New Business Developments in Health Care IT Staffing: How to Reach Qualified Candidates Nov. 15, 2011 Today s ASAPro Webinar is Sponsored by Brought to you by Webinar Audio Options 1. Voice Over Internet Protocol The audio portion of this event will automatically stream through your computer speakers via VoIP. Remember to turn up your speakers in your computer settings as well as the volume knob on your physical speakers. 2. Connect to the Conference Change the Audio Mode to Use Telephone in your GoToWebinars panel. 1
How to Ask a Question Using Questions Panel Simply type your questions into the Questions panel and hit Send. Using Telephone Click the Raise Hand icon on your Webinar panel during Q&A period. Unmute your telephone on your end. ASA will open your line and prompt you to begin talking. Your questions will be recorded. Charting the Future: AHIMA s Response to the HIM and Coding Shortages William J. Rudman, PHD, RHIA Executive Director, AHIMA Foundation HIM Shortage Areas Implementation and Management of the Electronic Health Record Rural and Underserved Areas Physician Offices, CHCs, FQHCs, Critical Access Care Hospitals ICD-10 Trained Coders and Managers All Provider Organizations Inpatient and Outpatient Providers 2
Overview of HIT/HIM Shortages A 2008 Bureau of Labor Statistics (BLS) report projected the need for an additional 35,000 HIT workers by 2018. A 2008 analysis of the HIMSS Analytics database estimated that U.S. hospitals will need an additional 40,000 HIT workers to meet HIMSS EMR Adoption Model Stage 42. ONC estimates that hospitals and physician practices need an additional 50,000 HIT workers during the next five years to satisfy EHR Meaningful Use criteria 3. Coding Shortage Aging Coding Population Average age 54 Implementation of Electronic Health Records Transition from ICD-9 to ICD-10 ICD-10 Transition Backlog It is estimated that there will be as much as a 50 percent drop in coder productivity upon implementation of ICD-10 on Oct. 1, 2013. If the provider fails to expand the coding personnel, the claims backlog would grow proportionately. To make the numbers more dramatic, after the first month, if 40 charts remain uncoded, with the average reimbursement at $6,000 per record, the first month's loss of current receivables is almost $250,000. 3
AHIMA Coding Certifications Certified Coding Associate (CCA) The CCA credential distinguishes coders by exhibiting commitment and demonstrating coding competencies across all settings, including both hospitals and physician practices. Certified Coding Specialist (CCS) CCSs are skilled in classifying medical data from patient records, generally in a hospital setting. Certified Coding Specialist - Physician-Based Specialize in physician-based settings such as physician offices, group practices, multi-specialty clinics, or specialty centers Certified Documentation Improvement The certification will distinguish those professionals serving as clinical documentation specialists as knowledgeable and competent to provide guidance relative to clinical documentation in the patient s health record. Roadmap to ICD-10 and online courses from AHIMA Phase I: Implementation, Awareness & Readiness Assessment C and V Suite Prep, Coder Readiness, A&P, Medical Terminology, Pharmacology, Pathophysiology Phase II: Getting Started with ICD-10-CM/PCS: What Coders Need to Know Phase III: ICD-10-CM/PCS Structure and Function Phase IV: Basic Coding Training Modules Phase V: Advanced Coding Training Modules Phase VI: Advanced Specialty and Setting Training Phase VII: Refresher and Practice SCORM 1.2 importable Publications Pocket Guide of ICD-10-CM and ICD-10-PCS Implementing ICD-10-CM/PCS for Hospitals ICD-10-CM/PCS Preview Exercises Root Operations: Key to Procedure Coding in ICD-10-PCS ICD-10-CM and ICD-10-PCS Coder Training Manuals Clinical Documentation Improvement: Achieving Excellence Transitioning to ICD-10-CM/PCS: The Essential Guide to GEMS Basic ICD-10-CM Coding ICD-10- PCS : A Practical Approach Available as print or ebook https://www.ahimastore.org/ 4
