Form 1 Performance Measures

Rural Health Information Technology (HIT) Workforce Program Performance Measures

HRSA-13-251 PIMS Measures

HIT Workforce Program Performance Measures

OMB: 0915-0389

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HRSA-13-251

Rural Health Information Technology Workforce Program

Performance Measures


Goal:

Funded networks can focus on a variety of activities related to the recruitment, education, training, and retention of HIT specialists to include providing recruitment assistance and training support directly to enrolled HIT specialist students.


Tables/Categories:

  1. Service Area

  2. Demographics

  3. Network

  4. Sustainability of Program

  5. Access to Education

  6. Education and Training

  7. Workforce Recruitment and Retention

Measures:

Table 1: SERVICE AREA

Instructions:

Information collected in this table provides an aggregate count of the number of counties within the service area which may or may not be the total population residing within the service area. Please indicate a numerical figure or DK for do not know, if applicable.


Number of counties

  • End of the budget year number is the number of counties served by the end of the budget year.

  • Denotes the number of counties served through the program. Please include entire, as well as partial counties served through the grant program. If your project is serving only a fraction of a county, please count that as one (1) county.


1

Number of counties:

(If you serve a sub-county area please count this as (1)

End of budget year number


Total number of counties served



Number of counties providing students for the program



Number of counties where the affiliated educational institution(s), apprenticeships, network member hospitals/clinics and/or other rural health care provider placements are located








Table 2: POPULATION DEMOGRAPHICS

Instructions:


Please provide the number of people in your service population by race, ethnicity, and veteran status. The number of people is the total potential trainee population targeted for the Rural HIT Workforce Program. The number of people in the target population would be the total number of trainees the network HIT workforce organization has access to as well as the total number of trainees enrolled in the educational programs and institutions where the network is actively recruiting.

If the number of people is zero (0), please put zero (0) in the appropriate section; do not leave any sections blank. There should not be a N/A (not applicable) response since all measures are applicable.


Number of people served through program by ethnicity (Hispanic or Latino/Not Hispanic or Latino). Hispanic or Latino origin includes Mexican, Mexican American, Chicano, Puerto Rican, Cuban and other Hispanic, Latino or Spanish origin (i.e. Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard etc.)



Population Demographics

Number

2

Number in target population by ethnicity:



Hispanic or Latino



Not Hispanic or Latino



Unknown


3

Number in target population by race:



American Indian/Alaska Native



Asian



Black or African American



Native Hawaiian/Other Pacific Islander



White



More than one race



Unknown


4

Number of veterans in target population




Table 3: NETWORK


Instructions:

Please identify the total number of formal member organizations in the consortium or network, as well as the types of member organizations by non-profit and for-profit status and organization type. Please indicate a number for each category.

Please also indicate the number of health care providers, professionals and critical access hospitals that are eligible for the Medicare and Medicaid EHR Incentive Program.



Network Size

Number


5

Number of non-profit member organizations in the consortium or network


6

Number of for-profit member organizations in the consortium or network


7

Total number of member organizations in the Consortium/Network



Area Health Education Center (AHEC)



Community College



Community Health Center



Critical Access Hospital



Faith-Based Organization



Federally Qualified Health Center (FQHC)



Health Center Controlled Network (HCCN)



Health Department



Migrant Health Center



Private Practice



Regional Extension Center



Rural Acute Care General Hospital



Rural Health Clinic



School District



Social Services Organization



University/College



Urban Acute Care General Hospital



Other – Specify Type:



Network Characteristics

Number

8

Total number of professionals in the network that are eligible for the Medicare and Medicaid EHR Incentive Program



  • Number of eligible professionals that have received an EHR incentive payment


9

Total number of hospitals in the network that are eligible for the Medicare and Medicaid EHR Incentive Program



  • Number of eligible hospitals that have received an EHR incentive payment


10

Total number of Critical Access Hospitals that are eligible for the Medicare and Medicaid EHR Incentive Program



  • Number of eligible CAHs that have received an EHR incentive payment



Table 4: SUSTAINABILITY OF PROGAM

Instructions:

Please provide the following funding/revenue amounts:

  • The annual program award based on box 12a of your Notice of Grant Award (NGA) or Notice of Award (NoA).

