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War on talent about to begin in healthcare IT

October 23, 2009 | Bernie Monegain, Editor

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BOSTON – The government's piece of the stimulus package aimed at boosting the adoption and use of healthcare information technology is expected to create 50,000 new jobs – maybe more.

A panel of healthcare IT experts who spoke Thursday at the 6th annual Connected Health Symposium in Boston agreed that 50,000 seems right.

"The need for IT is going to explode," said Andrew Vaz, national director of life sciences for Deloitte Consulting. He said companies like Oracle, SAP, IBM and Cerner are trying to position themselves to "win the war on talent," both in the United States and offshore.

"Fifty-thousand is a pretty big number," said John Glaser, CIO of Partners HealthCare in Boston and an adviser to the nation's healthcare IT chief, David Blumenthal, MD. "The timeframe is pretty short. That's just a lot of people in a short period of time."

There are a few unknowns.

"We don't know how fast that will occur," Glaser said. "Also, we don't really understand the secondary opportunities."

New workers will be needed at all levels, from pulling wire to overseeing installations, Glaser said. Doctors and other healthcare providers will also need help getting started.

"The current workforce in our healthcare organizations are not prepared to stretch," said Eileen Sporing, senior vice president for patient care operations and chief nursing officer at Children's Hospital Boston.

She said nurses might not be as well prepared for the change from paper to digital as other healthcare providers.

 "Nursing as a discipline is not advancing quickly enough in the informatics field," she said.  "Nursing has a huge deficit of knowledge, a long curve." By contrast, she said, the pharmacy workforce seems "fairly facile."

Training

Glaser said training would be needed in established computer science and informatics programs in universities and community colleges, depending on the level of skills sought.

He said the federal government will "put some money on the table" for training.  He also expects healthcare organizations will fund some of the training "because they've got to invest to draw talent." The same goes for vendors, he said.

Sporing agreed. "It's a mix, same as we're doing now," she said.

The biggest gap is in the higher-level set of skilled IT workers, Vaz said.

"It will be hard to find seasoned, experienced" personnel, Glaser agreed. And while there is appeal to hiring bright, energetic 23- and 24-year-olds, he said, there's an "element of effectiveness on the job" that comes from having seen and solved problems associated with major deployments.

Related Topics:
  • Andrew Vaz
  • Boston
  • Cerner
  • Deloitte Consulting
  • Eileen Sporing
  • IBM
  • John Glaser
  • Oracle
  • SAP
  • stimulus
  • United States

Reader Comments (13)Login to Post a Comment

IngridB says: The importance of healthcare experience in IT
November 30, 2009 | 12:20PM GMT

The reason IT professionals are struggling in the world of healthcare is that most of them don't relate well to the field. From personal experience I can tell you that the majority of those without healthcare experience don't seem to understand that a patient's life may very well be hanging in the balance. This results in a very highly stressed customer that must be responded to in a different manner. I come from the clinical side and have been on the receiving end of 'it's 5:00 and we'll pick this up tomorrow (or Monday which is even worse), uncovered software support shifts, and (my personal favorite) a condescending attitude because I didn't speak IT.
As an EHR trainer I have found incredible acceptance and appreciation in medical practices because of my background. I am also blessed with great IT support from within my company. I act as an interface for my customers and run interference for them for those 'this is really critical and can't wait' issues where going home at 5:00 doesn't cut it. I also help my IT dudes prioritize between critical issues and impatient provider issues.

JMR says: Health Informatics Professionalism
November 10, 2009 | 4:29AM GMT

The UK has been developing since 2002 a voluntary registration scheme under the UK Council for Health Informatics Professions, to address the needs for all consituencies of the health informatics community. Go to www.ukchip.org for details of the processes for registration and continuing professional development, standards development, the open register and the breadth of the community we support.
The 'finess to practice' information and the Code of Conduct etc are signed up to nearly 1000 professionals working in HI in the UK for operational, academic (teaching and reserach) and commercial bodies.
Working with other European colleagues including the Irish we are looking to facilitate international mobility by exploring rationalisation of schemes already in place.
Our processes, like others', give food for thought and are working in practice.
Jean Roberts

rickparrot says: These Comments are Dead On...
November 04, 2009 | 10:39PM GMT

As others have stated, I've found that this industry is extremely immature in its outlook on technology.

Health care is too stratified. An RN is better than a LVN and a doctor is the king of the hill. I was actually told that my 15 years of corporate information technology background was irrelevant since I didn't have an RN license.

What supprised me the most when I became a nurse and started looking at Nursing Informatics, was that many people in this field had almost no real world information technology experience. In some cases, just "being good with computers" was enough.

