Health IT Workforce Development Program

Authors: Chitra Mohla, Michelle Murray, Alicia Morton, David Muntz Slides

May 16, 2012

ONC Health IT Workforce Training

Office of the National Coordinator for

Health Information Technology 2

Health IT Workforce Development Program Goals

• Addressing the shortfall of at least 50,000 trained workers

• Training for the future of health IT

• Helping providers implement electronic health records to improve health care quality, safety, and cost-effectiveness

Trained Workforce to Serve Priority Areas

• Primary care

• Solo and small group practices

• Community & rural health centers

• Public & critical access hospitals

• Other settings predominately serving uninsured, underinsured or medically underserved patients

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ONC Health IT Workforce Training

Office of the National Coordinator for

Health Information Technology 4

Health IT Workforce Roles

• Addressing the six workforce roles that are consistent with short-term training – Community College Consortia (OPAS)

– Curriculum Development Centers (OCS)

– Competency Examination Development (OCS)

• Addressing the six workforce roles requiring longer courses of study – University-Based Training (OCS)

Health IT Workforce Program

• HITECH Act made available $118 million for development of health IT professionals

• ONC’s Four Integrated programs: 1. Community College Consortia to Educate Health IT

professionals

2. Curriculum Development Centers

3. Competency Examination for Individuals Completing Non-degree Training

4. Program of Assistance for University-Based Training

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Community College Consortia Workforce Program

• 5 regions

• $6 – $ 21 M per region

• April 2010 award

• 2 Years

• 10,500 to be trained

REGION A

REGION C

REGION B

REGION D

REGION E

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The Five Regional Consortia Leads

• Region A: 8 Member Colleges – Bellevue College

• Region B: 15 Member Colleges – Los Rios Community College

• Region C: 17 Member Colleges – Cuyahoga Community College

• Region D: 20 Member Colleges – Pitt Community College

• Region E: 22 Member Colleges – Tidewater Community College

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Workforce Roles (CCC)

• Targeted Health IT Professional Roles – Mobile workforce supporting adoption process

1. Practice workflow and information management redesign specialists

2. Clinician/practitioner consultants

3. Implementation support specialist

4. Implementation managers

– Onsite support personnel (post-adoption) 5. Technical/software support staff

6. Trainers

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Workforce Training

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Community College Consortia

Students Enrolled and Students Completed (Cumulative)

March, 2012 Office of the National Coordinator for

Health Information Technology 11

25,738

12,082

9/21/2012 Office of the National Coordinator for

Health Information Technology 12

Workforce Training Enrollment and Graduation

Students Enrolled or Completed: 18653 Attrition Rate: 19.6%

* Enrollment to date includes unique students reported in March 2012 cycle

University-Based Training (UBT)

• HIT Workforce training grant program: April 2010 - July 2013 • 9 Leading Institutions

– Texas State University* • University of Texas at Austin • University of Texas School of Biomedical Informatics in Houston

– George Washington University – University of Minnesota*

• University of Minnesota Crookston • College of St. Scholastica

– Columbia University* • Cornell University

– Johns Hopkins University – Oregon Health & Sciences University – University of Colorado Denver, School of Nursing – Duke University*

• University of North Carolina

– Indiana University

* Formed a consortium 13

University-Based Training Student Profile & Availability

• Trainees are highly educated & mid-career clinical, public health, technology professional that have elected to move into field of HIT

• Training is at post-baccalaureate certificate to Master’s level over 1-2 years

• Many graduates available for hire now—contact universities directly

• Many students available for practicum and mentorship experiences

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http://healthit.hhs.gov/universitytraining

1. Clinician or Public Health Leader

2. Health Information Management & Exchange Specialist

3. Health Information Privacy & Security Specialist

4. Research & Development Scientist

5. Programmers & Software Engineer

6. HIT Sub-specialist

Workforce Roles - UBT

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UBT Trainees By Role

(as of 3/20/12)

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Note: Distribution by role was not predetermined by

ONC and is reflective of trainee interests/desires.

University-Based Training

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University-Based Training as of 3/20/12: 571 graduates (34%)

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Curriculum Development Centers - Program Goals

• To make available high quality educational materials reflecting best practice in a rapidly changing field

• To enable community college programs to ramp up quickly

• To make curriculum publicly available

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Curriculum Development Centers

1. Oregon Health and Sciences University*

2. Duke University

3. Johns Hopkins University

4. University of Alabama at Birmingham

5. Columbia University

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Cooperative Agreements Awarded to 5 universities working

with community colleges:

*Host to National Training and Dissemination Center

Users in nearly 100 countries across 6 continents http://healthit.hhs.gov/curriculumdevelopment

Global adoption of ONC health IT curriculum materials

Version 3.0 of curriculum materials as of 5/1/12

Number of user accounts 4,500+ 1,000-3,999

100-999 <100

Curriculum Development Centers

Office of the National Coordinator for

Health Information Technology 22

Program information • Provides $10 million in cooperative agreements to 5

institutions of higher education to support health IT curriculum development from April 2010 through December 2012.

• One of the awardees, Oregon Health & Science University (OHSU), also serves as the National Training and Dissemination Center (NTDC) for the materials.

• The volume of materials is large: 9 GB of information made up of over 12,000 files across 213 units that address 20 content areas.

Curriculum Development Centers

Office of the National Coordinator for

Health Information Technology

Program information • Version 3.0 was released to the public in late March 2012.

– New and improved content, especially on privacy and security, meaningful use – Better integration of content across components – More robust accessibility features – Standardized document formats and naming – Search and index tools added to the download site

• Each lecture consists of a PowerPoint slide presentation, an .mp3 audio file, and a transcript of the audio. Also available are Flash lecture presentations, learning activities, discussion questions, and self-assessment questions.

• Blueprints have been written for each component to outline component objectives and unit topics.

• Curriculum components should be viewed as a resource that can be modified. Components do not need to be used in their entirety; rather, instructors may choose the units that best fit their needs.

Curriculum Material – Version 3 Released in March 2012

• The third version of the curriculum materials is now available to the public on the NTDC website at http://www.onc-ntdc.org or http://www.onc-ntdc.info .

– New and improved content, especially on privacy and security, meaningful use

– Better integration of content across components

– More robust accessibility features

– Standardized document formats and naming

– Search and index tools added to the site

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Curriculum Development Centers

Office of the National Coordinator for

Health Information Technology

How to Access the Materials • To obtain the curriculum materials, go to http://www.onc-

ntdc.org or http://www.onc-ntdc.info to set up a profile and download the components.

• Visit the ONC website at hhs.healthit.hhs.gov to learn more about the Curriculum Development Centers program and other ONC health IT workforce development programs.

Competency Examination Program

• NOT A CERTIFICATION PROGRAM

• Competency exams for the six roles that Community College and Curriculum Development Centers are addressing

• Tests for Individuals Completing Non-Degree Training

• Cooperative Agreement Awarded to Northern Virginia Community College

• 7,000 vouchers available

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What processes did the grantees use to implement the programs and meet program goals?

To what extent did the grantees meet their respective Workforce Program requirements?

To what extent did the students enrolled in funded community colleges and universities gain employment in health IT?

Evaluation: Workforce Program

Surveys

Community College Student Cohort

Survey

University-Based Training Student

Cohort Survey

Community College Faculty Survey

Site Visits

Community Colleges

Universities

Focus Groups

Community College and UBT Students

Community College and UBT Faculty

Competency-exam takers

Fall 2011-Fall2012

Data Collection Efforts

9/21/2012 27 27