eu-us ehealth collaborative workforce development workgroup closing ceremony may 21 st, 2015

EU-US eHealth Collaborative Workforce Development Workgroup Closing CeremonyMay 21st , 2015

Meeting Etiquette

• As a reminder all participants on this call are muted. If you want to ask questions or make comments please use the “Question” feature on the web meeting

Where do I get access to the HITCOMP Tool?

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Agenda• Opening Remarks

– Steven Posnack, M.S., M.H.S. Director, Office of Standards and Technology– Frank Cunningham Policy Officer, Health & Well-being Unit, DG CONNECT

• Background– Steven Posnack, M.S., M.H.S. Director, Office of Standards and Technology

• Achieving our Goals - Methodology and Work Product– Jamie Parker – Project Manger EU-US Workforce

• Consuming Our Work – the HealthIT Competency Tool (HITCOMP)– Rachelle Blake, PA – HITCOMP Tool Development Lead and Clinician Advisor

• Coping with a Moving Target– Jean Roberts, Director (Standards) UK Council for Health Informatics Profession

• Continuing Education in Health IT, Next steps: Mapping HIT Competencies to Curriculum and Professional Credentials– Scott Zacks, CHTS Mt. Hood Community College Health IT Instructor, Health IT Consultant

• Exploring EU-US Workforce Development Tool– Gora Datta – Vice Chair IEEE Orange County Section

• Processes and Work Product– Kim Tuminaro – US Department of State, Senior Trade Officer TTIP and TEC Coordinator

• Closing thoughts– Jamie Parker

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STEVEN POSNACK M.S., M.H.S., Director, Office of Standards and Technology

FRANK CUNNINGHAM, Policy Officer, Health & Well-being Unit, DG CONNECT

Background

EU-US eHealth Collaboration Initiative

Memorandum of Understanding

It started with a Memorandum of Understanding• In December 2010, the European Commission and the

US Department of Health and Human Services signed a Memorandum of Understanding (MOU) to: – Help facilitate more effective uses of eHealth/Health IT;

– Strengthen their international relationship; and

– Support global cooperation in the area of health related information and communication technologies

• In August 2013, two work groups were launched - Interoperability and Workforce Development

Workforce Development


Goals and Objectives

Goals of the EU-US Workforce Development Workgroup:• To achieve a robust supply of health

professionals highly proficient in the use of HIT• To assure current and future workforces have the required

technology skills needed to be successful, and enhance experience and performance within the eHealth/Health IT Ecosystem

• To support an innovative collaborative community of public- and private sector eHealth/Health IT entities, working toward the shared objective of developing, deploying, and using eHealth science and technology

• To define standards, develop competencies and produce useful tools that support this work


Membership

Work Group Members represented 13 countries/regions

• Canada• England• Finland• France• Germany• Greece• Ireland• Israel• Italy• Mexico• Norway• Scotland• United States

Members met every week for 20 months, in addition to extra meetings, conferences and presentations to achieve: Identified a health care setting in which to evaluate health IT

competencies Mapping roles in the selected healthcare setting between the US

and the EU Categorizing roles into Domain, Skill Level and Type Compiling and aggregating data from over 3000 HIT competencies,

supplied by 15+ health information organizations and sources Integrating Bloom’s taxonomy and instructional design concepts Synthesizing data down to 1000+ standard HIT competencies

Developing a consumer tool in which to access these standard HealthIT competencies


Review of Achievements

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JAMIE PARKER, PROJECT MANAGER – EU-US EHEALTH WORKFORCE WORKGROUP

Achieving our Goal ….How Did You Do That???


