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EU-US eHealth/Health IT Cooperation InitiativeWorkforce Development Work GroupSeptember 25, 2014

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mute when not speaking

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Meeting Times

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Washington, DC

10:00 am (EDT)

Eastern Daylight Time

London

15:00 (BST) British Summer Time

Berlin

16:00 (CEST)Central European Summer Time

Athens

17:00 (EEST) Eastern European Summer Time

Workforce Development WG meets every

Thursday

Helpful Links• To join our weekly webinars, visit the EU-US eHealth Collaboration Wiki

Homepage for the latest meeting information: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative

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• To subscribe to our mailing list, simply complete the EU-US MOU Project Signup Form: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up

• To submit a brief biography of yourself (150 words or less), review the criteria listed at http://wiki.siframework.org/Workforce+Development+Work+Group#Work Group Members and e-mail your bio and photo (optional) to Gayathri Jayawardena at gayathri.jayawardena@esacinc.com

• To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts

• Wiki Page/Website Updates: We have made some recent changes to our pages, and we encourage your feedback! http://wiki.siframework.org/Workforce+Development+Work+Group

AgendaTopic Time Allotted

5th EU-US eHealth Business Marketplace & Conference Update 10 minutes

Community Review of Terminology and Classification Schemes 25 minutesContinue Reviewing EU-US Workforce Development Marketing Presentation 10 minutes

Updates to New HITCOMP Interactive Tool 10 minutes

Next Steps 5 minutes

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5th EU-US eHealthMarketplace & Conference• The 5th EU-US eHealth Marketplace & Conference will be taking place in Boston,

Massachusetts, USA, from October 21-22, 2014• This event will provide information on new and exciting connected health and

healthcare technologies and bring together international leaders from various healthcare disciplines and organizations, from across the United States and Europe

• The Workforce Development WG will be providing an overview of progress and update on project activity, including a new focus on “Learning Economies”

• To register for this event and to review the latest agenda, please visit: https://www.b2match.eu/eu-us-ehealth-marketplace-2014

Terminology and Classification:Community Review

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EU-US eHealth/Health IT Cooperation Initiative

Workforce DevelopmentWork Group

Creating New Pathways in HIT Workforce Development

DRAFT

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CURRENT WORK STREAMS

EU-US eHealth/Health IT Cooperation InitiativeWorkforce DevelopmentWork Group

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Current Work Streams: Classification(DRAFT)

• Classification Schema: Settings, Roles, Silos, Domains, Subdomains/Buckets, Levels, Quadrants and Competency Areas – Settings: First we looked at settings for health care. Our task was to

select one as our starting point in order to begin outlining the appropriate skills sets needed to perform the desired tasks in that setting

– We looked at the following list of health care settings:

• Long-term care• Ambulatory care• Rehabilitation center• Pharmacy• Acute Care• Clinics (Flu, HIV, etc.)• Health record banks• Diagnostics facilities (e.g. facility

that only performs MRIs)

• Public health agencies

• Patient Centered Medical Home• Mobile Medical Care (healthcare

delivered via vehicle transport)• Personal Health Care• Home Health Care• Consumer Health – engaging the

consumers • Primary Care

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• Finally, we decided upon Acute Care, In order to manage the immense task of assigning competencies to roles and domains, the acute care setting was chosen due to the relative consistency and commonalities in hospital settings between the US and EU

• Acute care was defined as:“A level of health care in which a patient is treated for a brief but severe episode of illness, for conditions that are the result of disease or trauma, and during recovery from surgery. Acute care is generally provided in a hospital by a variety of clinical personnel using technical equipment, pharmaceuticals, and medical supplies.”

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Roles– Roles: Next, we mapped a variety of roles in acute care, across the European Union

and the United States.

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: RolesWe first took a look at all roles in Acute Care, and began to narrow down the focus to the most common roles in this setting in the US and EU.

Current Work Streams: Classification(cont’d) (DRAFT)

Direct Patient Care - Clinical

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Current Work Streams: Classification(cont’d) (DRAFT)

• Classification Schema: Silos– Silos: We collated over 3000 competencies from 13 derivative areas for

competencies and curricula, including AHIMA-AMIA, IMIA, US Department of Labor, National Health Service UK (NHS-UK), Cuyahoga Community College, Texas HIT, HIMSS worldwide, and the European e-Competency Framework and others*.

AHIMA/AMIA IMIA DOL NHS-UKAdditional UK

Resources/Scottish Government

American Academy of

NursesCuyahoga CC

America’s Job Bank Texas HIT HealthIT.gov

European e-Competence Framework

NOS-UK HIMSS worldwide

Created Competencies

*Disclaimer: "Our final competencies have their basis in the Silo/Origin, but in many cases do not reflect the actual or original language due to our community development and consensus process."

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• From each silo, hundreds of competencies were categorized into domains and divisions, and assigned a preliminary level.

• We chose the Direct Patient Care domain, clinical division, as our first set of competencies to review.

