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Feds To Help Train 50,000 Health IT Workers

Lucas123 writes "The US Department of Health and Human Services is spending about $144 million on grant programs at more than 80 colleges and universities to help fill a void of about 50,000 workers for IT jobs in the healthcare industry. The workers are needed to help hospitals, physician practices and other healthcare entities to roll out electronic medical records, which the government is promoting through the use of reimbursement funds for those who implement EMRs and penalties for those who don't. The Health IT courses are set to begin this fall in five regions around the US and are aimed exclusively at workers who have previous IT or healthcare experience."

18 of 212 comments (clear)

  1. yeah, sure is a lack of unemployed IT types by FuckingNickName · · Score: 4, Insightful

    How often must the government / industry claim there is a lack of qualified workers in some field before people just laugh and wonder who wants to bring down whose salary?

    How about giving them loans for training which are paid back as part of their salary once they've secured a job?

    1. Re:yeah, sure is a lack of unemployed IT types by beakerMeep · · Score: 3, Insightful

      Do you have any concept of IT worker salary? This wasn't what the health care debate was about. Your average IT grunt making 50-100k was not the cause of ballooning health care costs. Really there is nothing wrong with the government putting grants towards creating industry efficiencies. EMRs are sorely needed and some seed money to start training programs is not a half bad way to help nudge the industry (and doctors) towards EMRs.

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      meep
    2. Re:yeah, sure is a lack of unemployed IT types by Senes · · Score: 3, Insightful

      That's just it. If you don't pay people what they're worth, you don't get them. Instead you get their cheap alternative. You don't want to pay full price for a product? You buy the cheap alternative. But then you notice it's not the same, but you can't blame anyone but yourself because you were the one who chose not to pay for the real thing. You don't think cable TV is worth the price the company charges? Then you don't get it, simple as that. What we have here is spoiled corporate brats who don't want to pay what something costs but then whine when they don't have it.

  2. This is corporate welfare. by Senes · · Score: 4, Insightful

    Instead of tapping into the underemployed IT labor resources, which would cost more money, businesses have instead successfully lobbied the federal government to spend its own money to solve their problems for them.

    Were at Wal-Mart 2.0, now any job can be paid by government instead of the employers themselves.

  3. there is no shortage... by snooo53 · · Score: 4, Insightful

    I find it extremely hard to believe there is any shortage of IT workers capable of doing healthcare development/implementation. I've actually worked with development for the healthcare IT industry and I could explain to any reasonably intelligent IT person the compliance guidelines they need to follow in a couple hours. This stuff isn't hard if you know your way around a computer; it's requirements like any other project in the world has. This is a government handout, pure and simple.

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    1. Re:there is no shortage... by beakerMeep · · Score: 4, Insightful

      You know, as a fellow developer, I often underestimate the colossal job IT has. It's not just a matter of following a few "compliance guidelines you can learn in a few hours." This sounds to me more like training on how to install, maintain, and support EMR systems. And not only that but how to help the non-technical people (ie doctors) learn them. If you think the job of IT supporting EMR systems is somehow akin to Homer Simpson pressing the "Vent Toxis Gas now" button, you're fooling yourself and insulting the whole of the IT industry to boot. EMRs are supposed to be capable of storing someone's lifetime history of any combination of symptoms and diseases and maintained under strict HIPPA privacy guidelines. And, the number of patients and doctors to support increases the complexity significantly.

      I think your label of "government handout" is very presumptuous.

