1. Oregon Institute of Technology Health Informatics: An Emerging Health Care Occupation Dr. Michael Kirshner Program Director Health Informatics OIT Oregon Healthcare Workforce Institute – Healthcare Careers Pathways Summit April 9-10, 2008

2. Oregon Institute of Technology What is Health Informatics Health informatics is the application of clinical, information management, information technology and management practices to achieve better health. Applied Information Technology in Health Care

3. Oregon Institute of Technology Cornerstones of Informatics Analyze data Manage knowledge Data acquisition and representation Manage change Integrate information

4. Oregon Institute of Technology Our Challenge “The challenge is to find well-rounded IT professionals who have an understanding of healthcare informatics, health insurance industry and relationship management skills.” Kumar Chatani, Kaiser Permanente – Regional CIO

5. Oregon Institute of Technology Why Is HI Needed? Transformation –New information technologies are driving HC transformation High demand –HC employers need more qualified employees –>200 potential openings /year in Oregon Low supply –Role of Higher Education –in Oregon <50 HI grads/year Core Competencies –Prepare the future workforce –Support CC and OUS plan for Health Care Workforce Challenges & Solutions

6. Oregon Institute of Technology Transform Health Care Improve efficiencies Lower cost Improve quality Reduce errors Increase safety Engage patients Institute of Medicine 2001 Health care is in crisis - Health Informatics can… 1999 2006 2003

7. Oregon Institute of Technology Demand What is the demand? How is it determined, measured and verified? Where should we be looking for solutions?

8. Oregon Institute of Technology OED/BLS By 2016 > 200 HIT job openings / year in Oregon 9+ SOC categories 30% increase in demand by 2016

9. Oregon Institute of Technology Supply How is supply defined? Who develops the supply? Who are the stakeholders? What are the challenges facing HIT supply? Where should we be looking for solutions?

10. Oregon Institute of Technology Education AA/AAS/AGS/Certificate– HIM/HIT, CIS, HI BS/Undergrad Certificate – Health Informatics MS/PhD/Graduate Certificate – Medical Informatics

11. Oregon Institute of Technology Training to Core Competencies Are there a set of core competencies for HIT? What are they? How will they change over time? How do competencies affect demand and supply? What are the challenges facing HIT competencies? Where should we be looking for solutions?

12. Oregon Institute of Technology HI Competencies Understand clinical systems & structured data Knowledge management Software development Critically & effectively process information Understand impact of technology in Health Staggers, Gassert & Skiba, Health Professionals’ Views of Informatics Education: Findings from the AMIA 1999 Spring Conference, JAMIA, 2000

13. Oregon Institute of Technology Challenges & Solutions Make meeting health care workforce needs a top priority Ensure that validated core competencies guide supply side Plan for new models of health care IT training Create career pathway with integrated curricula

14. Oregon Institute of Technology Career Pathways: HI High School Assoc Degree Bachelor Degree MS/PhD Work Level 1 Work Level 2Work Level 3 2+ yrs 4+ yrs 2 – 4+ yrsCollege prep Help Desk End User Support Database developer Assistant Assistant Technical Writer Assistant Software Tester Business Analyst Assistant User Training Assistant Application Developer Database Developer/Admin Systems Implementation Spec. Research Assistant Technical Writer/Support Junior Business/System Analyst Junior IT consultant CMIO, CNIO CIO CTO Senior Researcher Senior Analyst Systems Developer MI Manager

15. Oregon Institute of Technology Curriculum Design Process Identify industry/employer requirements Based on validated models and theory Leverage other Health Informatics programs Fit with school’s existing courses / programs Locate qualified faculty Leverage delivery models Incorporate industry experience (co-op)

16. Oregon Institute of Technology BS Program Models BS degree –4+0, 2+2 degree completion, 1+3, 3+2 (BS+MS) Certificate –Working professional - non degree –Core set of courses Intro/survey courses –Allied Health students Short courses, Continuing Ed, Distance Ed –Incumbent workers –Seminars/Workshops

17. Oregon Institute of Technology 2+2: CC + OIT

18. Oregon Institute of Technology Degree Curriculum

19. Oregon Institute of Technology Courses Computer Networks Decision Support Systems Finite Math and Calculus Health Care Technology Health Informatics Leadership Legal Issues Research Methods Oracle DB Programming Organizational Change & Development Process Improvement Relational Databases Systems Analysis Technical Report Writing Total Quality in Health Care Health Care Financing

20. Oregon Institute of Technology Senior Project - Industry Partners Hospitals Labs Medical Clinics Payers & Vendors Health Care Devices

21. Oregon Institute of Technology HI Graduate Jobs Positions –Consultant –Systems Designer –Database Administrator –Interface Analyst Work industries –Hospitals –Health Insurers –IT industry, Vendors –Labs, Clinics –Research, Consultants –Government Potential pay range –$40k - $50k starting, up to $75k Projected job growth - >25%

22. Oregon Institute of Technology HI Computer Simulation Lab Business/Management Systems Electronic Medical Record Clinical Information Systems PACS, Labs, Medications Communication systems Infrastructure/Network SIM LAB ALLIED HEALTH IT/HI CCWD Grant Funding – OIT matching grant Pilot Project

23. Oregon Institute of Technology SIM Lab

24. Oregon Institute of Technology Contact Information www.oit.edu/portland Health Informatics Program E-mail: michael.kirshner@oit.edu Phone: 503.725.3066