Pathology Informatics: Residency Curriculum for Now and the Future

1. Pathology Informatics: Residency Curriculum for Now and the Future West and Midwest Chairs and Administrators Regional ConferenceOctober 21 - 24, 2014

2. Informatics Training in Pathology “The landscape of medical practice is changing… Appropriate exposure to and training in informatics will be essential…Developing a strong informatics component for residency training programs will help advance the transformational future of the practice of medicine.” • Sinard JH, Powell SZ, Karcher DS. Pathology training in informatics: Evolving to meet a growing need. Arch Pathol Lab Med 2014 (April);138:505-511.

3. What is PIER? • Pathology Informatics Essentials for Residents • Collaborative joint project of APC, API and CAP • Instructional resource guide and toolkit • Support for PRODSto address unmet needs for pathology informatics training • Mapped to ACGME milestones in informatics for pathology residents

4. PIER Developed by Pathology Informatics Experts and PRODS

5. Benefits Residents Program Directors Receive: Up-to-date content suitable for AP &/or CP Scalable design based on program characteristics and needs User-friendly toolkit for flexible implementation Content updates/releases Relevant performance outcomes mapped to ACGME milestones Slide builds in 4 clicks • Receive uniform, high quality training in a flexible and timely manner • Gain essential pathology informatics knowledge and skills • Be well-prepared to apply pathology informatics to collect, manage and share key medical information with colleagues and patients

6. PIER Release Plan • Release 0 • Introduced at July 2014 APC Annual Meeting • Illustrated design, content and support features • Release 1 • Available now on APC PIER web page • Will be alpha tested starting in November • Available for use by all residency programs during alpha testing Slide builds in 1 click

7. PIER Scope and Sequence

8. The PIER Essentials Align to ACGME Informatics Milestones

9. PIER Scope and Sequence PIER Essentials 1 PIER Essentials 2 • LIS Components & Functions • Specialized LISs & Middleware • Data & Communication Standards • Digital Imaging • Basics of the Health Care Information Ecosystem • Informatics in Pathology Practice • Information Systems Fundamentals • Importance of Databases • Introduction to Data Standards • Data Availability & Security Entry-Level Proficiency ACGME Milestone Level 1 Instructional Hours: 4-6 Basic Proficiency ACGME Milestone Level 2 Instructional Hours: 8-10 PIER Essentials 3 PIER Essentials 4 • Pathologist Role in LIS & EHR Projects • LIS Installation & Configuration • Information Systems & Laboratory Performance • Data Security, Regulatory & Accreditation Requirements • LIS Management & Oversight • Order and Results Management • Laboratory Data for Quality Improvement & Research • Laboratory Data & Enterprise Health Care Analytics • Advanced Proficiency • ACGME Milestone Level 4 • Instructional Hours: 10-14 • Intermediate Proficiency • ACGME Milestone Level 3 • Instructional Hours: 10-12

10. PIER Essentials 1 PIER Essentials 1 • Informatics in Pathology Practice • Information Systems Fundamentals • Importance of Databases • Introduction to Data Standards • Data Availability & Security EntryLevel Proficiency ACGME Milestone Level 1 Instructional Hours: 4-6

11. PIER Essentials 2 PIER Essentials 2 • LIS Components & Functions • Specialized LISs & Middleware • Data & Communication Standards • Digital Imaging • Basics of the Health Care Information Ecosystem Basic Proficiency ACGME Milestone Level 2 Instructional Hours: 8-10

12. PIER Essentials 3 PIER Essentials 3 • Pathologist Role in LIS & EHR Projects • LIS Installation & Configuration • Information Systems & Laboratory Performance • Data Security, Regulatory & Accreditation Requirements IntermediateProficiency ACGME Milestone Level 3 Instructional Hours: 10-12

13. PIER Essentials 4 PIER Essentials 4 • LIS Management & Oversight • Order and Results Management • Laboratory Data for Quality Improvement & Research • Laboratory Data & Enterprise Health Care Analytics AdvancedProficiency ACGME Milestone Level 4 Instructional Hours: 10-14

14. Scope of Content Out of Scope • Statistics • Bioinformatics • Programming • In Scope • PIER topics cover what all pathologistsneed to know for practice • Content will be maintained to accommodate changing technologies Slide builds in 1 click

15. PIER Resource Toolkit

16. Overview • PIER Scope and Sequence • Identifies the “what” to teach • PIER Resource Toolkit • Identifies the “how” to teach • Programs have unique needs and approaches • Toolkit helps PRODS scale topics • Provides implementation options to meet program needs • Helps PRODS make good training decisions Slide builds in 1 click

17. Organization • There are 3 key tools for each of the PIER Essentials: • Essentials Map • Resource Options • Outcomes Achievement Checklist

18. Essentials Map • Top area • Main topics • Rationale • Outcomes for achievement • Topic content • Lower area • Implementation strategies • Scheduling/progress tracker

19. Essentials 1 Map: Top Area

20. Resource Options • Lists content sources to support self-study or to inform the development of didactic materials • Identifies recommended PIER resources, practical exercises and other optional resources • Provides a detailed scheduling and progress tracker

21. Outcomes Achievement Checklist • Documents progress and accomplishments • Completion of Essentials documents completion of corresponding ACGME informatics milestone level • Final sign-off goes into resident’s file

22. Alpha Testing and Deployment • Testing Goals • Obtain feedback on PIER materials • Obtain feedback on implementation challenges and success tips • Deployment Goals • Gather additional tools and resources that can be shared across programs • Build a cadre of programs thatendorse PIER to foster deployment to additional institutions over time Slide builds in 1 click

23. Alpha Test Residency Programs • Baystate Medical Center • Cleveland Clinic • George Washington University • Medical University of South Carolina • University of Buffalo • University of Kentucky • University of New Mexico • University of Miami • University of Pittsburgh • University of Southern California • University of Toledo • University of Washington • University of Vermont • Vanderbilt University

24. Alpha Test Residency Programs • Baystate Medical Center • Cleveland Clinic • George Washington University • Medical University of South Carolina • University of Buffalo • University of Kentucky • University of New Mexico • University of Miami • University of Pittsburgh • University of Southern California • University of Toledo • University of Washington • University of Vermont • Vanderbilt University

25. Our Hope: Widespread PIER Adoption and Implementation • PIER seeks to ensure that allpathology residentsacquire the informatics knowledge and skills needed for the modern practice of pathology • We need your leadership for pathology residency programs to achieve this outcome together

26. Q&ABookmark PIER materials at:http://www.apcprods.org/PIER/

27. Presentation Follow Up • Direct any post meeting questions to Sue Plath, CAP EducationManager at splath@cap.org

28. Thank You For Your Interest And Support