““What Is It You Do Again?”What Is It You Do Again?”A Non-Traditional HIM CareerA Non-Traditional HIM Career

Rayna Scott, RHIARayna Scott, RHIA

September 11, 2008September 11, 2008

How did I get here? How did I get here?

SlowlySlowlyChose a non-traditional career pathChose a non-traditional career pathLearned as much as possible from Learned as much as possible from

each positioneach positionMade continuing education a priorityMade continuing education a priorityVolunteered (NIHIMA, NBC Advisory Volunteered (NIHIMA, NBC Advisory

Board, ILHIMA, AHIMA Task Force)Board, ILHIMA, AHIMA Task Force)

Quality and Performance Quality and Performance ImprovementImprovement

Data drivenData drivenHigher priority due to recent health Higher priority due to recent health

care trendscare trendsDemonstrates accountability to Demonstrates accountability to

health care purchasers and patientshealth care purchasers and patientsUsed in health care decision makingUsed in health care decision making

Quality ScorecardsQuality Scorecards

What is ORYXWhat is ORYX®??

Not an acronym!Not an acronym!

The Joint Commission’s The Joint Commission’s Performance Improvement Performance Improvement

InitiativeInitiative Integrates performance measurement Integrates performance measurement

activities into the accreditation activities into the accreditation processprocess

Standardizes data collection and Standardizes data collection and reporting reporting

Focuses on both process and Focuses on both process and outcomesoutcomes

Prompts action based on data (graphs)Prompts action based on data (graphs)

Current ORYX Measure SetsCurrent 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 Hospital-Based Inpatient Psychiatric

Services (HBIPS) – October, 2008Services (HBIPS) – October, 2008

““Quality Check”Quality Check”™™

Part of the National Quality Improvement GoalsPart of the National Quality Improvement Goals Core measure data is available to the publicCore measure data is available to the public Compares data at state and national levelCompares data at state and national level Presents results for an entire twelve-month periodPresents results for an entire twelve-month period Updated quarterlyUpdated quarterly

Skill sets neededSkill sets needed

Proficiency with health care data, Proficiency with health care data, statistics and structurestatistics and structure

Understanding of performance Understanding of performance improvement models and toolsimprovement models and tools

Knowledge of regulatory Knowledge of regulatory requirements (external forces)requirements (external forces)

Effective communication with Effective communication with different audiencesdifferent audiences

But there’s more…But there’s more… Emerging technologies that affect health Emerging technologies that affect health

information captureinformation capture EHR data flowEHR data flow Data validation and verification proceduresData validation and verification procedures Reporting to different regulatory entitiesReporting to different regulatory entities Multiple uses for the same dataMultiple uses for the same data

What is Medical Informatics?What is Medical Informatics?

““Deals with the resources, devices and Deals with the resources, devices and methods required to optimize the methods required to optimize the acquisition, storage, retrieval and use acquisition, storage, retrieval and use of information in health and of information in health and biomedicine. Health informatics tools biomedicine. Health informatics tools include not only computers but also include not only computers but also clinical guidelines, formal medical clinical guidelines, formal medical terminologies, and information and terminologies, and information and communication systems.” communication systems.”

Source:Source:http://en.wikipedia.org/Medical_Informaticshttp://en.wikipedia.org/Medical_Informatics

It Includes:It Includes:

Development of the EHR, PHR and Development of the EHR, PHR and RHIOsRHIOs

Standardizing clinical terminologyStandardizing clinical terminologyDecision support systems (i.e. Decision support systems (i.e.

diagnosis and treatment of disease) diagnosis and treatment of disease) Telemedicine and telehealthTelemedicine and telehealth

Career OpportunitiesCareer Opportunities

Clinical AnalystClinical AnalystClinical Vocabulary ManagerClinical Vocabulary ManagerHealth Systems SpecialistHealth Systems Specialist Information Privacy CoordinatorInformation Privacy CoordinatorOptical Imaging CoordinatorOptical Imaging CoordinatorChief Information Officer (!)Chief Information Officer (!)

Source: HIM Body of Knowledge, AHIMASource: HIM Body of Knowledge, AHIMA

Things I’ve Learned Things I’ve Learned

Patience!Patience! Keep an open mindKeep an open mind Observe your Observe your

environment, look for environment, look for growth opportunitiesgrowth opportunities

Be professional at all Be professional at all times!times!

Humility and Humility and empathy go a long empathy go a long wayway

Questions?Questions?