Central Piedmont Community College

The Health Information Technology Workforce Development Program is Funded by the US Department of Health and Human Services,

Office of the National Coordinator for Health Information Technology, award number

90CC0078/01 as a component of the American Recovery and Reinvestment Act of 2009 Public

Law 111-5: Title XIIL

The Federal Government has mandated “Meaningful Use” of

electronic health records (EHRs) by 2014. Initially, this will affect

Primary Care facilities, Family Practices, OB/GYN practices, and Pediatric practices. The remaining

medical specialties will soon follow.

Expected Benefits of Electronic Health Records

• Quality of Care• Coordination of Care• Organizational Efficiency• Patient Privacy and • Medical Information Security

Meaningful Use Definition (Evolving) 2011

Data Capture and Sharing (Focus)• Computer Physician Order Entry ALL Orders• Drug Interaction Checks• Problem Lists• Generate Prescription

2013Advance Clinical Practice (Focus)• Ability to Use Evidence Based Order Sets• Manage Chronic Diseases Using Decision Support Functions

• Provide Medical Decision Making Support2015

Improved Outcomes (Focus)• Performance, Quality Safety Efficiency• Clinical Decision Support for national High Priority Conditions

• Medical Device Interoperability• Multimedia Support

Current StatusElectronic Health Record Implementation

As of February 2011, more than 14,000 hospitals and physicians had registered for the Medicare and Medicaid EHR incentive payment program. There is $27 billion in federal incentive payments available to be paid for the adoption and meaningful use of EHRs.

81% of hospitals and 41% of physician practices currently intend to take advantage of federal incentive payments for adoption of EHR.

Source: Providers Lining up for EHR Incentives, Journal of AHIMA, March 2011DHHS ONC 2011 The data released comes from surveys commissioned by ONC and carried out in the course of regular annual surveillance by the American Hospital Association (AHA) and the National Center for Health Statistics (NCHS), an agency of HHS’ Centers for Disease Control and Prevention (CDC), http://www.hhs.gov/news/press/2011pres/01/20110113a.html

“Unprecedented resources, including the EHR incentive and technical assistance programs created under HITECH (Health Information Technology for Economic and Clinical Health Act), are available. Never again will the same level of resources and talent be devoted to helping providers make the switch to health IT.”

Dr. David Blumenthal, Office of the National Coordinator

GAP

The work to select, install, and maintain these systems will create an unprecedented demand for qualified Health Information Technology Professionals

The Bureau of Labor Statistics, Department of Education, and independent studies have projected a shortfall over the next five years of approximately 50,000 qualified health IT workers required to meet the needs of hospitals and physicians as they move to adopt electronic health record systems.

So where will the local supply of qualified Health IT Professionals come from?

Individuals From Healthcare Background About Computer Technology

Individuals From Computer Technology Background About Healthcare Environment

To be Functional in Health Information Technology to Work on Electronic Health Records

Accelerated Cross Training

Community College Consortia To Educate Health IT Professionals

This curriculum was developed by the following institutions through federal funding:

Johns Hopkins University

Duke University

Columbia University

Oregon Health Sciences University

University of Alabama – Birmingham Components of this curriculum:

Components vary depending upon the workforce role, but the following lists of all components

developed for this curriculum. 1. Introduction to Health Care and Public Health in the U.S.

2. The Culture of Health Care

3. Terminology in Health Care and Public Health Settings

4. Introduction to Information and Computer Science

5. History of Health Information Technology in the U.S.

6. Health Management Information Systems

7. Working with Health IT Systems

8. Installation and Maintenance of Health IT Systems

9. Networking and Health Information Exchange

10. Fundamentals of Health Workflow Process Analysis & Redesign

11. Configuring EHRs

12. Quality Improvement.

13. Public Health IT

14. Special Topics Course on Vendor-Specific Systems

15. Usability and Human Factors

16. Professionalism/Customer Service in the Health Environment

17. Working in Teams

18. Planning, Management and Leadership for Health IT

19. Introduction to Project Management

20. Training and Instructional Design.

Three colleges in North Carolina: Catawba Valley Community College, Central Piedmont Community College, and Pitt Community College have undertaken an innovative approach to train professionals to step into critical roles.

