PROMOTING HIT ADOPTION IN THE HRSA COMMUNITY

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PROMOTING HIT ADOPTION IN THE HRSA
COMMUNITY Workforce Development CDR Alicia A.
Bradford, MS, RN-BC Office of the National
Coordinator for
Health Information Technology (ONC) 11/6/2007
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Office of the National Coordinator (ONC)

• Executive Order, April 2004
• The President created the National Coordinator
  position
• To advance the vision of developing a nationwide
  interoperable health information technology
  infrastructure
• To achieve the Presidents goal of widespread
  adoption of interoperable electronic health
  records (EHR) by 2014
• Key Role for ONC
• Provide leadership for the development and
  nationwide implementation of an interoperable
  health information technology infrastructure to
  improve
• The quality and efficiency of health care and
• The ability of consumers to manage their health

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Widespread Adoption of Interoperable Electronic
Health Records by 2014
2014
2004
Electronic Health Information
Health IT AGENDA
EHRs PHRs Public Health Home
Telehealth Standards Interoperability Nationwi
de Health Information Network
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Current State EHR Adoption US Physicians (2005)
3 times more prevalent in metropolitan areas
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Current State EHR Adoption Hospitals (2007)
lt 50 beds
Rate of hospital use does not represent
physician use only ¼ of implemented hospitals
report 50 MD use (or more)
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American Health Information Community (AHIC)

• AHIC The Community
• A federal advisory committee (FACA)
• Chaired by Secretary Leavitt
• 17 members public private collaboration
• Provides input and recommendations to HHS
• How to make health records digital and
  interoperable
• How to assure health information privacy and
  security is protected

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AHIC EHR WG Workforce Panel Key Questions

• What are the skills competencies needed for
  widespread EHR adoption?
• What is the current availability of workers that
  posses those skills? What is the gap between this
  supply and current/future demand?
• What efforts are in the pipeline to increase the
  availability of workers with these skills? What
  can be done to enhance these?
• How do we transition the current health and IT
  workforce?

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Skills needed to support EHR Adoption

• In care delivery setting
• Assessment organizational readiness, current
  desired workflow, models/ products
• Creative funding and negotiating
• Product instillation, implementation, maintenance
  upgrades
• Re-educate and redeploy staffre-evaluate
• Beyond the care setting
• Research, product development,

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HIT Workforce Current Supply and Demand

• Current supply and need unknown-although
  consensus is supply not sufficient to meet 2014
  goal
• Few formal training programs, little cross
  fertilization between IT and health disciplines
• Very new discipline for many of the health
  professions
• AHIMA/ AMIA Workforce Summit 11/05 to address
  challenge http//www.ahima.org/emerging_issues/Wor
  kforce_web.pdf
• ASPE study Nationwide Health Information
  Network Workforce Study

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ASPE study results

• Assuming a five year implementation timeframe
  (just instillation)
• Physician office EHRs (400,000)
• Need 7,600 /- 3,700 personnel
• Hospital EHRs (4,000)
• Need 28,600 personnel
• Community HIIs (300)
• Need 416 personnel
• Study Resource Tool to estimate workforce under
  different assumptions of number of systems and
  timeframe
• http//aspe.hhs.gov/_/topic/topic.cfm?topicHealth
  20Information20Infrastructure

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ASPE Study Workforce Tool Example
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Current efforts to increase and transition
workforce

• AMIA 10x10 program
• Computer driver license efforts
• Integration of HIT in health discipline education
• Learning Labs
• Growth in Informatics HIM degree programs
• Core competency development
• Training grants HRSA, NLM, DOL
• Proposed legislation

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AHIC EHR WG DRAFT Recommendation Areas Under
Discussion

• Coordination and collaboration of workforce
  research and development
• Additional research to develop the HIT career
  pathways and core competencies within all health
  care disciplines
• Engage state practice/licensure boards
• Increase academic programs and faculty
• Encourage participation and continued development
  of educational and certification programs for
  current WF
• Engage Bureau of Labor Statistics to address HIT
  occupational classification needs
• Study successful models of training and IT
  deployment and management
• http//www.hhs.gov/healthit/ahic/healthrecords/

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For More Information Visit
www.hhs.gov/healthit -or contact- CDR Alicia A.
Bradford MS,RN-BC alicia.bradford_at_hhs.gov