1. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide ECDL Health in Italy Fulvia Sala AICA Italy

2. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Motivation, problem area Major role of health informatics systems Systems as good as their users’ understanding Experienced health professionals educated ahead of the e health revolution Amount of time specifically dedicated to IT use: < 20% of total time  perceived as an “ accessory” activity

3. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Motivation, problem area Need for an appropriate end user educational programme and qualification framework ECDL: international standard in end user computer skills Development of a specific module for ECDL Elements of risks new abilities new legal and ethical issues

4. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide ECDL Health Development of a specific module for ECDL: In 2005: set up of an expert group ( six european countries + USA) In early 2006: syllabus of ECDL/ICDL health supplement syllabus= competencies framework Progress in different countries: different health systems, languages, terminology

5. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The Italian experience In Italy: preliminary planning of the initiative Research project ( AICA and Bocconi University) to measure the potential benefits of ICT training in the healthcare sector

6. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The survey’s sample: around one hundred health organizations and hospitals 1000 general practitioners 500 pharmacies The Italian experience: the preliminary survey

7. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The survey’s primary findings: In hospitals/ health care organizations 45% of employees make use of ICT but half of the users are administrative personnel users of individual IT instruments amount to around 250,000 but only 7% of these claim to be expert users The Italian experience: the preliminary survey

8. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The survey’s primary findings: General practitioners generalised use of PCs some contradictory aspects in the ways the systems are used:  wide usage of internet  mostly specific applications The Italian experience: the preliminary survey

9. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The survey’s primary findings: General practitioners lack of adequate training most experienced professionals educated in a paper based environment 80% of them didn’t have access to digital literacy programmes The Italian experience: the preliminary survey

10. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Unproductive time due to limited knowledge significant costs The Italian experience: the preliminary survey

11. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Evaluation of the cost: by estimating the average loss of time ( interviews to users) Health professionals% of time lost per working day Doctors and medical professionals0,9% Nurses2,8% Technical personnel3,6% Administrative personnel7,9% General practitioners3,4% by taking into account the average labour cost The Italian experience: the preliminary survey

12. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Annual cost of unproductiveness for the Italian system: ≈ 900 million euro ≈ 1% of total health expenditure How can investments in ICT training contribute to reduce the cost? The Italian experience: the preliminary survey

13. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The test for evaluating R.O.I for basic ICT training The Italian experience: the preliminary survey

14. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide Major findings of the test: after the course: decrease of the unproductive time by around 20% annual recovery of costs per individual: around € 4,000 total annual recovery in the health system: over 2billion€ a broad indicator of the level of potential ROI The Italian experience: the preliminary survey

15. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide In June 2007 AICA announced ECDL Health in Italy Two pilots ECDL Health training courses: addressed to medical doctors and nurses of two Local Healthcare Units. The Italian experience: the pilot courses

16. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The participants’ evaluations : achievement of expected objectives The Italian experience: the pilot courses

17. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide The participants’ evaluations : perceived usefulness of ECDL Health The Italian experience: the pilot courses

18. Session 5f, 23 October 2008 eChallenges e-2008 Copyright 2008 AICA, Bocconi University Insert Org Logo in Master slide demand for health personnel training with regards to the use of ICT within clinical process ECDL Health a valid answer to such a need  validation of technical competences  evaluation of the level of ability in the use of health informatics systems balance between a high tech perspective and a high touch one Conclusion and outlook