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MedBiquitous Orientation
Valerie SmothersMedBiquitous
MedBiquitous Annual ConferenceMay 2, 2012
http://bit.ly/mbq12or
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Objectives
At the conclusion of the workshop, participants will be able to:
• Describe what a technology standard is and the potential benefits standards afford
• Describe technology standards developed by MedBiquitous
• Identify opportunities for collaboration and integration leveraging standards
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Overview
• Introductions• What is MedBiquitous?• What advances have been made?• Summary• How to participate
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Introductions
What do you hope to learn today?
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What is MedBiquitous?
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MedBiquitous Mission
To advance healthcare education through technology standards that promote professional competence, collaboration, and better patient care.
Not-for-profit, member-driven, standards development organization
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The Fragmented Healthcare Industry
AccreditingBodies
Societies
CertifyingBoards
LicensingBoards
Government InternationalPartners
Universities
?
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How it all started…
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A note about IP
• We give it away!• No cost, no registration• Very open license• Download:
• Specifications• XML Schemas• Implementation toolkits
Free!
atmedbiq.org
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MedBiquitous: Technology Standards for Healthcare Education
• 47 member organizations
• 8 Working Groups• ANSI process
• Openness• Transparency• Consensus• Due process
• Work with leading organizations that can drive adoption
Professional Profile
Learning Objects
Activity Reporting
Competencies
Virtual Patients
Metrics
Curriculum Inventory
Educational Trajectory
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MedBiquitous Goals
• Better tracking and evaluation of professional education and certification activities
• Easier discovery of relevant education and information resources when and where needed
• Interoperability and sharing of high quality online education
• Coordination and tracking of competence assessment data
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MedBiquitous Process
• Approves new standards projects
• Meets via telco, in person• Develops specifications
• Consensus body• Votes
• Final approval
Working groups
Standards committee
ANSI
Executive committee
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Why standards?
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Why standards?
ActivityYou are designing your own searchable cookbook
for all of the recipes you download from the internet.
Develop a data structure for a cooking recipe. Describe some of the benefits of having this standard.
10 min
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Why standards?
• To facilitate exchange of data and resources• To enable collaboration• To create economies and networks of scale
Can you think of any examples?
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The Internet is based on standards• HTML (web pages)• Jpeg, ping, gif
(images)• MPEG (movies)
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Your Challenges
Activity
What information exchange, coordination, or integration challenges do you have?
5 min
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What Standards has MedBiquitous created?
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Discovering and Sharing Educational Resources• MedBiquitous Virtual Patient • Healthcare LOM
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Healthcare LOM
• Mechanism for describing images and learning content in a repository
• Easier search and discovery, potentially automated
• Extends IEEE LOM• Used by AAMC, HEAL, VA, CECity, many
others
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MedEdPORTAL
mededportal.org
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Healthcare LOM Uses
Health Education
Title: Aresenic Toxicity
Keyword: Environmental medicine, MeSH D019550
Target audience: Physician, registered nurse
Credits:: CME 1.5 AMA PRA Category 1; CNE 1.7 contact hours
DatabaseB
Title: Preventing sports injuries
Target audience: Patient
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Healthcare LOM Structure
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Healthcare LOM Structure
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Moving Forward
www.meducator.net
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Virtual Patients
Definition: An interactive computer simulation of real-life clinical scenarios for the purpose of medical training, education, or assessment.
Why?• Several schools are developing• Need a framework that would allow these virtual patients to be shared across systems
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Why Share Virtual Patients?
• Costly to develop• Time consuming to develop• Requires significant technical,
subject matter, and pedagogical expertise
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How Technology Standards for Virtual Patients Could Work
Institution A
<XML>
Institution B
Institution C
Institution D
Etc.
