EU-US eHealth/Health IT Cooperation Initiative Workforce Development Work Group

1. EU-US eHealth/Health IT Cooperation InitiativeWorkforce DevelopmentWork Group November 7, 2013

2. Meeting Etiquette • Participants automatically enter the webinar in “listen only” mode. The organizer will then unmute all participants. We ask if you are not speaking to manually mute yourself • NOTE: VoIP participants have the ability to “Mute” themselves by clicking on the green microphone. However, if you would like to speak, only you can unmute yourself. • If you are dialing in using a telephone and NOT using the VoIP you MUST dial the audio pin in order for the organizer to unmute you – if you do not use the audio pin and just push # when prompted the Organizer cannot unmute you

3. Meeting Etiquette CONTINUED • If you are calling from a telephone, please do not put your phone on hold. If you need to take a call, hang up and dial in again when you have completed your other call • This meeting is being recorded • Another reason to keep your phone or your VoIP on mute when not speaking • Use the “Chat” or “Question” feature for questions, comments and items you would like the moderator or other panelists to know.

4. Agenda

5. Meeting Times Washington, DC 10:00am (ET) • Due to the federal U.S. holiday (Thanksgiving Day), we will re-schedule our Thursday, November 28th webinar for Tuesday, November 26thfrom 10:00am - 11:00am (ET)/3:00pm - 4:00pm (GMT)/4:00pm - 5:00pm (CET)/ 5:00pm - 6:00pm (EET). Workforce Development Work Group meets everyThursday London 3:00pm/15:00 (GMT) Germany 4:00pm/16:00 (CET) Athens 5:00pm/17:00 (EET)

6. General Announcements • To participate in our weekly webinars, please visit the EU-US eHealth Collaboration Wiki Homepage: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative Note: Please check the meeting schedule weekly to get the most up-to-date meeting information

7. Join the EU-US eHealth/Health ITCooperation Initiative • We encourage all members to “sign up” for the initiative. By joining, this ensures you stay up-to-date with the work being done, communications and any initiative activities • Simply complete the EU-US MOU Project Signup Form on the Wiki Page: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up

8. Submit Your Bio • We will be creating a repository of bios to post onto the Wikipage and need your help! • Please submit a brief biography of yourself (150 words or less) that outlines your: • current professional responsibilities; • most recent projects in relation to the EU-US work stream and/or interest to work with the EU-US initiative; • areas of interest and/or expertise; • any relevant credentials and/or professional appointments; and • a photo (optional). • Please e-mail your bio and photo (optional) to GayathriJayawardena at gayathri.jayawardena@esacinc.com

9. Archived Meeting Materials • Visit the “Materials” tab and select “Past Meetings” from the drop down menu to access all archived meeting materials http://wiki.siframework.org/Project+Meeting+Artifacts.

10. Preparing for Meetings • Given our timeline, and the amount of material to cover, please ensure you are up-to-date with all of the activities of the workforce development work group • Visit the “Past Meetings” section of the wikipagefor the latest meeting materials and recordings: http://wiki.siframework.org/Project+Meeting+Artifacts. • If you have questions, need help, or want a quick update, please feel free to reach out to any member of the support team • We will have little or no time to review what was covered the week prior in order to make our deadlines and deliverables

11. Workforce Development Timeline

12. Healthcare workforce IT skills, competences and curricula in the EU-USA continues challenge Dr. StathisKonstantinidis CAMEIProject Co-ordinator Research Scientist in Norut, Norway OKFN Ambassador in Norway

13. The ground and the needs of acquiring ehealth/health IT skills • Role of ICT • Recent advances in ICT have acted as catalysts for significant developments in the sector of health care. • Medical/Health Education …a complex process • Involves the development of a body of knowledge, skills (both procedural and cognitive) attitudes, and ethical development • Pedagogically training needs to mimic as closely as possible the role of the practitioner and provide learners with self-directed personalised learning opportunities • Need of modern didactic approaches and contemporary heath education practice

14. The ground and the needs of acquiring ehealth/health IT skills • e-learning and standardisation • Elaboration of pedagogical, technical, standardization, and the associated cultural, social and legal issues towards a standard-based infrastructure • exchange of best practices • sharing of state-of-the-art digital medical/health educational content • Tackling scientific silos • Join research forces between Europe and the US • Breaking scientific silos in the areas of e-learning, Medical Education, Medical Informatics and standardisation. • Re-enforcing research activities in the MEI domain • increase research quality across the two sides of the Atlantic • produce tangible education and technical outcomes

15. CAMEI Coordination Actions in the scientific era of Medical Education Informatics for fostering IT skills for healthcare workforce in the EU and USA Duration: 24 months Start date: 1st Oct 2013 Four European Partners: • Northern Research Institute (NO) • Aristotle University of Thessaloniki (EL) • Karolinska Institute (SE) • UniversitatPolitecnica de Valencia (SP) Aristotle University of Thessaloniki

16. CAMEI Contributors U.S. pending Partners: • University of Texas (TX) • University of Massachusetts Boston (MA) • Cleveland Clinic (OH) Advisory Board: • IFMBE – International Federation of Medical and Biological Engineering • MedBiquitous (MD, USA) • University of Cyprus (CY) • National Technical University of Athens (GR) • University Nice-Sophia Antipolis (FR) Associate Partners: • IMIA Social Media WG

