IT in Healthcare IT Careers in Healthcare Emerging opportunities for IT professionals Prof. Vance Wilson Arizona State University
IT Careers in Healthcare Whats New in Healthcare? Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandates Standardization of health information systems Standardization of health information systems Increased focus on privacy and security of data Increased focus on privacy and security of data Mergers, acquisitions, and search for cost reductions are driving massive IT integration in healthcare Mergers, acquisitions, and search for cost reductions are driving massive IT integration in healthcare Reduced insurance coverage (e.g., higher co-pay) gives patients more incentive to comparison shop Reduced insurance coverage (e.g., higher co-pay) gives patients more incentive to comparison shop E-health gives patients more information, creating a population of informed consumers who want online access to their doctors, pharmacists, and insurers E-health gives patients more information, creating a population of informed consumers who want online access to their doctors, pharmacists, and insurers
IT Careers in Healthcare Why Should We Care? Healthcare is a HUGE industry, accounting for at least 16% of U.S. GDP in 2009 and projected to grow at 7.3% per year through 2013 Healthcare is a HUGE industry, accounting for at least 16% of U.S. GDP in 2009 and projected to grow at 7.3% per year through 2013 IT investments are growing FASTER than overall healthcare, with some sectors growing over 15% per year IT investments are growing FASTER than overall healthcare, with some sectors growing over 15% per year $16.4 billion $35 billion BCC Research Healthcare IT Investment Projection
IT Careers in Healthcare Areas of Healthcare IT Transaction Systems Clinical Systems Patient-Connected Systems
IT Careers in Healthcare Areas of Healthcare IT Transaction Systems Admissions / Releases Insurance Claims Patient Billing Payment Processing Inventory Management Workflow Administrative Reports Electronic Medical- Health-Patient Records (EMR, EHR, EPR)
IT Careers in Healthcare Transaction Systems A person can walk into an electronics store and use a credit card to buy a $1,200 television within a matter of minutes. That same person can walk into a doctor's office for a $50 medical test, but neither the doctor nor the patient knows whether insurance will cover it. At the end of the month, the doctor's office files a claim. Then, several weeks later, the insurance company acknowledges receipt of the claim. After two months, the office is reimbursed. And finally, after a total of three months, the patient receives a bill for the balance, but can't recall why he had gone to the doctor to begin with.
IT Careers in Healthcare Transaction Systems "Healthcare business transactions account for about a $250 billion share of a $1.2 trillion industry that desperately needs an information technology solution" MedUnite CEO factfile46721.html President George Bush, 2004 By the authority vested in me as President by the Constitution and the laws of the United States of America, and to provide leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care, it is hereby ordered... President George Bush, 2004
IT Careers in Healthcare Areas of Healthcare IT Transaction Systems Clinical Systems Diagnosis Treatment Monitoring Prescription Billing Documentation
IT Careers in Healthcare Clinical Systems
IT Careers in Healthcare Areas of Healthcare IT Transaction Systems Clinical Systems Patient-Connected Systems Telemedicine DiagnosisDiagnosis TreatmentTreatment MonitoringMonitoring E-Health ContentContent ConnectivityConnectivity CommunityCommunity Clinical CareClinical Care Web Transactions InsuranceInsurance RecordsRecords BillingBilling
IT Careers in Healthcare Patient-Connected Systems The Connected Healthcare Community Patient Life Insurer Healthcare Provider Credit Card Company State Health Commission Clearinghouse Vendor Network Health Plan Social Services Employee Health Program Retail Pharmacy Note how important networking is in automating each of these links
IT Careers in Healthcare Patient-Connected Systems Clinical Care Community Connectivity Content
IT Careers in Healthcare Opportunities for IT Professionals IT professionals are essential for effective organizational computing, so organizational changes in healthcare point to new job opportunities, such as: IT professionals are essential for effective organizational computing, so organizational changes in healthcare point to new job opportunities, such as: Migrate Healthcare Transactions to the Internet Migrate Healthcare Transactions to the Internet Build and test new systems to link healthcare sectors, e.g., clinics, labs, pharmacies, and insurance Build and test new systems to link healthcare sectors, e.g., clinics, labs, pharmacies, and insurance Manage databases to store new forms of clinical data, e.g., digital images and electronic records Manage databases to store new forms of clinical data, e.g., digital images and electronic records Develop web systems to connect monitoring devices Develop web systems to connect monitoring devices Administer communication between patients and healthcare providers Administer communication between patients and healthcare providers Provide programming support for e-health projects Provide programming support for e-health projects
IT Careers in Healthcare Where to Find Out More… Organizations Organizations American Medical Informatics Association (AMIA) American Medical Informatics Association (AMIA) American Medical Informatics Association (AMIA) American Medical Informatics Association (AMIA) Healthcare Information and Management Systems Society (HIMSS) Healthcare Information and Management Systems Society (HIMSS) Healthcare Information and Management Systems Society (HIMSS) Healthcare Information and Management Systems Society (HIMSS) Job Boards Job Boards biohealthmatics.com biohealthmatics.com biohealthmatics.com meditjobs.com meditjobs.com meditjobs.com General-purpose sites, searching for health IT keywords General-purpose sites, searching for health IT keywords Monster.com Monster.com Monster.com Careerbuilder.com Careerbuilder.com Careerbuilder.com