Health Information Management - Northern Virginia Technology ...

Health Information Management - Northern Virginia Technology ...

Health Information Management

Workforce Issues

Inform You About

America’s s Community Colleges

Northern Virginia Community College

Medical Education Campus

HIM Career Field

The Hidden Professions in Biomedical Security

HIM Initiatives

HIM Workers

Northern Virginia Workforce Shortage


Community Colleges

Community College Facts

Number of Community Colleges:

Total: 1,117

Public: 988

Independent: 158

Tribal: 31

Community College Facts


11.7 million students total

6.7 million credit students

5.0 million noncredit students

Enrollment Percentages:

44% - all U.S. undergraduates

40% - first-time time freshmen

60% - part time

40% - full time

(full time = 12 + credit hours)


The majority of the US healthcare

workforce are educated in community


– 59% of the new nurses

– The majority of Allied Health Workers

Homeland Security

Approximately 80% of….


Law Enforcement Officers

Emergency Medical Technicians

……are credentialed at Community


NOVA: Northern Virginia

Community College

Northern Virginia Community College

Approximately 67,000 students

enrolled annually in credit


Northern Virginia

Community College

Largest Institution

of Higher

Education in the

Commonwealth of


Northern Virginia Community College

Second largest community college in

the United States.

One of the most diverse colleges in

the U.S.

Students representing over

150 nationalities

Six campus locations, including two new centers

in Arlington and Reston.

•Registered Nursing

•Respiratory Therapy

•Radiographic Technology

•Dental Hygiene

NOVA: The Region’s Leading Provider

of Trained Healthcare Workers

Health Information Management

•Physical Therapist Assistant

•Medical Laboratory Technology

•Emergency Medical Technician

•Law Enforcement

•Fire Administration

•Environmental Safety

•Cyber Security

NOVA Provides Front-Line

Training to First Responders

•Power Grid Security

•Emergency Response


•Food Safety


Medical Education Campus

Unique Aspects

Specialized Campus (1 st in state)

Academic Partnerships with Universities


of-the-Art Design

Dental Clinic

Community-Based Network Clinics

Two Year Health Care A.A.S

Degree Programs

Dental Hygiene (RDH)

Emergency Medical Services Tech (EMT-P)

Health Information Management (RHIT)

Medical Laboratory Technology (MLT-ASCP)

Nursing (RN)

Physical Therapist Assistant (PTA)

Radiography – Diagnostic Imaging (RT-R)


Respiratory Therapy (CRT) and (RRT)

Diagnostic Medical Sonography (Fall 2008)

A.A.S In Development

Occupational Therapy Assistant

Revised HIM AAS Program

– Concentrated

– Cohort

– Hybrid Program


Clinical Coding Lab Sessions

Healthcare Certificate Programs

Computerized Tomography

Clinical Coding Specialist



Basic Emergency Medical Technician


Magnetic Resonance Imaging

Radiation Oncology

Certificate In Development

Electronic Health Record Management

Workforce Development/Continuing

Education Office

Pre-Employment Training Programs

Nursing Assistant

Medical Office Assistant

Dental X-ray X

Safety Seminar

Pharmacy Technician

Dental Chair Side Assistant

Medical Billing and Coding

Medical Terminology

Medical Office Specialist

ESL for Healthcare

Medical Transcription

Certified Clinical Coding Apprentice (CCA)

Certified Professional Apprentice -Outpatient

Career Enhancement Programs

Limited Radiography

Phlebotomy for



I.V. Therapy

Physical Assessment

EKG Review

Registered Nurse

Return to Practice

Dental X-ray X



Spanish for Nurses

American Heart

Association Classes

and Testing

Health Information


Career Field

HIM Career Field

The “glue” that holds the healthcare

delivery system together

An “Adventure in the Middle”

– Clinical

Information Technology

HIM and The Electronic Health


“By computerizing health records, we can

avoid dangerous medical mistakes, reduce

costs and improve care.” (President George

W. Bush, State of the Union Address, January

20, 2004)