  • The amount of annual revenue (if any) for the Rural HIT Workforce Program.

  • The amount of additional funding secured to sustain the Rural HIT Workforce Program.

  • Please indicate if you have a sustainability plan and select your sustainability activities.


If the total amount of additional funding secured is zero (0), please put zero in the appropriate section. Do not leave any sections blank.


Please identify the source(s) of revenue for sustainability and indicate whether you have developed a sustainability plan. Please identify the types of sustainability activities that the network/consortium engaged in during the respective budget year; please check all that apply.


11

Funding/Revenue:

Dollar Amount


Annual program award



Annual program revenue



Additional funding secured to assist in sustaining the program for example value of in-kind services, additional grants, cash, etc.



Does the network have a sustainability plan that has been approved by the network’s membership?

Y/N

12

Type(s) of sources of funding for sustainability:

Selection list

 

 

 

 

 

 

Tuition


Network Business Revenue

 

In-Kind Contributions such as Financial Endowments

 

Project Member Dues

 

Fundraising


Contractual Services

 

Other – Specify Type:

 

13

HIT Sustainability Activities:

Check all that apply


Consolidation of activities, services and purchases (with Network partners)



Communication plan development



Economic impact analysis



Return on investment analysis



Community engagement activities



Business plan development



Partnership with regional Workforce Investment Boards



Organization bylaws



SWOT analysis



Sustainability plan



Workflow analysis and redesign



Other – Specify activity:


14

Will the Network/Consortium sustain beyond the HRSA/ORHP funding period?

Y/N

15

Will Network sponsored-HIT education and training program continue after HRSA/ORHP funding ends?

Y/N


Table 5: ACCESS TO EDUCATION

Instructions:

Please provide the following information about individuals enrolled in the program. In question 17 individuals may fall into more than one category.



Category

Performance Measure

Data Type

16

Access to Education

Indicate the total number of individuals enrolled in the program

Number

17


Indicate the number of individuals enrolled in the program by type:

Number



  • employed individuals




  • unemployed individuals




  • current health care staff




  • local displaced workers




  • veterans




  • rural resident




  • non-rural residents




  • underrepresented Minorities and/or from Disadvantaged Backgrounds*


18


Indicate the number of individuals enrolled that currently have an Associates level degree or higher

Number


Table 6: EDUCATION AND TRAINING

Instructions:

In questions 20, 22, 24, 26 and 28 individuals may fall into more than one category.


19

Education & Training

Indicate the total number of individuals who completed the curriculum


20


Indicate the number of individuals who completed the curriculum by type:




  • employed individuals




  • unemployed individuals




  • current health care staff




  • local displaced workers




  • veterans




  • rural residents




  • non- rural residents




  • underrepresented Minorities and/or from Disadvantaged Backgrounds*


21


Indicate the total number of individuals who completed the CEHRT training

22


Indicate the number of individuals who completed the CEHRT training by type:



  • employed individuals



  • unemployed individuals



  • current health care staff



  • local displaced workers



  • veterans



  • rural residents



  • non-rural residents



  • underrepresented Minorities and/or from Disadvantaged Backgrounds*

23


Indicate the total number of individuals who completed the apprenticeship

24


Indicate the number of individuals who completed the apprenticeship by type:



  • employed individuals



  • unemployed individuals



  • current health care staff



  • local displaced workers



  • veterans



  • rural residents



  • non-rural residents



  • underrepresented Minorities and/or from Disadvantaged Backgrounds*

25


Indicate the total number of individuals who completed the certificate program

26


Indicate the number of individuals who completed the certificate program by type:



