1. EU-US eHealth/Health IT Cooperation Initiative Workforce Development Work Group November 14, 2013 0

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. 2

4. Agenda TopicTime Allotted General Announcements5 minutes Review Skills Definitions50 minutes Next Steps/Questions5 minutes 3

5. 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) Workforce Development Work Group meets every Thursday Due to the federal U.S. holiday (Thanksgiving Day), we will re-schedule our Thursday, November 28th webinar for Tuesday, November 26 th from 10:00am - 11:00am (ET)/3:00pm - 4:00pm (GMT)/4:00pm - 5:00pm (CET)/ 5:00pm - 6:00pm (EET).

6. 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+Initiativehttp://wiki.siframework.org/EU- US+eHealth+Cooperation+Initiative 5 Note: Please check the meeting schedule weekly to get the most up-to-date meeting information

7. Join the EU-US eHealth/Health IT Cooperation Initiative 6 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+U p http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+U p

8. Submit Your Bio Submitted biographies are now posted on the Wikipage http://wiki.siframework.org/Workforce+Developme nt+Work+Group#Work Group Members http://wiki.siframework.org/Workforce+Developme nt+Work+Group#Work Group Members 7

9. Archived Meeting Materials 8 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. http://wiki.siframework.org/Project+Meeting+Artifacts

10. Preparing for Meetings 9 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. 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

11. Workforce Development Timeline DateMeeting Topics Sept. 19 th, 2013 Continued review of competency materials Sept. 26 th, 2013 Define skill levels EU Update: Jean Roberts Oct. 31 st, 2013 Recap of goals and objectives Discuss work plan, timeline and make any modifications if necessary Nov. 7 th, 2013 EU Update: Stathis Konstantinidis (CAMEI Project) Review comments for skills definitions Nov. 14 th, 2013 Continue reviewing comments for skills definitions Review current mapping of acute care roles Nov. 21 st, 2013 DOL Review (map to our current definitions) Identify roles Map roles between EU and US (develop glossary identifying common terminology) Nov. 26 th, 2013 Continue with mapping roles between EU and US and developing glossary identifying common terminology Map Competencies to Roles 10

12. Review Wiki Comments… 11 Paul de Raeve (European Federation of Nurses) – At EU level, we deploy 4 levels in acute care: Healthcare assistants Registered nurses (complying with Directive 2005/36/EC) Specialist nurses Advanced Nurse Practitioner – These 4 levels has been developed by the ICN and the OECD Member States are aware of these developments. – So, I would not use the term ""medical assistant"" as this is extremely confusing – For the Registered nurses, Art 31 sets out the competences (8) – It is important to reflect the nursing care continuum and they all 4 need to have different levels of IT skills We will look at this when we talk about roles and role mapping to ensure that we make the correct levels of nursing care mapping between the EU and US

13. Comments CONTINUED 12 Paul de Raeve (European Federation of Nurses) – From a nursing perspective, the levels indicated in the excel file (from 1 to 8) do not fit the reality within the European Union. In nursing care, there are different level of qualification but there is no split between clinician and non-clinician and this division can create confusion. From a nursing perspective, as mentioned previously, there are 4 levels of qualifications/occupations, that are not reflecting completely the basic, intermediate, advanced and expert levels. The 4 categories of the nursing care are: healthcare assistant, registered nurse, specialist nurse and advanced nurse practitioner. All levels work in the acute care setting and their skills level is “cumulative”, meaning that there is no need to create new professions. The EFN is willing to work on skills mix and skills needs of the 4 categories. Additionally, in relation to quality and safety, the dynamics and the staffing ratio between the different levels should be taken into consideration and analysed.

14. Comments CONTINUED 13 Stuart Werner (U.S. Department of Labor Employment and Training Administration) – Electronic Health Records (EHR) Competency Model: http://www.careeronestop.org/competencymodel/pyramid.aspx?EHR=Y http://www.careeronestop.org/competencymodel/pyramid.aspx?EHR=Y – The model is depicted in a graphic consisting of several tiers. The arrangement of the tiers in a pyramidal shape is not meant to be hierarchical, or to imply that competencies at the top are at a higher level of skill. The model’s shape represents the increasing specialization and specificity in the application of skills as you move up the tiers. Tiers 1-5 have been developed and are divided into blocks. The blocks represent competency areas, that is, the applied skills, knowledge, abilities essential to successful performance in the increasingly electronic environment of the health industry. A table of the competency definitions and associated key behaviors follows the graphic. – Career Pathways – Resources Training and Employment Notice (TEN): http://wdr.doleta.gov/directives/attach/TEN/ten2011/ten39-11acc.pdf http://wdr.doleta.gov/directives/attach/TEN/ten2011/ten39-11acc.pdf