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•3-Year programme involving 6 separate projects
•9 European partners and other collaborators
•Co-funded by the European Commission
“To create a shared online bank of virtual patients, adapted for multicultural and multilingual
use, for the improved quality and efficiency of medical and healthcare education across the
world”
www.virtualpatients.eu
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eViP Partners1. St George’s, University of London, UK2. Karolinska Institutet, Sweden3. Ludwig-Maximilians-University, Munich,
Germany4. University of Warwick, UK5. Universiteit Maastricht, Netherlands6. Heidelberg University, Germany7. University of Medicine Cluj-Napoca, Romania8. Uniwersytet Jagiellonski, Poland9. University of Witten Herdecke, Germany
www.virtualpatients.eu
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Outcomes•Repository of 320+ collective VPs for multilingual, multicultural access, and integrated into curricula
•Tried and tested standards
•Common content licensing model
Major resource for medical and healthcare education to be shared by all institutions
across the sector
www.virtualpatients.eu
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Why technology standards?
• Leverage content developed elsewhere (VP banks)
• Coordinate development efforts across a discipline (ex. Geriatrics Education)
• Provide flexibility in choosing VP authoring and delivery system (protecting your investment)
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Your Experience
Activity
Have you shared resources with other organizations? What are the benefits and complications of sharing resources?
5 min
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Tracking the Professional and the Accredited Provider• Professional Profile• Activity Report• Medical Education Metrics
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Professional Profile Use Case• Common format for
exchanging information about healthcare professionals• Contact• Education• Training• Certification• License• Disciplinary action• Academic appointments• Memberships
• Facilitates cross-organization collaboration
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Benefits of standardization
• Faster to process standardized data• Faster to develop new applications• Easier to work with partner organizations• Able to automate many business processes
• Users: ABMS, AOA for faster credentialing
The Process
An app that compiles data reports for the learner and/or other authorized viewersA collection of data
repositories that can provide information for the eFolio Connector application
Used with permission of AAMC and NBME
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Status of Professional Profile
• Approved standard• Revising standard as
part of required maintenance
• Version 2.0 draft available
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Activity Report
• Provides a standard XML format for CE/CPD certificates and Maintenance of Certification (MoC) activity reports
• Allows organizations to centrally track learning and performance improvement
Verified
Electronic CME The New Way
Used with permission of the AOA and Medscape
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Status of Activity Report
• Approved standard• Maintenance underway• Version 2.0 draft available• Users include American
Board of Pediatrics, American Academy of Pediatrics, American Heart Association, HighWire Press, Mesdcape, AOA, and CECity
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MEMS: Medical Education Metrics• Technology standard for core evaluation data
• Users• Educators want best
practices, ability to compare• Funders want to measure
reach and efficacy• Accreditors want to
measure success of activity and provider
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MEMS Data
• Activity Description• What’s being evaluated
• Participant Activity Evaluation• What did participants think
• Participation Metrics• How many people participated
• Learner Demographics
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MEMS Use Case
CE provider
ACCMEPARS
CE provider
CE provider
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Status of MEMS
• Approved standard• Used by ACCME for
Program Activity Reporting System (PARS)
• CECity, Rievent Technologies, DLC Solutions have implemented
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Tracking professionals
Activity
Exchanging certification activity data
10 min
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Break – 15 minutes
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Tracking and Measuring Competence• Competency Framework• Curriculum Inventory• Educational Trajectory• Performance Framework• Educational Achievement
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Competency Framework
• An organized and structured representation of a set of interrelated and purposeful competency objects.
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Uses for a Competency Standard• Allow learners to track their accomplishments
against a list of relevant competencies• Enable educators to see how their curriculum
fits into a competency framework• Enable content developers to tie educational
activities to a competency framework
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Competency Object
• Any abstract statement of learning or performance expectations, and information related to the statement.
IDTitle
DescriptionCategory
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CompetencyFramework.xml
Professionalism.xml
A competency object . . .
Relates to other competency objects . . .
xml xml
xml xml xml xml
xml xml xml xml xml xml
Which can relate to external resources . . .