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      meep
    2. Re:there is no shortage... by Anonymous Coward · · Score: 4, Interesting

      As someone who as worked in healthcare IT for a grand total of 5 years now I can tell you that we (Americans) and in severe trouble. This entire industry needs to be scrapped and outsourced to private industry asap. The level of incompentency is simply staggering. You have to understand a very large portion of healthcare (beyone the large private HMOs) is delivered by state institutions. That means safety net hospitals, state institutions, and hospitals that operate inside or parellel to higher ed instituions. I work on an applications team of about 80 folks (yeah 80 no shit). Most of these peeps have Analyst in thier title and many came from other areas of the organization (nursing, med techs, etc). I think there are maybe 3 or 4 of us with a realistic IT background that have actual skills to solve problems....e.g., understand relational databases, know a scripting language, undersand basic operational guidelines of managing large complex systems. Basically the modus opandi here is to throw a bunch of money at our prefered vedors and hope that we get a positive result. Combine this with a culture of "never fire anyone for any reason" and you get the worst of the worst case scenarios. This isn't FUD and I am absolutely not blowing this out of propotion. If our education system operates on any of the same principles that I see here (and I think it does), then its starting to become really clear about why thats in the shitter too. On the other hand.....good place to be when there is 15% unemployment....for now.

  4. This is for existing IT field people by syntap · · Score: 4, Informative

    I always hate to RTFA and burst the naysayer bubbles, but "the training programs are aimed at people who already have health care or IT backgrounds -- not workers from other fields who have no previous experience or training in either discipline." As such I don't think it is dilutive in terms of IT worker salaries... they are taking people would would have been in the IT workforce and steering them to healthcare.

    This isn't the old "train the janitor to develop complex systems" move from dot-com era. However the article does not seem to address the possibility of recipients of this training going overseas with the expertise.

  5. Re:drug testing? by Sponge+Bath · · Score: 3, Insightful

    The original poster argues that invasive and unjustified prying into the private lives of employees is a disincentive to potential employees. You respond that anyone who questions those policies does drugs while on the job. You either missed the point or are purposefully ignoring it.

  6. Re:drug testing? by Anonymous Coward · · Score: 4, Insightful

    How do you know the pot messes him up on a long-term basis? He could just be naturally unreliable.

    There is a major difference between being presently intoxicated (which would be grounds for firing anyway) and having had a smoke in the past couple of weeks (which a drug test could yield a positive from.)

  7. Re:drug testing? by Internet_Communist · · Score: 3, Insightful

    this is anecdotal at best and really speaks out more about your friend as a person than it does the effects of the drugs on him....

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  8. Re:drug testing? by markdavis · · Score: 3, Insightful

    You are an asshole. Did it ever occur to you that there are people (myself included) that have NEVER used illegal drugs and yet refuse to be drug tested because it is a violation of our privacy and almost always with no probable cause?

    1) You also have no idea what else they are testing for
    2) You have no idea what information is shared and to whom
    3) There is a absolute possibility of false positives that could ruin your reputation

    Drug testing is evil, period. Legal drugs (such as alcohol and prescription drugs, even over-the-counter meds) can be just as debilitating. Even sleep deprivation can cause severe performance problems. And those that do choose to use a illegal drug on their own time don't necessarily affect their on-the-job performance.

    If a company wants to ensure their workforce is not "impaired", then they should test for impairment through some type of coordination, response time, or mental exercise. Or perhaps even through observation of performance.

  9. Re:Works out to $30000 per worker by ferd_farkle · · Score: 3, Funny

    "Take that $150M, divide it by the 50K workers, and come up with a bill of $30000 per worker."

    You may have left your sliderule out in the rain.

  10. This is just the rise of evil diploma mills by rsilvergun · · Score: 5, Interesting

    It's been going on for some time. A bunch of wealth asshats bought out a ton of regionally accredited schools and turned them into diploma mills for soaking up taxpayer money in exchange for fake educations. IT is really popular with these bastards because it's cheap as hell to train and the rubes these 'schools' prey on think there's lots of easy money in computers because they find them hard to understand.

    There's a movement in the Obama admin to take away these pseudo-school's eligibility for gov't if they can't show 80% of their graduates get jobs in their field and actually enforcing it. Right now they're skirting around these regulations by claiming stuff like call center work is 'IT'.

    Anyway, if the gov't really gave a flying fsck they'd stop the H1-B Visa program dead. At any rate this is just more free money for the rich. Yea America.

