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Developing Professionalism in Health Infomatics

Developing Professionalism in Health Infomatics. Brian Derry and Di Millen. Professionalisation & UKCHIP. Brian Derry Shadow Council, UK Council for Health Informatics Professions. The Problem. The need for a career pathway The need for adequate recognition Professional Credibility

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Developing Professionalism in Health Infomatics

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  1. Developing Professionalism in Health Infomatics Brian Derry and Di Millen

  2. Professionalisation & UKCHIP • Brian Derry • Shadow Council, UK Council for Health Informatics Professions

  3. The Problem • The need for a career pathway • The need for adequate recognition • Professional Credibility • Appropriate Remuneration • Correct Workplace Setting • The need for a professional “home” • Current organisations do not meet these needs

  4. Bad Health Informatics Damages Patients • Patients must have died due to the London Ambulance system failure. (Parliamentary report) • Abnormal cervical smears not acted on until too late • Incorrect radiotherapy doses • Downs Syndrome risks inaccurately reported

  5. The Real Problem • Patients are being damaged by bad health informatics • Patient care is increasingly impacted by informatics

  6. Two problems – one answer “Protecting patients and developing a career structure have to go hand in hand. If you look at any of the other scientists in the NHS, they have had to create professional bodies and career structures to protect patients” Glyn Hayes, President, UK CHIP Council

  7. What is a Professional Body?Lord Benson 1992 • Controlled by governing body which directs behaviour • Sets entry standards and professional competence • Sets ethical rules and professional standards • Body is designed for benefit of public & not members • Work often reserved by statute • Ensures fair and open competition • Members must be independent in thought and outlook • Gives leadership in a field of learning

  8. Key Elements of a Professional Body • Setting entry education and training standards • Ensuring continuing professional competence of members • For the benefit and protection of the public • Leadership in a field of learning

  9. British Medical Association Royal Colleges Medical Schools The Medical Model of Professionalism Pay & Rations Trade Union Members Needs Education Research Qualifications General Medical Council Professional Control Patients Needs

  10. The First Steps • The NHSIA recognised the problem • A steering group was formed: • NHSIA • BCS • ASSIST • UKIHI • IHM

  11. “Health Informatics” “The knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health” • Includes: • Medical records, Coding, Audit • Libraries and knowledge management • Information systems dev and support • Information and communications technology • Help desk, Data analysts • Clinical/medical informaticians

  12. Embracing all “The breadth of the discipline offers particular challenges. Any solution or pathway to the establishment of health informatics as a recognised and respected national profession must be inclusive (not exclusive) and serve the needs and aspirations of all working within the profession, whatever their background or level of qualification”

  13. Working with … not against • The health informatics professional community is currently fragmented   • Collaboration must, however, also allow for individual professional bodies and groups to retain their identity

  14. Meeting NHS needs but also.. • If the national modernisation agenda is to realise its objectives, the Service requires sufficient skilled, knowledgeable, proactive specialists in all areas of health informatics • Must be UK wide and healthcare wide

  15. Options • Do nothing • Apply for Statutory Regulation now • Agree to work incrementally towards voluntary regulation

  16. How do we make this inclusive and who should be included? • All clinical and information professions must be included • We need managers who will encourage membership • The correct balance between inclusive entry and rigorous accreditation is essential • “Grandfather” entry

  17. What are the barriers and risks? • Lack of commitment from senior management • Bringing people with varying backgrounds into one professional body & risk of elitism • Professional accountability involving a significant cultural change and exposure to liability

  18. What would make this attractive to you? • “The recognition that comes from professional standards and clear career pathways”

  19. UK Council • Over 50 Movers and Shakers invited • Personal invitations not representatives • First Meeting 23rd September 2002 • Working Groups Established • Professional Standards WG   • Legal and organisational WG   • Finance and resources WG    • External Relationships and Communications WG  • Registration WG • Web Site established

  20. Inclusive • Full Time Informatics Professionals • “Hybrid” Informatics Professionals • NOT end users

  21. UKCHIP’s formal Aim “To be the regulatory body for all branches of health informatics in the United Kingdom”

  22. UKCHIP Objectives • a)      To promote, advance and encourage the study and practice of the application of Informatics in the promotion of health, well being and dying with dignity • b)      To establish, uphold and improve the standards of qualification, training, competence and conduct of Health Informaticians in the United Kingdom

  23. UKCHIP Objectives • c)      To establish mechanisms for the benefit and protection of the public • d)      To collaborate with official bodies, societies and professional associations on matters relating to the above

  24. Timetable • Sep 02 Form the Council and agree a more detailed plan • Jan 03 Open a register of individual expressions of interest • Jul 03 Publish draft professional standards for consultation • Sep 03 Finalise initial version of standards • Sep 03 Open a voluntary register of HI professionals

  25. Progress so far • Charitable company limited by guarantee • 1,300 Expressions of Interest • Piloting voluntary registration at 3 levels • Talking to CHAI • Initial work on CPD scheme • Formal launch at NPSA on 10 March

  26. What to expect • Defined standards for HI professionals • Defined behaviour for HI professionals • Registration to provide recognition for HI professionals • De-registration to protect patients • CPD scheme • Vision still statutory registration

  27. CPD – “Standards for Better Health” • Governance Domain, core standard C12: “Health care organisations ensure that staff concerned with all aspects of the provision of health care a) are appropriately recruited, trained and qualified for the work they undertake; … c) participate in further professional development commensurate with their work throughout their working lives.”

  28. UKCHIP CPD • Pragmatic: use existing schemes • What are your development needs? • Planned Activity designed to meet fitness to practice? • Planned Activity that is aspirational? • 40 hours per annum • UKCHIPcpdformFeb04.htm

  29. For further information & to register interest… • www.ukchip.org

  30. Developing Professionalism in Health Informatics Di Millen

  31. Why is this Important in Health Informatics? • Impact on the patient • Increased investment in technology and modernisation of the NHS • Increasing capacity and capability

  32. The Recruitment and Retention Survey 2000 • Poor image • Poor working conditions • No career pathways • Poor remuneration • Loss of status • Especially for clinicians

  33. An NHSIA Objective • To establish health informatics as a recognised and respected national profession • “Pathways to Professionalism” conference July 2002

  34. Health Informatics: a Definition • “The knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health”

  35. Who is a Health Informatics Specialist? • ICT • Health records including clinical coding • Librarians and knowledge management • Information management including security and confidentiality; clinical audit etc • Strategic management and Directors • Clinical informatics

  36. Annual conference for specialists Accolades Scheme Partnerships with Higher Education providers With WDCs CIO development programme Functional Map and National Occupational Standards Careers information Health Informatics within NHSU UKCHIP Code of Conduct Voluntary Register “Making Information Count”

  37. And then ….. • “Fast Track” development schemes • Workforce guidance • CPD guidance • Qualifications Framework

  38. Why are the National Occupational Standards so important? • Making informatics mainstream • Supporting Agenda for Change • Knowledge and Skills Framework • National Qualifications Framework • Job profiles • National pay spine

  39. What might a Qualifications Framework Comprise? • Links to UKCHIP registration levels • Links to Vocational Awards levels • Building in what we already have • Like the Professional Awards in IM&T (Health) • Identifying gaps • Reviewing the role of Modern Apprenticeships, Graduate Apprenticeships and Foundation Degrees

  40. The Professionalism Jigsaw Registration CPD Qualifications Standards

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