Health care has entered a brave new world of data - a world where data permeates and influences every aspect of our industry. The consequences are enormous and long term. In order to keep up with growing data demands, there is an unwavering need to establish quality resources. Electronic Health Records (EHRs) have sparked the necessity for new positions that no one really envisioned, creating new opportunities, new challenges and the risk of accidental complexities – unintended consequences arising from the adoption of EHRs.
Today’s state of health care is best illustrated by a documentary I recently watched about the natural hurricane protection created by New Orleans’ vast mangroves. As a major United States port, New Orleans is the largest city and metropolitan area in the state of Louisiana. While its location and environmental landscape give the city its tourist appeal, these features also present a terrifying problem for its residents. New Orleans is surrounded by mangroves – trees and shrubs that grow in saline coastal sediment habitats – which created a natural barrier from hurricanes entering the area, as they would die down as soon as they hit the swampland. When the Army Corps of Engineers cut trails through the mangroves, the ocean water made its way to the fresh water and sediments, killing the mangroves and weakening the barrier. The Army Corps did not anticipate this effect, and over time the swampland receded so much that most of it is now dead, enabling hurricanes to enter and damage the city more fiercely than ever before.
Adjust to the accidental complexities
Just as the Army Corps forged a path through the mangroves in New Orleans, the government is paving a road for the health care industry into a new technology era. However, the speed at which we are being forced to move and the choices made to get us to this state have introduced various accidental complexities. Like the diminishing number of mangroves made New Orleans more susceptible to hurricanes, the lack of health care providers with the right skill set are making their organizations more susceptible to becoming overwhelmed and ineffective by the downpour of data that is available today.
A growing need for new roles
This new health care delivery system has created the need for organizational roles that were unforeseen. As I have mentioned before, a “data steward” is a vital individual who monitors and advocates for clean data, but there are numerous other roles that are needed to meet today’s demands. You must also consider hiring data extractors and data translators who can gather all the data needed to meet various requirements.
This industry shift is resulting in many Quality Improvement (QI) professionals having to re-focus and update their skill set in order to meet increasing demands. QI Experts sift through charts and track data, but today, they must be able to do more – they need the skill set required to logically go through steps to solve a problem in a technology environment, i.e., data analyst skills. Without this proficiency, they will be lost and unable to address the needs of their organization.
The ultimate intersection of knowledge
The reality is – we are living in a much more technical world, requiring your staff to have more technical knowledge in addition to their clinical knowledge. We are trying to merge these two worlds at such a high speed that organizations are struggling to keep up. If someone on your team knows a lot about health care, what is the likelihood they will also know a lot about technology? Our brave new world has not just introduced a new technology, but it has also introduced the need for a new level of staff. Everyone on the team has to be clinical and technology informaticists. The expertise of the ideal staff member is the key place where population health intelligence, technology and clinical knowledge intersect.