EU-US eHealth/Health IT
Cooperation Initiative
Workforce Development
Work Group
September 19, 2013
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Agenda
Topic
Time Allotted
General Announcements
5 minutes
Defining and Refining Our Work
5 minutes
Establishing Definitions for Various Skill Levels
45 minutes
Next Steps/Questions
5 minutes
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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-ehealthmarketplace-boston2013
Note: Please check the meeting schedule weekly
to get the most up-to-date meeting information
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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.
Join the EU-US eHealth/Health IT
Cooperation 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/EUUS+MOU+Roadmap+Project+Sign+U
p
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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.
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Upcoming Meetings
Date
Meeting Topics
Sept. 19th, 2013
• Continued Review of competency materials
Sept. 26th , 2013
• Continued Review of Competency
• Create/draft missing competencies
• EU Update: Jean Roberts
Oct. 3rd, 2013
• Create/draft missing competencies
• Identify Roles
• EU Update: Stathis Konstantinidis
Oct 10th, 2013
• Identify Roles
• Map Roles Between EU and US
Oct 17th, 2013
• Map Competencies to Roles
Oct 22nd, 2013
• Face to Face Working Session at the Boston EU-US eHealth
Conference to finalize Competencies/Roles and begin to work on
identifying training and training gaps
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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
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Acute Care Setting
Defining Skill Levels
Level #
1
2
3
Clinician / Non
Clinician
Non
Clinician
Non
Skill Level
Level Description
Example careers:
Basic
.- Has familiarity with one or more modules of a system for patient or nonpatient care (HIT or
IT)
- Performs no to little documentation in the HIT record
- Performs no to little decision making within the HIT environment
- Majority of work in HIT applications does not directly impact patients
- Job role is unregulated - license, certificate or degree not usually required
- Job role requires no or a low level of security/patient record access
Nutrition Aide
Environmental
Services
Unit Clerk
Admissions Clerk
Basic
.- Has familiarity with one or more modules of a system for patient care (HIT)
- Performs no to little decision making within the HIT environment
- Performs no to little documentation in the HIT record
- Some work in HIT applications may directly or indirectly impact patients or patient care
- Job role is unregulated - license, certificate or degree not usually required
- Job role requires low level of security/patient record access
Orderly
Occupational Therapy
Aide
Patient Care Aide
Nursing Aide
Intermediate
.- Has operational knowledge of multiple modules of a system for patient or nonpatient care
(HIT or IT)
- May perform some decision making within the HIT environment
- Performs no to little documentation in the HIT record
- Some work in HIT applications may indirectly impact patients or patient care
Bereavement
- Job role may or may not be regulated - license, certificate or degree may be advised, but not Counselor
required
Transcriptionist
- Job role requires a low to medium level of security/patient record access (or back-end system IT Analyst
access)
Chaplain
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Acute Care Setting
Defining Skill Levels
Level #
4
5
Clinician / Non
Clinician
Clinician
Non
Skill Level
CONTINUED
Level Description
Example careers:
Intermediate
.- Has operational knowledge of multiple modules of a system for patient care (HIT)
- Occasionally performs some decision making within the HIT environment
- Performs some documentation in the HIT record
- Some work in HIT applications may directly impact patients or patient care
- Job role is regulated - license, certificate or degree is required
- Job role requires a low to medium level of security/patient record access
Nutritionist
Physical/Respiratory
Therapist
LVN
Medical Assistant
Pharmacy/Radiology
Tech
Advanced
.- Has high level of operational knowledge of multiple modules of one or more systems for
patient or nonpatient care (HIT or IT)
- Performs decision making (non-clinical) within the HIT environment
- Usually does not perform documentation in the HIT record
- Work in HIT applications may directly or indirectly impact patients or patient care
- Job role may be regulated - license, certificate or degree may be required
- Job role requires a medium level of security/patient record access (or back-end system access)
- Job role may involve building, testing or training others on the HIT and/or other IT systems
Admissions Director
Clinical Informaticist
System Analyst
IT Trainer
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Acute Care Setting
Defining Skill Levels
Level #
6
7
Clinician / Non
Clinician
Clinician
Non
Skill Level
CONTINUED
Level Description
Example careers:
Advanced
.- Has high level of operational knowledge of multiple modules of one or more systems for
patient care (HIT)
- Frequently performs clinical decision-making within the HIT environment
- The majority of work in HIT applications directly impacts patients or patient care
- Performs regular documentation in the HIT record
- Job role is regulated - license, certificate or degree is required
- Job role requires a medium to high level of security/patient record access
- Job role may involve helping build, test or train others on the HIT system
Charge Nurse
Lab Manager
Nurse Anesthetist
Hospitalist
Physician
Surgeon
Nurse Practitioner
ICU Nurse
RN-Med Surg Unit
Pharmacist
Expert
.- Has the highest level of operational knowledge of two or more systems for patient or
nonpatient care (HIT or IT)
- Performs extensive decision-making (non-clinical) within the HIT environment
- Usually performs no documentation in the HIT record
- The majority of work in HIT applications directly or indirectly impact patients or patient care
- Job role may be regulated - license, certificate or degree may be required
- Job role is at supervisory, managerial or administration level
- Job role requires a high level of security/patient record access (or back-end system access)
- Job role may require runing/developing reports, performing audits or working extensively in
the back end of the HIT system
- Job role may require making complex downtime decisions
