Training Plan Template, Department of Veterans Affairs



Department of Veterans AffairsBuilding Health Informatics CapacityTraining PlanVersion 1.9May 2012Revision HistoryDateRevisionDescriptionAuthor2/25/20111.0Initiation of Building Health Informatics Capacities Training PlanHealth Informatics Initiative Workstream C (WSC) Competency Team2/27/0111.1RevisionDiane BedecarréDiane MontellaElizabeth S. Chapman3/4/20111.2RevisionWSC Advisory Group3/5/20111.3RevisionDiane BedecarréDiane MontellaSteve Brown3/7/20111.4RevisionDiane BedecarréElizabeth S. ChapmanDiane Montella3/9/20111.5RevisionDiane Montella Diane BedecarréElizabeth S. Chapman3/10/20111.6Review and RevisionWSC Competency Team3/22/20111.7RevisionWSC Collaborative Program Team3/25/20111.8RevisionDiane BedecarréDiane MontellaElizabeth S. Chapman5/11/20121.9Update and RevisionDiane BedecarréKatherine GianolaElizabeth S. Chapman5/22/20122.0UpdateElizabeth S. ChapmanTable of Contents(Highlight the table of contents below, then press F9 key to automatically update) TOC \o "1-3" \h \z 1.Plan Summary PAGEREF _Toc325378468 \h 11.1.Purpose PAGEREF _Toc325378469 \h 11.2.Background PAGEREF _Toc325378470 \h 11.3.Stakeholders and Key Personnel PAGEREF _Toc325378471 \h 21.4.Target Audience PAGEREF _Toc325378472 \h 22.Plan Scope, Goals, & Objectives PAGEREF _Toc325378473 \h 32.1.Scope PAGEREF _Toc325378474 \h 32.2.Goals PAGEREF _Toc325378475 \h 32.3.Objectives PAGEREF _Toc325378476 \h 32.4.Critical Success Factors PAGEREF _Toc325378477 \h 42.5.Training Tracking PAGEREF _Toc325378478 \h 43.Training and Development Life Cycle PAGEREF _Toc325378479 \h 43.1.Needs Analysis PAGEREF _Toc325378480 \h 43.2.Learning Modalities PAGEREF _Toc325378481 \h 53.3.Evaluation and Update PAGEREF _Toc325378482 \h 54.Training Deliverables PAGEREF _Toc325378483 \h 65.Resources PAGEREF _Toc325378484 \h 75.1.Environmental Scan of Training Resources PAGEREF _Toc325378485 \h 75.2.Table: VA and Non-VA Education and Training Resources PAGEREF _Toc325378486 \h 116.Metrics PAGEREF _Toc325378487 \h 187.Risks and Constraints PAGEREF _Toc325378488 \h 187.1.Risks PAGEREF _Toc325378489 \h 187.2.Constraints PAGEREF _Toc325378490 \h 197.2.1.Availability of Learning Lab Faculty PAGEREF _Toc325378491 \h 197.2.2.Coverage for Student Time Commitment PAGEREF _Toc325378492 \h 207.2.3.Funding for Travel and Tuition PAGEREF _Toc325378493 \h 207.2.munication Gaps PAGEREF _Toc325378494 \h 20Appendix A: VA Health Informatics Course - Curriculum Outline PAGEREF _Toc325378495 \h 21Appendix B: Acknowledgements PAGEREF _Toc325378496 \h 23References PAGEREF _Toc325378497 \h 24Plan SummaryPurposeTo outline a comprehensive training plan that incorporates curriculum and training development, as well as the conduct of multi-level training to support the various components of the VHA Health Informatics Initiative Workforce Development project, “Building Health Informatics Capacities”.BackgroundThe U.S Department of Veterans Affairs (VA) has been recognized world-wide for innovations that have transformed veterans' health care, such as the Decentralized Hospital Computer Program (DHCP), the Computerized Patient Record System (CPRS), and Bar Code Medication Administration (BCMA). A January 2006 article in the Washington Post gave testament to the VA's historical place as a forerunner using innovative health information technology (HIT) to meet its mission of providing quality, safe health care to America’s veterans. But in an unwelcome turnabout, five years later, the rest of the clinical and academic health informatics world rapidly is surpassing the VA in innovation, strategic commitment, and production.VA's most valuable Health IT assets have always been its people. Broad-based VA Health Informatics staff development is required to re-establish the VA’s leadership role in HIT innovation to support competitive quality health care delivery to our nation’s veterans. VA informatics practitioners come from a wide range of professional academic backgrounds and non-academic practice-based backgrounds, with varying degrees of formal and informal informatics education. Therefore a suite of informatics educational programs that offer varying levels of exposure and opportunity must be assembled.Health Informatics is an emerging discipline. Terminology describing the field is poorly understood, and is not necessarily agreed upon by academics and professionals in the field (Hersh. A stimulus to define informatics and health information technology. BMC Medical Informatics and Decision Making. 2009, 9:24). Lack of consensus defining health informatics and health informatics personnel impedes the VA’s ability to accurately quantify and inventory its own informatics workforce. Furthermore, the domain of “Health informatics” is often erroneously equated with the separate domain of Information Technology. This is true both nationally and within the VA.Health informatics educational opportunities within the VA nationally are not standardized, are inconsistently applied, do not currently cover the full scope of health informatics practice, and do not generally include professional knowledge from sources outside the VA. Many VA staff lack generalized core Health Informatics knowledge. While VA has an existing diverse catalog of informatics educational offerings, the variety of course originations and locations can be viewed as a challenge to consolidating, advertising, and promoting informatics educational opportunities for VA staff. There does not appear to be a single centralized repository or clearinghouse for all VA sponsored educational