Health Informatics Specialists Are Key to the Obama Health Information Technology Policy

As someone who has been teaching healthexperts it is hard to see how the Obama
informatics students for a number of years, it isAdministration policies for Health Information
rewarding to find this discipline finally receiving theTechnology can possibly be implemented.
attention and interest it demands. Most healthThe American Medical Informatics Association is
experts have agreed for some time that the twothe main professional body relating to health
academic disciplines of informatics and genomicsinformatics experts and Don Detmer MD, the
are the key disciplines that will shape the futureChief Executive Officer, said, "My rough estimate
of American healthcare by enabling doctors tois that we need about 70,000 health
have access to personalized healthcareinformaticists" to meet Electronic Health Record
information at the point of care.goals laid out in the stimulus bill. Prior to the
The American Recovery and Reinvestment Actstimulus bill, most experts agreed that just to
includes specific wording supporting increasedkeep progressing with Health IT implementation at
funding of health informatics programs around theour current relatively slow rate, it would be
nation. A recent article in the New York Timesnecessary to have another 10,000 health
has noted that there is a greatly increasedinformaticists by 2012. All that is now changed,
demand for "health informatics specialists" whoand there is an urgent need for many more highly
have expertise in medical records, insurancetrained health informatics specialists, and programs
claims, clinical care and computer programming assuch as UC Davis are planning to more than
health care providers look to utilize the $19 billiondouble their current output of students within the
in stimulus funding directed at implementing andnext three years, assuming extra stimulus funding.
expanding electronic health records.It is interesting how the public has caught on to
Health informatics specialists usually start theirthe need for increased numbers of health
career or education in computer programming orinformatics specialists. This is demonstrated by
as health care professionals, and later earn athe already dramatically increased numbers of
degree in health informatics and take midlevel orapplicants to the UC Davis program, where we
senior jobs at a hospital, doctor's office, insuranceare currently working with more than 50
company, drug firm or other organization workingapplicants to our Masters program, having
with health care data. The experience of the UCrecently also enrolled 30 students in the first
Davis Health Informatics program, which I direct,quarter of our new Certificate program.
is that most of our graduates have found seniorIt is crucial that the health workforce is retrained
positions in health informatics in both public andfor 21st Century medical needs, and with health
private sectors, including a number who havebeing one of the relatively few expanding sectors
become faculty in health informatics programs,of the workforce, training in disciplines such as
and are now teaching future generations ofhealth informatics is essential if we are to improve
students.the way health services are delivered to the
William Hersh MD, Chair of the Department ofnation. We have to be realistic about the fact that
Medical Informatics and Clinical Epidemiology atthere will be increased needs in future as the
Oregon Health and Science University was quotedcurrent 46 million uninsured are likely to be
in the New York Times as saying , "The health ITcovered by some form of universal insurance and
people run the servers and install software, butoffered more comprehensive care than they
the informatics people are the leaders, whohave been able to receive in the past. This can
interpret and analyze information and work withonly happen if we use Health Information
the clinical staff." It is crucial to have highly trainedTechnology intelligently, and universally, and for
experts in informatics who are able to workthat to happen we have to dramatically increase
across both the disciplines of health andthe number of health informatics experts around
information technology, and who understand andthe country.
are expert in both. Without these informatics