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AMIA leads the charge to create a "Clinical Informatics" Standard Occupational Classification (SOC) code! AMIA led a comment to the federal solicitation to update the Standard Occupational Classification (SOC) manual that resulted in a whopping 30 organizations endorsing the creation of a "Clinical Informatics" code.

AMIA has been advocating for the SOC Classification System to include a unique code relevant to medical informatics for a decade. We previously proposed three but two were denied due to “lack of evidence.” Health Informatics occupation (29-9021), HIM occupation (29-9022) and Health IT occupation (29- 9023). One of these did succeed, which is a big win. It wasn’t the informatics-specific one, but the Health IT code, which is still a win for us because it was the result of our advocacy.

Background

The SOC Code is the United States’ Government’s system of classifying occupations. O*NET is an online database that contains hundreds of job definitions to help students, job seekers, businesses, and workforce development professionals to understand today’s world of work in the United States. It was developed by the Department of Labor (DOL).

Highlights

Organizational Support

Aug. 12, 2024

Win! 29 additional organizations support AMIA’s definition and endorse the creation of a “Clinical Informatics” SOC code in AMIA-led comment letter.

O*Net Application

Oct. 30, 2023

Win! AMIA successfully applied to the Department of Labor to improve the Health Informatics Specialist Code.

Informational Webinar

Sep. 29, 2023

AMIA hosted a webinar to share updates on the current status and future plans.

Historically, the United States had the Dictionary of Trade, which was focused on blue-collar jobs. This Dictionary developed into O*NET with the changing professions and SOC was eventually developed in 2006. O*NET and SOC are largely aligned, but O*NET is a bit more specific and has a few more codes than SOC due to this transition.  

DOL, which developed O*NET and is the larger agency within which the Bureau of Labor & Statistics (BLS) sits. BLS collects, analyzes, and publishes reliable information on many aspects of the U.S. economy. OMB is the agency that publishes the SOC solicitation. We are working on finding a relevant contact there.

Where are we now?

While a unique Informatics SOC code was our goal, there are many other, potentially better wins that are more achievable. The DOL has told us that SOC codes require an entirely unique field. If someone working as a nurse informaticist, as an example, is using the SOC, they will be coded to nurse, not informatics. As such, the SOC code structure is flawed. Other achievable wins that will support the Informatics field are:

  1. Adding phrases to existing O*NET codes such that when those phrases are searched, the government captures data  
  2. Gather materials members can use as a benchmark of the field today
  3. Document AMIA’s ongoing effort in this area  

Progress To-date

  • AMIA’s 2017 SOC proposal rejected. Need more evidence.

May

  • SOC tells us that 2024 is the anticipated year for soliciting SOC comments.

July

  • AMIA partners with VA & decides to submit an OCA application to O*NET first to gather more data.

August

  • Comprehensive OCA application drafted, including clinical, administrative, technical informatics roles.
  • Supporting materials are added to complete the initial draft application. A plan for engaging internal and external feedback is created.

June

  • AMIA receives new info from O*NET, advises us to narrow application &  hire a 3rd party vendor​
    • Approved by AMIA Board of Directors

July

  • Application updated to “clinical informatics” and re-shared with O*NET contact, who provides more insight*

October

2026

  • Potential second opportunity for comments to update the 2028 SOC Code 

2027

  • SOC is updated

2028

  • Implementation of the 2027 SOC code

Current codes that may apply to informatics

SOC

  • Dentists
  • Pharmacists
  • Therapists*
  • Physicians*
  • Surgeons*
  • Registered Nurses, Nurse Anesthetists, Nurse Practitioners
  • Health Information Technologists and Medical Registrars

*Some specialties listed and "All Other"

O*NET

  • Healthcare Practitioners and Technical Workers, All Other Health Informatics Specialists
  • Clinical Data Manager

What’s next?

  • Potentially draft comments to the SOC Policy Committee if they solicit their second round of input (anticipated: 2026)
  • Potentially meet with the SOC Policy Committee
  • DOL releases updated SOC in 2027 (anticipated)  

Timeline

Anticipated Timeline of Updating the SOC Code

  Date
1st Fed Reg notice soliciting public input  May 2024 – July 2024 
SOCPC reviews input, research  Through 2025 
2nd Fed Reg notice requesting comments  July 2026 – September 2026 
SOCPC reviews comments and develops final recommendations  Through 2026 
OMB reviews SOCPC recommendations  Late 2026 
3rd Fed Reg notice announcing the final 2028 SOC structure, and occupation codes and titles  Spring 2027 
OMB publishes 2028 SOC Manual  Summer 2027 
Federal stat agencies implement  Beginning 2028