1. EU-US eHealth/Health IT Cooperation Initiative Workforce Development Work Group February 13, 2014 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 Announcements and Progress5 minutes Baseline Skills Round Robin10 minutes Review comments on Direct Patient Care/Intermediate/Clinical Bucket 10 minutes Review Roles, and Skills (duplicates) for Direct Patient Care/Intermediate/Clinical Bucket 30 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

6. General Announcements To join our weekly webinars, visit the EU-US eHealth Collaboration Wiki Homepage for the latest meeting information: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative 5 To subscribe to our mailing list, simply complete the EU-US MOU Project Signup Form: http://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+Uphttp://wiki.siframework.org/EU- US+MOU+Roadmap+Project+Sign+Up To submit a brief biography of yourself (150 words or less), review the criteria listed at http://wiki.siframework.org/Workforce+Development+Work+Grou p#Work Group Members and e-mail your bio and photo (optional) to Gayathri Jayawardena at gayathri.jayawardena@esacinc.com http://wiki.siframework.org/Workforce+Development+Work+Grou p#Work Group Membersgayathri.jayawardena@esacinc.com To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts http://wiki.siframework.org/Project+Meeting+Artifacts

7. DateInputs DiscussionOutputs 8/14/13 Launch of the Workgroup 9/05/13 Selected Acute Care setting Acute Care Setting Selection 12/12/14 Acute Care Setting Selection Completed defining roles in the Acute Care setting Completed EU-US Role Mapping into Buckets EU-US Role Mapping 1/9/14 EU-US Role Mapping Aggregated eight competency sources recommended by community Silo consolidation on master spreadsheet 1/16/14 Silo consolidation on master spreadsheet Discuss overall mapping strategy (role  bucket & skill  bucket) Review Baseline skill extraction Assign categorization of skills to domains (DUE 1/30) Finalized mapping strategy Baseline skill extraction 1/30/14 Finalized mapping strategy Baseline skill extraction Review skill categorization Finalize Baseline skill list Baseline skill list (Almost Final Draft) 2/6/14 Baseline skill list (Almost Final Draft) Address final baseline comments Review skill categorization method + spreadsheet Dive into DPC/Intermediate/Clinical Bucket Final Baseline Skill List Skill to Role (Bucket) mapping completed 2/12/14 Final Baseline Skill List DPC/Intermediate/Clinical Skill-Role map Review Baseline Skills approval voting Dive into DPC/Intermediate/Clinical Skill-Role map Approved Baseline Skills List Refined DPC/Intermediate/Clini cal Skill-Role map Timeline 6

8. We have identified the roles for the Acute Care setting and have placed the roles into 40 buckets (5 domains, 4 levels, 2 settings) We looked at 9 silos of competencies, and sorted the competencies to the buckets (presented on today’s call) 7 Progress Role to Bucket Map Skill to Bucket Map Role to Skill Map

9. 8 Baseline Skills Completed (= IT skills that everyone in the Acute care setting needs) Progress CONTINUED

10. Wiki Votes: – Yes--2 – Yes w/Comments--0 – Object w/Comments—0 Live Vote or Round Robin Vote – – We will be recording these votes with the other votes and will post them on the wiki as part of the process of approval – Yes--? – Yes w/Comments--? – Object w/Comments--? 9 Baseline Skills-Round Robin

11. 10 Direct Patient Care/Intermediate/Clinical

12. Comments from Nessa Barry: 11 Direct Patient Care/Intermediate/Clinical SkillComment 1.1 Differentiate data versus information. 1.2 Describe the principles of structure, design and use of health information (such as individual, comparative reports, trended data). can 1.1 and 1.2 be combined. E.g. Differentiate data from information and the different uses to which health information may be put: individual, comparative reports, trended data. 1.7 Adhere to internal organizational health record documentation requirements, policies and procedures. 1.9 Adhere to information systems policies and procedures as required by national health information initiatives from national, state, local and organizational levels. Can 1.7 and 1.9 be combined? Adhere to internal, organisationa, national aand professional health record documentation.. 1.11 Identify incorrect data and take corrective action.May be read as implying they have a responsibility to fix it. Better to have 'Identify incorrect data and take corrective action as defined by role. 1.13 Maintain professional standards in all documentation activities 2.9 Apply appropriate documentation management principles to ensure data quality and integrity. 1.13 and 2.9 can be combined. Apply appropriate documentation management principles to ensuredata quality and integrity and maintain professional standards in all documentation activities 2.1 Create and update documents within the electronic health record (EHR) and the personal health record (PHR) Create, update, locate and retrieve information and documents within the HER and PHR and other electronic sources 3.3 Follow legal aspects and regulations of documentation in requests for information. 3.1is covered by following 3.2, 3.3, 3.4, 3.5, 3.6 etc.

13. Comments from Nessa Barry: 12 Direct Patient Care/Intermediate/Clinical SkillComment Cuyahoga CC (GENERAL COMMENT) if this section is all about home monitoring I would keep line 238, 240 and 241, 249, 250, 252 many of these are surely covered in existnig communication skills or project management skills (not ehealth specific) Project management (such as initiating, planning, executing, and monitoring EHR/HIT-related projects) To keep

14. 13 Direct Patient Care/Intermediate/Clinical Review of Roles

15. 14 Direct Patient Care/Intermediate/Clinical Review of Skills (duplicates)

16. Next Steps 15 Continue commenting on completeness and accuracy Direct Patient Care/Intermediate/Clinical Validate Skills-Role map for Direct Patient Care/Intermediate/Clinical

17. Workforce Development Project Support Team 16 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 – Kareem Malek, kareem.malek@accenturefederal.comkareem.malek@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

18. 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 Workforce Development Homepage – http://wiki.siframework.org/Workforce+Development+Work+Gr oup http://wiki.siframework.org/Workforce+Development+Work+Gr oup 17