Stimulus Bill Update - American Medical Informatics Association

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6th Annual Conference ~ Minneapolis
Advanced Interprofessional
Informatics Certification (AIIC) Task
Force Report – May 23, 2012
Cindy Gadd (Chair), JT Finnell, Dean Sittig, Nancy
Roderer, Ann Peden, Greg Alexander, Rita Kukafka
(BOD liaison), Stuart Speedie (AF Chair)
www.amia.org
6th Annual Conference ~ Minneapolis
AIIC Task Force Charge
• Explore certification of informatics
professionals in parallel with CI
subspecialty certification development
– Implications for AMIA in such an initiative,
independently or with a partner
– Implications for AF member organizations
– Implications for employment for professionals
in our field
www.amia.org
6th Annual Conference ~ Minneapolis
Steps in the AIIC process so far
• Environmental scan of the certification
landscape in informatics
• Development of consensus statement
• Comment period for AF members
• Endorsed and forwarded to the AMIA Board of
Directors by the AF Executive Committee
www.amia.org
6th Annual Conference ~ Minneapolis
Consensus Statement Summary
• The AIIC should be profession/discipline neutral
– focused on the common, “core informatics
competencies”
• To create competitive value in the field, the AIIC
should “advanced” on par with CI subspecialty
certification
• AMIA should explore cooperative models with
ABPM or other organizations with experience in
certification programs
www.amia.org
6th Annual Conference ~ Minneapolis
Environmental Scan
• Several professions have informatics
certifications:
– IS/CS: CPHIMS thru HIMSS
– Health Information Management: HIM (RHIA, RHIT,
others) thru AHIMA (CCHIIM)
– Nursing Informatics: Subspecialty in Informatics
Nursing thru ANA (ANCC)
• Eligibility: under/graduate degrees plus
experience
www.amia.org
6th Annual Conference ~ Minneapolis
Environmental Scan cont.
• Other professions do not have informatics
certifications:
–
–
–
–
–
MD nonboard-certified, trained in informatics
nonMD PhDs trained in informatics
Dental informatics
Medical librarianship
Public health informatics (x-cutting competency)
www.amia.org
6th Annual Conference ~ Minneapolis
Consensus Statement – Add’l Points
• Eligibility requirements for an AIIC exam will be
complicated by the high degree of variability
associated with multiple professional training
paths
• Desirable to preserve AMIA’s ability to offer
exam prep and MoC education
• At time of environmental scan, no other
organizations were announcing plans for
certifications but this is a fast changing world
www.amia.org
6th Annual Conference ~ Minneapolis
Next Steps for AIIC
• AMIA leadership, staff, and TF to further explore:
– Implications for existing and new interorganizational
relationships
•
•
ABPM
Impact on other existing relationships
– Business models
– Timeframe – first CI subspecialty exam anticipated in
fall of 2013; would like AIIC to be available in similar
timeframe
www.amia.org
www.amia.org
Accreditation Task Force
Informal Report
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Charge
• An analysis of alternative strategies for supporting these subspecialty
training programs in seeking accreditation, with respective strengths,
weaknesses, opportunities, and threats for AMIA and the supporting
member organizations. Such strategies may include creating a service
bureau with in AMIA, providing a staff member for advising, or through
member working groups. The analysis should take cognizance of AMIA’s
desire to address certification of trainees outside the MD/board structure.
• A set of contacts and opinions at other professional societies who have
faced this decision and who currently who advise their member
organizations as they seek accreditation.
• A range of the costs, and the sources of those costs, entailed by
organizations in seeking and maintaining accreditation to assess budgetary
implications.
• A list of services, skills, and materials organizations find they need in
preparing for, and maintaining, accreditation.
www.amia.org
Report
• To Board by Nov meeting
• Draft report in Sept
www.amia.org
Members
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George Demiris, U Washington
Claire.Dixon-Lee: Executive Director CAHIIM
Peter Embi, Ohio State: Vice Chair of Biomedical Informatics and will be
leading the clinical informatics fellowship
Philip Kroth, New Mexico: Directs the informatics research fellowship program
Chris Lehmann: Direct Child health informatics center at AAP and secretary of
AMIA; writing exam questions
Harold Lehmann, Johns Hopkins: Directs the training programs
Vishnu Mohan, OHSU: was involved in a residency accreditation
Tim Patrick: Department of Health Informatics and Administration in the
College of Health Sciences at Univ of Wisconsin-Milwaukee
Joel Saltz: Chair of Biomiedical Informatics at Emory
Anne Turner, U Washington: Public health program
Annette Valenta, UIC: Associate Dean for Health Informatics and Technology
in the UIC College of Applied Health Sciences
www.amia.org
ACGME issues
• Announced “Next Accreditation System” of
accreditation that has been piloted (Vishnu with
experience) and will go into effect 2014. Based on
annual self attestation with q 10 year closer scrutiny.
Focus on outcome and measurement. Discussed in a
NEJM article. More info at http://www.acgme-nas.org/
• No contact person with AMIA since last summer
• Issue: AMIA should recommend education outcome
measures
www.amia.org
Local Issues
• There will be no specific RRC
committee. Therefore informatics folks
have to identify a local sponsor (e.g.,
Pathology) and work with that RRC.
• Issue: Get informatics expertise on
the RRC
www.amia.org
Possible Services: Getting Accredited
• Summarization/commentary of applicable ACGME Rules
• Funding Strategies
• Model budgets (de novo; building on existing informatics training
programs)
• Model outcomes and measurement methods
• Facilitate conversation between informatics programs and
residency directors
• Model business case, for “selling” to other departments,
consortial hospitals, residency programs
• Provide common ground for working with the 24 boards
• Host an accreditation workshop
www.amia.org
Possible Services: Staying Accredited
(Program Management)
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Recruitment (e.g., start with “internal” candidates)
Model databases for program management
Bank of job descriptions
Publicity of programs (includes program outcomes)
Sounding board (community of practice) of programs
Provide programs with sample (dummy) exams.
Perhaps use med school shelf exams as a model.
• Advice to prospective fellows on how to balance
primary board and informatics board maintenance of
certification
www.amia.org
To Do
• Continue local interviews, aiming at
local program and how professional
societies helped
• Build up the contact list
• Parking lot items:
– Sponsor task force member to go to an
accreditation workshop
– Helping ACGME with issue of informatics
as patient care
www.amia.org
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