events. Each program office has their own methods for advertising and publishing events and content.The success of the VHA Health Informatics Transformational Initiative, with its goal of transforming health care delivery to our veterans through informatics, is dependent upon an educated, qualified, and engaged workforce. Informatics training needs identified by the Health Informatics Initiative may be described as falling into one of two categories:Enterprise Workforce Training NeedsNew Product Orientation (e.g. the hmp or Health Management Platform)This document, the VA “Building Health Informatics Capacity Training Plan”, addresses the first category, that of Enterprise Workforce Training Needs for the VA. Organizational support for increased access to improved educational resources is needed for efficient and effective professional health informatics staff development enterprise-wide.Stakeholders and Key PersonnelThe stakeholders and key personnel overseeing this training plan are:Table SEQ Table \* ARABIC 1 - Stakeholders & Key PersonnelStakeholder/Key PersonnelOrganizationContactBusiness OwnerHealth Informatics Initiative Team, Workstream C Competency Development LeadDiane Montella (Past)Elizabeth S. Chapman (Present)Project Manager Health Informatics Initiative Team, Workstream CElizabeth S. ChapmanEducation Project ManagerEmployee Education SystemJerry Rutherford (Past)Rick Shew (Present)Project Collaborators and ConsultantsOffice of Informatics and Analytics Training and Strategy Becky Monroe Target Audience The Training Plan focuses on three identified target audiences:VA Informatics LeadershipFor example: Chief Health Information Officers (CHIOs), Health Information Management (HIM) leadership, Associate Chief Nursing Officers, Informatics (ACNO), Chief Medical Informatics Officers (CMIOs), and VA Staff who perform Health Informatics Policy & Oversight Functions.VA staff who based on their role need to be educated in Informatics (role-specific education)For example: Health Informatics Specialists formerly known as Clinical Application Coordinators (CACs), Automated Data Processing Application Coordinators (ADPACs), Health Informatics Personnel (e.g., Nursing, Pharmacy, Health Information Management, Laboratory, Dental, Biomedical, Medical Librarians, Physicians, Clinical Providers, etc.), Office of Information & Technology (OI & T) Specialists, VA Medical Informatics Fellows, VA Pharmacy Informatics Residents, VA Nursing Informatics Fellows, Analytics staff, Health Services Research and Development (HSR & D) staff, VA Leadership in non-informatics role but with need for core informatics education.Any VA staff who wish to become more knowledgeable about Informatics regardless of their role.Plan Scope, Goals, & Objectives ScopeThe scope of this plan encompasses the design, development and delivery of Health Informatics training to the identified target audiences. We acknowledge the magnitude of this scope given that the target audiences are distributed across hundreds of VA facilities nationally and are organizationally dispersed.GoalsThe plan supports the following goals:Increase the number of VA staff that are certified in Health informatics by appropriate professional organizations via distance learning and other available modalities and resources identified in this document (refer to section 5. “Resources”)Leverage the VA Health Informatics Course to provide domain-neutral core Health Informatics educationLeverage the VA Health Informatics Virtual Conference to provide large scale access to informatics contentLeverage courses offered by professional organizations that prepare staff for nationally recognized certification in informaticsImprove capacity of staff to design, configure, use, and maintain informatics applications properly and efficiently.ObjectivesThe plan supports the following objectives:Increase the number of VA Informatics personnel who are certified or formally educated in Informatics.All VA Informatics Leadership (e.g., CHIOs, CNIOs, CMIOs) who do not already hold a role-specific Informatics certification, (e.g., ANCC (American Nursing Credentialing Center) Nursing Informatics Certification, AMIA (American Medical Informatics Association 10x10 Certificate), or who have not already completed formal Informatics education (e.g., Residency, Fellowship, or degree granting program in Informatics), will be offered the opportunity to successfully complete the entire VA Health Informatics Certificate Program and receive an AMIA 10x10 Certificate upon completion.All VA Informatics staff who do not already hold a role-specific Informatics certification, (e.g., ANCC Nursing Informatics Certification, AMIA10x10 certification), or who have not already completed formal Informatics education (e.g., Residency, Fellowship, or degree granting program in Informatics), will be offered the opportunity to successfully complete the entire VA Health Informatics Certificate Program and receive an AMIA 10x10 Certificate upon completion.Consolidate, advertise, and promote current VA and non-VA informatics educational opportunities for all VA personnel, regardless of role and/or certification status.Efforts will be made to inform VA staff about available internal and external informatics training opportunities, including the VA Health Informatics Course offering.Critical Success FactorsThe factors that ensure the successful implementation of the training plan are:Adequate funding for the design, development, delivery, and coordination of trainingAdequate staff to develop, implement and support delivery of training