The Work Plan

• In order to achieve the goal to define standards, develop competencies and produce useful tools supporting the mission of the Workforce Development Workgroup– We broke the work down into 5 steps:

1Identify the setting

2Identify Roles in setting; map US roles to corresponding EU roles

3Collect existing eHealth/Health IT competencies

4Categorize competencies

5Review the categorized competencies for accuracy & applicability, identifying gaps where necessary


Step 1: Identifying the Setting…

We solicited several Settings where we could evaluate roles against Health IT competencies

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Selection Criteria– Stable and consistent– Little variance– Organized similarly– Relatively common functions and definitions

• Short list of setting options included:

– Long-term care– Ambulatory care– Rehabilitation center

– Pharmacy

– Acute Care– Clinics (Flu, HIV etc.)

Selected


Step 2: Identifying and Mapping Roles

We agreed to focus on those roles in the selected Acute Care Setting • We collated and mapped the Acute Care roles from the US to those in

the EU– Resulted in 250 unique Acute

Care roles– Mapped roles in English and

four EU languages

• Applied Categorization in order to map them to competencies– Domain– Skill Level– Type

We gathered competencies from 15+ organizations from both the EU and US • These included competencies from:

– Universities and Colleges

– Federal/Government Entities

– Professional Associations

• Resulted in the collection of over 3000 unique Health IT competencies


Step 3: Gathering Competencies

We manually applied categorization to all 3000+ competencies

• Categorized competencies into the following:– Domain (Direct Patient Care, Administrative, Informatics, Engineering/ICT,

Research)

– Area of Competency (e.g. Privacy & Security, Clinical Decision Support, etc.)

– Skill Level (baseline, basic, intermediate, advanced, expert)


Step 4: Categorizing Competencies

BaselineBasic

IntermediateAdvanced

Expert

Used concepts of building blocks, ensuring a way to build upon a single competency, from Baseline to Expert


Step 5: Evaluating Each Competency…

We reviewed and reworked the competencies• First, we filtered by domain, evaluated

all competencies in that domain from basic to expert, and then:– Removed duplicate competencies– Removed those that did not apply or

that were not strongly Health IT/eHealth focused

– Reworded competencies to make them applicable

Differentiate between the types of content of patient health records (such as paper-based records,

scanned records, electronic medical record, personal health record, patient-supplied data, etc.)

Define EMR and PHR

Data versus information

Know types of health records

To synthesize the competencies, we:• Integrated Bloom’s taxonomy and adult learning principles into

competencies

• Producing standardized competencies

• Making competencies usable in formal educational and workplace settings


Step 5: Evaluating Each Competency continued

Adoption of Competencies:• We aggregated, catalogued and synthesized this data into 1000+ targeted HIT

competencies – Adoption after formal voting and consensus process

– Adopted competencies are interoperable with educators, curriculum developers and workforce initiatives throughout EU and US

– Poised for further alignment with existing industry standards, certification bodies and educational programs (i.e., apprenticeships, just-in-time workplace training, eHealth/Health IT occupational coding, etc.)


Achieving the Goals

eHealth is not just about systems, it’s about

people

Interoperability is not just a technical challenge – it requires a skilled workforce

to make it happen


Presentation of Work - Athens


Presentation of Work - Boston


Presentation of Work - Riga

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RACHELLE BLAKE, PA – HITCOMP Tool Development Lead and Clinician Advisor

Consuming This Work – How Can I Use This?The Health IT Competency Tool (HITCOMP)

The HITCOMP Tool — an interactive HIT role level competencies ‐filtering and research tool and repository http://hitcomp.siframework.org • Can be used by employers, educators, managers, recruiters,

agencies, students, job seekers, current eHealth workers and more

• Open Source and free to anyone with access to the internet


HITCOMP Tool

http://hitcomp.siframework.org/


HITCOMP Tool: Real World Scenarios

• Use Case: 1 Hiring Manager– Has new nursing positions open– Needs all candidates to have eHealth skills– Nurses will be intermediate to advanced level

• Use Case 2: Technology College– Developing new eHealth certificate program in

management, quality and improved outcomes– Wants to offer training to new students as well as current workers

in health administration areas at local hospitals– Needs to create a structured educational program to fit these

needs• Use Case 3: ICT/IT Specialist

– Has a financial background in ICT/Information Systems– Wants to transition to eHealth– Has heard Health IT/eHealth careers are in demand with small

supply and many opportunities exist throughout EU and US– Needs to know what skills are needed for eHealth “dream job”



• Maria is a hiring manager and has several new nursing positions opened and she needs all candidates to have eHealth skills

• Potential candidates need to be proficient at an intermediate to advanced level to help the institution reach its technology goals

• What types of competencies should she use when writing job descriptions and placing the employment advertisement?

