Survey Results of the CIOs, HIM Directors and HIM/HIT Educators in Northern Virginia Spring 2013 1

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  • Survey Results of the CIOs, HIM Directors and HIM/HIT Educators in Northern Virginia Spring 2013 1
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  • Who are you? Government Institutions Federal Military State Clinical Providers Inpatient facilities Outpatient facilities Group Practices HMOs Associations Accreditation organizations Regional Health Information Organizations Regional/State Health Information Management Organizations Medical Society Educators Community Colleges Four year institutions 3
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  • Is your organization more closely associated with HIM, HIT, or both? 4
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  • In the LAST 12 months, has your organization increased the size of its HIM workforce, decreased the size, or stayed the same? 5
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  • In the NEXT 12 months, does your organization plan to increase the size of its HIM workforce, decrease the size, or does it plan to make no change? 6
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  • How easy or difficult is it for your organization to hire qualified employees to fill open HIM positions? 7
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  • If you answered somewhat or very difficult, why do you believe this is true? Finding resources with strong understanding of healthcare analytics and ability to align data to produce outcome measures is difficult Not enough HIM applicants Hard to find qualified HIM staff Matching skills to contract requirements is hard to balance; experience is the key Applicants do not meet minimum requirements Education and experience in the field as well as understanding of HIM vs. HIT 8
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  • Regarding the hiring process, do you tend to? 9
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  • What are the top skills that you look for when considering hiring in Health Information Management? Coding competency (ICD-9 and 10) Practical experience with data EMR experience Experience across domains: MMIS, PBM, EHR, HIX Specific ICD-10 Record analysis knowledge Education/credentials Analytical skills 10
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  • What percentage of your workers are required to possess at least some skills in HIT? 11
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  • What necessary skills are your HIM staff lacking? Analytical skills for data presentation for educating physicians and customer service skills = Clinicians trained in HIM/HIT Understanding national standards, IT messaging standards and security standards = HIT Skills Knowledge of ICD-10 Experience Education/credentials 12
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  • Which do you consider more of a priority, refining skills of incumbent workers or developing those of new workers? 13
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  • Would you like to see more certificate program(s) for incumbent workers? 14 Examples Coding Certification in HIM Analytics Health Information Standards/ Meaningful Use EMR Advanced computer skills =HIT Clinical Informatics Certificate
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  • Does your organization have difficulty addressing the following workforce issues? IssueNo difficulty Some difficulty Great difficulty Providing training programs to keep incumbents current on changing Health IT/Management technologies and healthcare requirements 20%67%13% Providing training opportunities for incumbents to grow and advance 14%57%21% Recruiting employees with appropriate education/skills 13%67%20% 15 Other Issues: Staff retention and eagerness to improve themselves Finding senior, experienced persons in these information domains Having staff interested in acquiring more skills
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  • Do HIM and HIT overlap in your organization? Describe how Overwhelmingly Yes Individuals are cross trained Sometimes use them interchangeably Will use HIT if we cannot attract HIM Work together on projects Our new EMR has caused these two areas to join together to support the EMR Not understanding the difference between HIT & HIM causes various layers of confusion Collaborate on many projects: *Point of service scanning *Forms on Demand *Remote coding 16
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  • Are you aware of academic or technical schools in the northern Virginia region to educate and train in HIM? 17
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  • Do you have knowledge of certifications that these schools have? Do you understand what specific skills these programs develop and how they can benefit you? 18
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  • Do you have knowledge of certifications that these schools have? Do you understand what specific skills these programs develop and how they can benefit you? 19
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  • Do you have knowledge of certifications that these schools have? Do you understand what specific skills these programs develop and how they can benefit you? 20
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  • Do you provide externship opportunities to new workers/students? 21 Yes: Offer several yearly Have hired from unpaid clinicals No Company policy makes it difficult Work too sensitive Work requires experience
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  • If no are you open to providing opportunities? 22 Comments: Work/study environment such that they can tie experience to education
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  • What post-graduation certifications would benefit your organization? Clinical documentation specialist Health Informatics Coding certificates EHR implementation certificate EHR is finally becoming a reality. Start with that Clinical internal controls 23
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  • What/who is missing from your current workforce that would make the management of health information more useful to your organization? Clinical documentation improvement specialists Leaders able to use HIM data to define an action plan Operations manager of HIM Preparation for clinical coding transitions and fiscal coding for billing, fraud detection and OHI processes Understanding the role of clearinghouses and most common commercial tools Awareness of health information management and technology standards Engaged workforce familiar with current and new legislation impacting the electronic health record....HITECH, HIPAA, etc. 24
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  • HIT Survey Results 25 respondents 25
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  • Who are you? Government Institutions Consulting firms HIT outsourcing Not for profit organizations Clinical Providers Community health centers Inpatient facilities Associations National Professional Educators Community Colleges Four year institutions 26
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  • What skills would you like to see your HIT workers possess? Analytical skills = HIM Increased medical terminology = HIM Coding knowledge = HIM MMIS, PBM, EHR and/or HBE systems Meaningful use, HIPAA = HIM ICD-10 =HIM Information security, information messaging standards Basic skills 27
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  • Within the context of HIT, describe your workforce needs. Identify and list the specific skills that are required of your HIT workforce. Management Proficiency in EHR Business and requirement analysis Putting H in IT Modeling Management Proficiency in EHR Business and requirement analysis Putting H in IT Modeling Technical and Functional Desktop and application support Security and data management Networker and server knowledge Various HIT applications Technical and Functional Desktop and application support Security and data management Networker and server knowledge Various HIT applications 28
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  • In the LAST 12 months, has your organization increased the size of its HIT workforce, decreased the size, or stayed the same? 29
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  • In the NEXT 12 months, does your organization plan to increase the size of its HIT workforce, decrease the size, or does it plan to make no change. 30
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  • How easy or difficult is it for your organization to hire qualified employees to fill open HIT positions? 31
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  • If you answered very or somewhat difficult, why do you believe this is true? Lack of experience with IT standards- HL/7, X12, HIPAA Salary and two years of experience causes some issues Skilled clinicians and IT resources to assist in EMR implementation = Clinicians trained in HIM/HIT 32
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  • Regarding the hiring process, do you tend to: 33
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  • What are the top skills that you look for when considering hiring in Health Information Technology Level of computer skills- hardware & software Previous experience in EMR Program management training 34
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  • What necessary skills are your HIT staff lacking? Clinical knowledge to supplement technology skills = Clinician POC specific to our organization ICD-10 = HIM Documentation skills 35 Why are those workers lacking certain skills? Programs vary significantly among companies Much of HIT is locked in resources that are not familiar with modern tech Technology changes too fast
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  • Which is the greater priority- refining skills of incumbents or developing those of new workers? 36
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  • Would you like to see more certificate program(s) for incumbent workers? 37 What kind? - ICD-10 = HIM - EMR support - HIT Career Studies Certificate
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  • Does your organization have difficulty addressing the following workforce issues? IssueNo difficulty Some difficulty Great difficulty Providing training programs to keep incu