EU-US eHealth /Health IT Cooperation Initiative Workforce Development Work Group

1. EU-US eHealth/Health IT Cooperation InitiativeWorkforce Development Work Group August 28, 2014

2. 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 • NOTE: VoIP participants have the ability to “Mute” themselves by clicking on the green microphone. However, if you would like to speak, only you can unmute yourself. • If you are dialing in using a telephone and NOT using the VoIP you MUST dial the audio pin in order for the organizer to unmute you – if you do not use the audio pin and just push # when prompted the Organizer cannot unmute you

3. Meeting Etiquette CONTINUED • If you are calling from a telephone, please do not put your phone on hold. If you need to take a call, hang up and dial in again when you have completed your other call • 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.

4. Meeting Times Workforce Development WG meets every Thursday 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

5. 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 • 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 Membersand e-mail your bio and photo (optional) to GayathriJayawardena 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

6. Agenda

7. EU-US eHealth/Health IT Cooperation InitiativeWorkforce DevelopmentWork Group Creating New Pathways in HIT Workforce Development DRAFT

8. Background: EU-US eHealth Collaboration InitiativeMemorandum of Understanding (DRAFT) It started with a Memorandum of Understanding • In December 2010, the European Commission and the US Dept. 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 Workforce Development

9. Genesis of the EU-US eHealth Collaborative Initiative (DRAFT) • In June 2013, an key stakeholders and interested parties were invited to participate in the EU-US eHealth Collaborative Initiative • In August 2013, two work groups were launched, from the two initiative work streams of Interoperability and Workforce Development

10. Workforce Development Community (DRAFT) • Canada • England • Finland • France • Germany • Greece • Ireland • Israel • Italy • Mexico • Norway • Scotland • United States Work Group Members represent 13 countries

11. EU-US eHealth Collaborative Initiative Vision (DRAFT) The vision and roadmap set the framework for progress • Vision • “To support an innovative collaborative community of public- and private-sector entities working toward the shared objective of developing, deploying, and using eHealth science and technology to empower individuals, support care, improve clinical outcomes, enhance patient safety and improve the health of populations.”

12. Workforce Development Vision (DRAFT) The Workforce Development work group aims to develop a skilled Health IT workforce in the EU and US • Goal of the Workforce Development Work Group: • “To achieve a robust supply of health professionals highly proficient in the use of health IT, assuring healthcare, public health and allied professional work forces have the technology skills needed to enhance their professional experience and performance with eHealth/Health IT”

13. Workforce Development Roadmap (DRAFT) • Roadmap • From the Memorandum of Understanding, a roadmap was created to help guide the work of the Workforce Development Work Group • The Roadmap contains these major tasks: • Identify Project Champions • Complete analysis of competencies required by the diverse healthcare and eHealth/IT workforce • Identify and map curricula that addresses the competencies identified in the US and EU • Explore new models of education/employer collaboration • Pilot innovative ways to develop a healthcare IT workforce • These tasks were broken down into the following key milestones:

14. Roadmap Milestones (DRAFT) Ongoing Completed Completed Ongoing November 2014 March 2015 Ongoing

15. Workforce DevelopmentProposed Project Timeline (DRAFT) January 2014 March May June 2013 September Finalized first Role to Competency Mapping (4/24) Presented work at eHealth Week in Athens (5/14) Finalized applying Classifications to Competencies; defined domains, levels and buckets (03/31) Group reached agreement on Health IT Setting (9/12) Group reached agreement on Classification Schema for Competencies and Roles (11/12) Finalized mapping Roles to Classification Scheme Setting (01/02) Launch of Workforce Development Sub Workgroup (8/20) Kick-off eHealth Cooperation Initiative (6/20) October March 2015 November January 2015 August September July 2014 Develop solutions to bridge gaps; create interactive tools; devise pilot(s) (3/5 onward) Begin to Draft White Paper for Peer Review and potential publication on Methodology and Process; Communicate Progress to Stakeholders (9/4) Finalize second domain Competency Mapping (11/30) Present at eHealth Week in Boston (Oct 21-22) Finalize work on curriculum needs/gap analysis (1/29) Finalized all Direct Patient Care Domain mapping (7/10) Begin Curriculum to Competency Gap Analysis and Mapping (8/6) Key: Completed In Progress Future

16. Progress to Date (DRAFT) • To date, we have accomplished the following tasks and subtasks: • Developed classification schema for HIT areas, roles, competencies and levels • Classified competencies, with comprehensive mapping across 14 silos • Categorized healthcare roles into domains, levels and buckets • Created proof of concept competency mapping, including developing competencies, assigning levels, codifying and integrating Bloom’s taxonomy for over 250 Direct Patient Care – Clinical competencies • Begun an HIT curriculum requirement and gap analysis, identifying and mapping both formal and informal educational resources and needs

17. Current Work Streams (DRAFT) • Classification Schema: Roles, Silos, Domains, Subdomains/Buckets, Levels and Competency Areas • Roles: We mapped a variety of roles in acute care, across the European Union and the United States.

