). What is ehealth: A systematic review of published definitions. Journal of Medical Internet Research, Jan-March 7, doi: /jmir.7.1.e1 2. AHIMA website, ehim Roles page. ( 3. American Health Information Management Association, e-him Task Force. (2003). A Vision of the e-him Future: A Report from the AHIMA e-him Task Force. Retrieved from =bok1_ Wing, P., & Langelier, MH. (2004). The future of HIM. A study from Center for Health Workforce Studies, School of Public Health, University of Albany, NY. Journal of AHIMA, 75(6), LaTour, K.M., Maki, S.E. (2010). Health information management: Concept, principles, and practices. (pp. 105). Chicago, IL: American Health Information Management Association. 6. Houser, S.H., Manger, B.J., Price, B.J., Silvers, C., & Hart-Hester, S. (2009). Expanding the health information management public health role. Perspectives in Health Information Management. 6(Summer). Retrieved from

18 References 7. Zeng, X., Reynolds, R., Sharp, M. (2009). Redefining the roles of health information management professionals in health information technology. Perspectives in Health Information Management. 6(Summer). Retrieved from 8. Hersh, W., Wright, A. (2008). What workforce is needed to implement the health information technology agenda? Analysis from the HIMSS Analytics Database. Symposium proceedings of the American Medical Informatics Association. ( ). 9. Crawford, M. (2013). Rebooting Release of Information: Patient Portals are Changing ROI, but Analog Record Release is Still Necessary. Journal of AHIMA, 84(2), Spath, P.L. (2009). Role of HIM professionals in quality management. Perspectives in Health Information Management. 6(Summer). Retrieved from FORE/AHIMA. Data for decisions: The HIM Workforce and workplace: Recommendations to the AHIMA Board of Directors from the Center for Health Workforce Studies based on the HIM Workforce Research Study. Page 2