planAbility to determine the magnitude of informatics practitioners (numbers of staff) within VAResources to conduct initial and ongoing needs assessments among VA informatics workforceAdequate time and resources for training of identified target audiencesProper identification and application of identified training modalitiesLeadership that recognizes importance of staff development efforts and who support and recognize employee participationTracking training results regularly to assess the effectiveness of the training.Training TrackingMethods of tracking learner participation in educational activities will be determined by the individual activities offered (e.g., learner registration can be known in setting of online learning activities). However tracking learner participation in multiple venues such as local educational activities and non-VA activities will be difficult at best.Training and Development Life CycleNeeds AnalysisAn initial survey of the current state of health informatics capacities in the VA community by more than forty Health Informatics Initiative Workstream C subject matter experts revealed considerable heterogeneity in education and training of the VA workforce. VA staff working in informatics capacities comprise:Staff with formal informatics academic backgrounds (hold informatics related degrees or have completed formal informatics training programs or fellowships)Staff with specialty certifications in informatics (e.g., Nursing Informatics Certification)Staff working in informatics roles who have neither formal informatics academic background nor specialty certification in informatics, but who have acquired on the job knowledge and skills needed to design, implement and manage informatics applications in the VAStaff who are new to informatics roles and who may have little or no informatics education or experience.Initially, the training plan will focus on building a common knowledge base in the practice of VA health informatics that is discipline-neutral and can serve as a foundation for future efforts.Future needs assessments can be conducted to identify additional informatics training inconsistencies, education gaps, knowledge deficits, preferred training methods, and to prioritize training opportunities for the VA informatics community. Both formal and informal approaches to needs assessment can be used to determine future training needs of target audiences.Data from needs assessment(s) can guide VA informatics training support and development to ensure health informatics capacity within the VA is sustained. Because the informatics landscape changes rapidly, an ideal approach would be ongoing needs assessments to include sampling of various VA Informatics communities to ensure future training opportunities and development meet the demands of the field. This approach can be used as an iterative process over time to continually evolve the current training plan, which is intended to undergo revision as the informatics training needs of the VA workforce also evolve.Learning ModalitiesA variety of modalities will be utilized to maximize availability of educational offerings, provide scheduling flexibility, and deliver options tailored to individual learning preferences. Strategies for face to face content delivery include conferences with scopes ranging from facility level to VISN, regional and national meetings, as well as coaching, mentoring and apprenticeships. Distance learning options will be made available and can be offered synchronously or asynchronously with face to face learning options, providing maximum flexibility. Distance learning formats are wide ranging, including live video conferences, satellite broadcasts, webcasts, podcasts, teleconferences, and live meeting type computer demonstrations which can be can be delivered real time and interactively, or recorded for replay. On demand content delivery will be made available through interactive software demonstrations utilizing screen capture and screen recorder software and other computer based training materials and simulations, as well as non-interactive media. Further development of content delivery via social media and other widely accepted web-based tools, including Wiki and blog sites, is also planned, as well as traditional content delivery through provision of materials via web, CD/DVD and print. Lastly, simulation learning environments may be utilized in future education and training modalities.Evaluation and UpdateEvaluation is an important part of any training plan to determine whether or not programmatic and individual learning goals have been met. Various approaches to evaluation will be employed to assess the effectiveness of VHA’s informatics training and education activities and to identify opportunities for improvement. Competency is the pairing of knowledge with skill acquisition. Evaluation methods will include, where appropriate, measurement of learners’ ability to effectively apply new informatics capabilities.Evaluation assesses the strengths and weaknesses of programs, policies, personnel and products. Evaluation will give consideration to a program’s or individual learning activity’s purpose, intended audience, and kinds and sources of information needed for decision-making. Reporting results in a meaningful and useful way enhances the ability to evolve and improve the effectiveness of educational offerings over time.Tiers on which evaluation may take place include:Individual learning experience (e.g., learner satisfaction)Faculty effectiveness and course offering (were the course objectives