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EU-US eHealth/Health IT Cooperation Initiative

Workforce DevelopmentWork Group

December 19th, 2013

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

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Meeting Etiquette CONTINUED

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• 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.

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Agenda

Topic Time Allotted

General Announcements 5 minutes

Review Competency Approach 30 minutes

Presentation from Nessa BarryService Development ManagerScottish Centre for Telehealth & Telecare

20 minutes

Next Steps/Questions 5 minutes

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Meeting Times

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Washington, DC

10:00am (ET)London

3:00pm/15:00 (GMT)Germany

4:00pm/16:00 (CET)Athens

5:00pm/ 17:00 (EET)

Workforce Development Work Group meets everyThursday

Our December 26th meeting is canceled

We will resume calls January 2nd, 2014

General Announcements• To participate in our weekly webinars, please visit the EU-US

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

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Note: Please check the meeting schedule weekly to get the most up-

to-date meeting information

Join the EU-US eHealth/Health ITCooperation Initiative

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• 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

Submit Your Bio• Submitted biographies are now posted on the

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

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Archived Meeting Materials

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• Visit the “Materials” tab and select “Past Meetings” from the drop down menu to access all archived meeting materials http://wiki.siframework.org/Project+Meeting+Artifacts.

Preparing for Meetings

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• Given our timeline, and the amount of material to cover, please ensure you are up-to-date with all of the activities of the workforce development work group– Visit the “Past Meetings” section of the wikipage for

the latest meeting materials and recordings: http://wiki.siframework.org/Project+Meeting+Artifacts.

– If you have questions, need help, or want a quick update, please feel free to reach out to any member of the support team

– We will have little or no time to review what was covered the week prior in order to make our deadlines and deliverables

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Workforce Development Timeline

Date Meeting Topics

Nov. 26th , 2013 • Continue with mapping roles between EU and US and developing glossary identifying common terminology

• Map Competencies to RolesDec. 5th, 2013 • Review wiki comments

• Review definition• Establish criteria for Acute Care sub group• Select Group in which to expand competencies• Select sub group

Dec. 12th, 2013 • Review Comments• Review Subgroup selection

Dec. 19th, 2013 • Discuss Process for Refining Competencies• Presentation from Nessa Barry--Service Development Manager

Scottish Centre for Telehealth & Telecare

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Selection Criteria

• Picking a group that has significant Health Informatics activity as part of his/her day to day job– Direct Patient Care– Clinical– Intermediate

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Approaches to Refining Competencies…

Option A: Competency Buckets– We consolidate the silos of competencies provided to us into

one Master list– From that list we apply competencies at the Bucket Level

• Example: What competencies qualify as Direct Patient Care, Clinical, Intermediate and we form a smaller list from the large competency list for those

– After we have completed the Competency Bucket Mapping we review the assignment made to the Acute Care Roles and tweak them as necessary (basically all Acute Care Direct Patient Care, Clinical Intermediate would have the same competencies to start and then we would tweak as necessary

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Pros and Cons to Competency Buckets

• Pros– We have done this process before when identifying roles (master

list vs Acute Care)– We only have to create the list one time– This falls into the “lumping” category which makes it easier to start– Falls in line with the vision leadership team has for the Athens

meeting• Cons

– We may miss some of the nuances – Our master list will be very large and somewhat unwieldy – which

means more time in the beginning gettign the list together– Classifying the competencies into our buckets will take time

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Approaches to Refining Competency Buckets :

Option B: Systems Perspective Approach: – Identifying systems in the Acute Care setting– Identifying system capabilities/skills necessary to interact with the

systems– Identifying staff interacting with the systems (roles)– Skill-Role mapping

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Pros and Cons to Systems Approach

• Pros: – Once system capabilities are identified, it will be very easy to

identify the staff interacting with the systems and mapping the skills to roles

• Cons:– How do we define a system ? and how do we define what systems

are in the Acute care setting? – Identifying system capabilities will be hard – Variability of systems in Acute Care depending on hospital and

country– Variability in terms of vendors, which affects system capabilities– Need to get conversations with vendors and Acute Care hospital to

get list of systems and capabilities

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Presentation

Presentation from Nessa BarryService Development ManagerScottish Centre for Telehealth & Telecare

Scottish Centre for Telehealth and Telecare

Nessa.Barry@nhs.net

Service Development Manager

www.sctt.scot.nhs.uk

Some context– Scottish Centre for Telehealth established in

2006– Transferred to NHS 24 in 2010– Joined by the National Telecare Programme in

2011……..and subsequently became Scottish Centre for Telehealth and Telecare

www.sctt.scot.nhs.uk

SCTT Role

– Consultation and Facilitation for NHS Health Boards and Local Authorities

– Delivery of Programmes and Projects– Identification of Emerging Solutions– Sharing intelligence and Good Practice– Providing Technical Expertise– Supporting development of new services and service redesign– Represent Scotland re: Telehealth and Telecare in Europe and

Globally

SCTT Business PlanThe 3 year action plan includes:

– Access to Unplanned/Unscheduled Care– Access to Planned/Scheduled Care– Infrastructure– Custodial Services – Home Health Monitoring and Support – Workforce Development – Emerging Solutions – Evaluation – Support for Patients and Service users – Support for Unpaid Carers – Assisted Living – Europe

Where this started…Education & Training Action Plan 2010-12.