Director of Clinical
Information Services
HIT System Architect
Chief Financial Officer
Chief Operating
Officer
Project Manager
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Acute Care Setting
Defining Skill Levels
Level #
8
Clinician / Non
Clinician
Clinician
Skill Level
Expert
CONTINUED
Level Description
Example careers:
.- Has the highest level of operational knowledge of two or more systems for patient care
(HIT)
- Performs extensive clinical decision-making within the HIT environment
- The majority of work in HIT applications directly impact patients or patient care, or has highlevel implications related to patient care (such as record interpretation)
- Job role is regulated - license, certificate, degree or advanced training is required
- Job role is at supervisory, managerial or administration level
- Job role requires a high level of security/patient record access
- Job role may require runing reports, interpreting HIT data or performing audits
- Job role may require making complex downtime decisions
Chief Medical
Information Officer
Quality Control
Director
Nurse Informatics
Manager
Physician peer-to-peer
trainer
Nursing Director
Pharmacy Director
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UKCHIP Professional Standards
Generic
Professionalism
Specialised
Professionalism
Generic
Informatics
Specialised
Informatics
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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.
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UKCHIP Professional Standards
Generic Professional Standards
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Autonomy and Accountability
Self Management
Reflective Practice
Communication and Professional Relationships
Influencing and Negotiation
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UKCHIP Professional Standards
Generic Informatics Standards
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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
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UKCHIP Professional Standards
Specialist Professional Standards
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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
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UKCHIP Professional Standards
Specialist Informatics Standards
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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
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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
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Workforce Support Leads
• US Point of Contacts
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–
–
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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
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Initiative Resources
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•
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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/EUUS+MOU+Roadmap+Project+Reference+Materials
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Work Group Reference Materials
• US
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Health IT Training Curriculum:
http://www.onc-ntdc.org/
http://www.healthit.gov/providersprofessionals/curriculum-developmentcenters
Community College Training Program:
http://www.healthit.gov/providersprofessionals/community-college-consortia
University Based Training Program:
http://www.healthit.gov/providersprofessionals/program-assistanceuniversity-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/pu
blic/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/200
54502
• EU
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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 elearning) 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 England
http://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/healtheu/europe_for_patients/health_workforce/
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Appendix A
Vocabulary and Terminology
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Vocabulary and Terminology
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•
•
Healthcare workforce:
•
Clinical providers
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Health IT professionals
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Information management professionals
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Information technology professionals
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Clinical engineers
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Allied healthcare teams or ancillary care providers
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Public health leaders
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Administration
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Knowledge management professionals
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Education, training, development and research professionals
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Records management (medical, clinical and organizational)
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Senior management of health IT facilities and services
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Project, program and portfolio management professionals
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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 domainspecific landscape in the country, constituency or organization
Other terms?
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Appendix B
Roles
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Sample Professional Role/Title
•
Community Suggestion: EU ICT Service Manager
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–
–
•
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
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Sample EU Mapping
Roles/Titles
•
•
*https://www.hicf.org.uk/Index.aspx
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Appendix B: Potential List of Roles
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/providersprofessionals/program-assistance-university-based-training
ONC Workforce Development for Community Colleges http://www.healthit.gov/providersprofessionals/community-college-consortia”
EU
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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
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