met)Effectiveness of training plan (were training plan objectives met).Examples of the type of assessment that may be applied to educational activities and learners include:Level 1 - Reaction and Planned ActionUsually a simple evaluation asking questions such as: How was the training? Was it what you expected? Will you use the training you received?Level 2 - LearningCan the learner pass an exam at the end of training?Level 3 - Application (Skills Development)Measures whether the learner can apply or demonstrate what was taughtLevel 4 - Business ImpactDid some measure of performance in the workplace rise or lower as a result of the learners receiving training?Level 5 - Return on InvestmentWhat was the cost savings, increase in efficiency or reduction in overhead as a result of the training?Training DeliverablesTable 2 - Training DeliverablesProject DeliverablesResponsible PartyHealth Informatics Initiative Training PlanWorkstream CVA Health Informatics Course: 41 hours of online learning activities will launch in TMS at the beginning of FY2011 and completed in FY2012Workstream CNursing Informatics Workshops: Two workshops to be offered in FY2011 and FY2012. Future offerings dependent on results of needs assessment/evaluationWorkstream CPublicize Educational Opportunities, including but not limited to the VA Health Informatics Course, outside conferences and the Office of National Coordinator HITECH programsWorkstream C of the Health Informatics Initiative and the Health Informatics Initiative Public Relations Workgroup Workstream D.Environmental Scan of Professional Organizations that offer Certifications in InformaticsWorkstream C National VA Health Informatics Virtual Conference FY2012 housed on MyVeHU CampusWorkstream C and Training Strategy TeamOffice of National Coordinator –developed Curriculum. Two Online Sessions delivered by Bellevue College in FY2011-2012Workstream COffice of National Coordinator-developed Curriculum Self-paced Learning Modules Available in FY2013Workstream CVA Health Informatics Certificate Program (AMIA 10x10). Minimum of one session per calendar yearWorkstream CHealth Informatics Specialty Modules- Created in FY2013 (TMS)Workstream C Virtual Learning Lab Launched FY2012Workstream C ResourcesEnvironmental Scan of Training ResourcesThe workgroup determined that an environmental scan of internal and external resources was needed as a first step in the development of the training plan to determine how VA staff currently receives education and training and to determine what if any gaps exist. Workgroup members were queried, VA websites were searched, and requests for information were submitted to Employee Education Service (EES), Office of Informatics and Analytics Training and Strategy colleagues and VA medical librarians to create lists of known informatics education and training opportunities within the VA. External resources were identified primarily through internet searches and from content found on professional organization websites and brochures. See Table below for list of identified VA (internal) and Non-VA (external) Education and Training Resources.Preliminary review of VA resources reveals a rich and wide variety of offerings in both content and methodologies ranging from large scale national conferences to web-based training to satellite broadcasts of presentations for a distributed audience. Content spans from technical and application-specific training to data mining, to how to leverage the electronic health record to improve outcomes, to leadership development courses. Education is developed and delivered at varying levels in the organization from small-scale, locally designed in-services to courses created for a national audience.For the purpose of this Training Plan, the following identified resources are categorized as follows: VA Health Informatics CoursesOther VA Internal ResourcesInternships, Mentorships and FellowshipsExternal Resources VA Health Informatics CourseIncluded in the environmental scan is the graduate level, VA-created Health Informatics Course that will be fully launched Summer 2012. Forty-one web-based content hours will provide participants a general overview of the principles and practice of the field of health informatics. The content of the VA Health Informatics Course (see Appendix A) is a subset of that recommended in the AMIA Board White Paper (Gardner. AMIA Board White Paper. Core Content for the Subspecialty of Clinical Informatics. JAMIA 2009;16(2):153-157). Nationally recognized faculty (both VA and Non-VA) present various topics in informatics. Upon completion of the entire course, students will receive a certificate of completion recognizing their achievement. This program is slated to be deployed in fall 2011 and will serve as a key component of the Training Plan for all targeted audiences.Other VA Internal ResourcesVA has a long history of utilizing distance learning technologies to deliver content to a nationally distributed workforce for use with both organized events and just in time training and learner support. Within the VA system, there are both synchronous and asynchronous learning opportunities, and learners can access education on a 24/7 basis from several sources. One such source is the Learning Management System (LMS) which is the enterprise wide learning system platform that houses many distance learning courses and resources, and also serves as the tracking and reporting vehicle for both mandatory and optional educational offerings within LMS. Employees can access courses from a large catalog of technical, clinical, administrative, organizational, regulatory