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HITECH & the HIT Workforce
Adapted slides from 2010 AMIA Fall Symposium Panel. Courtesy Charles Friedman – Chief Science Officer; ONC.
Patricia A. Abbott, PhD, RN, FAANJohns Hopkins University
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Regional extension centers
Workforce training
Medicare & Medicaid Incentives and penalties
State grants for health Information exchange
Standards & certificationframework
Privacy & Securityframework
Adoption of EHRs
Meaningful Use of EHRs
Exchange of healthinformation
•Increased transparency and efficiency•Improved individual and population health outcomes•Improved ability to study and improve care delivery
Adapted from: Blumenthal D. Launching HITECH. N Engl J Med. 2010 Jan 4. http://healthcarereform.nejm.org/?p=2669
ONC/CMS Program to Get to Meaningful Use
SHARP: Research to enhance HITBeacon Community program
Focal Point
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HELP WANTED! • Advance to meaningful use requires trained “health IT practitioners”
• Shortfall of at least 51,000 in 12 key workforce roles
• ARRA/HITECH Section 3016 requires funding of institutions of higher education
More Health IT for Practitioners: More “Practitioners” for Health IT
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HITECH & Education
1. Identified 12 key roles (not jobs) looking to the future and aligned with the HITECH program• 6 roles compatible with community college
education• 6 roles compatible with university based training
2. Validated the roles at a multi-stakeholder workshop3. HHS designed and funded four grant/cooperative
agreement programs ($118 Million)• Community College Consortium• Curriculum Development Centers• Competency Examination for HIT• University Based Training
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How the Gears Mesh
CommunityCollege
Consortia (5):Implement program
at 84 member colleges150 trainees/yr/college
CompetencyExam (1):
Development andImplement exam program
CurriculumDevelopmentCenters (5):20 courses
designed fordissemination 6 Roles
6 Roles
University Based Training Programs (9)
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__hitech_programs/1487
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Current Status
• Curriculum Development Centers (Hopkins, Duke, Columbia, OHSU, & Alabama at Birmingham)– Twenty 3-“credit” courses – Open Sourced June 2011
• VistA for Education – Free/Open Veterans Health System CPRS on DVD or Cloud
• 20 Course Blueprints (ONC Website):
• National Competency Exam– Beta: May, 2011– Live Launch: September 2011– First 27,500 exams – free of charge
• University Based Training Programs (9)– Heavy enrollments/high demand
http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11673_949472_0_0_18/curriculum-component-blueprints-11-2010.pdf
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Snapshot of CC Students
Slide courtesy of N. Morganti: PI – Region C
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Snapshot of CC Students
Slide courtesy of N. Morganti: PI – Region C