15. Comments CONTINUED 14 Stuart Werner (U.S. Department of Labor Employment and Training Administration) – A Joint Letter of Support from the Assistant Secretaries of the Employment and Training Administration, the Office of Vocational and Adult Education, and the Administration for Children and Families encourages states and local areas to align resources that support integrated service delivery across Federal and state funding streams and calls for improved collaboration and coordination to support career pathways systems for youth and adults. – Career Pathways Webinar Series: https://learnwork.workforce3one.org/view/_ETAs_2012_Career_Pathways_Webinar _Series_Availabl/info https://learnwork.workforce3one.org/view/_ETAs_2012_Career_Pathways_Webinar _Series_Availabl/info – Career Pathways Toolkit: http://www.workforceinfodb.org/PDF/CareerPathwaysToolkit2011.pdf http://www.workforceinfodb.org/PDF/CareerPathwaysToolkit2011.pdf – Virtual Career Network – http://www.aacc.nche.edu/Resources/aaccprograms/health/cap/Pages/vcn_health care.aspx http://www.aacc.nche.edu/Resources/aaccprograms/health/cap/Pages/vcn_health care.aspx An online tool that will allow current and prospective health care workers to explore more than 80 different occupations, identify local education and training programs, and tap into current job listings. Through the Virtual Career Network, users also can learn how previous experience such as military or on- the-job training can be applied toward a health care career, take free online courses and find sources of financial aid. We will explore these sites and offerings when we begin our exploration and gap analysis of what exists to ensure competencies are met

16. Comments CONTINUED 15 Anne Moen (University of Oslo, Norway) – I do think that it would be useful to think about more of the clinical roles that can be involved in advanced care, ex. physical therapy, (Advanced Clinical-Level 6) – AND think along two dimensions of work; "1:1" interactions of some kind that should be documented and "1:many" which involves a lot of interdisciplinary coordination work, The latter could be added to this skill level – I find the suggested skill levels nice and congratulate you on the effort so far. One general comment is that the skill levels seems quite hierarchical and it is somewhat difficult to see more of the interdisciplinary collaboration and coordination that also spans the levels in the suggested hierarchy. I believe these aspects ought to be accommodated for to ensure HIT support for smooth operation

17. Next Steps CONTINUED 16 Our Thursday, November 28th webinar will be re-scheduled for Tuesday, November 26th from 10:00am - 11:00am (ET)/3:00pm - 4:00pm (GMT)/4:00pm - 5:00pm (CET)/ 5:00pm - 6:00pm (EET) Please e-mail your bio and photo (optional) to Gayathri Jayawardena at gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com

18. Questions 17

19. Workforce Development Project Support Team 18 US Point of Contacts – Mera Choi, Mera.Choi@hhs.govMera.Choi@hhs.gov – Jamie Parker, jamie.parker@esacinc.comjamie.parker@esacinc.com – Gayathri Jayawardena, gayathri.jayawardena@esacinc.comgayathri.jayawardena@esacinc.com – Amanda Merrill, amanda.merrill@accenturefederal.comamanda.merrill@accenturefederal.com – Emily Mitchell, emily.d.mitchell@accenturefederal.comemily.d.mitchell@accenturefederal.com – Mark Roche, mrochemd@gmail.commrochemd@gmail.com – John Feikema, John.Feikema@hhs.govJohn.Feikema@hhs.gov EU Point of Contacts – Mary Cleary: mary@ics.ie mary@ics.ie – Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu Benoit.ABELOOS@ec.europa.eu – Frank Cunningham, frank.cunningham@ec.europa.eufrank.cunningham@ec.europa.eu

20. Initiative Resources EU-US Wiki Homepage – http://wiki.siframework.org/EU- US+eHealth+Cooperation+Initiative http://wiki.siframework.org/EU- US+eHealth+Cooperation+Initiative Join the Initiative – http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+Up 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 http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Reference+Materials 19