17. Actions needed • Coordinate research activities and policies towards the development of renewed educational material and programs • Boost new trends for acquiring new knowledge by the healthcare workforce in EU and USA • Foster trans-national access to research infrastructures from both EU and USA partners and establish a network of best practices in Medical Education Informatics • Provide the ground so the healthcare workforce could gain IT skills and the trust on eHealth will be established • Promote policy dialog and international cooperation on Medical Education Informatics • Empower the evidence-based clinical practice guidelines for telemedicine services • Covering digital gap of healthcare workforce in ehealth/health IT

18. Initial CAMEI tasks • Review and update strengths, weaknesses and competencies of the means that the healthcare workforce acquire IT skills in the EU and USA. • Identify major socio-economic factors and trends that influence the procedure of acquiring IT skills on healthcare workforce and policy priorities in EU and USA (e.g. from existing international and national studies and reports) and update / assessment of the factors and trends identified through a short number of in depth interviews with key policy makers and/or ICT RTD and Industrial stakeholders of the targeted countries. • Identify and analyse existing and future commonalities and differences on programmes for providing IT skills across EU and USA.

19. Initial CAMEI tasks • Make recommendations on which educational technologies, training methods and programmes can co-operatein ICT priorities in order healthcare workforce to acquire IT skills. • Interviews with key ICT and medical education stakeholders from EU and USA to gain additional ICT and training programmesinsights • Map the opportunities, highlight the benefits and provide key recommendations on how USA organisations and communities can cooperate with EU organisations in order to empower sharing, reuse, repurposing and creation of educational material applied in different context and promote renewal of programmes

20. Competences and IT skills in a Virtual Health System from CAMEI perspective It’s got a virus • Need for a Virtual Health System • Identify Competencies • Identify Roles • Match with real Health systems from EU and US • Identify commonalities and differences • Common Curricula (?) Health IT System

21. Identify Competences and roles

22. Match with real Health systems Massachusetts Health System Norwegian Health System

23. Identify commonalities and differences Massachusetts Health System Norwegian Health System

24. Identify commonalities and differences EU US NO SP MA TX SE CA EL NM

25. Allow us to identify curricula address the competencies in EU and US Common EU-US Curriculum for IT skills US Curriculum for IT skills EU Curriculum for IT skills Nurse Nurse Nurse Competence 1 Competence 1 Competence 1 Competence 2 Competence 2 Competence 3 + Competence 3 Competence 3 Competence 4 Competence 4 Competence 4 Competence N Competence N Competence N

26. Examples of European Efforts

27. The European Qualifications Framework (EQF) • acts as a translation device to make national qualifications more readable across Europe, promoting workers' and learners' mobility between countries and facilitating their lifelong learning. • EQF concerns eight reference levels describing what a learner knows, understands and is able to do – 'learning outcomes'. • EQF is a tool based on learning outcomes rather than on the duration of studies. The main reference level descriptors are: • skills • competences • knowledge • National Qualifications Frameworks (NQFs) countries developing their NQF to much EQF • IE, MT, UK, FR and BE-Flanders already have one in force. • CEDEOP - Development of national qualifications frameworks in Europe, October 2011 http://www.cedefop.europa.eu/EN/Files/6112_en.pdf

28. IT competences for healthcare workforce in Spain- Spanish • RaúlChoqueLarrauri. Las nuevascompetenciasTIC en el personal de los servicios de salud, Revista de Comunicación y Salud, vol. 1, nº 2. pp. 47-60, 2011 • 5 maindomains • efficient use of ICT • access to information and communication • managing information and knowledge • knowledge generation • knowledge dissemination

29. IT competences for healthcare workforce in Spain- Spanish • As exampleforthefirstdomain, efficient use of ICT • Computer Management • Internet Management • Managing Data folder • Software Installation • Use e-mail, forum, chat, social networking, etc.. • Knowledge of English as scientific universal language • UsingMoodle web applicationfor training • Using virtual classrooms • Use internalcommunicationsystem of theorganization

30. European Efforts towards ICT skills (not for healthcare workforce) • European ICT Professional Profiles - CEN WORKSHOP AGREEMENT • 30 March 2012 • Prior objective: to increase transparency and to continue the convergence of the European ICT Skills landscape by providing a set of European ICT Professional Profiles. • European e-Competence Framework (e-CF) • ICT Professional Profiles and e-Competences are complementary concepts constructed to support the development and management of a world class ICT professional community within Europe

31. CAMEI and the Transatlantic eHealth / health IT Cooperation Roadmap • Enable collaboration between identified and interested stakeholders • Propose infrastructures to foster access to professional development services • Analyse competencies required by the diverse healthcare and eHealth/Health IT workforce • Identify curricula that address the competencies in EU and US • Identify best practices to share, reuse, repurpose and create of educational material through open repositories of case studies, scenarios and educational material • New models of education/employer collaboration for CPD/CME programs for EU and US • Boost the Health/Medical Informatics as a distinct profession

32. … need for Coordination Actions in the scientific era of Medical Education Informatics for fostering IT skills for healthcare workforce in the EU and USA… … need for CAMEI … StathisKonstantinidis Email: Stathis.Konstantinidis@norut.no Twitter:@staconst

33. Basic Level • The terms Health IT (HIT) and EHR are used interchangeably between the EU and US. We will examine and define the most appropriate terminology that encompasses the patient data accessed by clinical/non-clinical professionals in our upcoming webinar.

