Developing Professionalism in Health Infomatics
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Transcript of Developing Professionalism in Health Infomatics
PRIMIS Partnerships For Progress March 2004
Developing Professionalism in Health Infomatics
Brian Derry and Di Millen
UK Council for Health Informatics Professions
Professionalisation & UKCHIP
Brian Derry Shadow Council, UK Council for Health
Informatics Professions
UK Council for Health Informatics Professions
The Problem
The need for a career pathway The need for adequate recognition
– Professional Credibility– Appropriate Remuneration– Correct Workplace Setting
The need for a professional “home” Current organisations do not meet these
needs
UK Council for Health Informatics Professions
Bad Health Informatics Damages Patients Patients must have died due to the London
Ambulance system failure. (Parliamentary report)
Abnormal cervical smears not acted on until too late
Incorrect radiotherapy doses Downs Syndrome risks inaccurately
reported
UK Council for Health Informatics Professions
The Real Problem
Patients are being damaged by bad health informatics
Patient care is increasingly impacted by informatics
UK Council for Health Informatics Professions
Two problems – one answer
“Protecting patients and developing a career structure have to go hand in hand. If you look at any of the other scientists in the NHS, they have had to create professional bodies and career structures to protect patients”
Glyn Hayes, President, UK CHIP Council
UK Council for Health Informatics Professions
What is a Professional Body?Lord Benson 1992
Controlled by governing body which directs behaviour Sets entry standards and professional competence Sets ethical rules and professional standards Body is designed for benefit of public & not members Work often reserved by statute Ensures fair and open competition Members must be independent in thought and outlook Gives leadership in a field of learning
UK Council for Health Informatics Professions
Key Elements of a Professional Body Setting entry education and training
standards Ensuring continuing professional
competence of members For the benefit and protection of the public Leadership in a field of learning
UK Council for Health Informatics Professions
The Medical Model of Professionalism
General Medical Council
British Medical Association
Royal Colleges
Education
Research
Qualifications
Pay & Rations
Trade Union
Members Needs
Professional Control
Patients Needs
Medical Schools
UK Council for Health Informatics Professions
The First Steps
The NHSIA recognised the problem A steering group was formed:
– NHSIA
– BCS
– ASSIST
– UKIHI
– IHM
UK Council for Health Informatics Professions
“Health Informatics”
“The knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health”
Includes:– Medical records, Coding, Audit– Libraries and knowledge management – Information systems dev and support – Information and communications technology – Help desk, Data analysts – Clinical/medical informaticians
UK Council for Health Informatics Professions
Embracing all
“The breadth of the discipline offers particular challenges. Any solution or pathway to the establishment of health informatics as a recognised and respected national profession must be inclusive (not exclusive) and serve the needs and aspirations of all working within the profession, whatever their background or level of qualification”
UK Council for Health Informatics Professions
Working with … not against
The health informatics professional community is currently fragmented
Collaboration must, however, also allow for individual professional bodies and groups to retain their identity
UK Council for Health Informatics Professions
Meeting NHS needs but also..
If the national modernisation agenda is to realise its objectives, the Service requires sufficient skilled, knowledgeable, proactive specialists in all areas of health informatics
Must be UK wide and healthcare wide
UK Council for Health Informatics Professions
Options
Do nothing Apply for Statutory Regulation now Agree to work incrementally towards
voluntary regulation
UK Council for Health Informatics Professions
How do we make this inclusive and who should be included? All clinical and information professions must be
included We need managers who will encourage
membership The correct balance between inclusive entry and
rigorous accreditation is essential “Grandfather” entry
UK Council for Health Informatics Professions
What are the barriers and risks? Lack of commitment from senior management Bringing people with varying backgrounds into
one professional body & risk of elitism Professional accountability involving a significant
cultural change and exposure to liability
UK Council for Health Informatics Professions
What would make this attractive to you?