and personal development courses.In addition to the courses on LMS, the Employee Education Services (EES) offers informatics classes via webinars on a variety of topics concerning the electronic health record. These classes are recorded, and materials are available for download from an EES website. Other programs offer scheduled and archived trainings including the Decision Support Services Program (DSS), the Veterans Support Services Center (VSSC), the VA Nursing Outcomes Database (VANOD) and Health System Research and Development (HSR&D) to name a few.The most notable face to face venue is the national conference most commonly referred to as VeHU (VA eHealth University) which brings together informatics practitioners, information technologists, clinical staff, educators and vendors from the VA and the external community. VeHU is VA’s major training conference that provides education on the Electronic Health Record and related clinical software developed by and used in the VA. Over 1900 attendees participated in the 2010 VeHU held in Las Vegas. The conference highlights new innovations for patient care through hands-on classes, breakout sessions, software demonstrations, exhibits, and networking, that support efforts to maximize the use of the VA Electronic Health Record to provide quality care. The majority of sessions are taught by VA staff that have been mentored and coached by VeHU track directors. Of note is the fact that many of the VeHU sessions are recorded and offered to off-site learners via web-casts, and these recordings are available to view after the conference is over. There are several years of VeHU content housed on the VeHU website, cataloged and searchable by curriculum track, presenter, and topic keyword searches. A new platform that will become a repository for past, present and future VeHU training has recently been deployed. MyVeHU Campus (MVC) creates a virtual experience for the learner using a variety of educational modalities including; podcasts, web based trainings (WBT), on-demand videos and live streaming videos as well as social technologies such as Twitter and Facebook.A recently developed educational offering is the VISN 11 designed Informatics Development and Education Academy (IDEA) program which is geared toward training Clinical Application Coordinators (CACs) in the functionality of the VA electronic health record. This popular lecture-based and skills building face to face program was developed in response to field staff input on the need for training specific to the CAC role.VA staff have access to a variety of leadership development, project management, and change management courses relevant for many informatics roles. These courses are delivered in face to face, distance learning, or a combination of formats.The use of social media tools are emerging platforms that will add education and training opportunities for VA staff. Facebook, Twitter, wikis and other collaborative tools and environments are being utilized by some VA groups to bring communities together and deliver content. For example, the CPRS User Group and the VANOD Reports User Group are utilizing wiki spaces to post tips and tricks, sample reports, discussion boards and PowerPoint lessons. These user generated spaces add richness and value to the VA arsenal and are expected to grow in numbers in the near future.Internships, Mentorships and FellowshipsAnother source of education and training opportunities comes from formal and informal internships, mentorships and fellowships. Several career development programs in the VA are designed for individuals seeking to gain experience in technical and informatics roles. For instance the Office of Academic Affiliations oversees graduate level fellowships in informatics, and the Technical Career Field program offers internships for entry level positions in Health Information Technology (HIT) roles. These valuable opportunities are open to VA and non-VA individuals, and provide an important source of new recruitment potential for VA.VA Medical Informatics Fellowship ProgramIn 1995, the Office of Academic Affiliations (OAA), in collaboration with the Health Services Research and Development Service and the Chief Information Office, started VA's Advanced Fellowships Program in Medical Informatics. The purposes of the Fellowship were to enhance skills of health professionals in medical informatics, to increase recruitment and retention of medical informatics specialists within VA, and to contribute to the application of medical informatics within VA's patient care delivery system.The VA Medical Informatics Fellowship Program provides two years of post-residency / postdoctoral research and educational learning opportunities to board eligible or board certified physicians and dentists and postdoctoral associated health professionals at competitively selected VA sites. Fellows spend their time in research and educational activities relevant to VA. Mentors of national stature provide guidance to fellows in rich learning environments. Graduates are expected to be role models in leading, developing, conducting, and evaluating innovative medical informatics programs.VA Pharmacy Informatics Residency ProgramsSeveral VA Pharmacy Residency Programs offer a Post-Graduate Year 2 (PGY2) Pharmacy Informatics program, giving pharmacists an opportunity to leverage their clinical experiences in the development of new technologies and processes that improve the delivery of pharmaceutical care. VA Pharmacy Residents who complete the PGY2 Informatics year gain