In my book The Sequel: How to Change Your Career Without Starting Over, I wrote about how it is often possible to move from
one occupation to another that uses knowledge of the same field, but in a
different way. For example, a teacher might move into educational sales. An
entertainer might move into booking gigs for entertainers. A chemist might move
into technical writing about chemistry-related topics. One kind of sequel
career that I did not mention was managing
information about the field with which you are familiar.
Every occupation generates information, and often it is
possible to make a living by organizing that information and serving as a
conduit for it. A stellar example is Michael Bloomberg, who earned his billions
by realizing that the best business to be in was information about business. As his Wikipedia entry notes, “His
business plan was based on the realization that Wall Street (and the financial
community generally) was willing to pay for high quality business information
delivered as quickly as possible and in as many usable forms as technically
possible (such as graphs of highly specific trends).”
Health care is our biggest and fastest-growing industry, and
it generates terabytes of information daily. As a result, health informatics
has become a fast-growing field. The data wizards at Burning Glass, whom I
mentioned in last week’s blog (and who are another example of spinning data
into gold), have measured a 36 percent increase in the number of job postings
for health informatics careers in the period from 2007–2011. This dwarfs the 9
percent increase in health-care job listings, not to mention the 6 percent
growth of all job listings. (See the PDF of their report, “A Growing Jobs
Sector: Health Informatics.”)
The field is still small compared to the nursing
occupations, but Burning Glass found that job postings for health informatics
now represent the eighth-largest share of health-care occupation postings. The
fastest-growing specializations in this field are the occupations that require
high levels of skill. For example, the number of job postings for medical
coders—who usually need the Certified Coding Specialist credential—increased by
31 percent over the time period Burning Glass studied. Demand for these workers
is being pushed by the switch to electronic medical records and the increased
complexity of turning doctor visits into bills submitted to insurers, including
Medicare.
But health informatics is about much more than billing. The
Affordable Care Act, otherwise known as Obamacare, has created incentives for
hospitals and physicians to avoid the expense of follow-up treatments and
readmissions. This, is turn, encourages health-care providers to coordinate
treatment and monitor its quality. Other uses of clinical data will be for
rating health-care providers and for determining which interventions are most
effective. Taken together, these uses of data create a need for
workers—clinical documentation and improvement analysts—who have experience
with clinical care and who understand the data that clinical care generates. Burning
Glass found a 124 percent increase in job posting for this specialization
2007–2011. This is career seems a natural doorway through which nurses can move
from providing health care to manipulating data about health care. Their key to
this door might be to get certified as a Registered Health Information
Technician. In fact, 37 percent of RHITs surveyed by the American Health
Information Management Association received their certification with less than
1 month of coding experience, 74 percent of them held an associate degree, 16
percent held a bachelor’s degree, and only 4 percent had no more education than
a certificate in coding (PDF).
Burning Glass also found rapid growth in the job postings
for supervisory positions in this field: 46 percent growth for medical records
and coding department supervisors/managers, 53 percent for health information
managers.
Contrast these high-skill specializations with medical
records clerks, which had a decline of 46 percent in the job postings
2007–2011. Within this field, medical records clerks would be considered
low-skilled, but consider that they are in the middle range of skills when
viewed within the full range of health-care occupations. (Home health care
aides, for example, would be found near the bottom.)
What these examples show about the health-care field is that
it resembles so many others: The workforce is being hollowed out as high-skill
and low-skill jobs grow, while middle-skill jobs shrink or, at best, stagnate.
The low-skill jobs barely pay a living wage, if that. High skills now are
necessarily to gain even a toehold in the middle class.
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