i am him hear me roar how different generations of hims adapt to change – planning for &...

I am HIM Hear Me Roar

How different generations of HIMs adapt to change – planning for & educating a modern health

information workforce.

HIMAA Conference October 2010

Session Outline Gold Coast Health Service District HIM Team GCHSD Transformation – MRA to HIM & Onwards Generations Working Together Through

Change e-Health Reforms – The Future Direction Planning & Educating for the Future Roar with Pride Conclusion

Gold Coast Health Service District

Gold Coast Health Service District Health Information Services

Southport Medical Records 1 x AO4 (1 FTE Supervisor) 1 x AO3 (1 FTE Quality) 47 x AO2 (28.67 FTE Casual/FT/PT)

Robina Medical Records 1 x AO3 (1 FTE Supervisor) 8 x AO2 (8.35 FTE Casual/FT/PT)

Mail Clerks 3 x AO2 (2.03 FTE)

Gold Coast Health Service District Health Information Services

Health Information Management Team 1 x PO5 (1 FTE) 2 x PO4 (1 FTE) 2 x PO3 (2 FTE) 1 x PO2 (1 FTE) 1 x AO6 (1 FTE) 2 x AO3 (1.5 FTE) Information Access Unit 1 x AO6 (1 FTE) 3 x AO3 (2.5 FTE)

Total: 74 staff (53.05 FTE)

Budget: Approx $4 million

Gold Coast Health Service District Health Information Services

Chief Operations Officer

Manager Admin Services

Manager, Health Info Services

Manager IAU

Admin Officers Medicolegal

Admin Supervisor Southport

Admin Supervisor Robina

QI Officer Southport

Admin Officers Med Records Southport

Mail Clerks

Admin Officers Med Records Robina

Mail Clerks Robina

HIM (Community Health Liaison)

Deputy HIM Southport

HIM Southport

HIM Robina

HIM Support Officer

ROI Officer

HIM Clinical Documentation

Clinical Doc. Officer

The HIM Team… Talking ‘Bout My Generation

1979 – Graduated with Diploma of Medical Record Administration The Baby Boomer

1995 – Graduated with Bachelor of Applied Science (Health information Management) Generation X

2008 – Graduated with Bachelor of Public Health (Health Information Management) Generation Y

1979 Prime Minister – Malcolm

Fraser Population ~ 14 million 60 Minutes & Prisoner

make their TV debut Trivial pursuit developed Jumpsuit - Designed for

both men and women, the jumpsuit was highly popular at this time

Sony Walkman – Invented in 1979

1979 Medical Record Administration

ISSUES Everything on paper. Reaching

capacity storage & understanding new technologies.

Greater reliance on microfilm & microfiche.

Faxing technology began to develop popularity in the 1980s.

1995 Friends – the ‘Rachel’ Prime Minister – Paul

Keating Telecom changed to

Telstra Pay Television arrives in

Australia with Foxtel & Optus Vision

Population ~ 17 million Google not yet invented

as a search engine. Used Netscape, Yahoo or Altavista

1995 Health Information ManagementISSUES Increasing issues in facilities with lack of storage

space & increasing retention schedules Early uptake of technology such as optical discs Boom in dependence on email technology Increasing reliance on faxing clinical information &

associated privacy issues

2008

Prime Minister – Kevin Rudd

Population ~ 21 million Google Street View

images of Australia city streets added to Google Maps & Google Earth software

Australia was released

2008Health Information ManagementISSUES Graduates go into workplaces that are primarily paper

based after embracing internet and mobile phone technology throughout university

HIM workforce dominated by older HIMs that have less trust in new technologies

Ongoing storage issues which are forcing organisations to make decisions re electronic storage option

Multiple types of information systems and issues with interfacing and sharing of information while maintaining privacy legislative requirements

How Can We Work Together Effectively?

Managing different communication styles

Balancing expectations around change and organisation outcomes

Effectively working cohesively when different generations manage each other

Generations Working Together Through Change

Important that each generation of HIMs accept and acknowledge each other for their varying skills and experience

Manage HIM team in a way that older generations are respected for their knowledge whilst younger HIMs are encouraged to offer new perspectives on organisational goals

HIMs must work together to promote themselves as leaders in e-health initiatives in their districts

e-Health ReformsThe Future Direction

National Health & Hospital Reform

Implementation of foundation eMR in GCHSD at Robina Hospital by July 2010

GCHSD aiming for a ‘paperless’ medical record by late 2012/early 2013 (GCUH opening)

Queensland Health directions with e-Health initatives

Education and Planning

How do health services attract and motivate generation Y with their limited technological uptake?

How do we plan for and educate a modern health information workforce?

What technology can we embrace to assist with HIM issues in the future?

In Conclusion Expect different HIMs to bring different skill sets, adaptability

and communications styles to the HIM team Recognise that different generations adapt to change in

different ways and model change management programs accordingly to allow for generational differences

Tailor education programs and training methods to different generations based on their experiences to optimise training opportunities

Continually adapt to the changing focus of the profession to ensure that HIMs remain a relevant resource in the health care setting no matter which generation a HIM represents

Roar with Pride Promote the profession Be proud to be a HIM Have a voice in your organisation Embrace change Support HIMS of all generations

Contact Details Kathryn Carmichael - Manager Health Information Services,

Gold Coast Health Service District, 0466 207 620 kathryn_carmichael@health.qld.gov.au Katherine Irving – Health Information Manager, 07 5668 6810

katherine_irving@health.qld.gov.au