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  11. Re:Windows != IT by markdavis · · Score: 3, Informative

    Unfortunately, healthcare in the USA (and many other countries) is *extremely* entrenched in Microsoft products (trust me, I know) and closed source software. The whole "giving out money for EMR's" has been a disaster. Special interest groups have pretty much ensured that all the money will go only to "approved" or "certified" systems, which are all closed-source, commercial packages (and almost all also running on MS-Windows).

    And guess what those companies did? They RAISED THEIR PRICES for that software by the same amount of money that is being pumped into handouts to hospitals and physician groups!

    Instead of pumping billions of dollars into closed source, single-platform, commercial products that lock in customers, the Fed should have directed that money into open standards, open source, and multi-platform research and coding. You want to talk about savings? Imagine how much the industry could save if there was at least one robust, flexible, open-source, multi-platform EMR? (And no, that isn't OpenVistA). Let EMR companies make their money off custom (but open) additions, installation, training, support, hosting, etc.

  12. Re:$3k/worker by Sarten-X · · Score: 3, Insightful

    EMR is absolutely awesome, and with regards to the government push for it: it's about time.

    I'm assuming your "unconstitutional" comment is with regards to privacy. I'm also assuming you have no idea how things currently work.

    The concept behind EMR (Electronic Medical Records) is simply taking your medical data, previously filed on paper, and instead storing it on a computer. All the previous privacy regulation (mostly HIPAA) applies, as well as extra regulations (HITECH). The information is still behind firewalls and physical locked doors. The biggest operational difference is that now third parties (like insurance providers, pharmacies, specialists, labs, researchers, etc.) can get access to your data much faster, once they have enough credentials.

    In the days of paper, a third-party representative would have to come into the hospital, go to a big room full of paper, stand there making copies of the records they need, then go back and have someone transcribe them all into a computer. For a while, all your data would be carried in a briefcase down the street, easily available for theft. Among the data the third party needs is a lot of other information they don't, but since it's on the same form, they see it anyway.

    Now with EMR, the third-party computer system can just connect to the hospital, and supply their credentials to gain access. At the hospital I work with, that means two rounds of username/passwords, plus a physical token. That's far more secure than simply needing a hospital badge and a good excuse. The records are pulled by request, so there's no extra information given. If the third party (like a pharmacy) doesn't need to know about your religious preference (kept by the hospital in case they have to call for last rites), they simply don't get it. Once the electronic medical data's in transit, it's also more secure. There's no briefcases to grab here. Instead, there's an encrypted connection inside an encrypted VPN. When the data arrives at the third party's office, it's easily formatted for their system, with no extra people staring at it.

    All in all, EMR is far better than old processes. It's faster, more reliable (think of the stereotypical doctor's handwriting), and more secure.

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    You do not have a moral or legal right to do absolutely anything you want.
  13. Digital records are NOT a good thing by shaitand · · Score: 3, Interesting

    I've been in hospitals with digitized systems. The nurses simply don't have the time to do data entry on top of their jobs.

    It's hard enough grabbing the pills and running room to room without having to stop after each one, scan the cup into the system, fix the system when it doesn't log the cup correctly or the patient opt'd not to take the drugs yet or has a script that gives a different number of pills at night vs day or spit the pills out and she needs to get more.

    Now you have nurses with several cups of pills they have to hold because the digital system already has them checked out. Patients who can't get medication because the nurse can't just go get more pills to replace the ones she knows weren't taken. People who aren't attended to at all because the nurse has to spend an extra 15 minutes per patient per room stop to handle data entry overhead.

  14. Re:The government focus on healthcare is troubling by shaitand · · Score: 4, Insightful

    A cut in healthcare expenses puts just as much capital in consumer pockets as a tax cut. Arguably, unlike the tax cut, it puts the capital in the consumer pockets that are likely to need it.

    Consumers then spend that money, into the productive economy but without screwing up a budget surplus.