Workforce Development Ad Hoc Workgroup Public Meeting Notes. April 28, 2010

Transcription

1 Workforce Development Ad Hoc Workgroup Public Meeting Notes April 28, 2010 Attendees: Judy Burke, Middlesex Community College Leon Barzin, MMS Adam Delmolino, MHA Kathleen Donaher, Regis Nursing Daniel Feinberg, Director Northeastern Informatics Program Jill Griffin, the Boston Foundation Lisa Young Mihnos, Executive Office, Massachusetts Community Colleges Jim Noga, CIO, MGH Denise Scott, RN, Masspro Gail Wood, MA Health Information Management Assoc (MHIMA) MTC Staff: Glen Comiso Rick Shoup Kris Cyr Bethany Gilboard Angelia Lewis Judy Silvia Carole Rodenstein Workforce Development Ad Hoc Workgroup Notes: Introductions around table Dr. Richard Shoup gave overview Discussed HIT plan is on MeHI site Gave HIT plan summary This is a public meeting with everything posted Agenda and goals today Meaningful use an important component Description of MeHI History ARRA opportunities Minimize costs part of reason for these groups Description of REC and concept and goals We did not receive federal funding for workforce from ARRA grant opportunities One community college (Bristol) has received funding (in Virginia consortium) There is big opportunity for MA providers - $1.2B Rick discussed the four goals and six strategies in the plan and continued with details

2 Governance, ad hoc in nature, transparent, not a decision making body, group is advisory HIT Council will make the decisions This group is here to advise and assist; haven t been successful in grants need to do better job Health Information Exchange is another important component of our work o 1/3 of budget is interstate so critical o Have already begun process HIE Guiding principles Workforce challenges o Needs from HITECH o Significant growth o Educational not enough funding o 120K workers needed in country overview of the types of folks required based on our work including those in highest demand our strategy what are our recommendations o Leverage all resources o where can we get funding to do this? o Critical to have local workforce o Part of our grant responsibilities for HIE and REC want to validate our state of the workforce o Make sure wee are on same page short, medium, long-term needs o Validate 6 month programs o How to supplement funding/programs o Who has applied for various grants? Program Assistance for University- Based Training? o Federal opportunities leverage those Discussion during presentation: For HITECH --Disincentives were three times of the incentives for MGH incentives is $8M disincentives is $33M starts to add up How will the incentives be managed? o Part of reimbursement process o Medicaid working with us. MeHI will help administer What is happening with MA? Why aren t we getting $? o Only 5 grants o Took 10 CMS regions and combined o Didn t have all the people at the table for DOL grant we will do better job on this o Not as tight as it needed to be o But others REC/HIE where we think we need to be o In general need to bring the right people to the table DOL will be involved, as will CommCorp. Interstate mean?

3 o Records go back and forth between states Are they broadening HIE? National network? (NHIN) o National covers big institutions now VA, Kaiser, others o ONC came up with NHIN direct processes and policies to allow secure messaging over internet; oppty to leverage in regional level; unclear re: interstate o Focus at state-wide and region level Are the four mentioned highest demand? o Depends on size small orgs need them but not PM as much o Consulting needs need to have on bench o Taking into consideration consultants go to providers at high cost? o Software vendors? Selection of Co-chairs? o For HIE picked a public and private also need to have time o Proposed: Judy Burke and Ray Campbell (today w/ Sec. Sebelius staff) Ray has strong experience in space; very capable; active in HIT; knows government o Judy dean at MCC coordinate and support employers; o Group approved co-chairs Does 45% seem reasonable job growth for HIT? o Meditech 300 hires o From students demands; need to respond to ambitious agenda; don t have staff; budgetary constraints? o How are financial incentives being passed out? 2011 when it starts Hospitals 2012 o Right now 20% have EHR MGH has 100%; took 5 years have staff of 18 analysts Need these jobs Not a decreasing need at MGH Still a gap with meaningful use difficult Moving to eprescribing Recording vitals, etc. will be difficult Software will be certified otherwise out of business focus is meaningful use More than data management data analytics is more what will be required o Is there tuition support for this? One of our goals? o Is there are a market for this? o Some great expertise in room Where will jobs take place? Just Boston? o Have IOOs across state ultimately 20K doctors o Health records staff o Athena, eclinical, med-tech need to staff o Partners, BMDIC

