jamie parker associate director, health it – contractor to onc s&i framework esac inc....

Jamie ParkerAssociate Director, Health IT – Contractor to ONC S&I FrameworkESAC [email protected]

Transatlantic Model for HealthIT Workforce Development through the European Union and the United States eHealth Cooperation Initiative

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Agenda

• Background on the EU-US Workforce Development Project

• Step-by-step Methodology for Achieving Project Goals

• How to Get Involved

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Background: It Started with a Memorandum of Understanding

The Memorandum of Understanding

In December 2010, the European Commission and the US Dept. of Health and Human Services signed a Memorandum of Understanding (MOU) to:

• Help facilitate more effective uses of eHealth/Health IT• Strengthen their international relationship • Support global cooperation in the area of health related

information and communication technologies.

Interoperability of EHRs

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Background: Vision & Roadmap Sets the Framework for Progress

“To support an innovative collaborative community of public- and private-sector entities working toward the shared objective of developing, deploying, and using eHealth science and technology to empower individuals, support care, improve clinical outcomes, enhance patient safety and improve the health of populations.”

Vision

RoadmapFrom the Memorandum of Understanding, a roadmap was created to help guide the work of both the Interoperability of EHR’s and Workforce Development work streams

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Background: Strategy to Achieve Goals of the MOU

To reach this vision two high priority work streams were established

• eHealth/Health IT Interoperability – to accelerate progress towards the widespread deployment and routine use of internationally recognized standards that would support transnational interoperability of electronic health information and communication technology

• eHealth/Health IT Workforce Development – to identify approaches to achieving our common goals for achieving a robust supply of highly proficient eHealth/Health IT professionals and assuring health care, public health, and allied professional workforces have the eSkills needed to make optimum use of their available eHealth/Health IT

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Workforce Development – Work Plan

The work stream’s responsibility is three-fold

1. Outline scope statement and goals/ objectives

2. Identify setting (Acute Care selected)

3. Identify Roles in Acute Care and map EU-US roles

4. Categorize skills from existing competency silos

5. Map skills to profess-ional roles

Competency Analysis

Identifying a curriculum

based on

competency analysis

Definition and agreement on

common standards of competence and professionalisms

1. Examine curricula that support these skills

2. Curricula Gap analysis

3. Final recommendations

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Step 1: Outline Scope Statement, Goals and Objectives…

Using the MOU and the roadmap, we developed the foundation of our work through a Scope Statement, goals and objectives

•Scope Statement:– Working to create strategies for the development of a proficient health IT

workforce and assuring healthcare, public health and allied professional work forces have the technology skills needed to enhance their professional experience and performance with eHealth/HealthIT

•http://wiki.siframework.org/Workforce+Development+Work+Group





5. Map skills to professional roles

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Step 1: Outline Scope Statement, Goals and Objectives continued

Goals:

•Assessment of the scope, scale and characteristics of the healthcare workforce in the US and EU – current status and future trends in terms of eHealth capabilities.

•Assessment of healthcare settings in the US and EU – current status and future trends.

•Role based competencies, curricula for chosen scenarios in the US and EU. Perform analysis of competencies required by the diverse care workforce that include:

– professionals in the field;

– academic track for new professionals (pre-service) and those transitioning from other health disciplines and from mainstream ICT into the health sector;

– all staff in healthcare delivery, management, administration and support.

– allied healthcare teams; and

– health IT professionals.

•Identify or align learning resources that promote competencies identified in the US and EU.– Identify or align educational needs and learning resources (including baseline competencies).

• Create a needs analysis that examines the current curricula and training which exists, identify the gaps, and develop solutions to bridge the gap (e.g. plan to develop new curricula)

•Definition and agreement of common eHealth standards of competence and professionalism.

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Step 2: Identifying the Setting…

Solicited several settings where we could evaluate roles against HealthIT competencies.






• Acute Care was selected by community:

• stable setting

• setting that does not vary too much with the scale of the facility in which it is provided

• setting that is delivered similarly in both the US and EU

• setting with relatively common definitions on both sides of the Pond

• Acute Care is defined as “a level of health care in which a patient is treated for a brief but severe episode of illness, for conditions that are the result of disease or trauma, and during recovery from surgery. Acute care is generally provided in a hospital by a variety of clinical personnel using technical equipment, pharmaceuticals, and medical supplies.”