“Within ten years every American must

have a personal electronic medical

record.” (President George W. Bush. American



Association of Community Colleges’ Annual

Convention, April 26, 2004)

President Obama on

Electronic Medical Records

"To improve the quality of our health care while

lowering its cost, we will make the immediate

investments necessary to ensure that within five years,

all of America's medical records are computerized. This

will cut waste, eliminate red tape, and reduce the need

to repeat expensive medical tests. But it just won't save

billions of dollars and thousands of jobs - it will save

lives by reducing the deadly, but preventable, medical

errors that pervade our health care system." February


American Health Information Management

Association (AHIMA) Press Release on President


The administration’s s firm commitment and support are

necessary to improve the accessibility, safety and effectiveness of

the national healthcare system. Reformer-in


discusses why

leadership is needed so the seven health information issues on

healthcare reform can be achieved: patient privacy and

confidentiality; public health education and access to health

information; quality improvement; electronic health record

adoption; nationwide health information exchange; data

standards that support sophisticated exchange of information

between electronic systems; and the health information

management and technology workforce.

Medical Records and

Health Information Management

Increased demand for HIM will be fueled by:

Rising health care demand

Increased scrutiny of medical documentation

Continued emphasis on the electronic medical record

Growth will be primarily distributed among physician

offices/clinics, hospitals, and long-term care facilities

Medical Records and

Health Information Management


Third-party payers and government regulators

are expected to add to the demand

Quality of Medial Records

The Hidden Professions in

Biomedical Security

Medical and Clinical


Provide first validated identification of

Bioterrorism and Biohazards

Trained in proper specimen collection and


Provides rapid ID of infectious agents

80% of validated data in a patient’s s medical

record is clinical laboratory data

Health Information Management

Three main HIM needs are identified for


– A standardized communications mechanism that will

allow healthcare providers to report and to query

public health resources

– A way to use technology to both alert and educate

healthcare professionals about the threat

– A method of reviewing certain aspects of collective

health information on individuals to determine if there

is a public health threat that warrants follow up and


Health Information



Personal Health Record --

My HealtheVet

My HealtheVet – VA

Veteran "owns" his/her personal

health record in My HealtheVet

Veteran can request a copy of his/her

VistA record be sent to the

My HealtheVet system

Personal Health Record


Personal Health Record (PHR)

Personal Health Record


Internal pilot -- MHS:

– Madigan AMC

– McChord AFB (Dec 08)

External pilot -- Hampton Roads:

– Collaborating with State of Virginia

– Sharing standardized EHR data with

private sector provider

Proceeding in Partnership

Aligning Health IT to Economic Development a

A “Virtual” Office

Powerful Lever

Galax/Twin County

Economic Strike Force, 2006

Clinical Coder vacancy rate in

Northern Virginia 11.5%,

with an expected 2,500 FTE

demand by 2020

Goal: Establish clinical coder education and employment

options as a means of economic revitalization

Problem: Plant closures have left Galax with soaring

unemployment rates and lagging per capita income

Strategy: Form strategic partnerships with Northern VA

Community College (graduates 7 per year between 1999

and 2003) and clinical coding companies to establish

distributed training and employment opportunities

Furniture industry has lost

8,000 jobs since 1990;

projected to shrink 11.5% per

year over the next six years

With five years

experience, coders

can make between


Average Income




Per Capita


Clinical Coder

Source: VEC, Northern Virginia Health Care Workforce Alliance

Seeking Partners

Vision: Develop Applications Center of

Excellence in Rural Virginia

“E-Store for EHRs”

Goal: Establish a public-private

partnership to support multiple EMR

applications in a shared services center

In October, 2006, Virginia

invested $150K in the

OnePartner Advanced

Technology and

Applications Center,

expected to employ 40 jobs

Problem: Deliver EMR services at lowcost

in an environment that encourages

rapid best practice adoption

Strategy: Simplify EMR acquisition,

drive public sector adoption, and

promote rural economic development


Health Information Management

(HIM) Workers

– Manage Health Information

Health Information Technology (HIT)