• How can she use the HITCOMP tool?

Use Case 1: Hiring Manager



• A local technical college is interested in offering a certificate program in conjunction with a large regional hospital

• They would like to offer the program to current hospital workers in administrative areas, as well as new eHealth administration students

• The course curriculum will focus on the importance of Health IT on patient management, quality improvement and better outcomes

• What skills/competencies should the college include in this certificate program?

• How can they use the HITCOMP tool?

Use Case 2: Technical College



• David is a mid-level financial services technical support representative who would like to develop his career

• He has heard that eHealth careers are in demand, as there is a short supply of qualified workers in health IT

• He has done research and learned eHealth opportunities are lucrative and stable

• He would like to know what skills are needed to make the move from finance to health IT

• He has heard of a tool that will help him land his “dream” job• How can he use the HITCOMP tool?

Use Case 3: ICT/IT Specialist

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HIMSS T.I.G.E.R. COMMUNITYJEAN ROBERTS – Director (Standards) UK Council for Health Informatics ProfessionSCOTT ZACKS, CHTS – Mount Hood Community College Health IT Instructor, Health IT ConsultantGORA DATTA – Vice Chair IEEE Orange County SectionKIM TUMINARO – US Department of State, Senior Trade Officer TTIP and TEC Coordinator

Thoughts From Industry and the Community – an Inspired Discussion on Using this Work

TIGER• Technology Informatics Guiding Education Reform (TIGER) is

dedicated to advancing the integration of health informatics to transform education and practice.– Focused on better preparing the clinical workforce to use technology

and informatics to improve the delivery of patient care.

• The TIGER Virtual Learning Environment (VLE), powered by HIMSS, is a one-stop online health IT education portal for academic professionals, students, adult learners and clinical educators.

How TIGER utilized HITCOMP

• TIGER VLE Subject Matter Expert Workgroup utilized the HITCOMP resource to assist with synthesizing/harmonizing a broad variety of interdisciplinary competencies that represent multiple user layers from basic interdisciplinary healthcare providers up to informaticians.

• ONC HITCOMP, along with input from the former TIGER Education Committee, served as a base for the synthesized competency document.

Coping with a Moving Target - a UK-based plan for the EU:US HI

Competences

Jean [email protected]

EXCITING EMERGING SCENARIO

• Professional societies and regulatory body coming together

• Focus on recognising a holistic Health Informatics community

• Health and social care convergence“We believe that England must move towards a single ring-fenced budget for health and social care, which is singly commissioned and within which entitlements are much more closely aligned” (King’s Fund, Commission on the Future of Health and Social Care in England (2014)

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Challenges and Benefits • Collective professional objectives, tools and role descriptors • Clarity of HI brand image and personal expectation• Clear routes to HI Workforce development and mobility

• IMPROVED IDENTITY for professionals and the profession• Potential for global MOBILITY of a recognised workforce • WIDE RECOGNITION of HI as care sector support• CLEAR CAREER DEVELOPMENT PATHWAYS - producing

greater understanding of needs, issues and solutions • COMMON LANGUAGE between operational care delivery

organisations, academia and commercial solution and service providers

• ENHANCED DOMAIN SENSITIVITY

Aspiring to be the ‘WORLD PARTS CENTRE’ for HI competences

Consistency will facilitate effective dialogue, trans-national movement and collaboration – the EU:US competence work is not prescriptive, it is flexible and selective aggregation will contribute to HI professionalism globally and across all the disciplines within the health and care sector.