4 o Across the board o Community hospitals, etc. o A lot of consulting groups sending across the state o First task will be to map out in the state where we see this Once system implemented complexity of meaning full use will require sustainability may need to hire people what about smaller groups? How do we manage these small groups? o Tie in to some of the work of the REC in this space o Work with IOOs o Tie into additional services REC can provide Change management is critical 75% of effort High turnover and issue? Heavily recruited Seeing people getting pulled now Key staff getting pulled this is important At Regis hybrid of e-learning/online but challenging o Team building important o Focus on healthcare professionals o Will talk to WPI on this there is a complement IT vs. h./c professionals Difficult to get h/c professional and training in IT different than non-perfect o Regis puts in same classroom for team building o But for content may be difficult covering issues h/c already know etc. Lack of funding is an issue o Curriculum o Tuition o Etc. At NEU provide curriculum can provide syllabus o attachments o We have material o How do we share resources? o At NEU 8 month certificate Maps well IT with finance can move to privacy and security; etc. 8 months tuition assistance would be helpful Employer groups internships? o VA has some programs o Need experience o Important for us to discuss how to make work o VA rep might be good for this group Offer online collaboration system ONTRAK For small practices o Involve and leverage IPAs and PHOs o Will go in that direction Are there areas where Associate Degree appropriate? o Yes absolutely o The 4-6 month skills certificate o Full range of degrees

5 o Example Year-up does this inner city train in IT support skills, s/w support skills, implementation; Laboure another example o Range some BS, MS, some Associates o Need to find out Will need to answer key questions? What can we leverage? What are the major gaps between demand and supply? How to make to recommendations. What is our niche? o Need to validate assumptions o Inventory/environmental scan o Information which is germane employer and institutional side o How to look at funding options? o DOL, etc. grants and sources of funds? o Most important will be inventory of current capabilities o Information sharing o Sensitive to competitive issues o Subsets of employers, colleges, etc. to address these issues Other thoughts? o Prefer to have institutions work together employer and education group o Need goals and objectives together o Work done separately and come together o Might be interesting to get workgroup of hiring managers Bring together What are we looking for? Addressing right outcomes o Need meeting of minds to agree on what the needs are large vs. community? Vendors need? Lean too much health or IT lose this commonality this is important o Field experience is issue: 6 week implementation doesn t happen but essential o Need to make sure we not forget the hospital vs. the provider? Our focus with REC is not hospital but we need to broaden this for this purpose; Not excluding this o HIT Plan is bigger than that o Cannot limit ourselves from workforce perspective o Need to think broader o Can t lose sight of patient as we build systems lose patient centric issues mobile technologies etc. Tie to consumer group May need to do survey, focus groups o How to weigh short term vs. long term? Short term is primary focus now feet on the street Tsunami Mid-term and Long-term need to make sure good alignment between needs Less intense

6 Still work together moving forward o Additions to group? IOOs? Community College work force Payers? Data/disease management CHCs POs, IPAs HR/Workforce from Hospitals e.g..boston Foundation working with BIMDC on incumbent workers Partners, BIMDC contacts o VA Rep Will bring expertise as needed All educational institutions? Don t have all but can pull people in. e.g., Benjamin Franklin Had to manage size of group Others important? Next step As a group where do people want to meet? o Convenient? o MCC campus in Lowell and Bedford o Northeastern possibilities o Doesn t have to be face to face o Can host in Waltham o Regis could host as well Next meeting at MTC Boston o Then can go from there Conversation with Ray o Agenda for folks Stay together for now and then split moving forward Groups meeting every couple weeks Horizon for this group? Forever? Not for credit is easier Not a problem getting approved because of need Need to have folks in place to do this Plan due in 3 months Catalogs for the fall already printed Curricular already creating Need to find staff and internships Build off other resources May have what we need to move forward quickly? Do employers have internships? NEU 3 months for students to decide

7 o Parallel recruitment and curriculum o Flexibility with programs so we can choose what we needs Have what we need. Get instructors across the board critical How to find the right people for this? Bright college grads can t find jobs? Teach America program o Create the equivalent? o Rapid deployment o Categories of service to create innovative ways to do this Nursing grads digital natives lack clinical experience In labor have clinical experts but digital immigrants o How to best train them? Bring together? o Example worker from Fidelity to Dana Farber Nursing a lot of turnover o Health Informatics o Give experience o Not ongoing work together o E.g., student teacher? S/w vendors bring out good people and opportunities for resource o On the job training of smart people Group working with Meditech to better understand h/c issues sensitize o Video training o Help increase knowledge At Cerner need to go through meetings, activities, etc. before working with providers Match program for HIT grads have a program where students poured into a match different location students compete o People willing to go someplace else? People are happy to get a job Good smart people out there o People know there is something out there for a job A lot of unemployed in this space; tuition issue and placement issue Both full and part time programs o Links to other higher ed programs Unemployment training benefits apply to programs? o EOWLD manages this o WIB should be on this; career center? Nursing training return on investment an issues Immediate need- boots on the ground How to do with existing folks, etc. Advance people career development Need to make sure we stay within guardrails with long term view Bring HR folks to discuss discrepancies would be helpful Next meeting on May 19 from at MTC Boston