1. “What Is It You Do Again?” A Non-Traditional HIM Career Rayna Scott, RHIA September 11, 2008

2. How did I get here? Slowly Slowly Chose a non-traditional career path Chose a non-traditional career path Learned as much as possible from each position Learned as much as possible from each position Made continuing education a priority Made continuing education a priority Volunteered (NIHIMA, NBC Advisory Board, ILHIMA, AHIMA Task Force) Volunteered (NIHIMA, NBC Advisory Board, ILHIMA, AHIMA Task Force)

3. Quality and Performance Improvement Data driven Data driven Higher priority due to recent health care trends Higher priority due to recent health care trends Demonstrates accountability to health care purchasers and patients Demonstrates accountability to health care purchasers and patients Used in health care decision making Used in health care decision making

4. Quality Scorecards

5. What is ORYX? What is ORYX ® ? Not an acronym! Not an acronym!

6. The Joint Commission’s Performance Improvement Initiative Integrates performance measurement activities into the accreditation process Integrates performance measurement activities into the accreditation process Standardizes data collection and reporting Standardizes data collection and reporting Focuses on both process and outcomes Focuses on both process and outcomes Prompts action based on data (graphs) Prompts action based on data (graphs)

7. Current ORYX Measure Sets Acute Myocardial Infarction (AMI) Acute Myocardial Infarction (AMI) Heart Failure (HF) Heart Failure (HF) Pneumonia (PN) Pneumonia (PN) Pregnancy (PR) Pregnancy (PR) Surgical Care Improvement Project (SCIP) Surgical Care Improvement Project (SCIP) Children’s Asthma Care (CAC) Children’s Asthma Care (CAC) Hospital Outpatient Measures (HOP) Hospital Outpatient Measures (HOP) Hospital-Based Inpatient Psychiatric Services (HBIPS) – October, 2008 Hospital-Based Inpatient Psychiatric Services (HBIPS) – October, 2008

10. “Quality Check”™ Part of the National Quality Improvement Goals Part of the National Quality Improvement Goals Core measure data is available to the public Core measure data is available to the public Compares data at state and national level Compares data at state and national level Presents results for an entire twelve-month period Presents results for an entire twelve-month period Updated quarterly Updated quarterly

12. Skill sets needed Proficiency with health care data, statistics and structure Proficiency with health care data, statistics and structure Understanding of performance improvement models and tools Understanding of performance improvement models and tools Knowledge of regulatory requirements (external forces) Knowledge of regulatory requirements (external forces) Effective communication with different audiences Effective communication with different audiences

13. But there’s more… Emerging technologies that affect health information capture Emerging technologies that affect health information capture EHR data flow EHR data flow Data validation and verification procedures Data validation and verification procedures Reporting to different regulatory entities Reporting to different regulatory entities Multiple uses for the same data Multiple uses for the same data

14. What is Medical Informatics? “Deals with the resources, devices and methods required to optimize the acquisition, storage, retrieval and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems.” “Deals with the resources, devices and methods required to optimize the acquisition, storage, retrieval and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems.”Source: http://en.wikipedia.org/Medical_Informatics

15. It Includes: Development of the EHR, PHR and RHIOs Development of the EHR, PHR and RHIOs Standardizing clinical terminology Standardizing clinical terminology Decision support systems (i.e. diagnosis and treatment of disease) Decision support systems (i.e. diagnosis and treatment of disease) Telemedicine and telehealth Telemedicine and telehealth

16. Career Opportunities Clinical Analyst Clinical Analyst Clinical Vocabulary Manager Clinical Vocabulary Manager Health Systems Specialist Health Systems Specialist Information Privacy Coordinator Information Privacy Coordinator Optical Imaging Coordinator Optical Imaging Coordinator Chief Information Officer (!) Chief Information Officer (!) Source: HIM Body of Knowledge, AHIMA

17. Things I’ve Learned Patience! Patience! Keep an open mind Keep an open mind Observe your environment, look for growth opportunities Observe your environment, look for growth opportunities Be professional at all times! Be professional at all times! Humility and empathy go a long way Humility and empathy go a long way

18. Questions?