18. Current Work Streams (cont’d) (DRAFT) • Classification Schema: Silos • Silos: We have 14 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-UK Additional UK Resources Cuyahoga CC Scottish Government Cuyahoga CC Texas HIT HealthIT.gov European e-Competence Framework NOS-UK Created Competencies HIMSS worldwide

19. Current Work Streams (cont’d) (DRAFT) • From each silo, hundreds of competencies were reviewed, categorized into domains, and finalized after subject matter expert review and group consensus Identify classification and systematic health-related terminologies for coding and information retrieval. Differentiate data versus information AHIMA/AMIA Understand terminologies used in electronic health records and health information technology pertinent to your role (EB02) Describe the differences between health data and health information (EB01)

20. Current Work Streams (cont’d) (DRAFT) • 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

21. Current Work Streams (cont’d) (DRAFT) • Classification Schema: Subdomains/Buckets • Buckets: We then broke the domains down, dividing them into subdomains such as Professional/Operational/Managerial; clinical/non-clinical; revenue/compliance, etc. Clinical/ Non-Clinical Professional/ Operational/ Management

22. Current Work Streams (cont’d) (DRAFT) • Classification Schema: Subdomains/Buckets • Buckets: We broke the domains down, dividing them into subdomains such as Professional/Operational/Managerial; clinical/non-clinical; and revenue/compliance. From these subdomains, we grouped the roles and competency relationships down into buckets. Audiologiste Chiropodist Assistant Ärztin Registered Nurse ausiliario socio-assistenziale Lab Tech Direct Patient Care - Clinical

23. Current Work Streams (cont’d) (DRAFT) Competency Levels • Classification Schema: Levels • Levels: We classified the competencies into five levels: Baseline, 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.

24. Current Work Streams (cont’d) (DRAFT) • Classification Schema: Levels • After deciding the competency levels, we applied Bloom’s taxonomy to the competencies, with each level corresponding to a Bloom’s level Competency Level Bloom’s Taxonomy

25. Current Work Streams (cont’d) (DRAFT) • Classification Schema: Competency Areas • Competency Areas: We broke the competencies down into 20 major areas of concentration

26. Creating the Framework forInteractive Tools and Pilots (DRAFT) • Codes: AB01, AB02… • EU Role Names: bereavement counsellor (UK), chargé decompagnement (FR), Trauerbegleiter (DE), consejero de duelo (ES), consigliere lutto (IT) • Role Description: A bereavement counselor or coordinator monitors and manages the bereavement services for people dealing with terminal illness or death. They act as the main manager of the volunteers, medical staff, and others who are working with the bereaved. These professionals can work in a variety of settings including hospice, nursing homes, hospitals, and home health. • Job duties for this position include offering counseling, assessing needs, and explaining the services available to the bereaved. Additional job duties include organizing and scheduling support groups, creating bereavement materials, documenting bereavement services given to clients, and training new staff. • Competencies: • Be familiar with the concepts of primary and secondary health data • Locate and retrieve information in the electronic health record, according to your job role • Codes: AB01, AB02… • EU Role Names: medical orderly/ward assistant (UK), aide-soignant(e) (FR), Krankenwärter(in) (DE), camillera del hospital (ES), attendente (IT) • Role Description: Orderlies are often utilized in various hospital departments. Orderly duties can range in scope depending on the area of the health care facility they are employed. For that reason, duties can range from assisting in the physical restraint of combative patients, assisting physicians with the application of casts, transporting patients, shaving patients and providing other similar routine personal care • Competencies: • Be familiar with the concepts of primary and secondary health data • Locate and retrieve information in the electronic health record, according to your job role • Codes: AB01, AB02… • EU Role Names: nurse aide (UK), soignel'aide (FR), Krankenpflegehelfer(in) (DE), cuida al asistente (ES), infermieriaiutante (IT) • Role Description: Nurses' aides (NAs) work under the supervision of nurses or physicians to address the most fundamental elements of a patient’s care. They feed, dress, bathe and groom patients, contributing enormously to their sense of normalcy and well-being. NAs are sometimes given more medically-oriented duties such as measuring and recording temperature, blood pressure, and other vital signs. Nurses' aides also assist with the administrative duties and record-keeping that accompany patient care.  • Competencies: • Be familiar with the concepts of primary and secondary health data • Locate and retrieve information in the electronic health record, according to your job role

27. 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’s Global Health Workforce Council • AHIMA’s Career Tool • European e-Competence Framework • CAMEI • TransAtlantic Business Council • Others

28. Next Steps (DRAFT) • Communicate Progress to Stakeholders and Leadership • Draft White Paper for Peer Review and potential publication on Methodology and Process • Continue work on Formal and Informal Curriculum Mapping • Present at eHealth Week in Boston (Oct 21-22) • Finalize second domain Competency Mapping (Administration/Finance/Legal/Management)

29. Workforce Development Project Support Team (DRAFT) • 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

30. Initiative Resources (DRAFT) • 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+Work+Group

31. Next Steps • Join us next Thursday, September 4th, 2014 • Continue to refine the “sample role/curricula mapping” spreadsheet

32. Workforce Development Project Support Team • 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

33. 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+Work+Group