Learning Object
Educational activity
Performance data/ assessment
Current Specifications
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Status of Competency Framework
• Candidate drafts of schema and specification available; public review and ballot pending
• Draft of competency object schema and specification available, too.
Working groups
Standards committee
ANSI
Executive committee
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Curriculum Inventory
• Common XML format for Curriculum data for benchmarking and educational research
• Sponsored by the AAMC• Enable local curriculum management
systems to upload data to a central Curriculum Inventory Portal
• Identify curricular trends for benchmarking and reform
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Curriculum Inventory
AE
BF
CG
D H
I
J
KLA
1
ME
ON
CG
S H
I
J
PRQ
2
31 2
4 53 6
8 97 10 11
Competency framework
Expectations
Events
Sequence blocks
Integration blocks
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Curriculum Inventory
Program A
Program B
Program C
Curriculum Inventory
What instructional methods are used to teach patient safety?
AAMC Curriculum Inventory Portal
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Educational Trajectory
• Provides common format to support the tracking, planning, and audit of learners’ educational trajectory across medical schools and national organizations
• “the path of an individual learner through one or more programs of study…”
Year Quarter 1 (Jun - Aug)
Quarter 2 (Sep - Nov)
Quarter 3 (Dec – Feb)
Quarter 4 (Mar – May)
05 – 06
06 – 07
07 – 08
08 – 09
09-10
010302
010302
010302
010202
Coursework leading to MD/primary degreeCoursework beyond MD/primary degreeEnrichment, priorityEnrichment
John Doe’s Educational TrajectoryJohn Doe, December 8, 2009
http://www.example.edu/portfolio/1234
01
0202
02
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Status of Educational Trajectory
• Schema and specification available on MedBiquitous website
• Profile of LEAP2A specification
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Performance Framework
• Use cases in development• Enable reporting and documentation of
performance levels in relation to specific competencies
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Example: Pediatrics Milestones
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Educational Achievement
• Documentation of competence and achievement of milestones
• Draft specification in development
Patient care
Medical Knowledge
Practice-based learning and improvement
Interpersonal and communication skills
Professionalism
Systems-based practice
0
1
2
3
4
5
My Activities and Responsibilities
Status Activity Summary
Arterial puncture for blood gas analysis
EntrustmentDetails
Intravenous catheter insertion EntrustmentDetails
. . .
Manage patients with common, single system diagnoses who require a hospital setting
In progressDetails
Care of a healthy newborn EntrustmentDetails
Date of report: Oct 5, 2011 Date of achievement: Various Source: Various
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How do you know a trainee is qualified and what supervision is required?
TraineeIs competent in
At what level
Professional profileCompetency Framework
Performance Framework
Educational Achievement
The eFolio Connector
•An App that will sit “on top” of the Data Commons to compile & display an individual’s information
•The individual can:▫view their own educational & assessment info▫choose pieces of data to share with others
(mentor, team member, authorized viewer)▫add reflections, comments or personal thoughts
on any piece of data▫connect with classmates, colleagues, study
partners, etc.Used with permission of the AAMC and the NBME
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Tracking professionals
Activity
Competency Implementation
15 min
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Summary
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Building the Foundation
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MedBiquitous Goals
• Better tracking and evaluation of professional education and certification activities• Activity Report• Medical Education Metrics• Educational Trajectory• Curriculum Inventory
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MedBiquitous Goals
• Easier discovery of relevant education and information resources when and where needed • Healthcare LOM
• Interoperability and sharing of high quality online education • MedBiquitous Virtual Patient
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MedBiquitous Goals
• Coordination and tracking of competence assessment data • Professional Profile• Competency Framework• Educational Achievement• Performance Framework
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Back to your challenges
• Can existing standards address any of the challenges you face?
• Are there needs for other standards?• Are there potential benefits to using
standards for your organization?
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How to Participate
• Become a member and sign up for working groups
• Become a member of the Standards Committee and vote on standards proposals
• Participate in meetings and share your work