Healthcare Workforce Evolution Proposal, CE-HITScott Zacks, CHTS-CP, TR, PW, ISMedical Business SolutionsMt. Hood Community College Health Informatics Program LeadHIMSS Oregon Workforce Development [email protected]

EU-US Workforce Development InitiativeONC S&I Framework PresentationMay 21, 2015Closing Ceremony

mailto:[email protected]

Brief History

2009-2012 ONC’s ARRA HITECH Workforce Development Program: Oregon’s Innovative Approach1. Community College Consortia: Continuing roundtable to share ideas, best practices, successes and challenges2. Incumbent Worker Training: An innovative approach to WF Development focusing on professional development to create space for new workers.3. Collaboration: CCC, OMA, REC, OHN, OHA, Mental Health, Public Health, partner with CC’s state-wide to deliver HIT seminars.

Innovation in OregonOregon’s Innovative Approach to Workforce Development:2-Pronged Approach to MHCC Health Informatics Program, 2010-PresentMt. Hood Community College, original HITECH Workforce Development site1. Certificate and Associate Degree. Continuous curriculum evolution, focus on research skills and hands on projects to supplement ONC curriculum.

-AHIMA CHTS certification prep. (Formerly ONC’s HIT-Pro certifications)

2. Professional Development Program: CAHIMS Prep course, curriculum and LMS from OLI.

-HIMSS’ CPHIMS & CAHIMS Prep. course

Proposed Solution: Next Steps

1. Create roundtables between Health Industry employers and Academic Institutions to discuss current workforce needs and skills requirements. THINKER council based on Washington State’s DOL funded HIIEC model.2. Continuing professional development + new worker pipeline development3. Partner with HIMSS Oregon, MHCC and local Hospital Networks: Legacy, Kaiser, Providence to convene stakeholder roundtables and conduct workforce needs assessments.Methodology: Map workforce needs assessment results to HIT related credentials and curriculum that support professional development and organizational workforce development goals.

EU-US Workforce Development Initiative

* Collaborate with S&I EU-US W/F Initiative to expand effort to include additional workforce roles, mapping to HIT curriculum and credentials.

Tasks for Scott:A. HIT Credential gathering to workforce roles ✓B. Curriculum resource identification and acquisition ✓C. Informal curriculum resource gathering ✓Additional work to be completed:A. Map HIT Curriculum and Credentials to S&I HITComp Tool B. Develop Workforce Needs Assessment aligned with and based on national benchmark surveys. HIMSS Workforce Survey, 2014, CHIME Workforce Survey, 2012, Texas HIT Workforce Study, 2012, Washington State WHIIEC, 2013

Health IT Professional Credentials

● 100+ HIT Professional related credentials identified

● 31 HIT related curriculum resources identified

● Informal Education & Training Resources24 Categories identified

Incumbent + Entry Level Effort

Our experience in Oregon leads us to believe a two pronged approach to workforce development is necessary to:A. Elevate the skill sets of the current workforce of “incumbent” workers.B. Venturi Effect: Promoting incumbent workers to new, advanced skill set roles and responsibilities creates entry level job opportunities for new graduates.C. Increased demand for technology skills: New models of Healthcare require advanced information and data analytics to achieve Triple Aim goals of improved health and contained costs, required by Health Reform. By educating the workforce about how to leverage HIT and analytics to deliver information that supports new models of healthcare that are increasingly dependant on Health Quality Metrics and Meaningful Use of Health IT.

Next Steps: The Final Mile

S&I EU-US Workforce Original MOU

Final Milestone (work remains to be completed)Explore new models of education/employer collaboration to facilitate continued development of programs to meet employment needs in the US and EU and ensure that all healthcare staff maintain competence levels through recognized program of certified continuous professional development.

Proposed Solution: Work with stakeholders to identify HIT Training Needs and resources via HIT Comp Tool. Oregon’s Methodology has been proposed within Mt. Hood CC’s ONC grant application for HIT Workforce Development, May 6, 2015.

