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® 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
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® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

Dec 13, 2015

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Page 1: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

®

Building the Infrastructure for Continuous Improvement: A MedBiquitous UpdatePeter Greene, MDCMIO, Johns Hopkins MedicineExecutive Director, MedBiquitous

Annual Conference 2014May 19, 2014

Page 2: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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MedBiquitous Mission

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

Page 3: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Building the Foundation:The MedBiquitous Architecture

* Official ANSI Standards

Page 4: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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

Page 5: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Our Accomplishments

• ANSI/MEDBIQ CI.10.1-2013, Curriculum Inventory

Page 6: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

Medical School Curriculum

Management System

AAMCCurriculum Inventory

Curriculum Inventory

MedBiq Standards

National Benchmarking Reports

www.aamc.org/medaps

85 US5 Canadian Med Schools

Page 7: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

How competent?Level 1

(e.g. Novice)Level 5

(e.g. Mastery)Level 2 Level 3 Level 4

Which competency? Competency Framework

Performance Framework

In Standards Committee Review

Page 8: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Our Pipeline

Performance framework

Medical Education Metrics 2.0

Educational 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

Page 9: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Movement to Competency-based education

Page 10: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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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

Page 11: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Data standards are a start…

XML Data

XML Data

But not enough.

Page 12: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

What does it take to be successful?

Page 13: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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The Experience API (xAPI)

Noun Verb Object

I Did ThisLearner record

Store

• Activity Streams (Google, Facebook, others…)

• More flexible, social• Human and machine-

readable

Page 14: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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What does it take to scale?

Page 15: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Collaboration is the key

Page 16: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

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Member Collaborations using MedBiquitous Standards

Universal Hub

AOA & ESAR-VHPCE Accreditors & REMS Program

Companies

American Board of Surgery and

American College of Surgeons

Page 17: ® Building the Infrastructure for Continuous Improvement: A MedBiquitous Update Peter Greene, MD CMIO, Johns Hopkins Medicine Executive Director, MedBiquitous.

Bridge Builders are Needed

Courtesy Phillq23, wikimedia..