Health Information Technology Workforce Development Program

Intensive Cross Training designed to provide the pool of qualified professionals with enough health IT knowledge and skills to effectively:

• Select • Install • Adopt • Maintain electronic health records and/or • Train medical / support staff to maximize the potential of electronic health records systems

Roles

1. Practice Workflow and Information Management Redesign Specialist

2. Clinician/Practitioner Consultant

3. Implementation Support Specialist

4. Implementation Manager

5. Health Information Technology Software Support Specialist

6. Health Information Systems Trainer

Roles Offered

•Catawba Valley Community College:-Technical/ Software Support Curriculum

- HIT Trainer Curriculum

• Central Piedmont Community College:-Clinician/Practitioner Consultant

-Implementation Manager-Implementation Support Specialist-Practice Workflow & Information Management

Redesign Specialist

Role 1: Clinician/Practitioner Consultant

General Description

Workers in this role assist in reorganizing the work of a provider to take full advantage of the features of health IT in pursuit of

meaningful use of health IT to improve health and care. In addition, this role brings to bear the background and experience of

a professional licensed to provide clinical care or a public health professional.

Suggested Background

Individuals in this role will be licensed clinical or public health professionals; or in the case of public health, they would bring

into the role significant experience in federal, state or local public health agencies.

Competencies

In addition to the activities noted above for the “Practice Workflow and Information Management Redesign Specialist” role,

workers in this role will be able to:

Analyze and recommend solutions for health IT implementation problems in clinical and public health settings, bringing clinical

expertise directly to bear.

Advise and assist clinicians in taking full advantage of technology, enabling them to make best use of data in electronic form,

including data in registries, to drive improvement in the quality, safety and efficiency of care.

Assist in selection of vendors and software by helping practice personnel to ask the right questions and evaluate the answers

they receive.

Advocate for users’ needs, acting as a liaison between users, IT staff, and vendors.

Ensure that the patient/consumer perspective is incorporated into EHR deployments and that full attention is paid in the

deployment to critical issues of patient privacy.

Train practitioners in best use of the EHR system, conforming to the redesigned practice workflow.

Course Curriculum

1)Health Management Information Systems

2)Working with Health IT Systems

3)Fundamentals of Health Workflow Process Analysis and Redesign

4)Quality Improvement

5)Planning, Management and Leadership for Health IT

Role 2: Implementation Manager

General Description

Workers in this role provide on-site management of mobile adoption support teams for the period of time before and during

implementation of health IT systems in clinical and public health settings.

Suggested Background

Workers in this role will, prior to training, have experience in health and/or IT environments as well as some administrative or

managerial experience.

Competencies

Workers in this role will be able to:

Provide leadership ensuring that implementation teams, consisting of workers in the roles described above, function

cohesively.

Apply project management and change management principles to create implementation project plans to achieve the project

goals.

Interact with diverse personnel to ensure open communication across the end-users and with the support team.

Lead implementation teams consisting of workers in the roles described above.

Manage vendor relations, providing schedule, deliverable, and business information to health IT vendors for product

improvement.

Coordinate implementation-related efforts across the implementation site and with their Health Information Exchange partners,

troubleshooting problems as they arise.

Apply to these activities an understanding of health IT, meaningful use, and the challenges practice settings will encounter in

achieving meaningful use.

Course Curriculum

1)The Culture of Health Care

2)History of Health Information Technology in the U.S.

3)Fundamentals of Health Workflow Process Analysis and Redesign

4)Working in Teams

5)Planning, Management and Leadership for Health IT

6)Introduction to Project Management

Role 3: Implementation Support Specialist

General Description

Workers in this role provide on-site user support for the period of time before and during implementation of health IT systems

in clinical and public health settings. These individuals will provide support services, above and beyond what is provided by

the vendor, to be sure the technology functions properly and is configured to meet the needs of the redesigned practice

workflow.

Suggested Background

Individuals training for this role will have a general background in information technology or health information management.

Competencies

Workers in this role will be able to:

Execute implementation project plans, by installing hardware (as needed) and configuring software to meet practice needs.

Incorporate usability principles into software configuration and implementation

Test the software against performance specifications.

Interact with the vendors as needed to rectify technical problems that occur during the deployment process.

Proactively identify software or hardware incompatibilities.

Assist the practice in identifying a data back-up and recovery solution, and ensure the solution is effective.

Ensure that the mechanism for hardware/software recovery (e.g., data backup or redundant systems) and related capabilities

are appropriately implemented to minimize system downtime.

Ensure that privacy and security functions are appropriately configured and activated in hardware and software.

Document IT problems and evaluate the effectiveness of problem resolution.

Assist end users with the execution of audits.

