1. ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous Annual Conference 2014 May 19, 2014

2. ® MedBiquitous Mission To develop and promote technology standards for the health professions that advance lifelong learning, continuous improvement, and better patient outcomes.

3. ® Building the Foundation: The MedBiquitous Architecture * Official ANSI Standards

4. ® http://hawaii-bed-and-breakfast.blogspot.com /

5. ® Our Accomplishments ANSI/MEDBIQ CI.10.1-2013, Curriculum Inventory

6. Medical School Curriculum Management System AAMC Curriculum Inventory Curriculum Inventory MedBiq Standards National Benchmarking Reports www.aamc.org/medaps 85 US 5 Canadian Med Schools

7. How competent? Level 1 (e.g. Novice) Level 5 (e.g. Mastery) Level 2Level 3Level 4 Competency Framework Performance Framework In Standards Committee Review

8. ® Our Pipeline Performance frameworkMedical Education Metrics 2.0Educational Achievement Professional Profile 2.0 Financial Interest Reporting – with AAMC Data on clinician financial interest for reporting to CE providers, meetings, journals, etc. Centralized system in development

9. ® Movement to Competency-based education

10. ® Tracking progression to competence Novice Intermediate Mastery Performance Framework in review by Standards Committee Educational Achievement to be reviewed next Looking at Experience API (xAPI) for “loose coupling” and more flexible activity tracking

11. ® Data standards are a start… XML Data But not enough.

12. What does it take to be successful?

13. ® The Experience API (xAPI) Noun Verb Object IDidThis Learner record Store Activity Streams (Google, Facebook, others…) More flexible, social Human and machine- readable

14. ® What does it take to scale?

15. ® Collaboration is the key

16. ® Member Collaborations using MedBiquitous Standards Universal Hub AOA & ESAR-VHP CE Accreditors & REMS Program Companies American Board of Surgery and American College of Surgeons

17. Bridge Builders are Needed Courtesy Phillq23, wikimedia..