Other industries would never entrust their business to someone who was "good with computers".

What is needed is to entice technical experitse from other industries and integrate them into the mix. Then maybe you'd see projects getting accomplished more efficiently and have less opposition to automation.

As for me, I'm working on my RN!

BillB says: There are no quick fixes for talent
November 02, 2009 | 12:42PM GMT

The biggest challenge to all IT people who enter the Health Care environment is 24x365 support around a massive array of non-integrated solutions. This industry has some of the least mature solutions around some of the most complex problems.

The second largest challenge is to progress the culture within an entire organization from reactionary to proactive consistent process. Pushing CPOE or other clinical process standards can only be established on years of trust with IT staff proving their value.

You need a stable foundation of IT people who understand clinical work flow and some of the highest technically skilled professionals. Then to infuse the staff with those new 23 and 24 year olds. If is a difficult task to take these new recruits and nuture them when what they see is their life being sucked away by an emergency page on Christmas Day.

Maryanne says: Hal and Rochelle have it right!
November 01, 2009 | 11:11PM GMT

Much of the industry is not open to new ideas and are clinging to the notion that anyone with a background from another industry is not capable of understanding and therefore incapable of helping, but there are also a few open minded industry leaders who say the best thing that could happen to healthcare is an infusion of new ideas from other industries. There may well be 50,000 of us ready to help, but it can only happen if the former are willing to listen to the latter.

hal9007 says: Expand the gene pool
November 01, 2009 | 12:19AM GMT

Effective healthcare IT requires a wide range of skills and experience. The quickest way to develop that range is to incorporate experienced people from other industries who have relevant IT experience. As part of a team they will learn the fundamentals and most of the nuances of healthcare quickly. With fresh eyes, they will make unexpected contributions. They will stimulate the discussions about options and solutions. And, they will bring new points of view about IT and the world with which healthcare must interface, e.g., patients who are growing more computer savvy, healthcare related products and services beyond the normal bounds of healthcare such as retail drugstore clinics, online medical advice, and evolving electronic medical devices.

If you want a stronger species or IT team, deepen and expand the gene pool.

Excerpt from: http://emrnet.wordpress.com/2009/08/21/building-a-healthcare-it-team/

Hal

Rochelle says: Be Open to Skills Transfer
October 26, 2009 | 6:38PM GMT

There are many IT professionals that are ready to contribute significant implementation and user adoption experience but don't currently have a Healthcare track record (myself included). Hopefully the industry will recognize the value of their proven IT capabilities and provide them an opportunity to quickly come up to speed on the unique Healthcare requirements, issues, and adoption challenges. The good news is, the best IT professionals are pretty practiced at learning new industries quickly and are likely already accruing Healthcare knowledge through channels other than direct experience. Healthcare is complex and difficult to master; the same is true of IT. There seems to be some degree of faith that clinicians can make the leap – why not the other way around?

TJMichael says: Build a Bridge from IT to Health IT
November 05, 2009 | 3:48PM GMT

Rochelle's comment is spot on. I too am a seasoned, senior IT professional (+25 years) and a recent graduate from the OHSU Biomedical Informatics Masters program. I expected that these credentials would be highly valued in the health IT world. Yet, after 18 months of job search I remain with my current employer, with not one offer.
So we need to find a way to build a bridge, to demonstrate that non health IT professionals have skills and experience which in the right environment, can and will make significant contributions toward improved health IT.
The demand for 50,000 or more skilled workers will not be met through internal growth. "Outside" resources will be needed.
Who will join me in building that bridge?

jdearinger says: Informatics Education - Masters Programs
October 26, 2009 | 8:27AM GMT

I have found that Healthcare or Clinical Informatics Masters programs are limited if you would like to keep in-state tuition. I hope this does change, but in the mean time it may be out of state on-line university costs for me.
I agreee that experience overrides education and the canidate that is blessed with both is the person that will be in high demand. I entered this field 4 years ago and am currently getting ready to implement CPOE in our facility. I look forward to a very long and interesting career in Healthcare Informatics. This time in our field is very exciting!

John Norri says: Informatics Ed.
October 26, 2009 | 10:00AM GMT

Be sure to check with the college you are looking at attending. Some have agreements with other states and won't apply an additional charge.

I have my graduate certificate in Biomedical Informatics from Oregon Health and Sciences University. That's not a Masters, but a solid 8 graduate level classes in the subject and a great way to get a good foundation.

Combine the education and experience outside clinical settings, and that may be the best way to get those 50,000. (At least that is my plan!)

john-norris.net

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