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

1. EU-US eHealth/Health IT Cooperation InitiativeWorkforce DevelopmentWork Group September 19, 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. General Announcements • The Workforce Development Workgroup meets every Thursday from 10:00am – 11:00am ET or 4:00pm-5:00pm CEST • To participate please see the “Weekly Meetings” Section of the EU-US eHealth Collaboration Wiki Homepage: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative • We will be presenting our work at the EU-US eHealth Conference in Boston, MA Oct 21-23, 2013 http://b2match.eu/eu-us-ehealth-marketplace-boston2013 Note: Please check the meeting schedule weekly to get the most up-to-date meeting information

6. 3rd EU-US eHealth Marketplace and Conference • http://b2match.eu/eu-us-ehealth-marketplace-boston2013/pages/home • Two-day program that will bring together international leaders, healthcare professionals, technology providers, academia, patient groups, innovators, entrepreneurs and policymakers to discuss current trends and business opportunities in healthcare information technology. Program also includes panel and keynote remarks from leading health innovators; a unique and successful brokerage networking program; exhibitions; informal networking and more. • The EU-US eHealth Cooperation project will be providing updates on our work. • Interoperability and Workforce Development Work Groups will host face-to-face working sessions on Tuesday, October 22, 2013. • Registration is required for this event.

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. Archived Meeting Materials • For all meeting minutes, presentations, reference materials and recordings please visit the Materials tab and select “Past Meetings” from the drop down menu http://wiki.siframework.org/Project+Meeting+Artifacts.

9. Upcoming Meetings

10. Defining and Refining Our Work • Phase 1: • Proposed Approach • Define settings • Select one small setting such as pharmacy, primary care, etc. and then repeat process for other settings to help them run a bit smoother and perhaps faster. • Define skills needed to support these settings – as related to HealthIT • Map skills to professional roles/titles • Phase 2: Examine what exists to support these roles • Phase 3: Gap Analysis • Phase 4: Final Recommendations

11. Acute Care Setting Defining Skill Levels

12. Acute Care Setting Defining Skill Levels CONTINUED

13. Acute Care Setting Defining Skill Levels CONTINUED

14. Acute Care Setting Defining Skill Levels CONTINUED

15. UKCHIP Professional Standards Generic Professionalism Specialised Professionalism Generic Informatics Specialised Informatics

16. UKCHIP Professional Standards Professional Certification & Regulation • The UKCHIP has identified several competencies for each of the four professional groups • Each professional group can be claimed at one of three levels: • Basic awareness; • Moderate understanding; and • Expert. • The levels are dependent upon a professionals location, background and operational level. The descriptors are consistent; however, the qualifiers vary.

17. UKCHIP Professional Standards Generic Professional Standards • Autonomy and Accountability • Self Management • Reflective Practice • Communication and Professional Relationships • Influencing and Negotiation

18. UKCHIP Professional Standards Generic Informatics Standards • Generic Informatics Standards • Analytical Skills and Problem Solving • Numeracy, Information Literacy and Research • ICT Usage • Data Quality • Information Governance and Security • Systems Development & Implementation • Account/Supplier Management • Data, Information and Knowledge • Collection of Data, Information and Knowledge • Validation and Processing of Data, Information and Knowledge • Appraisal, Analysis and Interpretation of Data, Information and Knowledge • Presentation and Dissemination of Data, Information and Knowledge • Monitor, Evaluate and Improve the management of Data, Information and Knowledge • Develop models for processing new data and information • Information Technology • Interoperability and Integration • Technical Standards • Information Systems Strategy • Benefits Management and Realisation • Document and Records Management

19. UKCHIP Professional Standards Specialist Professional Standards • Patients and the Public • Medicine and Care • Delivery of Care • Improving the Quality and Safety of Care • Clinical Governance • General Management/Leadership • Strategy, Policy and Planning • Management, Oversight and Funding of Care Services • Quality Management and Service Improvement • Programme and Project Management • Change Management • Risk Management • Personnel Management • Finance Management

20. UKCHIP Professional Standards Specialist Informatics Standards • Protection of Individuals and Organisations • Data, Information and Knowledge in Health and Social Care • Primary and Secondary Uses of Data • Sources and Location of Data, Information and Knowledge • Data Quality • Information Systems in Health and Social Care • Current and Emerging Systems • Interoperability and Integration • Technical Standards • Health and Social Care Information Systems Strategy • Safety and Quality • Information Governance and Security • Clinical Coding and Terminology • Health Records

21. Next Steps • Workforce Development Work Group will continue to meet every Thursday from 10:00am - 11:00am (ET)/4:00pm - 5:00 pm (CEST) • Check the Workforce Development Wikipage regularly for updates: http://wiki.siframework.org/Workforce+Development+Work+Group

22. Workforce Support Leads • 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 • EU Point of Contacts • Mary Cleary: mary@ics.ie • Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu • Frank Cunningham, frank.cunningham@ec.europa.eu