Webinars 24 coding-focused, 1.5-hour Webinars in 2012 on the transition from ICD-9 to ICD-10 Web replays Additional Webinars on implementation and prep for non-coders In-Person Training ICD-10 Academy for Building Expert Trainers: ICD- 10-CM and ICD-10-CM/PCS multiple dates/locations in 2012 Three days of expert level, intensive training on ICD-10- CM/PCS Private, on-site academies also available ICD-10 Summit: Strategies and Tactics for Industry Success April 16-17, Baltimore HHS and DRA Initiatives It is estimated that in the areas where these two initiatives are directed that EHR adoption rates range between 3-5%. Furthermore, this is an area that traditionally is underrepresented in trained healthcare professionals (HPSA). The HHS initiative will place EHRs in underserved areas for a minimal price. DRA is a revolving loan program. Both include the training. 5
Curriculum EHR Implementation Manager Workflow Re-Design Meaningful Use Train the Trainer ICD-10 Curriculum Continued We have beta tested the course on more than 200 students In our final beta test, we had expected approximately 90 students to apply, and we had more than 900 in just Alabama. Each of the modules will run between 10-15 weeks and are internet based; each student will receive a certificate from AHIMA and will be able to sit for the HITPRO exam. Contact Bill BILL s CONTACT INFO? Ask during 30 minute orientation. Bill.Rudman@ahima.org {Phone} 6
Questions Please feel free to send your questions for Bill in through the Questions Panel now. We will take all questions at the end of today s Webinar. Transforming the Nation s Health System: : The Role of Information Technology and the Workforce Norma Morganti Executive Director Midwest Community College Health Information Technology Consortium Cuyahoga Community College HELP WANTED! Advance to meaningful use requires trained health IT practitioners Shortfall of at least 51,000 in 12 key workforce roles ARRA/HITECH Section 3016 requires funding of institutions of higher education More Health IT for Practitioners: More Practitioners for Health IT 7
HELP WANTED! tens of thousands of new jobs will be needed if the federal effort to push provider adoption of EHRs is to be successful. Joseph Conn Modern Healthcare Over the next five years, hospitals face a triple whammy of major IT changes [tightened HIPAA standards, ICD-10, EHR meaningful use] that will produce acute shortages of skilled IT workers. Howard Larkin Hospitals & Health Networks How the Gears Mesh ONC Collaborative Workforce Grants Curriculum Development Centers: 20 components designed for dissemination Competency Exam: Develop and implement exam program Community College Consortia: Implement program at 84 member colleges 150 trainees/yr/college Six Roles Targeted by the Community College Program Mobile workforce supporting adoption process 1. Practice workflow and information management redesign specialists 2. Clinician/practitioner consultants 3. Implementation support specialist 4. Implementation managers On-site support personnel (post-adoption) 5. Technical/software support staff 6. Trainers 8
University-Based Training: Targeted Roles Targets Six Roles Requiring More Specialized Technical Training (Health Care and Public Health): 1. Clinician/Public Health Leader 2. Health Information Management and Exchange Specialist 3. Health Information Privacy and Security Specialist 4. Research and Development Scientist 5. Programmers and Software Engineer 6. Health IT sub-specialist Curriculum Development Centers (CDCs) Five universities granted awards Oregon Health & Science University Johns Hopkins University University of Alabama at Birmingham Columbia University Duke University Oregon Health & Science University additionally serves as National Training & Dissemination Center (NTDC) Training event for community college faculty in August 2011 and additional activities Dissemination web site to distribute curricular materials and collect feedback General support of curriculum use Curriculum Components Producing 20 components (four per CDC) that are turned into courses by community colleges Introduction to Health Care and Public Health in the U.S. The Culture of Health Care Terminology in Health Care and Public Health Settings Introduction to Information and Computer Science History of Health Information Technology in the U.S. Health Management Information Systems Working with Health IT Systems Installation and Maintenance of Health IT Systems Continued on Next Slide 9