34. Intermediate Level • The terms Health IT (HIT) and EHR are used interchangeably between the EU and US. We will examine and define the most appropriate terminology that encompasses the patient data accessed by clinical/non-clinical professionals in our upcoming webinar.

35. Advanced Level • The terms Health IT (HIT) and EHR are used interchangeably between the EU and US. We will examine and define the most appropriate terminology that encompasses the patient data accessed by clinical/non-clinical professionals in our upcoming webinar.

36. Expert Level • The terms Health IT (HIT) and EHR are used interchangeably between the EU and US. We will examine and define the most appropriate terminology that encompasses the patient data accessed by clinical/non-clinical professionals in our upcoming webinar.

37. Comments… • Paul de Raeve (European Federation of Nurses) • At EU level, we deploy 4 levels in acute care: • Healthcare assistants • Registered nurses (complying with Directive 2005/36/EC) • Specialist nurses • Advanced Nurse Practitioner • These 4 levels has been developed by the ICN and the OECD Member States are aware of these developments. • So, I would not use the term ""medical assistant"" as this is extremely confusing • For the Registered nurses, Art 31 sets out the competences (8) • It is important to reflect the nursing care continuum and they all 4 need to have different levels of IT skills

38. Comments CONTINUED • Stuart Werner (U.S. Department of Labor Employment and Training Administration) • Electronic Health Records (EHR) Competency Model: http://www.careeronestop.org/competencymodel/pyramid.aspx?EHR=Y • The model is depicted in a graphic consisting of several tiers. The arrangement of the tiers in a pyramidal shape is not meant to be hierarchical, or to imply that competencies at the top are at a higher level of skill. The model’s shape represents the increasing specialization and specificity in the application of skills as you move up the tiers. Tiers 1-5 have been developed and are divided into blocks. The blocks represent competency areas, that is, the applied skills, knowledge, abilities essential to successful performance in the increasingly electronic environment of the health industry. A table of the competency definitions and associated key behaviors follows the graphic. • Career Pathways – Resources Training and Employment Notice (TEN): http://wdr.doleta.gov/directives/attach/TEN/ten2011/ten39-11acc.pdf

39. Comments CONTINUED • Stuart Werner (U.S. Department of Labor Employment and Training Administration) • A Joint Letter of Support from the Assistant Secretaries of the Employment and Training Administration, the Office of Vocational and Adult Education, and the Administration for Children and Families encourages states and local areas to align resources that support integrated service delivery across Federal and state funding streams and calls for improved collaboration and coordination to support career pathways systems for youth and adults. • Career Pathways Webinar Series: https://learnwork.workforce3one.org/view/_ETAs_2012_Career_Pathways_Webinar_Series_Availabl/info • Career Pathways Toolkit: http://www.workforceinfodb.org/PDF/CareerPathwaysToolkit2011.pdf • Virtual Career Network • http://www.aacc.nche.edu/Resources/aaccprograms/health/cap/Pages/vcn_healthcare.aspx • An online tool that will allow current and prospective health care workers to explore more than 80 different occupations, identify local education and training programs, and tap into current job listings. Through the Virtual Career Network, users also can learn how previous experience such as military or on-the-job training can be applied toward a health care career, take free online courses and find sources of financial aid.

40. Next Steps… • Please continue to provide feedback on the skills definitions through the wikipage: http://wiki.siframework.org/Workforce+Development+Work+Group Click the spreadsheet to view the latest definitions

41. Next Steps CONTINUED • Remember our Thursday, November 28th webinar will be re-scheduled for Tuesday, November 26th from 10:00am - 11:00am (ET)/3:00pm - 4:00pm (GMT)/4:00pm - 5:00pm (CET)/ 5:00pm - 6:00pm (EET) • Please e-mail your bio and photo (optional) to GayathriJayawardena at gayathri.jayawardena@esacinc.com

42. Questions

43. Workforce Development Project Support Team • US Point of Contacts • Mera Choi, Mera.Choi@hhs.gov • Jamie Parker, jamie.parker@esacinc.com • Gayathri Jayawardena, gayathri.jayawardena@esacinc.com • Amanda Merrill, amanda.merrill@accenturefederal.com • Emily Mitchell, emily.d.mitchell@accenturefederal.com • Mark Roche, mrochemd@gmail.com • John Feikema, John.Feikema@hhs.gov • EU Point of Contacts • Mary Cleary: mary@ics.ie • Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu • Frank Cunningham, frank.cunningham@ec.europa.eu

44. Initiative Resources • EU-US Wiki Homepage • http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative • Join the Initiative • http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up • EU-US Initiative Reference Materials • http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Reference+Materials