Health Information Management

1
Health Information Management

• Workforce Issues

2
Inform You About

• Northern Virginia Community College
• Health Information Management (HIM) Career Fields
• The Hidden Professions in Biomedical Security
• HIM Workforce Shortage
• NoVaHealthFORCE
• Action Plan to Address the HIM Workforce Shortage
  
• Bottom Line

3

Northern Virginia Community College Medical
Education Campus www.nvcc.edu/medical
4

NVCC is the largest institution of higher
education in the Commonwealth of Virginia
enrolling more than 64000 students in credit
classes.
5

Another 300000 individuals participate in other
NVCC programs and services. Were the second
largestcommunity college in the nation!
6
Six campus locations including a new
Medical Education Campus.

7
Medical Education Campus
The Campus of the FutureToday
8
Unique Aspects

• Specialized campus (1st in state)
• Academic partnerships with universities
• State-of-the art design
• Medical Mall clinics
• Faculty-student practice
• Medical business partnerships
• Community-based Network Clinics

9
Medical Education Campus Advanced Technology

• Satellite down-linked Lecture Halls
• SMART Classrooms linked to the Internet
• Distance Education Classrooms
• Human Patient Simulators
• CCTV equipped Cadaver Lab

10
(No Transcript)
11
U.S. Healthcare Workforce

• In 2003 62 of applicants taking the National
  Registered Nurse Examination to become Registered
  Nurses (RN) were graduates of associate degree
  programs.
• 65 of new healthcare workers get their training
  at community colleges.

12
U.S. Healthcare Workforce (cont.)

• Close to 80 of
• Firefighters
• Law Enforcement Officers
• Emergency Medical Technicians
• ..are trained at Community Colleges.

13
HIM Career Field

• The glue that holds the healthcare delivery
  system together
• An Adventure in the Middle
• Clinical
• Information Technology

14
Registered Health Information Technician (RHIT)

• Pass the RHIT certification exam. RHITs ensure
  the quality of medical records by verifying their
  completeness accuracy and proper entry into
  computer systems. They use computer applications
  to assemble and analyze patient data for the
  purpose of improving patient care quality
  research controlling costs.
• Education Associate Degree
• 29 projected growth rate (2004-2014)
• DOL Fastest Growing 12 (Associate Degree)

15
Registered Health Information Administrator (RHIA)

• Pass the RHIA certification exam. RHIAs are
  skilled in the collection interpretation and
  analysis of patient data. Additionally they
  receive the training necessary to assume
  managerial positions related to these functions.
• Education Bachelors Degree
• 29 projected growth rate (2004-2014)
• DOL Fastest Growing 38 (Bachelors Degree)

16
Clinical Coding (CCACCS CC-P)

• Are professionals skilled in classifying medical
  data from patient records. These coding
  practitioners review patients records and assign
  numeric codes for each diagnosis and procedure.
  To perform this task they must possess expertise
  in the ICD-9-CM coding system.
• The Clinical Coder is knowledgeable of medical
  terminology disease processes and pharmacology.
  
• Education RHIA RHIT or Certified Coder
• Demand Healthcare organizations are finding it
  difficult to hire qualified people.

17
HIM Education

• Northern Virginia Community College
• Clinical Coding Certificate
• RHIT Associate Degree
• DeVry University
• RHIT to RHIA Bachelors Degree
• GMU
• HIM
• Electronic Health Record (proposed)

18
The Hidden Professions in Biomedical Security
19
Medical and Clinical Laboratories

• Provide first validated identification of
  Bioterrorism and Biohazards
• Trained in proper specimen collection and
  processing
• Provides rapid ID of infectious agents
• 80 of validated data in a patients medical
  record is clinical laboratory data

20
Medical Laboratory Technician (MLT)

• Perform complex laboratory tests for the
  diagnosis treatment and prevention of diseases
• It was a lab tech who identified Anthrax in the
  elderly lady in CT
• Education Associate Degree