specialized experience with the VA electronic medical record, Bedside Barcode Medication Administration system, and numerous supportive Veterans Health Administration (VHA) and third party patient care systems. Pharmacy Informatics Residents apply their specialized knowledge to discern practical solutions for challenges with medication distribution and data management (performance improvement) processes.Certificate ProgramsVA Health Informatics Certificate Program (AMIA 10x10)In June 2012, the inaugural session of the VA Health Informatics Certificate Program (AMIA 10x10) will launch with the first 30 students. This program represents a collaborative effort between VHA, EES and AMIA. The Certificate Program provides VA staff with a broad survey of the field of Health Informatics delivered as a web-based course composed of the 41 Health Informatics Lectures (in TMS) and supplemented by skills-building exercises via a proctored Learning Lab. Faculty Moderators will facilitate student discussions and project work in a web-based learning management platform.External ResourcesLeveraging external resources for provision of professional education was identified as a key ingredient of the training plan. Recently, the U.S. Office of the National Coordinator for Health Information Technology (ONC) established the Community College Consortia and University-based programs to educate Health Information Professionals to help address the growing demand for highly skilled health IT specialists. This Health Information Technology for Economic and Clinical Health program is also known as “HITECH”. In 2010, over 70 community colleges and 9 universities received federal funding through HITECH to establish or expand health IT training programs. These programs provide a unique opportunity for entry level HIT personnel as well as seasoned professionals. Depending on the program, students are prepared to undertake one or more of the following roles:Health Information Technology (HIT) TrainersRegistered Health Information Technician (requires a national certification exam)HIT Implementation ManagersPractice Workflow and Information Management Redesign SpecialistsClinician/Practitioner ConsultantsSoftware Support TechniciansHIT Technical Support SpecialistHIT Implementation Specialist/Coordinator.VA staff could benefit from participation in the ONC HITECH programs.There are other ways that VA staff can enhance their professional careers. Membership in professional informatics organizations provide benefits to the employee in the form of networking with colleagues, attendance at sponsored conferences and meetings, participation in workgroups, and for qualified individuals the opportunities to prepare and sit for certification exams. VA employees seeking professional development opportunities may consider any of the following viable options:Enrollment in University-based degree programs for Health Informatics specialtiesEnrollment in University-based Health Informatics certificate programsEnrollment in Community College certificate programs for Health IT rolesMembership in Professional Organizations (e.g. American Medical Informatics Association, etc.)Attendance at regional and national informatics conferences and workshopsSubscription to professional journalsAttainment of specialty certification in anizational support is strongly recommended for VA staff who wish to pursue advanced degrees in informatics or obtain specialty certification in informatics as their personal development would enhance the informatics capacity within VA.Table: VA and Non-VA Education and Training ResourcesNote: This list is in development and therefore should not be considered comprehensive.CategoryExampleSourceLibrary Resources for Informatics(Internal)Hard copy texts at each medical center libraryBiomedical Informatics: Computer Applications in Health Care and BiomedicineClinical Decision Support Systems: Theory and PracticeClinical Research InformaticsEssentials of Nursing InformaticsInformatics and Nursing: Competencies & ApplicationsNursing Informatics: Where Technology and Caring MeetProject Manager for Healthcare InformaticsTransforming Health Care through Information: case StudiesE books24x7VALNET journals National purchaseJournal of the American Informatics Association (JAMIA) Computers Informatics Nursing (CIN)International Journal of Bio-medical ComputingFor complete list of national purchase digital journals: E journals (free)Electronic Journal of Health Informatics Journal Nursing Informatics (OJNI) The Journal of Community Informatics Library- Pre-recorded sessions, Resources(Internal)BCMA IT Training Analytics Certificate Program (Health Informatics Course) Campus Informatics Document Library University Spaces (Internal)VA Clinical Wiki Reports User Group wiki Conferences(Internal)DSS Decision Support Services – no current link availableHSR&D and International Professional Organizations(External)AAMIAssociation for the Advancement of Medical Instrumentation Board of Imaging Informatics College of Clinical Engineering Health Information Management Association Medical Informatics Association for Nursing Informatics Nursing Informatics Association-CARING Society Clinical Pathology Society of Health-System Pharmacists InternationalAmerican Society for Testing and Materials CategoryExampleSourceATAAmerican Telemedicine Association of Healthcare Information Management Executives Level 7 International HIMSSHealthcare Information and Management Systems Society Medical Informatics Association Administrators Registry and Certification Association Management