For those of us feeling the impact of tightening current year budgets, this morning doing some research I came across two resources which highlight the HIMSS Analytics data set.
- Characterizing the Health Information Technology Workforce: Analysis from the HIMSS Analytics Database, April 2008
- What workforce is needed to implement the Health Information Technology Agenda? Analysis from the HIMSS Analytics Database
In order to model off of this information a couple of assumptions need to be made, in my opinion. The assumptions I utilize are as follows:
- The institution active bed count is accurate.
- In order to be rated at a stage, all components are in productive use from that stage previous stages.
- Assumes there is no outsourcing of IT resources.
- Assumes centralized IT workforce including LIS, Pharmacy IS, and informatics are in the available staffing members count.
- Assumes in-flight strategic and capital projects have resources within their funding and are not a part of this calculation
- Assumes mainly an acute care business model, without the ambulatory care centers or physician practice organizations.
Here are the thoughts for the calculation; first I evaluated our current state on the EMR Adoption Model.
EMR Adoption |
Description |
% of US Hospital Q3-2008 | IT Staff to Beds |
Stage 7 |
Medical Record Fully Electronic; Health Care Organization able to contribute to CCD as a byproduct of EMR; Data Warehousing in use |
0.1% |
Not available |
Stage 6 |
Physician Documentation (structured templates), full CDSS (variance & compliance) full R-PACS |
1.0% |
.196 |
Stage 5 |
Closed loop medication administration |
1.3% |
.167 |
Stage 4 |
CPOE, CDSS (clinical protocols) |
1.9% |
.210 |
Stage 3 |
Clinical Documentation (flow sheets), CDSS (error checking), PACS available outside Radiology |
32.9% |
.151 |
Stage 2 |
CDR, CMV, CDSS, may have Documentation Imaging |
33.2 % |
.122 |
Stage 1 |
Ancillaries – Lab, Rad, Pharmacy |
12.5 % |
.096 |
Stage 0 |
All Three Ancillaries Not Installed |
17.1 % |
.082 |
This will provision a good idea of the workforce needed to support the healthcare operations. Futhermore moving the model to a granular level the distribution of IT shop efforts from HIMSS Analytics is as follows
Job Description |
Percentage |
Project Management |
1 % |
Management |
11 % |
Programmers |
29 % |
Operations |
8 % |
Network Administration |
9 % |
Help Desk |
8% |
PC Support |
11 % |
Security |
1 % |
Other |
22 % |
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Welcome to the Healthcare IT Project Management Blog of Elyse Nielsen. This is the place where I share the ideas I have learned, the things I’d like to remember, and my thoughts for a brighter future. Find out more.
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