21
Health Information Management

• Three main HIM needs were identified for
  bioterrorism
• A standardized communications mechanism that will
  allow healthcare providers to report and to query
  public health resources
• A way to use technology to both alert and educate
  healthcare professionals about the threat
• A method of reviewing certain aspects of
  collective health information on individuals to
  determine if there is a public health threat that
  warrants follow up and reaction

22
HIM AND THE ELECTRONIC RECORD

• By computerizing health records we can avoid
  dangerous medical mistakes reduce costs and
  improve care. (President George W. Bush State
  of the Union Address January 20 2004)
• Within ten years every American must have a
  personal electronic medical record. (President
  George W. Bush. American Association of Community
  Colleges Annual Convention April 26 2004)
  

23
Medical Records and Health Information
Technicians
Increased demand for medical records technicians
will be fueled by

• Rising health care demand
• Increased scrutiny of medical documentation
• Continued emphasis on the electronic medical
  record
• Growth will be primarily distributed among
  physician offices/clinics hospitals and
  long-term care facilities

24
Medical Records and Health Information
Technicians (cont.)

• Third-party payers and government regulators are
  expected to add to the demand
• Quality of Medial Records

25
The HIM Workforce Shortage
26
Key Drivers

• Increased demand for services due to the aging
  population
• Concurrent aging of the health care workforce and
  resultant retirements
• Shortage of nursing and allied health profession
  faculty schools and clinical experience sites
  and the inability to find replacements
• Concurrent aging of clinical faculty and the
  resultant retirements
• Difficulties with having market competitive
  salaries for clinical faculty
• Nature of the profession
• Low unemployment rates and high cost of living

27
Fastest-Growing OccupationsRequiring
Post-Secondary Training or an Associates
Degree  All States
28
Fastest Growing OccupationsRequiring
Post-Secondary Training or an Associates Degree
29
Fastest Growing OccupationsRequiring
Post-Secondary Training or an Associates Degree
30
Washington Metro Area Top 10 Occupational
Projections 2000-2010
(By Annual Total Openings)
31
Northern Virginia Example

• Without intervention the Nursing and Allied
  Health workforce vacancy rate is anticipated to
  grow to over
• 41 percent by 2020
• 16595 Allied Health and Nursing vacancies
• RNs dominate the current and projected shortage
  with more than 1000 current vacancies
• Health Information Technicians and Diagnostic
  Imaging also show significant increased demand

32
Estimated Demand for Health Care Workers Through
2020
33
NoVaHealthFORCE
34
The Northern Virginia Health Care Workforce
Alliance (NVHCWA)

• A coalition of academic business community and
  health care leaders
• Mission is to establish a long-term
  business-driven sustainable strategy to address
  the regional health care workforce shortage

35
NoVaHealthFORCE
Strategies and Action Plan
36
NoVaHealthFORCE Action Plan

• Action plan developed by eight working groups
• Working groups consisted of stakeholders from
  education healthcare industry local state and
  federal government social service agencies and
  economic development authorities

37
NoVaHealthForce Strategies

• Goal 1 Increase capacity within the health care
  education and training system
• Goal 2 Develop and sustain an ongoing supply of
  persons interested in entering health care
  career fields
• Goal 3 Nurture Innovation

38
Capacity

• Address the lack of nursing and allied health
  faculty
• Address the need for additional clinical training
  sites and clinical faculty

39
Capacity (cont.)

• Address the projected increasing population in
  the western and southern portions of Northern
  Virginia
• Ensure optimal resource utilization to increase
  capacity and output of Northern Virginia
  educational health care institutions

40
Pipeline

• Increase awareness of the healthcare career
  fields
• Improve healthcare career preparedness in the
  school systems
• Provide upward mobility opportunities
• Facilitate foreign trained healthcare personnel
  to enter the workforce

41
Innovation

• Enhance the adoption in Northern Virginia of
  Information Technology
• Harness the potential of the healthcare consumer
• Create innovative approaches in healthcare human
  resource management

42
Innovation (cont.)

• Nurture the career fields of tomorrow
• Develop a forum to share best practices
• Designate an organization to coordinate the
  implementation of these actions NVTC
• NVCC Bersoff Endowed Chair
• NVCC 12 Month HIM Assistant Dean Position

