Changing Health Informatics Education to “Hardwire” Collaboration and Team Skills Cynthia Coviak, PhD, R.N. Professor (Retired), Clinical Part Time Faculty Kirkhof College of Nursing Guenter Tusch, PhD Professor and Chair Health Informatics and Bioinformatics Graduate Program School of Computing and Information Systems Padnos College of Engineering & Computing
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Education to “Hardwire” - Great Lakes Health Connect · Changing Health Informatics Education to “Hardwire” Collaboration and Team Skills Cynthia Coviak, PhD, R.N. Professor
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Changing Health Informatics
Education to “Hardwire”
Collaboration and Team Skills
Cynthia Coviak, PhD, R.N.
Professor (Retired), Clinical Part Time Faculty Kirkhof College of Nursing
Guenter Tusch, PhD
Professor and Chair Health Informatics and Bioinformatics Graduate Program
School of Computing and Information Systems
Padnos College of Engineering & Computing
Challenges for practicing health professionals
“ All health professionals should be educated to provide patient-
centered care as members of an interdisciplinary team, emphasizing
evidence-based practice, quality improvement approaches, and
informatics.” (emphasis added)
(Institute of Medicine, Health professions education: A bridge to quality, 2003, p. 45)
• Provide patient-centered care
• Work in interdisciplinary teams
• Employ evidence-based practice
• Apply quality improvement
• Utilize informatics
Diagram reproduced from Institute of Medicine (2003) Health professions education: A bridge to quality, p. 46.
Core competencies of health professionals
Interprofessional education defined
“…when two or more professions learn with, from and about each
other to improve collaboration and the quality of care”
(Barr, H., 2002, Centre for the Advancement of Interprofessional Education [CAIPE].
Miller’s Pyramid of Assessment Miller’s Pyramid of Assessment – [a] framework for assessing (clinical) competence in (medical) education that can assist (clinical) [educators] in matching learning outcomes… competencies…with expectations of what the learner should be able to do at any stage.
Sources: Tennessee Osteopathic Medical Education Consortium. (n.d.). Miller's Pyramid of Assessment. Retrieved
from https://tomec.lmunet.edu/files/assessment_and_feedback_for_residents_and_students.pdf
Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65(9), S63-7.
• Learner does the procedure of chest tube placement and implements post-procedure care.
• Learner shows how to place a chest tube.
• Learner knows, given an appropriate clinical scenario, how to place a chest tube.
• Learner knows the indications, contraindications, and risks associated with the placement of a chest tube.
Miller’s
Pyramid of
Assessment
(Example)
Adapted from: Walsh, C. M. (2016). In-training gastrointestinal endoscopy competency assessment tools: types of tools, validation and impact. Best Practice & Research Clinical Gastroenterology, 30(3), 357-374.
The Foundational Domains
of Applied Health
Informatics From Content to Competencies
Knowledge, Skills and Attitudes
K1. Health
K3. Social and Behavioral
Science
K2. Information Science and Technology
Three major domains
Three major domains – background knowledge
F1. Health
Define key concepts and problems in health science and practice
F2. Information Science and Technology
Reproduce key theories, methods and products from computer and
information sciences and information technology practice
F3. Social and Behavioral Science
Define key theories, methods and studies from social and behavioral
science and practice
K1. Health
K3. Social and Behavioral Science
K2. Information Science and Technology
K6. Social and Behavioral
Aspects of Health
K5. Human
Factors and
Socio-technical
Systems
K4. Health Information
Science and Technology K7. Soc.,Beh.,
IS, Technology
applied to
Health
Foundational
Domains
(cont’d)
Foundational Domains (cont’d)
F4. Health Information and Technology
Illustrate the use of information science and information technology in addressing
health problems
F5. Human Factors and Socio-technical Systems
Explain the use of social and behavioral science for improving technical solutions
F6. Social and Behavioral Aspects of Health
Explain the use of social and behavioral science for addressing health problems
F7. Social, Behavioral and Information Science and Technology applied
to Health
Apply theories and methods from biomedical informatics to health technology
The foundational
domains
of applied health
informatics
Graphic: Christina Lorenzo, MS in Biomedical Visualization, 2017, Department of Biomedical and Health Information Sciences, University of Illinois at Chicago
Example:
F9. Interprofessional Collaborative Practice Knowledge: Define and discuss the scope of practice and roles of different health professional stakeholders including patients, as well as the principles of team science and team dynamics to solve complex health and health information problems.
Skills: Apply relationship-building skills and the principles of interprofessional communication in a responsive and responsible manner that supports a team approach to solve complex health and health information problems
Attitude: Recognize the importance of mutual response and shared values, as well as one's own role, the role of other professions and stakeholders including patients, and the role of teamwork and team science to solve complex health and health information problems.
Example (cont’d):
F9. Interprofessional Collaborative Practice Assessment Construct
KNOWS - Define and discuss the scope of practice and roles of different health professionals
SHOWS HOW - Apply relationship-building skills and the principles of interprofessional communication in a responsive and responsible manner
DOES – Displays mutual respect and shared values
Assessment Method
KNOWS - Assess knowledge through student and team presentations; assess online discussion forums; instructor observations during in class and online discussions about team science and methods
SHOWS HOW – Observations of the student’s ability to work well in a team setting (e.g., team project); peer evaluation of team participation; “field work” observations by mentors if internships, rotations, or projects are available.
DOES - Peer evaluation in team projects; instructor assessment of student understanding of team role and performance in team projects; mentor assessments in Master’s projects; instructor observations in class and online in discussion forums.
Workplace interprofessional informatics
competency development strategies • Educational prerequisites (what your team should have already):
• Knowledge about the healthcare field, clinical environment and technology used in healthcare (e.g., EHR)
• Experience with interprofessional team projects (e.g., semester projects) with rotating team leadership and project management with clear guidelines
• Informatics staff workflow analysis of selected health providers’ roles OR “job shadow”
• “Grand rounds” during lunch/staff meetings in which the data gained or communicated through electronic means is highlighted, or informatics team members are asked to suggest ways of improving the care through technology
Workplace interprofessional informatics
competency development strategies
• Quality grand rounds—use analytics from EHR to determine how care meets
benchmarks; OR set goals with informatics staff at the table so as to plan
appropriate reports
• “Design a query” sessions—clinician & informatics specialist work sessions
for helping each professional better understand how to request reports (and
how informatics specialist can design them for ease of understanding)
• As team, plan methods of recording social-behavioral determinants of health
in ways useful to clinicians.
GVSU Health Informatics Interprofessional
Certificate (planned 2019) Designed to:
• prepare individuals interested in gaining comprehensive knowledge and skills in the design, utilization, evaluation, and clinical processes of health informatics
• provide health professionals with the knowledge and skills to act as expert collaborators in developing HIT for the care of clients and populations
• provide those who are computer and information science professionals the opportunity to develop interprofessional skills and to effectively utilize expertise of clinicians in design of HIT. (Wishlist: Internships in interprofessional environments to work on clearly defined limited projects (2-4 months))