EU-US eHealth/Health IT Cooperation Initiative Workforce Development Work Group January 16,

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Agenda TopicTime Allotted General Announcements5 minutes Review Basic Level Competencies50 minutes Next Steps/Questions5 minutes 3

Meeting Times 4 Washington, DC 10:00am (ET) Washington, DC 10:00am (ET) London 3:00pm/15:00 (GMT) London 3:00pm/15:00 (GMT) Germany 4:00pm/16:00 (CET) Germany 4:00pm/16:00 (CET) Athens 5:00pm/ 17:00 (EET) Athens 5:00pm/ 17:00 (EET) Due to the HL7 Work Group Meetings next week, the Workforce Work Group will be cancelled on Thursday, January 23 rd and resume on Thursday, January 30 th

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Timeline 6

We‘re nearing the end of Phase 1 Overview | Process 1. Outline scope statement and goals/obj- ectives 2. Identify setting (acute care selected) 3. Identify roles and map roles between the US and the EU 4. Identify skills needed to support this setting 5. Map skills to professio- nal roles Phase 1: Analysis of role based competencies Phase 2: Identifying a curriculum based on competency analysis Phase 3: Definition and agreement on common standards of competence and professionalisms 1. Exami- ning curricula that support these skills 2. Gap analysis to determine what‘s missing 3. Final Recomm- endations

Domain = Department, or group of department in a hospital setting. The workgroup defined 5 domains: Direct Patient Care, Admin/Fin/Law/Mgmt, Engineering/Information systems, Informatics, Research Level = Basic, Intermediate, Advanced, Expert Setting = Clinical, Non-Clinical Bucket = A bucket is a bundle of skills that is domain, level, and setting specific i.e. The Intermediate/Direct Patient Care/Clinical bucket Baseline = IT Skills that everyone in the hospital setting needs Silo = Previous work effort that lists Health IT skills we can leverage in our work i.e. AHIMA, AMIA, DOL, UKHICF, eCompetence Framework It is important to get the work group on the same page regarding definitions Overview | Definitions

We’ve selected the Acute Care setting We’ve identified the roles in the Acute Care setting (aligned EU and US terminology), and placed roles in 40 buckets Roles in the Acute care setting were placed in 40 buckets Methodology | Completed work US RolesEU RolesCompetency BucketTypeLevel Administrative Assistant AdministrationNon ClinicalBasic Administrator AdministrationNon ClinicalAdvanced Admissions Director AdministrationClinicalAdvanced AnesthesiologistAnesthesiologist (Doctor)Direct Patient CareClinicalAdvanced AudiologistHearing Aid Dispenser / Audiometric Technician/ Health Scientist Direct Patient CareClinicalIntermediate Behavioral Medicine TechnicianPsychiatric Rehabilitation TechnicianDirect Patient CareClinicalIntermediate Bereavement CoordinatorFuneral Undertaker / Bereavement SpecialistDirect Patient CareNon ClinicalIntermediate Biomedical TechnicianBiomedical Technician/ TechnologistEngineer/Information System Non ClinicalAdvanced

A graphical representation of the model can be seen here: Methodology | The Model Our model contains A baseline 4 levels of skills (Basic, Intermediate, Advanced, and Expert) 5 domains: (Direct Patient Care, Administration/Finance/Law/Management, Engineering/Information Systems, Informatics, and Research) 2 settings: Clinical and Non-Clinical. Total groups of skills 4*5*2= 40 buckets + 1 baseline

Our model’s inheritance structure is described here: Methodology | The Model (Cont.) The broad baseline of skills and competencies needed for every occupation is included in the "IT Baseline Skills" bucket. Professionals in each domain inherit all competencies from the lower skill levels, all the way down to the baseline skills; however, it is important to note that some professionals in the Clinical realm inherit both lower Clinical and Non-Clinical competencies (we’ve seen this in the calls), whereas professionals in the Non-Clinical realm inherit only lower Non-Clinical competencies. For example, staff in the Intermediate/Direct Patient Care/Clinical competency bucket could inherit skills from the Basic/Direct Patient Care/Clinical buckets, as well as the Intermediate, Basic/Direct Patient Care/Non-Clinical buckets. This explains our model's waterfall structure described in the diagram

We’re in the process of identifying skills in the Intermediate, Direct Patient care, Clinical bucket After identifying roles in Acute Care we started looking at skills Methodology | Progress

Focus is Intermediate, Direct Patient Care, Clinical bucket Methodology | Progress PRIORITY: Support team will need to focus on categorizing skills (from the 9 silos) that fall under the Direct Patient Care Domain, specifically Basic Clinical, and Non-Clinical, and Intermediate Clinical and Non-Clinical (because of waterfall structure)

To automate the Skill to Role mapping and populate all 41 buckets End goal Intermediate Direct Patient Care Non- Clinical Clinical Categorize Roles (Completed) Categorize Skills

We need a high level of granularity- our bucket approach has helped with this – Simply lumping skills in a bucket as broad as “Basic, Non Clinical is not feasible” The easiest way to filter the skills from the 9 silos is to look at the silos 5 times, once from every domain’s perspective – Look at them once for Direct Patient Care, Once from the persective of Administration, Once from Engineering/IS, Once from Informatics, and Once from the perspective of Research – Once we can filter by Domain, we can filter Setting and then filter by Level This will give us 40 completely populated competency buckets Doing the Role by Role analysis was a bit overwhelming as we have 125 roles and more then 525 non basic unique skills to map to each role The lump mapping of skills to the lump mapping of roles allows us to hand off the “lumps” for further analysis and help from the community What we learned

Timeline 16

Next Steps 17 Review the basic level competencies and provide your feedback through the online form located here: nt+Work+Group#Work Group Activities, by no later than Friday, January 24, nt+Work+Group#Work Group Activities Attend the next Workforce development WG meeting on Thursday, January 30, 2014.

Questions 18

Workforce Development Project Support Team 19 US Point of Contacts – Mera Choi, – Jamie Parker, – Gayathri Jayawardena, – Amanda Merrill, – Kareem Malek, – Mark Roche, – John Feikema, EU Point of Contacts – Mary Cleary, – Benoit Abeloos, – Frank Cunningham,

Initiative Resources EU-US Wiki Homepage – US+eHealth+Cooperation+Initiative US+eHealth+Cooperation+Initiative Join the Initiative – US+MOU+Roadmap+Project+Sign+Up US+MOU+Roadmap+Project+Sign+Up EU-US Initiative Reference Materials – US+MOU+Roadmap+Project+Reference+Materials US+MOU+Roadmap+Project+Reference+Materials Workforce Development Homepage – oup oup 20