state of field-program · agenda for today • launch new live streaming of ohsu thursday...

1/9/14

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OHSU Informatics: State of the Field, State of the Program William Hersh, MD Professor and Chair Department of Medical Informatics & Clinical Epidemiology Oregon Health & Science University Portland, OR, USA Email: [email protected] Web: www.billhersh.info Blog: http://informaticsprofessor.blogspot.com

Agenda for today

•  Launch new live streaming of OHSU Thursday informatics conferences –  Interactive too: tweet questions to

@OHSUInformatics hashtag #q&a •  Please tweet your name to #signin to conference

– Sometimes on different days and times – Sorry we are unable to supply remote pizza!

•  Provide an update on the state of the field and the state of program

@OHSUInformatics #q&a 2

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State of the field: the last few years have been quite a ride


Recent results affirm health IT use growth and evidence base


(ONC Health IT Buzz Blog, 2014)

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Growth of field has led to increased job opportunities

•  Analysis of HIMSS Analytics Database™ estimated need for 41,000 additional HIT professionals as we moved to more advanced clinical systems (Hersh, 2008)

•  ONC increased estimate of need to 50,000, leading to Workforce Development Program being part of HITECH Program (Hersh, 2012)

•  Actual numbers hired have been even higher (Furukawa, 2012; Schwartz, 2013) – see next slide

•  OHSU contributed –  ONC Health IT curriculum –  University-based training (UBT) program


Although we all underestimated the growth

Employment in health IT-related occupations in the health delivery system: 2005-2011 (Furukawa, 2012)


>60K!

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Job postings in health IT

•  Percent change in online health IT job postings per month increased much more relative to healthcare jobs and all jobs (Furukawa, 2012)

•  Between 2007-2011, 226,356 health IT jobs posted (Schwartz, 2013)


OHSU did its part


Applied for UBT funding – 488 (466, 22) Other OHSU Informatics students during UBT time period

Accepted and enrolled – 176 (36%) (163, 13)

Not accepted/did not enroll – 312 (64%) (303, 9)

Graduated 133 (121, 12)

Withdrew 43 (42, 1)

Enrolled (self-funded)

65 (61, 4)

Enrolled (self-funded)

12 (1, 11)

Enrolled – 272 (189, 83)

Graduated – 153 (86, 67)

3 (2,1)

http://www.onc-ntdc.info (Moving to AMIA)

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Still, shortages persist for experienced health IT workforce

•  Survey of healthcare CIOs (CHIME, 2012) –  71% said IT staff shortages could jeopardize an

enterprise IT project, while 58% said they would definitely or possibly affect meeting meaningful use criteria for incentive funding

–  85% also expressed concerns about being able to retain current staff

•  Survey of health IT leaders (HIMSS, 2013) – Found comparable picture in both healthcare

organizations and vendors having challenges recruiting and maintaining staff


But now we must move on; what are key areas ahead?

•  Optimizing the electronic health record (EHR) –  Analytics of EHR and other clinical data for increasing quality, efficiency,

and coordination of healthcare –  Standards, interoperability, and health information exchange (HIE) –  Will expand to “big data” when we add in data from genomics, imaging,

personal health devices, etc. •  Patient engagement

–  Use of personal health record (PHR) for engaging consumers and patients in their health and healthcare

•  Precision/personalized medicine –  Based in part on bioinformatics and computational biology, with

potential to revolutionize diagnosis and treatment of disease

•  Audience to add more in discussion


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Important initiatives going forward

•  Getting to the “meaningful” part of meaningful use –  e.g., HIE, patient engagement, etc.

•  Patient-Centered Outcomes Institute (PCORI) –  Clinical Data Research Networks

•  NIH Big Data to Knowledge (BD2K) •  Clinical informatics subspecialty

–  AMIA Interprofessional Informatics Certification to follow for non-physicians

•  And yes, the Affordable Care Act (aka, Obamacare)

•  I am sure audience can think of more


Meanwhile, back at the (virtual) informatics ranch

•  No official rankings, but OHSU informatics program is a leader by aggregate of measures –  1 of 14 programs to have a National Library of Medicine NIH

Training Grant for PhD and postdoctoral students –  1 of 9 programs funded under the Office of the National

Coordinator Health IT Workforce Development Program –  1 of 8 programs funded by the NIH Fogarty Center Informatics

Training for Global Health Program in collaboration with Hospital Italiano de Buenos Aires

–  Consistent recipient of research funding, appointment to national leadership positions, publication in high-profile journals, etc.

