Provider Workforce HIT
Training and Education:
ARRA Funding and Policy
L d
Leadership
hi Needs
N d
Patricia MacTaggart
Saturday, June 27, 3-6 p.m.
Academy Health HIT Interest Group
Dynamic Environment
• Changes in HIT
– Decision support
– Information use
• Changes in Care Delivery
– Clinical coordination
– Delivery system
• Changes in Medical
Therapy
– Information on
effectiveness
– Dissemination of new
knowledge
• Changes
g in the Market
– Payment features,
e.g., risk adjustment,
reporting performance
reporting,
incentives
– Payment
y
mix
Scope: It is NOT an IT Project
Patient Care
•Registration
•Scheduling
•Results
•EMR
•Equipment
E i
t Interfaces
I t f
•Order Entry
•Bar Coding
Analytical
Financial
•Budgeting
•Patient Billing
•Financial Accounting
•Capital
C it l Planning
Pl i
•Financial Analysis
Business Processes
•HR System
•Contract Systems
•Network/Intranet
•Security
Supply Chain
•Supply
Market:
•Web
Web Site
•CRM
•Media Tracking
Much to Learn: Basic A, B, C’s
• Acronyms Abound:
– HIT,
HIT EHR
EHR, EMR
EMR, CPOE
CPOE, CDS
CDS, e-prescribing,
ibi
e-xxxx
• B
Basic
i Lit
Literacy = H
Health
lth Lit
Literacy +
Computer Literacy+ Reading Level
• Communication = Interoperability +
Integration
American Recovery and Reinvestment
Act (H.R. 1) Related to Health
Information Technology (HIT)
HITECH Education Assistance
Grants
• “resources
esou ces needed
eeded to estab
establish
s a health
ea t information
o at o
technology workforce. including education programs in
medical informatics ad HI management and master’s
degree programs for both health are and IT students”
• AHIMA estimates employment in HIM and HIT to grow
27%+ through 2014
p
medical informatics education
• Establish or expand
programs
• Support creation of demonstration projects to integrate
electronic health records into the clinical education of
h lth professionals
health
f
i
l
•
HITECH
Implementation Technical
A
Assistance
i
t
Health IT Extension Program
– Assistance to providers in adopting, implementing and using
EHRs
• Health IT Research Center
– Technical assistance
– Develop or recognize best practices to support and accelerate
efforts to adopt, implement, and use EHRs
• Health IT Regional
g
Extension Centers
– Technical assistance
– Disseminate best practices (affiliated with non-profit
organizations) to support:
• public/not-for-profit hospitals
• federally qualified health centers,
• rural/underserved
• individual or small group practices
Learning Need/Opportunity:
ARRA 2009 Added Privacyy Provisions
Security Breach Notification: requires that an individual be notified if
there is an unauthorized disclosure or use of their health
information
New HIPAA Business Associates: ensures PHR vendors, RHIOs,
HIEs, are subject to the same privacy and security rules as
providers and health insurers
Accounting of Disclosures: Gives patients the right to request an
accounting of disclosures of their health information made through
an electronic record
Sale/Marketing of Protected Health Information (PHI): provides new
restrictions on marketing using PHI
Access: provides an individual the right to have access to certain
information about them in electronic format.
Building Health IT Skills in
Workforce
• Programs such as the Community Health Corps
– 4 year, $15.8 million national initiative of the Robert
Wood Johnson Foundation in collaboration with the
Hitachi Foundation and the U.S. Department of Labor
– Encourages partnerships among employers
employers,
educational institutions and other organizations to
improve training and advancement opportunities in
frontline workers
workers.
• HIMSS/AHIMA Educational Opportunities
• University Courses
– The George Washington University: MPH “Bridging
HIT and Health Policy”
– UNC: Executive MPH Health Informatics – Policy
Questions/Comments