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

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Slide 1 Survey Results of the CIOs, HIM Directors and HIM/HIT Educators in Northern Virginia Spring 2013 1 Slide 2 2 Slide 3 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 Slide 4 Is your organization more closely associated with HIM, HIT, or both? 4 Slide 5 In the LAST 12 months, has your organization increased the size of its HIM workforce, decreased the size, or stayed the same? 5 Slide 6 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 Slide 7 How easy or difficult is it for your organization to hire qualified employees to fill open HIM positions? 7 Slide 8 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 Slide 9 Regarding the hiring process, do you tend to? 9 Slide 10 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 Slide 11 What percentage of your workers are required to possess at least some skills in HIT? 11 Slide 12 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 Slide 13 Which do you consider more of a priority, refining skills of incumbent workers or developing those of new workers? 13 Slide 14 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 Slide 15 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 Slide 16 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 Slide 17 Are you aware of academic or technical schools in the northern Virginia region to educate and train in HIM? 17 Slide 18 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 Slide 19 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 Slide 20 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 Slide 21 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 Slide 22 If no are you open to providing opportunities? 22 Comments: Work/study environment such that they can tie experience to education Slide 23 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 Slide 24 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 Slide 25 HIT Survey Results 25 respondents 25 Slide 26 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 Slide 27 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 Slide 28 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 Slide 29 In the LAST 12 months, has your organization increased the size of its HIT workforce, decreased the size, or stayed the same? 29 Slide 30 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 Slide 31 How easy or difficult is it for your organization to hire qualified employees to fill open HIT positions? 31 Slide 32 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 Slide 33 Regarding the hiring process, do you tend to: 33 Slide 34 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 Slide 35 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 Slide 36 Which is the greater priority- refining skills of incumbents or developing those of new workers? 36 Slide 37 Would you like to see more certificate program(s) for incumbent workers? 37 What kind? - ICD-10 = HIM - EMR support - HIT Career Studies Certificate Slide 38 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 13%75%13% Providing training opportunities for incumbents to grow and advance 25%63%13% Recruiting employees with appropriate education/skills 25%63%13% 38 Other Issues: Students with poor English skills Slide 39 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 39 Slide 40 Are you aware of academic or technical schools in the northern Virginia region to educate and train in HIT? 40 Slide 41 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? 41 Slide 42 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? 42 Slide 43 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? 43 Slide 44 Is there a need for an HIT Associate Degree? (CAHIM MS Certification, cyber security, Health Information Exchanges, Internet exchanges) 44 Is there a need for a bachelors degree in HIT? ______________________________________________________________ Slide 45 Do you provide externship opportunities to new workers/students? 45 Yes: Offer several yearly No Too busy Students not aware of possibilities Slide 46 If no are you open to providing opportunities? 46 Comments: Provide basic skills Print opportunities in bulletins Slide 47 What post-graduation certifications would benefit your organization? Program Management Professional (PMP) Training for already degreed person Contract specific training Clinical Informatics Career Studies Certificate = Clinicians 47 Slide 48 Are there any short, non-certificate, non-degree courses that are needed for incumbent workers? Medical terminology = HIM Excel ICD-10 = HIM Clinical Informatics Health Information Technology = Clinicians 48 Slide 49 So What? There is a need for crossover of skills in HIM and HIT There is a great demand for Analytical Skills training There is a great demand for clinicians trained in informatics There is an overwhelming desire for experienced workers There is more emphasis placed on training incumbent workers than on training new workers. While there is a severe shortage of clinical training opportunities, there is unresponsiveness on the part of employers to provide clinical training opportunities There is a need for post-graduate certifications in both HIM and HIT There is a need for additional training in anatomy, physiology, and medical terminology HIPAA training should be a part of all HIT and HIM programs and refresher trainings for incumbent workers 49 Slide 50 50 Curriculum Advisory Committees Slide 51 Discussion Groups 51 Slide 52 52 Promote collaboration between the HIM and HIT communities Gain your collective wisdom on these critical questions Our Goals Slide 53 Organizing the Dialogue 53 1.Is there a meaningful difference between the HIT and HIM fields? 2. What constitutes the skill set in Clinical Informatics? 3. What skill/certificates/degrees is industry looking for in new workers? Consider both EHR and NON-EHR related needs. a. www.hicareers.com b. Clinical rotation opportunities Slide 54 Organizing the Dialogue 54 4.What internal workforce (incumbent workers) improvement needs are desirable? Be specific. A. Certificate programs B. EHR related needs C. NON-EHR related needs 5. How can we better prepare our students for the industry? A. What are current needs? B. What are emerging needs? C. EHR related needs? D. NON- EHR related needs? E. Clinical rotations? Slide 55 Organizing the Dialogue 55 6. NoVaHealthFORCE Focus Group on HIT/HIM workforce needs in Northern Virginia A. Discussion with Boston based Jobs for the Future study principals B. Focus group for 2013 HealthFORCE study update. C. Your input for the study will influence its outcome

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