“The recognition that comes from professional standards and clear career pathways”
UK Council for Health Informatics Professions
UK Council Over 50 Movers and Shakers invited Personal invitations not representatives First Meeting 23rd September 2002 Working Groups Established
– Professional Standards WG – Legal and organisational WG – Finance and resources WG – External Relationships and Communications WG – Registration WG
Web Site established
UK Council for Health Informatics Professions
Inclusive
Full Time Informatics Professionals “Hybrid” Informatics Professionals NOT end users
UK Council for Health Informatics Professions
UKCHIP’s formal Aim
“To be the regulatory body for all branches of health informatics in the United Kingdom”
UK Council for Health Informatics Professions
UKCHIP Objectives
a) To promote, advance and encourage the study and practice of the application of Informatics in the promotion of health, well being and dying with dignity
b) To establish, uphold and improve the standards of qualification, training, competence and conduct of Health Informaticians in the United Kingdom
UK Council for Health Informatics Professions
UKCHIP Objectives
c) To establish mechanisms for the benefit and protection of the public
d) To collaborate with official bodies, societies and professional associations on matters relating to the above
UK Council for Health Informatics Professions
Timetable
Sep 02 Form the Council and agree a more detailed plan
Jan 03 Open a register of individual expressions of interest
Jul 03 Publish draft professional standards for consultation
Sep 03 Finalise initial version of standards Sep 03 Open a voluntary register of HI
professionals
UK Council for Health Informatics Professions
Progress so far
Charitable company limited by guarantee 1,300 Expressions of Interest Piloting voluntary registration at 3 levels Talking to CHAI Initial work on CPD scheme Formal launch at NPSA on 10 March
UK Council for Health Informatics Professions
What to expect
Defined standards for HI professionals Defined behaviour for HI professionals Registration to provide recognition for HI
professionals De-registration to protect patients CPD scheme Vision still statutory registration
UK Council for Health Informatics Professions
CPD – “Standards for Better Health”
Governance Domain, core standard C12:“Health care organisations ensure that staff
concerned with all aspects of the provision of health care a) are appropriately recruited, trained and qualified for the work they undertake;
… c) participate in further professional
development commensurate with their work throughout their working lives.”
UK Council for Health Informatics Professions
UKCHIP CPD
Pragmatic: use existing schemes What are your development needs? Planned Activity designed to meet fitness to
practice? Planned Activity that is aspirational? 40 hours per annum UKCHIPcpdformFeb04.htm
UK Council for Health Informatics Professions
For further information & to register interest…
www.ukchip.org
Developing Professionalism in Developing Professionalism in Health InformaticsHealth Informatics
Di Millen
Why is this Important in Health Why is this Important in Health Informatics?Informatics?
Impact on the patient
Increased investment in technology and modernisation of the NHS Increasing capacity and capability
The Recruitment and Retention The Recruitment and Retention Survey 2000Survey 2000
Poor image Poor working conditions No career pathways Poor remuneration Loss of status
Especially for clinicians
An NHSIA ObjectiveAn NHSIA Objective
To establish health informatics as a recognised and respected national profession
“Pathways to Professionalism” conference July 2002
Health Informatics: a DefinitionHealth Informatics: a Definition
“The knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health”
Who is a Health Informatics Who is a Health Informatics Specialist?Specialist?
ICT Health records including clinical coding Librarians and knowledge management Information management including security and
confidentiality; clinical audit etc Strategic management and Directors Clinical informatics
““Making Information Count”Making Information Count” Annual conference for
specialists Accolades Scheme Partnerships
with Higher Education providers
With WDCs
CIO development programme
Functional Map and National Occupational Standards
Careers information Health Informatics within
NHSU UKCHIP
Code of Conduct Voluntary Register
And then …..And then …..
“Fast Track” development schemes Workforce guidance CPD guidance Qualifications Framework
Why are the National Occupational Why are the National Occupational Standards so important?Standards so important?
Making informatics mainstream
Supporting Agenda for Change Knowledge and Skills Framework National Qualifications Framework Job profiles National pay spine
What might a Qualifications What might a Qualifications Framework Comprise?Framework Comprise? Links to UKCHIP registration levels Links to Vocational Awards levels Building in what we already have
Like the Professional Awards in IM&T (Health) Identifying gaps Reviewing the role of Modern Apprenticeships,
Graduate Apprenticeships and Foundation Degrees
The Professionalism JigsawThe Professionalism Jigsaw
QualificationsStandards
Registration
CPD