  • employed individuals



  • unemployed individuals



  • current health care staff



  • local displaced workers



  • veterans



  • rural residents



  • non-rural residents



  • underrepresented Minorities and/or from Disadvantaged Backgrounds*

27


Indicate the number of individuals who completed the program that have an Associates level degree or higher


28


Indicate the number of individuals who permanently left the program before completion by type:




  • employed individuals



  • unemployed individuals



  • current health care staff



  • local displaced workers



  • veterans



  • rural residents



  • non-rural residents



  • underrepresented Minorities and/or from Disadvantaged Backgrounds*

29


Select the competency exam the program has selected to assess HIT Specialist competencies:




  • Healthcare Information Management Systems Society (HIMSS)




  • American Health Information Management Association (AHIMA)




  • Other (Please Specify)


30


Indicate the total number of individuals who passed the competency exam selected from above.


31


Select the Health Information Technology (HIT) curriculum focus of the program (select all that apply)




  • Practice workflow and information management redesign specialists




  • Clinician/practitioner consultants




  • Implementation support specialists




  • Implementation managers




  • Technical/software support




  • Trainers




  • Other (Please specify)


32


Select the following professional competencies outlined by the Office of the National Coordinator (ONC) that aligns with the program’s HIT curriculum (select all that apply)




  • Practice workflow and information management redesign specialists




  • Clinician/practitioner consultants




  • Implementation support specialists




  • Implementation managers




  • Technical/software support




  • Trainers




  • Other (Please specify)


33


Indicate if curriculum delivery mode is classroom based learning, distance learning (online, webinar) or Hybrid (mostly classroom) Hybrid (mostly distance learning).


34


Indicate if CEHRT training delivery mode is classroom based (on site), distance learning (online, webinar) or Hybrid (mostly classroom) Hybrid (mostly distance learning).


35


Select the type of curriculum development or enhancement activity conducted during the reporting period from the options below. You may select more than one option.




  • Developed new course




  • Developed new curriculum/program




  • Enhanced existing course




  • Enhanced existing curriculum/program




  • Other (please specify)


36


Indicate the number of the EHR vendors used in this curriculum.


Table 7: WORKFORCE RECRUITMENT AND RETENTION


37

Workforce & Retention

Indicate the total number of individuals who are employed in the field of Health Information Technology as a result of the program


Number

38


Indicate the number of individuals who completed the program that currently employed in the field of HIT by setting:


Number



  • rural hospital





  • critical access hospital





  • rural clinic





  • rural Veteran’s Administration facility





  • IT Vendor





  • Health Center Controlled Network





  • Regional Health Information Organization





  • Other (Please specify)



39


Indicate the number of individuals who completed the program that are employed in the field of Health Information Technology within a network member facility


Number

40


Indicate the number of HIT specialists shared among two or more network members


Number

41


Select the areas where the HIT Specialists hired as a result of the ORHP funded program, implemented, expanded or strengthened the following technologies: (select all that apply)





  • Telehealth





  • Telemedicine





  • Electronic health record





  • Computerized physician order entry





  • Electronic clinical operations





  • Health Information Exchange





  • Mobile health applications





  • Equipment maintenance (telehealth, home monitoring, etc.)





  • Patient/Disease Registry





  • Other (please specify)



42


Indicate the number of targeted vacant Health Information Technology and/or HIT related positions located within the rural community.


Number

43


Indicate the number of targeted vacant Health Information Technology and/or HIT related positions located within the rural community that were filled during the reporting period.


Number

44


How many program completers** who were placed in a permanent rural position are still employed in a rural HIT specialist position?


Number

45


Indicate the number of network members that reached EHR meaningful use stage 1 due to the hiring of an HIT specialist from the ORHP funded program


Number

46


Indicate the number of network members that reached EHR meaningful use stage 2 due to the hiring of an HIT specialist from the ORHP funded program


Number

*Note: For a definition of disadvantaged, please go to http://www.hrsa.gov/loanscholarships/scholarships/disadvantaged.html

**Program completers are individuals who have completed the education, apprenticeship, training and successful passing of the competency exam.



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