Curriculum Components Producing 20 components (four per CDC) that are turned into courses by community colleges Networking and Health Information Exchange Fundamentals of Health Workflow Process Analysis & Redesign Configuring EHRs Quality Improvement Public Health IT Special Topics Course on Vendor-Specific Systems Usability and Human Factors Professionalism/Customer Service in the Health Environment Working in Teams Planning, Management and Leadership for Health IT Introduction to Project Management Training and Instructional Design The Five Regional Consortia Leads Bellevue Community College Bellevue, WA A Los Rios Community College Sacramento, CA B C Cuyahoga Community College Cleveland, OH E Tidewater Community College Norfolk, VA Pitt Community College Winterville, NC D Our Role for Workforce Training Under the Grant Using the nationally developed curriculum, develop and deliver training programs for the six ONC identified roles Training must be completed in six months or less and allow for student flexibility. Looking for individuals with educational and work experience in Healthcare or Information Technology Non-degree Certificate awarded Training must begin by September 30, 2010 Not locked into semester or quarter system All six roles must be available in all parts of the regions Rapid deployment of training 10
Consortia Training Programs Are Ready to Meet the Workforce Need Quality of students enrolled and graduating from our programs Quality of the faculty teaching / subject matter expertise Rigor of the coursework Partnership with RECs, private and public health care community, vendors Program development based upon industry needs and advisory committees engagement Professionalism/customer service/leadership training Customized training opportunities Online learning environments Online labs Community colleges = quality workforce training programs Region C: Midwest HIT Training The Midwestern region has enrolled more than 4,500 students since September 30, 2010. More than 1,200 students have successfully completed the program. Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio, and Wisconsin Region C Student Profile: Educational Background Highest Degree Attained (n=533) Masters/ Professional Degree 18% Bachelors Degree 43% Some College 15% Associates Degree 22% Doctorate 2% 11
Top Common Certifications Among Region C Students Cisco Certified Entry Networking Associate CompTIA A+ CompTIA Network+ CompTIA Security+ Microsoft Certified Professional Microsoft Certified System Administrator Microsoft Office Specialist Project Management Professional Certified Coding Associate Certified Coding Specialist Certified Coding Specialist - Physicianbased Registered Health Information Administrator Registered Health Information Technician Registered Nurse Six Sigma Certified Health Data Analyst Certified in Healthcare Privacy/Security Certified Medical Assistant Certified Network Associate Routing & Switching Certified Nursing Assistant Certified Professional Coder Certified Professional in Healthcare Management Student Work Experience Overall Workforce Experience On the Job IT Experience 21+ years 59% Less than 1 year 1% 1 5 years 5% 6 10 years 7% 11 15 years 14% No IT experience 10+ years 18% Less than 1 35% year 13% 1 3 years 7 9 years 4 6 years 16% 7% 11% On the Job Healthcare Experience No HC Less than 1 experience year 19% 11% 16 20 years 14% 10+ years 40% 1 3 years 15% 4 6 years 8% 7 9 years 7% Top Commonly Held Job Titles Among Region C Students Assistant Administrator of Information Services Billing and Coding Manager Billing System Specialist/Trainer Business Systems Analyst Coding and Compliance Specialist Consultant Data Base Administrator EMR Support Specialist Health Information Manager Information Technology Operations Manager Medical Record Specialist Office Manager Project Manager Registered Nurse Senior Database Administrator Systems Analyst Technical Coordinator Technology Consultant 12
Student Employment Status Current Employment Status (n=548) Upskilling in Current Position vs. Seeking New Employment (n=548) Unemployed 26% Actively Seeking New Employed Part Time Employed Full Time 58% Not Actively Seeking New Employment 63% Employment 37% 16% Linking Training to Industry Credential Thank You Visit us at www.mwhit.org 13
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