43
Bersoff Endowed Chair in HIM and IT

• The vision of the Bersoff Endowed Chair is for
  NVCC to realize its potential as a national
  leader in the synergy of HIM and IT
• This Endowed Chair is responsible for aligning
  NVCC educational programs in HIM and IT to meet
  the future and incumbent workforce needs of the
  regions healthcare industry
• Foster collaboration among Northern Virginias
  healthcare institutions educational institutions
  and technology industry in the education and
  creation of a skilled HIM/IT workforce
• Support and leadership of NoVaHealthFORCE in
  nurturing innovative  initiatives
• Integrate HIM and IT curriculum into all of
  NOVAs Allied Health and Nursing programs
• Develop continuing education opportunities in
  Health Information Management and Information
  Technology for current practitioners.

44
Health Information Management 12-Month Assistant
Dean

• 12-month teaching faculty position responsible
  for instructing Health Information
  Technology/Management
• Assistant Dean of the HIM program. The Assistant
  Dean is responsible for coordinating the
  instructional programs and accreditation of the
  AAS (RHIT) program Clinical Coding certificate
  Medical Transcription certificate and the
  Healthcare Administration portion of the AAS
  Business Management specialization in Healthcare
  Administration
• Develop advance practice training in Electronic
  Health Records for current practitioners
• Market the HIM programs
• Strengthen existing and develop new educational
  pathways for BS and MS degree completion.

45
Virginia Leading the Way
A Strong Foundation of Leadership for Health IT
Innovation
A Technology Leader
Effective Management

• AeA ranks Virginia 1 in Tech Job Creation (2006)
• Entrepreneur.com named Virginia the 2nd best
  state for Entrepreneurs (2006)

• Best Managed State (2005)
• 2nd in Digital States Survey (2006)

1 From Cradle to Career
Education Week says Virginia children are the
most likely in the nation to experience success
as they move from childhood to adulthood. The
typical student in the commonwealth enjoys
higher achievement and is more likely to finish
high school and continue on to college than in
other states.
46
Aligning Health IT to Economic Development a
Powerful Lever
Proceeding in Partnership
A Virtual Office
Goal Establish clinical coder education and
employment options as a means of economic
revitalization Problem Plant closures have
left Galax with soaring unemployment rates and
lagging per capita income Strategy Form
strategic partnerships with Northern VA Community
College (graduates 7 per year between 1999 and
2003) and clinical coding companies to establish
distributed training and employment opportunities
Galax/Twin County Economic Strike Force 2006
Clinical Coder vacancy rate in Northern Virginia
11.5 with an expected 2500 FTE demand by 2020
Average Income 2005
With five years experience coders can make
between 50-75000
35.0K
17.4K
Furniture industry has lost 8000 jobs since
1990 projected to shrink 11.5 per year over the
next six years
Clinical Coder
Galax Per Capita
Source VEC Northern Virginia Health Care
Workforce Alliance
47
Seeking Partners
Vision Develop Applications Center of
Excellence in Rural Virginia
E-Store for EHRs
Goal Establish a public-private partnership to
support multiple EMR applications in a shared
services center Problem Deliver EMR services
at low-cost in an environment that encourages
rapid best practice adoption Strategy Simplify
EMR acquisition drive public sector adoption
and promote rural economic development
In October 2006 Virginia invested 150K in the
OnePartner Advanced Technology and Applications
Center expected to employ 40 jobs
48
www.NoVaHealthFORCE.org
49
The Bottom Line in solving the Health Care
Workforce shortage is..
50
The Alignment of

• Health Care Institutions
• Educational Institutions
• Economic Development Authorities
• Social Service Organizations
• Local Government
• School Districts
• Philanthropic Organizations
• The Business Community

51
For More Information Contact
Brian P. Foley M.Ed. MHA CPHQ FACHE
Interim Provost
Medical Education Campus
6699 Springfield Center
Drive Springfield
VA 22150-1913 Phone
[phone]
Fax [phone]
E-mail BFoley_at_nvcc.edu
Campus Website www.nvcc.edu/medical
52
Questions