Current Work Streams: Classification(cont’d) (DRAFT)

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• After several months of careful examination, reworking and revision, in some cases, the competencies were finalized after subject matter expert review and group consensus

AHIMA/AMIA

Differentiate data

versus information

Describe th

e differences

between health

data and

health in

formation (E

B01)

Iden

tify c

lassifi

catio

n

and s

yste

mati

c hea

lth-

relat

ed te

rmino

logies

for c

oding

and

infor

mati

on re

triev

al.

Understand terminologies

used in electronic health

records and health

information technology

pertinent to your role

(EB02)

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Domains– Domains: We developed 5 domains of HIT settings, including Direct

Patient Care, Administration/Finance/Law/ Management, Engineering/Information Systems, Informatics and Research.

– Our first domain tackled was Direct Patient Care

HIT Domains

Direct Patient Care

Admin/ Finance/

Law/Mgmt

Engineering/ Info Sys

Health Informatic

s

Research

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Subdomains/Buckets– Buckets: We then broke the domains down, dividing them into

divisions of clinical and non-clinical, and subdomains such as Professional/Operational/Managerial, revenue/compliance, etc.

Clinical/Non-Clinical

Professional/ Operational/ Management

HIT Domains

Direct Patient

Care

Admin/ Finance/

Law/Mgmt

Engineering/ Info Sys

Health Informatic

s

Research

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Levels– Levels: We classified the competencies into five levels: Baseline (the

baseline set of skills for all healthcare workers), Basic, Intermediate, Advanced and Expert. To assist us in this effort, we incorporated Bloom’s taxonomy to help determine the appropriate level for a competency.

Competency Levels

Baseline Basic Intermediate

Advanced Expert

Current Work Streams: Classification(cont’d) (DRAFT)

• Interoperability is the backbone of Health IT – it ensures interoperability of our work when we use existing standards

• Bloom's Taxonomy of Educational Objectives provides standard classifications for the many nebulous terms often encountered in competency/curriculum development and evaluation

• The interoperability of this process can be leveraged when mapping competencies and curriculum (using the Blooms Taxonomy), or when consolidating this work with similar initiatives, etc.

Bloom’s Taxonomy Wheel

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Levels– After deciding the competency levels, we applied Bloom’s

taxonomy to the competencies, with each level corresponding to a Bloom’s levelS

ynthesizing

Evaluating

Analyzing

Applying

Understanding

Knowing

Expert

Advanced

Intermediate

Basic

Baseline

Bloom’s

Taxonomy

Com

pete

ncy L

evel

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Competency Quadrants – Competency Quadrants: So the competencies can be more effectively aligned with

other internal and external workforce development initiatives, we grouped them into four major areas of interactions, called Quadrants. These quadrants correspond to major areas of information technology related activities specific to health care. Each quadrant contains five key competency categories, described next.

Health Data

Access to Information

Data Compiling, Analysis and Reporting

General HIT Knowledge

Policies and Procedures

Privacy and Security

Current Work Streams: Classification(cont’d) (DRAFT)

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• Classification Schema: Competency Categories– Competency Categories: Finally, we placed five

related competency areas in each of the four quadrants, resulting in 20 categories

– These categories can be further aligned to our and other initiatives’ eCompetence Proficiencies, such as “Can correctly access information”, “Follows security procedures”, etc., and followed or built upon through skill levels

Current Work Streams: Classification(cont’d) (DRAFT)

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Supporting Concurrent Initiatives (DRAFT)

• In addition to developing a framework and tools for HIT workforce development, our work also aims to enhance and support other parallel and complementary initiatives, including:

– AHIMA - Global Health Workforce Council– AHIMA’s Career Tool– European e-Competence Framework– CAMEI– Technology Informatics Guiding Education Reform (TIGER Summit)– TransAtlantic Business Council– "NEW SKILLS AND NEW JOBS IN THE HEALTH CARE AND SOCIAL WORK

SECTOR “: a project developed by 13 partners of 5 Member States in response to a European Tender of the 2009 Progress Program

– Others

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Updates: HITCOMP Interactive Tool

• Definitions have been added• Roles have been updated and now can be filtered in five EU

languages• There is a cross-link reference to levels between the two tabs

Next Steps

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• Join us next Thursday, October 2nd, 2014– Continue Prep for Boston– Finalize Marketing Materials– Timeline / Next Steps

Workforce Development Project Support Team

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• US Point of Contacts– Mera Choi, Mera.Choi@hhs.gov– Jamie Parker, jamie.parker@esacinc.com– Gayathri Jayawardena, gayathri.jayawardena@esacinc.com– Christina Nguyen, christina.nguyen@esacinc.com– Amanda Merrill, amanda.merrill@accenturefederal.com– John Feikema, John.Feikema@hhs.gov

• EU Point of Contacts – Mary Cleary, mary@ics.ie – Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu – Frank Cunningham, frank.cunningham@ec.europa.eu

• US/EU Point of Contact– Rachelle Blake, shelblake@omnimicro.com

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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

• Workforce Development Homepage– http://wiki.siframework.org/Workforce+Development+Wo

rk+Group