• For example, influenza, allergies, bronchiolitis. *Definition of acute care taken from Hospitals Today: http://www.ct.gov/dph/lib/dph/ohca/hospitalstudy/HospToday.pdf

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Step 2: Identifying a Setting continued

Acute Care Setting was selected by the community

• stable setting

• setting that does not vary too much with the scale of the facility in which it is provided

• setting that is delivered similarly in both the US and EU

• setting with relatively common definitions on both sides of the Pond

• Acute Care is defined as “a level of health care in which a patient is treated for a brief but severe episode of illness, for conditions that are the result of disease or trauma, and during recovery from surgery. Acute care is generally provided in a hospital by a variety of clinical personnel using technical equipment, pharmaceuticals, and medical supplies.”

• For example, influenza, allergies, bronchiolitis.• *Definition of acute care taken from Hospitals Today:

http://www.ct.gov/dph/lib/dph/ohca/hospitalstudy/HospToday.pdf

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Step 3: Identify Roles in Acute Care in EU and US…

We needed to identify Acute Care Roles in EU and US

Resources:

•http://ec.europa.eu/internal_market/qualifications/regprof/index.cfm?action=professions&quid=1&mode=asc&pagenum=1&maxrows=15#top

•http://www.ahima.org/

•http://www.nhscareers.nhs.uk/a-to-z/

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Step 3: Identify Roles in Acute Care in EU and US continued

We needed to identify Acute Care Roles in EU and US and categorize them

• Domain (5)– Direct Patient Care

– Administration, Management, Legal

– Engineering and Information Systems

– Informatics

– Research

• Settings (2)– Clinical

– Non Clinical

• Skill Level (4)– Basic

– Intermediate

– Advanced

– Expert

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Step 4: Categorize Skills from Competencies…

We collected competencies from 10 different sources resulting in categorizing more than 2050 HealthIT competencies

• AHIMA-AMIA

• IMIA

• Department of Labor

• National Health Service UK

• Scottish Government

• HealthIT.gov

• Cuyahoga County Community College

• Texas HealthIT

• European eCompetency Framework

• National Occupational Standards

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Step 4: Categorize Skills from Competencies continued

To facilitate the Competency Analysis phase, a model was created; it included the same 5 domains, 2 settings, and 4 skill levels as applied to categorizing roles

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• A baseline: broad IT skills and competencies needed for every occupation

• 5 domains: Direct Patient Care, Administration/Finance/Law/Management, Engineering/Information Systems, Informatics, and Research

• 2 settings: Clinical and Non-Clinical.

• 4 levels of skills: Basic, Intermediate, Advanced, and Expert

Total groups of skills 4*5*2= 40 buckets + 1

baseline

Description

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Step 5: Map Skills to Roles…

Categorizing Roles

Mapping Roles to Competencies

based on categorization

Categorizing Competencies

This enabled mapping of Skills to Roles in Acute Care• After selecting the Acute Care setting, we identified roles

in Acute Care and placed them into 40 buckets

• We then looked at 10 silos of competencies, and assigned each competency to its respective bucket

• We identified a need to identify baseline skills – those skills that apply to ALL roles in HealthIT

• The community is working on refining the Skills-Role map for the Direct Patient Care/Intermediate/Clinical bucket; This will be done for all 40 buckets

• http://wiki.siframework.org/Workforce+Development+Work+Group

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Step 5: Map Skills to Roles continued

Sample Mapping:

For a complete listing of the mapping of the Direct Patient Care, Clinical, Intermediate, Competencies please review the excel spreadsheet listed on our wiki page: http://wiki.siframework.org/Workforce+Development+Work+Group

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Recap of the EU-US Workforce Development Activities

The Workforce Development work stream continues to progress towards the MOU vision

COMPLETED• Selected Acute Care setting• Identified EU and US Roles in

the Acute Care setting• Defined competency buckets• Assigned Roles to

competency buckets• Assigned Skills to competency

buckets

FUTURE WORK

• Research existing HIT curricula

• Create curricula gap analysis• Draft recommendations to

address significant gaps

IN PROGRESS• Refining Skills to Role map

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How to get Involved?

• Link to EU initiative: http://wiki.siframework.org (EU-US eHealth Cooperation initiative link on the left hand side)

• Project Charter, Meeting Schedules, Minutes, Reference Materials, Use Case, and all Announcements are posted on the Wiki page

• Join the project and the project mailing list: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up

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Questions

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Contacts

For more information on the EU-US Workforce Development work

– ONC Contacts:• Mera Choi: [email protected]

• Chitra Mohla: [email protected]

– Project Management Team:• Jamie Parker: [email protected]

• Gayathri Jayawardena: [email protected]

• Amanda Merrill: [email protected]

• Kareem Malek: [email protected]

• Christina Nguyen: [email protected]

jamie parker associate director, health it – contractor to onc s&i framework esac inc....

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