1. Tools, Training and Transformation Readying the Healthcare Workforce for Transformation Norma Morganti – Executive Director Health Information Technology Cuyahoga Community College – Corporate College

2. How do we assist providers? 2 How do we assist providers in understanding the new competencies required to leverage Health IT in pursuit of the Triple AIM?

3. Workforce Competency Frameworks for Practice Transformation 3 Patient Centered Medical Homes Definition and Concepts Quality Standards Security and Privacy Team Based Care Change Management Patient Self- Management Meaningful Use Definition and Principles Data and Documentation Change Management

4. Workforce Competency Frameworks for Practice Transformation 4 Population Management Definition and Principles Data and Documentation Turning Data into Action Health Information Exchange Definition and Concepts Data Quality Regulation Supporting Team Based Care

5. Framework for Practice Transformation 5 Key Competency Broken Down into Detailed Competencies – Note the Numbering Each Learning Objective Aligns to a Detailed and Key Competency

6. Using Aligned Learning Resources Found in the Secondary Frameworks 6

7. E-Learning Modules – To Support Field Based Transformation Introduction to the Patient-Centered Medical Home Team-Based Care Patient Self- Management Technical Skills and Applications Quality Improvement Change Management 7

8. Road Map 8 “The implementation of Patient-Centered Team Based Care, supported by health IT, brings about many challenges for new workers and incumbents, alike. Both groups will find interpersonal dynamics to be an unexpected focus and new technologies will emerge that will have to be learned and integrated into their workflows. On the job success will likely stem from a work environment with a consistent understanding of the transformation process, visible leadership and support, and established outcomes that can be measured against contextual factors during delivery of care. “ Mohla, C., Reed, C., Keesey, P., McKenzie, H., Damico, D., & Sital, S. Agency for Healthcare Research and Quality, (2013). Readying the health it workforce for patient-centered team based care: Understanding training needs (ARRA NRC D2 HITECH)

9. Practice Fitness Assessment Assessment provides feedback to practice leaders on their organizational fitness in the following areas: – Strategy & Business Model – Operational – People – Technology/HIT Systems Fitness levels – Beginner – Stretching – Conditioned – Fit 9

10. Leadership Competencies that Support Transformation in Healthcare 10

11. Training to Support Quality Improvement Course Objectives Understand what a process is and be able to identify the clinical and business processes of a medical care practice Create current state maps of clinical and business processes to facilitate process improvement Establish measures that will enable staff to assess performance of the current state processes Critically analyze current state processes to identify constraints and sources of waste Create maps of future state processes in which technology, procedural, or physical changes have been made to relieve constraints and to reduce or eliminate wastes Develop a plan for transition from the current state to the future state processes Use measures to assess the impact of process changes and to identify opportunities for further process improvement 11 Introduction to Lean Principles for the PCMH

12. Workforce Development Programs 12

13. Questions How do we support practice teams in acquiring the new competencies to sustain their transformational journey, and how can we integrate these competencies into educational programs that are preparing the future workforce of healthcare. What education approaches, both current and those expected in the future, support patient-centered team- based care? How do we link healthcare workers/educators to the growing body of tools and training on the effective and efficient use of Health IT ? 13