Investing in People: Strategies for eHIM

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Investing in People Strategies for e-HIM

• Claire Dixon-Lee, PhD, RHIA, FAHIMA
• American Health Information Management Association

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• The transition to an electronic health record
  (EHR)AND a nationwide health information network
  (NHIN) --- requires not only significant
  investment in technologies
• But a significant investment in people,
• to succeed.

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e-HIM

• e-HIM represents the practice of Health
  Information Management in an electronic
  environment.
• Promote migration from paper to an electronic
  health information infrastructure
• Reinvent how institutional and personal health
  information and records are managed
• Deliver measurable cost and quality results from
  improved information management

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• Work Force Summit November 2005
• AMIA, AHIMA Alliance
• Brought 48 stakeholders together to discuss
  action steps
• AHIMA Board and the Education Strategy Committee

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AHIMA and AMIA Goals

• Jointly define a multi-year work force research
  agenda
• Define basic competencies for those who use the
  EHR in daily work
• Engage informatics and information management
  education leaders to prepare a vision of the
  academic resources and network needed in the US
• Seek federal and private funding
• Secure legislative solutions for work force
  development and retraining shortfalls

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What is HIM - AHI?

• Health Information Management/Applied Health
  Informatics is
• A profession that is a value-added bridge
  between clinicians, payors, regulators,
  patients/consumers and technology (electronic
  health record)
• A synthesis profession
• Critical skills and competencies essential to
  build the nationwide health information network
• Established educational, accreditation and
  credentialing processes
• the Future..

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Skill Sets Emphasized

• Data content, structure and standards
• Security and privacy management
• Health information workflow using EHR and other
  technologies
• Reimbursement methods, fraud surveillance
• Regulatory and compliance requirements
• Data analytics, predictive modeling
• Advanced neural networks, building and using
  databases

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Education Challenge

• Those who educate health professionals must
  revise their curricula to reflect the electronic
  environment into which their graduates will enter.

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e-HIM Virtual Lab Project

• Internet-based laboratory for academic programs
  in HIM
• Industry collaboration
• Technology applications
• Learning support lessons
• Learning management system (LMS)
• HIM principles and practices applied to EHR
  software applications

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e-HIM Virtual Lab

• Pilot of 47 academic programs 1900 students and
  instructors
• Includes software applications
• Patient identification system
• Patient registration
• Administrative/Reimbursement clinical coding
• Patient record tracking and clinical data capture
  
• Next applications
• Electronic document management system (EDMS)
• Documentation content quality maintenance
• Dictation, speech recognition, natural language
  text processing
• Electronic health record tools

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Collaboration

• New collaborations between business, healthcare
  delivery and education must be developed and
  funded
• Bridge the divide between faculty, research, and
  real-world applications

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Education Challenges-Summary

• Train the current healthcare work force to use
  information technologies
• Educate the health professions educators
• Educate for the future - health information
  specialists
• Health Information Managers
• Applied Health Informaticians
• Health IT Professionals

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