MedBiquitous Orientation

1. MedBiquitous Orientation Valerie SmothersMedBiquitous MedBiquitous Annual Conference May 2, 2012 http://bit.ly/mbq12or

2. Objectives At the conclusion of the workshop, participants will be able to: • Describe what a technology standard is and the potential benefits standards afford • Describe technology standards developed by MedBiquitous • Identify opportunities for collaboration and integration leveraging standards

3. Overview • Introductions • What is MedBiquitous? • What advances have been made? • Summary • How to participate

4. IntroductionsWhat do you hope to learn today?

5. What is MedBiquitous?

6. MedBiquitous Mission To advance healthcare education through technology standards that promote professional competence, collaboration, and better patient care. Not-for-profit, member-driven, standards development organization

7. The Fragmented Healthcare Industry Universities AccreditingBodies Societies ? LicensingBoards CertifyingBoards Government InternationalPartners

8. How it all started…

9. A note about IP • We give it away! • No cost, no registration • Very open license • Download: • Specifications • XML Schemas • Implementation toolkits Free! atmedbiq.org

10. MedBiquitous: Technology Standards for Healthcare Education • 47 member organizations • 8 Working Groups • ANSI process • Openness • Transparency • Consensus • Due process • Work with leading organizations that can drive adoption Professional Profile Learning Objects Activity Reporting Metrics Virtual Patients Curriculum Inventory Competencies Educational Trajectory

11. MedBiquitous Goals • Better tracking and evaluation of professional education and certification activities • Easier discovery of relevant education and information resources when and where needed • Interoperability and sharing of high quality online education • Coordination and tracking of competence assessment data

12. MedBiquitous Process Executive committee • Approves new standards projects • Meets via telco, in person • Develops specifications • Consensus body • Votes • Final approval Working groups Standards committee ANSI

13. Why standards?

14. Why standards? Activity You are designing your own searchable cookbook for all of the recipes you download from the internet. Develop a data structure for a cooking recipe. Describe some of the benefits of having this standard. 10 min

15. Why standards? • To facilitate exchange of data and resources • To enable collaboration • To create economies and networks of scale Can you think of any examples?

16. The Internet is based on standards • HTML (web pages) • Jpeg, ping, gif (images) • MPEG (movies)

17. Your Challenges Activity What information exchange, coordination, or integration challenges do you have? 5 min

18. What Standards has MedBiquitous created?

19. Discovering and Sharing Educational Resources • MedBiquitous Virtual Patient • Healthcare LOM

20. Healthcare LOM • Mechanism for describing images and learning content in a repository • Easier search and discovery, potentially automated • Extends IEEE LOM • Used by AAMC, HEAL, VA, CECity, many others

21. MedEdPORTAL mededportal.org

22. Healthcare LOM Uses Title: Aresenic Toxicity Keyword: Environmental medicine, MeSH D019550 Target audience: Physician, registered nurse Credits:: CME 1.5 AMA PRA Category 1; CNE 1.7 contact hours Title: Preventing sports injuries Target audience: Patient Health Education DatabaseB

23. Healthcare LOM Structure

24. Healthcare LOM Structure

25. Moving Forward www.meducator.net

26. Virtual Patients Definition:An interactive computer simulation of real-life clinical scenarios for the purpose of medical training, education, or assessment. Why? Several schools are developing Need a framework that would allow these virtual patients to be shared across systems

29. Why Share Virtual Patients? Costly to develop Time consuming to develop Requires significant technical, subject matter, and pedagogical expertise

30. How Technology Standards for Virtual Patients Could Work Institution B Institution C <XML> Institution A Institution D Etc.

31. 3-Year programme involving 6 separate projects 9 European partners and other collaborators Co-funded by the European Commission “To create a shared online bank of virtual patients, adapted for multicultural and multilingual use, for the improved quality and efficiency of medical and healthcare education across the world” www.virtualpatients.eu

32. eViP Partners St George’s, University of London, UK Karolinska Institutet, Sweden Ludwig-Maximilians-University, Munich, Germany University of Warwick, UK Universiteit Maastricht, Netherlands Heidelberg University, Germany University of Medicine Cluj-Napoca, Romania Uniwersytet Jagiellonski, Poland University of Witten Herdecke, Germany www.virtualpatients.eu

33. Outcomes Repository of 320+ collective VPs for multilingual, multicultural access, and integrated into curricula Tried and tested standards Common content licensing model Major resource for medical and healthcare education to be shared by all institutions across the sector www.virtualpatients.eu

34. Why technology standards? Leverage content developed elsewhere (VP banks) Coordinate development efforts across a discipline (ex. Geriatrics Education) Provide flexibility in choosing VP authoring and delivery system (protecting your investment)

35. Your Experience Activity Have you shared resources with other organizations? What are the benefits and complications of sharing resources? 5 min

36. Tracking the Professional and the Accredited Provider • Professional Profile • Activity Report • Medical Education Metrics

37. Professional Profile Use Case • Common format for exchanging information about healthcare professionals • Contact • Education • Training • Certification • License • Disciplinary action • Academic appointments • Memberships • Facilitates cross-organization collaboration

38. Benefits of standardization • Faster to process standardized data • Faster to develop new applications • Easier to work with partner organizations • Able to automate many business processes • Users: ABMS, AOA for faster credentialing

39. Used with permission of AAMC and NBME The Process An app that compiles data reports for the learner and/or other authorized viewers A collection of data repositories that can provide information for the eFolio Connector application

40. Status of Professional Profile • Approved standard • Revising standard as part of required maintenance • Version 2.0 draft available

41. Activity Report • Provides a standard XML format for CE/CPD certificates and Maintenance of Certification (MoC) activity reports • Allows organizations to centrally track learning and performance improvement Verified

42. Electronic CME The New Way Used with permission of the AOA and Medscape

43. Status of Activity Report • Approved standard • Maintenance underway • Version 2.0 draft available • Users include American Board of Pediatrics, American Academy of Pediatrics, American Heart Association, HighWire Press, Mesdcape, AOA, and CECity

44. Technology standard for core evaluation data Users Educators want best practices, ability to compare Funders want to measure reach and efficacy Accreditors want to measure success of activity and provider MEMS: Medical Education Metrics

45. MEMS Data • Activity Description • What’s being evaluated • Participant Activity Evaluation • What did participants think • Participation Metrics • How many people participated • Learner Demographics

46. MEMS Use Case CE provider ACCMEPARS CE provider CE provider

47. Status of MEMS • Approved standard • Used by ACCME for Program Activity Reporting System (PARS) • CECity, Rievent Technologies, DLC Solutions have implemented

48. Tracking professionals Activity Exchanging certification activity data 10 min

49. Break – 15 minutes

50. Tracking and Measuring Competence • Competency Framework • Curriculum Inventory • Educational Trajectory • Performance Framework • Educational Achievement