Institute for Imaging Informatics in Medicine TIGERTechnology Informatics Guiding Education Reform, Mentorships & Fellowship Programs(Internal)GHATPGraduate of Healthcare Administration Training Program (VA) of Academic Affiliations (VA)VA Pharmacy Informatics ResidenciesVA Medical Informatics Fellowships Career Field (VA) Certifications(External)AAMIAssociation for the Advancement of Medical Instrumentation Certified Biomedical Equipment Technician (CBET)Certified Radiology Equipment Specialist (CRES)Certified Laboratory Equipment Specialist (CLES) ABIIAmerican Board of Imaging Informatics Imaging Informatics Professional Certification (IIP) ACCEAmerican College of Clinical Engineering Healthcare Technology Certification Commission Certification in Clinical Engineering (HTTC CCE) AHIMAAmerican Health Information Management Certified Health Data Analyst (CHDA) Registered Health Information Technician (RHIT) AMIAAmerican Medical Informatics Association AMIA 10 x 10 ANCCAmerican Nurses Credentialing Center Informatics Nurse ASCPAmerican Society Clinical Pathology ASCP Certification ASHSPAmerican Society of Health-System Pharmacists CHIMECollege of Healthcare Information Management Executives Certified Healthcare CIO (CHCIO) PARCAPACS Administrators Registry and Certification Association Information and Management Systems Society Certified Professional in Healthcare Information and Management Systems (CPHIMS) PMIProject Management Institute Project Management Professional (PMP)?* Certified Associate in Project Management (CAPM)?* Program Management Professional (PgMP)?* PMI Scheduling Professional (PMI-SP)? * PMI Risk Management Professional (PMI-RMP)? CategoryExampleSourceONC Academic Programs(External)U.S. ONC Community College HITECH Programs. ONC University Based Programs ConferencesAHIMAAmerican Health Information Management Medical Informatics Association 10 x 10American Medical Informatics 10x10 Nursing Informatics Association-CARING Information Management Systems Society Informatics Informatics Institute in Nursing Informatics Immersion in Nursing Informatics Academic and Degree Programs the purpose of this training plan, metrics will be reported based on delivery of the VA Health Informatics Course and the VA Virtual Informatics Conference. The following metrics will be reported for the VA Health Informatics Course:Total number of training hours availableTotal number of participantsTotal number of hours of training completedTotal continuing professional education (e.g., CEU, CME) hours awardedTotal AMIA 10x10 certificates of completion issued for individual one-hour learning activitiesTotal VA Health Informatics Course Certifications issued to those learners who complete the entire course and required skills building exercisesCustomer evaluation of course content delivered.The following metrics will be reported for the VA Virtual Informatics Conference:Total number of training hours availableTotal number of participantsTotal number of hours of training completedTotal continuing professional education (e.g., CEU, CME) hours awardedTotal VA certificates of completion issuedCustomer evaluation of course content delivered.Risks and ConstraintsRisksThe Health Informatics Initiative Workstream C team and EES have identified the following risks associated with the implementation of this training plan. For each risk, mitigation strategies are identified. (Mitigation – activities undertaken to prevent or reduce the negative impact of an unfavorable risk event.)RISKMITIGATIONLack of a standardized definition of Informatics in the VALeverage work done by Workstream C Career subgroup to clearly identify informatics roles and responsibilities.Leverage work done by entire initiative and more specifically the Health Informatics Initiative Public Relations (PR) group to publicize the initiative’s Workstream C definition of InformaticsDifficulty identifying all personnel who perform informatics roles within VAUtilize the VA Product Effectiveness team to assist Workstream C Career subgroup and Community subgroup in gathering accurate information about the VA Informatics workforceLeverage work done by Workstream C Career subgroup to define core informatics functions and job families.Employee barriers to participating in educational activities (such as: time, budgetary, supervisory approval, lack of knowledge of availability of training, lack of perceived value of informatics training on part of employee or supervisors)Leverage work done by the PR group to raise the perceived value of Informatics via the hi2 web portal and other communication modalities.Promote Informatics certifications within professional disciplinesEngage with Career subgroup to include recommendations for continuing education in standardized position descriptions and functional statementsOrganize, advertise, and promote the availability of Health Informatics education opportunitiesLeverage the momentum from the Health Informatics Initiative to get leadership support that endorses Health Informatics education and training for all target audiencesEncourage staff to include Health Informatics competency development activities in Individual Development PlansFormalize recognition of staff who have completed training programs, obtained advanced degree or specialty certifications in Health Informatics.The numbers of VA Staff who need and / or want Health Informatics Education may exceed VA capacity to deliver trainingExpand capacity of VA Health Informatics CourseOffer smaller role-based training venues (e.g. Weekend Immersion in Nursing Informatics)Transition