23. 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

24. Work Group Reference Materials • EU • UK Health Informatics Career Framework:https://www.hicf.org.uk/ • UK Council for Health Informatics Professions: www.ukchip.org • Pre-recognition of elements from various constituencies are built in, and submitted academic and commercial courses (face-to-face and e-learning) are recognized under the UKCHIP EQAS scheme as meeting UKCHIP standards. • UKCHIP Standards have been cross-mapped to the professional requirements of a number of learned / professional societies, the discipline-specific embedded HI skills necessary in otherwise professionals’ curricula, and organizations and against generic technology standards (such as the EU e-competence framework, SFIA+ requirements) • A number of registrants have been self-assessed for competence, as applied to their own non-UK national situation and have committed to the UKCHIP Code of Professional Conduct. • e-ICE NHS Englandhttp://www.cln.nhs.uk/eice/online-learning/online-learning • commissioned learning materials for clinicians, managers and domain new entrants regarding HI concepts • HI Society of Ireland work on EU e-Competence framework; within aegis of CEPIS IT developments – towards eCompetence Framework for eHealth • Medicine for Managers is a freely available basic guide to clinical conditions for non-clinical specialists, is of interest to HI professionals also in developing domain knowledge • Europe for Patients:http://ec.europa.eu/health-eu/europe_for_patients/health_workforce/ • US • Health IT Training Curriculum: http://www.onc-ntdc.org/http://www.healthit.gov/providers-professionals/curriculum-development-centers • Community College Training Program: http://www.healthit.gov/providers-professionals/community-college-consortia • University Based Training Program:http://www.healthit.gov/providers-professionals/program-assistance-university-based-training • Joint Work Force Task Force: Health Information Management and Informatics Core Competencies for Individuals Working With Electronic Health Records:http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_040723.pdf • Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics. First Revision.http://www.ncbi.nlm.nih.gov/pubmed/20054502

25. Appendix A Vocabulary and Terminology

26. Vocabulary and Terminology • Healthcare workforce: • Clinical providers • Health IT professionals • Information management professionals • Information technology professionals • Clinical engineers • Allied healthcare teams or ancillary care providers • Public health leaders • Administration • Knowledge management professionals • Education, training, development and research professionals • Records management (medical, clinical and organizational) • Senior management of health IT facilities and services • Project, program and portfolio management professionals • Clinical informatics and user experience involvement • Baseline- there will not be solely ONE of these markers. It will vary, dependent upon: • Role requirements and job specification • Technological development, availability and deployment level and domain-specific landscape in the country, constituency or organization • Other terms?

27. Appendix B Roles

28. Sample Professional Role/Title • Community Suggestion: EU ICT Service Manager • Other indicative job titles: Clinical Systems Manager, Desktop Operations Manager, IT Manager, IT Operational Manager, Service Manager • Job description: An ICT Service Manager takes ownership of and provides a resilient, reliable and effective information communication and technology service so that all staff in an organization are able to rely upon the technology that helps them to do their work. This includes: ensuring that all aspects of the IT architecture and infrastructure are documented, understood and maintained; managing, directing, developing and implementing the IT technical strategy so that it evolves in line with national, regional and local requirements and the organization's corporate strategies and objectives; performance managing third party IT supplier contracts and interaction with all departments to ensure delivery against pre-defined criteria; building and sustaining relationships with IT users; managing software license's; and working closely with all IT users across the organization to ensure service satisfaction and appropriate levels of robustness for all IT applications. • Qualifications: • Degree in a relevant subject or equivalent (or equivalent experience) • Masters degree in a relevant subject or equivalent (or equivalent experience) • Vendor qualifications at Certified Professional and/or Specialist level (e.g. Microsoft Certified IT Professional (MCITP)) • IT Service Management (ITIL V3) Manager’s Bridge • ISEB Practitioner Certificates in IT Service Management • PRINCE2 Practitioner (or equivalent project management methodology) • Qualification at QCF level 4 in management or equivalent (or equivalent experience) • *taken from NHs HI Career Framework

29. Sample EU MappingRoles/Titles • *https://www.hicf.org.uk/Index.aspx

30. Appendix B: Potential List of Roles EU Suggested Roles • Physician • Nurse • Practical nurse • Laboratory nurse • Hospital physicist • Clinical engineer • Technician • Receptionist • Statistician • Administrative personnel (several types) • Manager of the ICT systems • Application developer • Application specialist • Database manager • ICT user support person US Suggested Roles • Clinician or public health leader • Health information management and exchange specialist • Health information privacy and security specialist • Research and development scientist • Programmers and software engineer • Health IT Sub-Specialist • Practice workflow and information management redesign specialists • Clinician/practitioner consultants • Implementation support specialists • Implementation managers • Technical/software support • Trainers *ONC Workforce Development For Universities http://www.healthit.gov/providers-professionals/program-assistance-university-based-training ONC Workforce Development for Community Colleges http://www.healthit.gov/providers-professionals/community-college-consortia”