Next Steps: T.H.I.N.K.E.R. Council

Develop and Pilot HIT WF Needs Assessment with local partners via DOL HIT Industry & Education Council Format modeled on Washington State’s WHIIEC.

Oregon Model: Think Global, Act Local. T.H.I.N.K.E.R. Councils(Total Health Interoperability Needs Knowledge and Education Resources)Stakeholders will be based within the geographic regions of Oregon’s CCOs Process:A. Develop Workforce Needs Assessment from National Benchmark Studies, HIMSS, TX, etc.B. Map HIT Curriculum and Credentials to S&I Framework HITComp Tool.C. Pilot T.H.I.N.K.E.R. Council with local partners based on DOL WHIIEC model.D. Outcome: Tool that maps the Needs Assessment results of HIT Roles and Competencies to Curriculum and Credentials generating individualized professional development and organizational workforce development plans.

Contact

Scott Zacks, CHTS-CP, TR, PW, ISMedical Business SolutionsHealth IT ConsultantMt. Hood Community College Health Informatics Program Lead HIMSS Oregon Workforce Development Chair

[email protected]


Exploring EU-US Workforce

Development ToolGora Datta

Vice Chair IEEE Orange County Section

[email protected]


IEEE Region 6 Education Activity Board

Evaluation of HITCOMP the EU-US Health IT Competency Interactive Tool

Collaboration with JC/Regional Colleges (JC – Junior Colleges)

Incorporate HITCOMP artifacts into course development

Focus on workforce development using HITCOMP skills and competencies

Identification of HR (human resources) matrix

Development of a “new” category of workforce “HealthTech” workforce

NOT a Healthcare workers with HIT skills

NOT a HIT worker with Healthcare skills

A hybrid – 21st Century Workforce!

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US Department of State

Kim Tuminaro -Senior Trade Officer TTIP and TEC Coordinator, US Dept. of State• Exposing our work to larger EU audience• Sharing our processes as a template for how

to work in a larger diverse community

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Conclusions… Yes, we did it


“People who say it can’t be doneshould get out of the way

of people who are doing it.”

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- Borrowed from a colleague, Victor Lee (Zynx Health), at what must have been a fortuitous dinner…

Identified Acute Care setting in which to evaluate Health IT competencies

Mapped Acute Care roles between the US and the EU Categorized roles into Domain, Skill Level and Type Compiled and aggregated data from over 3000 HIT competencies,

supplied by 15+ health information organizations and sources Integrated Bloom’s taxonomy and instructional design concepts Synthesized data down to 1000+ standard HIT competencies Developed a consumer tool in which to access these standard

Health IT competencies


We did this…


Celebrating our Community

• A gigantic heart felt and humble:

Thank You!!!!!!!!!

While we have achieved tremendous success – getting the chance and the honor of working with each and every one of you was by far the funniest, happiest and most delightful part of the adventure.

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Questions

• Please feel free to type your questions in the “Question” panel

Where do I get access to the HITCOMP Tool?

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Initiative Resources

• EU-US Wiki Homepage– http://

wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative

• Workforce Development Homepage– http://

wiki.siframework.org/Workforce+Development+Work+Group

• HITCOMP Tool– http://hitcomp.siframework.org/

http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative



http://wiki.siframework.org/Workforce+Development+Work+Group





US POINT OF CONTACTSMERA CHOI, [email protected] PARKER, [email protected] NGUYEN, [email protected]

EU POINT OF CONTACTS MARY CLEARY, [email protected] FRANK CUNNINGHAM, [email protected] KAYE, [email protected]

US/EU POINT OF CONTACTRACHELLE BLAKE, [email protected]








eu-us ehealth collaborative workforce development workgroup closing ceremony may 21 st, 2015

Documents

us department of health

work slide

health wellbeing unit

health informatics profession

health care setting

office of standards

hood community college

work groups