successful, locally-developed training programs into the EES system, making training more available and able to be generalized.Content of VA developed curriculum will become obsolete due to rapidly changing environment.Evaluate currency of content every two years. Plan to build in spend plans monies to develop new content.Evaluate training methodologies to determine if new technologies would improve delivery and/or distribution (e.g. mobile apps).ConstraintsThe Health Informatics Initiative Workstream C project team and EES have identified the following specific constraints with respect to the implementation of this training plan:Availability of Learning Lab FacultyThe number of students who may enroll in the VA Health Informatics Course to achieve a certificate of full course completion will be constrained by the availability of faculty to provide the necessary support for assistance and evaluation of homework assignments and skills building exercises.Coverage for Student Time CommitmentThe availability of coverage for students’ routine duties will constrain the amount of time that students have available to participate in elective training.Funding for Travel and TuitionParticipation in training requiring travel and/or tuition payment may be constrained by the availability of munication GapsParticipation in training may be limited by incomplete distribution of information throughout the organization regarding training availability to all potentially interested staff.Appendix A: VA Health Informatics Course - Curriculum OutlineAMIA Section**Topics1Fundamentals1.1Intro to Clinical Informatics1.2The Health systemnoneHistory of DHCP and VistA2.1Clinical Decision Support2.1.1Medical Decision Making 2.1.2.5Test Characteristics2.1.3.1Types of Decision Support2.1.3.2Users of Decision Support2.1.3.3Implementing/Maintaining tools2.1.4Knowledge Modeling and Maintenance2.1.5-7Legal, quality and other Decision Support Issues??2.2Evidence-based Patient Care2.2.1-3Evidence sources, grading and guidelines2.2.4Implementing guidelines as clinical algorithms??2.3Clinical Workflow 2.3.1Methods of Workflow Analysis2.3.2Principles of workflow re-engineering2.3.3Quality Improvement principles and practice????3.2Human Factors Engineering3.2.1Models, Theories and Practices of HCI3.2.2HCI Evaluation and Testing3.2.3Interface Design Standards and Principles??3.4Data Standards?Standards Development and Processes?VA Data Standards Overview??3.5Information System Lifecycle3.5.2Clinical Information Needs Analysis3.5.3System Implementation3.5.4System Testing3.5.5.1Disaster Recovery3.5.6Clinical Information Systems Evaluation??4Leading and Managing Change4.1Leadership Models and Practices4.2Teams4.3Communications4.4-5Project Management and Planning4.6Change Management** “AMIA Section” refers to content numbered by section number in the 2009 White Paper by the American Medical Informatics Association regarding content that should be included in clinical informatics training. (Gardner et al. AMIA Board White Paper. Core Content for the Subspecialty of Clinical Informatics. Journal of the American Medical Informatics Association. Vol 16, Number 2 March/April 2009 pp 153-157.)The content of the VA Health Informatics Course is a subset of all of the content recommended in the AMIA Board White Paper, representing a broad survey of the field of Health Informatics, and equivalent to the content available in existing University based, graduate level introductory general survey courses on Health Informatics. The content is meant to represent the domain of Health Informatics in a general sense, not specific to any particular subspecialty e.g. Medicine or Nursing etc.Appendix B: AcknowledgementsWorkstream C Advisory GroupWorkstream C Competency GroupBarbara AndrzejewskiDiane BedecarreDiane BedecarreKimberly BishopSteven H. BrownElizabeth S. ChapmanMark CecilJeff FahnerElizabeth S. ChapmanDenise HarrisonJeremy GebhardKatherine GianolaRussell Jacobitz (ad hoc)Marlene HaddadMaureen KhungJudy IngebritsonToni KingSally KellumMichelle LucatortoDavid LinDeborah LudkeMichelle LucatortoMolly Manion (ad hoc)Margaret (Molly) ManionDiane MontellaMildred Manning-JoyEbele OkwumabuaSean McFarlandJoseph (Gus) O'NeilDiane MontellaAdelaide QuansahRobert O’HaraJerry RutherfordRick ShewJoseph (Gus) O'NeilPeter A. WoodbridgeEbele OkwumabuaJerry RutherfordAdelaide QuansahReferencesAmerican Nurses Association. Nursing Informatics: Scope and Standards of Practice. 2008. Accessed March 8, 2011, at R, et al. AMIA Board White Paper. Core Content for the Subspecialty of Clinical Informatics. JAMIA 2009;16(2):153-157. Accessed March 10, 2011, at B, Delaney C. The Tiger Initiative, Technology Informatics Guiding Education Reform. TIGER Informatics Competencies Collaborative (TICC) Final Report. August, 2009. Accessed March 8, 2011, at W. A stimulus to define informatics and health information technology. BMC Medical Informatics and Decision Making. 2009;9(24): 1-6. Accessed March 7, 2011, at J. et al. Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics. First Revision. Methods Inf Med 2010; 49: doi: 10.3414/ME5119. Accessed March 9, 2011 at Office of the National Coordinator-Health Information Technology for Economic and Clinical Health. Department of Health and Human Services. Accessed March 8, 2011, at Tiger Initiative, Technology Informatics Guiding Education Reform. Collaborating to Integrate Evidence and Informatics into Nursing Practice and Education: An Executive Summary. Accessed March 8, 2011, at . ................
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