Course Curriculum

1)Terminology in Health Care and Public Health Settings

2)Introduction to Information and Computer Science

3)Working with Health IT Systems

4)Installation and Maintenance of Health IT Systems

5)Networking and Health Information Exchange

6)Configuring EHRs

7)Special Topics Course on Vendor-Specific Systems

Role 4: Practice Workflow and Information Management Redesign Specialist

General Description

Workers in this role assist in reorganizing the work of a provider to take full advantage of the features of health IT in pursuit of meaningful use

of health IT to improve health and care.

Suggested Background

Individuals in this role may have backgrounds in health care (for example, as a practice administrator) or in information technology, but are not

licensed clinical professionals.

Competencies

Workers in this role will be able to:

Document the workflow and information management models of the practice.

Conduct user requirements analysis to facilitate workflow design.

Develop revised workflow and information management models for the practice, based on meaningful use of a certified EHR product. Revised

models will anticipate implementation of:

o General practice automation (e.g. appointment scheduling) to the extent not yet implemented

o Electronic documentation and results review

o Computerized Provider Order Entry (CPOE)

o Clinical decision support (CDS)

o Health information exchange to include:

* Sending of lab orders and receipt of results using CPOE

*Quality improvement and reporting

*E-Prescribing

*Other EHR functionalities as required by the Stage 1 Meaningful Use definition for 2011 and its evolution into Stage 2 in 2013

and Stage 3 in 2015.

As the practice implements the EHR, work directly with practice personnel to implement the revised workflow and information management

model.

Working with practice staff, develop a set of plans to keep the practice running if the EHR system fails.

Working with practice staff, evaluate the new processes as implemented, identify problems and changes that are needed, and implement

these changes.

Design processes and information flows for the practice that accommodate quality improvement and reporting

Course Curriculum

1)The Culture of Health Care

2)Terminology in Health Care and Public Health Settings

3)Introduction to Information and Computer Science

4)Health Management Information Systems

5)Fundamentals of Health Workflow Process Analysis and Redesign

6)Quality Improvement

7)Usability and Human Factors

• Under Six Months • Intensive • Online Program 24/7/365• Nominal Cost ($360)• 100% Tuition Reimbursement (with successful completion) • Competency Exam • Job Placement Assistance

Program Description

Benefits for the Students

Training for • New positions • Advancements• Enhance earnings (salary ranges are estimated to be well above $30,000)• Allow current employees to retain jobs which they may have otherwise lost due to the inability to keep up with health information technology.

Benefits for the Health Care Community

• Source of Highly Qualified Workforce

• Training for Current Employees

• Maximize the Benefit of Electronic Health Record Systems

• Improve Quality, Efficiency, and Coordination of Care

Outreach Focus / Population Segments

• Unemployed or underemployed/in urban, suburban and rural areas

• Veterans seeking re-entry into the civilian workforce

• Dependents of active military personnel and veterans

• Disabled• African Americans• Native Americans• Hispanics• Senior citizens seeking a return to

employment

Meaningful Use Criteria

• Certified Electronic Health Record • Computerize Provider Order Entry• Drug-Drug, Drug-Allergy Drug-Formulary Checks

• Problem Lists • Electronic Prescribing• Medication Lists• Documentation of Allergies or No Allergies• Demographic Information• Smoking Status• Incorporate Lab Results• Generate Problem Lists• Ability to Submit Meaningful Data to CMS• Reminders to Patients

Supplemental Slide #1

Meaningful Use Criteria (Continued)

• 5 Clinical Decision Support Rules• Electronic Insurance Verification• Electronic Claims Submission • Provide Information to Patients• Electronic Patient Access to Labs Results,

Problem Lists, Medication, Allergies within 96 hours

• Clinical Summaries of Visits• Ability to Exchange Data with Other Systems

(Test)• Summary Provide Summary of Care for 80% of

Referrals or Transition of Care• Immunization Registries (Test)• Transmit Reportable Lab Results• Surveillance Data Test Ability to Send data to

Public Health AgenciesSupplemental Slide #2

Meaningful Use Criteria (Continued)

• Privacy Security• Conduct Security Risk Analysis• Clinical Quality Measures• 3 Core Measures• Report Preventive Care Inquiries i.e. Tobacco Use

• Blood Pressure Measures• Drugs to be Avoided for Elderly 1- 2• Each Provider Must Report on 3-5 Measures in Respective Specialty E.g. Preventative Colorectal Cancer Screening and Cervical Cancer Screenings

Supplemental Slide #3