Workstreams:

• Ethical principles • Competency Frameworks• Core Curriculum & CPD• Induction & Accredited Training• Carer Awareness Raising and Training• Innovation in Education and Training

– Workforce identified◦ Professionals / qualified staff - AHPs, nurses, doctors, social

workers, strategic managers◦ Support staff - equipment installers, call handlers, HIAs and

responders

– Training needs identified –◦ Induction◦ Vocational skills training◦ Under-graduate core curriculum ◦ Continuing Professional Development (CPD)

– Review of training in Scotland 2012◦ No Scottish Qualification Authority validated awards available

in Scotland for support staff◦ Very little content in core curriculum◦ Limited CPD modules identified

Health, social care professionals are the interface..

..between successful implementation and positive outcomes

As tele services become reality for health and social care staff it is essential that appropriate education and training for staff underpin developments. Staff need access to knowledge based competencies incorporated into education and training at key stages of their professional development.

• Competency Framework for Telehealthcare Support Staff published November 2010.

• Competency Framework for Professionals using Telehealthcare 2011.

• What do service providers require? • What is available?• Where are the gaps?

Telehealthcare Competency Framework

Who were we targeting ? – types of staff

Professionals working in telehealthcare is relevant for H&SC professionals with direct service user/patient contact.

NHS 24 call handlers, medical staff, GPs, NMAHP, pharmacy, SAS and social workers.

Senior strategic and operational managers working in H&SC and housing services.

Staff who do not have direct service user/ patient contact – Technical / IT/ eHealth/ service managers.

Competencies - who was involved?

Steering Group incl. organisations which lead in direct provision of education and oversight of qualifications. Higher Education Institutions NHS Education for Scotland Scottish Social Services Council Scottish Qualifications Authority Scottish Government NHS 24 Royal College of Nursing

Competencies - approach

• Desk based review of existing qualifications & identify gaps• Review relevant content incl. • Knowledge Skills Framework• Foundation for Assistive Technology• National Occupational Standards• NHS 24 Competencies for Telephone Triage. • Consult via Learning Network events. Critical feedback –

focus on the tasks associated with the role – the role may change or move.

How did we develop buckets?

Similar to the KSF structure• Domain

– Service Delivery, Communication, Quality, Health Safety & Security, Professionalism & Attitudes, Personal Development

• Function• Competency • Assessment method Q, DO, E• Competency level 1=n/a, 2= not met, 3 = met

Competencies - sections• Mandatory for health and social care professionals –

working with telehealthcare – incl. medical, nursing, midwifery and allied health.

• Technical staff supporting telehealthcare – incl. IT / eHealth• Health and social care staff supporting telehealthcare at

home• Health and social care staff supporting telehealthcare in an

acute setting• Senior strategic and operational managers – developing

telehealthcare services - may incl. public private and 3rd sector.

Core competencies which apply to professional roles. Only those which apply to individual staff remit should be applied.

Strategic Engagement

Organisation Initiative

Scottish Qualifications Authority

 

Professional Development Award in Telehealthcare

Scottish Government Workforce 20:20 Review

 

Telehealth and Telecare related competencies and input

Scottish Social Services Council & Skills for Care (England)

 

Knowledge and Skills for Assistive Technology use

National Occupational Standards Review

Reshaping Care Programme Intermediate Care Framework

 

eHealth Workforce development

 eHealth Competency Framework AORMC

Workforce20:20 Review

 

Royal College of Nursing

 

Nursing Knowledge and Skills

Now…• 2020 Workforce Vision:

“…Improve patient care and overall performance…by ensuring that everyone:Is supported to make the best use of new technologyHas fair and appropriate access to learning and development opportunities.”

• Work with key organisations to develop health and social services workforce capabilities, confidence & confidence to use technology effectively to innovate and deliver new service models.

• Connect and build on existing online knowledge and learning solutions in health and social services to create an integrated technology-enabled learning platform which works through multiple channels to deliver knowledge and learning to point of need.

• Collaborating to “Do it once for Scotland”.

Next Steps

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• Join us in the New Year (can you believe it??) Thursday January 2nd, 2014 for our weekly meeting 10:00-11:00 am ET- 3:00-4:00 pm GMT

• Have a wonderful Holiday!!!!!!!!!!!!!!!!!!!!!! • Please e-mail your bio and photo (optional) to

Gayathri Jayawardena at gayathri.jayawardena@esacinc.com

Questions

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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– Amanda Merrill, amanda.merrill@accenturefederal.com– Emily Mitchell, emily.d.mitchell@accenturefederal.com– Mark Roche, mrochemd@gmail.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

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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