–  Highly accomplished alumni employed in many different settings


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Success for our educational programs by the numbers

International students from: Argentina, Singapore, Egypt, Israel, Zimbabwe, Thailand, China, and others


Our offerings are robust

Degree/Certificate Track

PhD MS MBI Grad Cert

Clinical Informatics

On-campus

On-campus On-line

On-campus On-line

On-campus On-line

Bioinformatics and Computational Biology

On-campus

On-campus

Health Information Management

On-campus On-line

On-campus On-line

On-campus On-line


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Our program provides value

•  For tuition and fees comparable to other programs, students receive – Cutting-edge curriculum based on solid

foundation – Faculty who are international leaders in

research and practice –  Internship/practicum experience – Career development and advising – Connections to industry and others


Many job titles and employers of our graduates

•  Product manager •  Clinical informatics analyst •  Informatics researcher •  Librarian •  Consultant •  Project manager •  Terminology engineer •  Software engineer •  Chief medical informatics officer •  Information systems manager •  Bioinformatician •  Data manager •  Database administrator/architect •  Faculty

•  OHSU •  Providence Health System •  Kaiser-Permanente •  OCHIN •  Impact Advisors •  Health Share of Oregon CCO •  Epic •  Cerner •  NextGen •  Sutter Health •  National Library of Medicine •  Harvard Medical School •  University of Virginia


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Partnership programs

•  10x10 (“ten by ten”) – repackaging of introductory course as standalone course in partnership with AMIA –  About 1600 completed since

2005, with 20-25% enrolling in OHSU graduate program

•  Clinical Informatics Board Review Course (CIBRC – Hersh, Director) –  More to come with more

certification


Important program initiatives going forward

•  Curriculum revision/expansion –  Analytics is both real and a buzz-word –  But the real value of informatics is in the data we use to

improve health and healthcare, so we must incorporate data science

•  Informatics Discovery Lab (IDL) –  In light of flat federal research funding and desire for

impact beyond research labs, undertaking new initiative focused on partnerships with industry and others

•  Audience can add more in discussion


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Why the IDL?

•  Need for informatics has gone far beyond academic health centers; is now at the forefront of efforts to improve the healthcare and research systems

•  “Home grown” informatics solutions increasingly rare; real opportunity lies on commercial platforms –  Happened in computer science long ago

•  Academia and industry can solve problems together that cannot be solved in isolation

•  Old model of grant-based funding is diminishing; program needs to diversify base of support by focusing on value


Complementary strengths and skills present great opportunities for collaboration


•  Deep understanding of informatics issues

•  Novel approaches •  Evaluation driven science •  Wide range of expertise •  Ability to look beyond today •  Grant funding experience •  Smart and curious students

•  Deep understanding of product, customer, and market issues

•  Extensive experience with development and deployment of products

•  Real world environment and exposure

•  Long term commitment to customers and product support

Academia Strengths Industry Strengths

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Initial IDL activities

•  Industry Leadership Speaker Series –  Epic, GE, IBM, Intel, M*Modal, and others

•  Epic partnership –  Access to Epic in educational program –  Use of Epic as research platform

•  Expand internship program –  Include more students, more industry partners, and

more opportunities •  OHSU Predictive Analytics Service •  New faculty recruitment


Before you talk or tweet

•  The only constant is change •  Informatics is still the place to be •  OHSU approach makes most sense

–  Advocate and evaluate with “enlightened skepticism” –  Build workforce to disseminate and apply best

knowledge and practice –  Advance research and education on real-world

commercial platforms

•  Address questions here in room or tweet to @OHSUInformatics #q&a


state of field-program · agenda for today • launch new live streaming of ohsu thursday...

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