– IT



IT Professionals

Those who install, maintain and

optimize the hardware and software

Recent research indicates that as

health organizations implement

advance IT up to 40,000 new jobs will

be created

HIM Workers


Health information management professionals have skills and

competencies in:

– data management

– information policy

– information systems

– administrative and clinical work flow

HIM is operations management - essential to ensuring an

accurate and complete record and cost effective information


HIM (cont.)

In hospitals HIM is often part of the team including the IT

staff and clinical informatics that oversees electronic health


HIM skills are also critical to the quality improvement and

revenue cycle processes, ensuring the availability of accurate


The role of HIM in helping medical practices adopt EHRs is

growing and will be an ideal skill set for EHR technical


HIM is a profession that:

• Is a value-added

added “bridge” between clinicians,

payors, regulators, patients/consumers and

technology (EHRs, PHRs)

• A “synthesis” profession

• Has critical skills and competencies essential to

build the nationwide health information network


• Established educational, accreditation and

credentialing processes

eHIM represents HIM in an

electronic environment

Promotes the migration from paper to an electronic

medical records information infrastructure;

Reinvents how institutional and personal health

information and medical records are managed

Delivers measurable cost and quality results from

improved information management practices

HIM Professional Domains

Data content, structure and standards

Privacy, confidentiality and security management

Electronic health record life cycle

Data administration and analytics

Personal health information management

Reimbursement, regulatory compliance and fraud


Organization and management

Registered Health Information

Technician (RHIT)

Pass the RHIT certification exam. RHITs ensure the

quality of medical records by verifying their

completeness, accuracy, and proper entry into

computer systems. They use computer applications to

assemble and analyze patient data for the purpose of

improving patient care, quality, research & controlling


Education: Associate Degree

18% projected growth rate (2006-2016)


DOL Fastest Growing # 27 (Associate Degree)

Registered Health Information

Administrator (RHIA)

Pass the RHIA certification exam. RHIAs are skilled

in the collection, interpretation, and analysis of

patient data. Additionally, they receive the training

necessary to assume managerial positions related

to these functions.

Education: Bachelor’s s or Master’s s Degree

Clinical Coding (CCA,CCS, CC-P)

Are professionals skilled in classifying medical data

from patient records. These coding practitioners

review patients' records and assign numeric codes

for each diagnosis and procedure. To perform this

task, they must possess expertise in the ICD-9-CM


coding system.

The Clinical Coder is knowledgeable of medical

terminology, disease processes, and pharmacology.

Education: RHIA, RHIT or Certified Coder

Demand: Healthcare organizations are finding it

difficult to hire qualified people.

The Pathways of Success towards a Career

in Health Information Management (HIM)

Clinical Data Coding

Career Studies Certificate

Certified Coding Associate (CCA)

Registered Health Information

Technician (RHIT)

(Associate Degree)

Certified Coding Specialist (CCS)

Registered Health Information

Administrator (RHIA)

(Bachelors Degree)

Masters of Science degree in

Health Information Management

HIM Career Information

The Healthcare Workforce Shortage

PricewaterhouseCoopers’ Study

of the

Northern Virginia

Healthcare Workforce Shortage

Update January 2008

In Northern Virginia, without

intervention by 2020:

– There will be 17,651 Allied Health and Nursing workforce


– The Nursing and Allied Health workforce estimated FTE worker

shortage is estimated to grow to:


These estimates do not consider impacts that may result from the

Department of Defense Base Realignment (BRAC) initiatives

Today in Northern Virginia:

– RNs dominate the current and projected shortage, with

more than 1,300 current vacancies.

– Today, there is also severe shortages for:

Medical Records/Health Information Technicians

Diagnostic Imaging Technicians

Physical Therapist Assistants

Community College


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