Educational Solutions for Workforce Development Allied Health Professionals Exploring eHealth within...

Educational Solutions for Workforce Development

Allied Health Professionals

Exploring eHealth within the pre-registration Curricula of NMAHPs

Heather Strachan,

eHealth Clinical Lead (NMAHPs)

eHealth Directorate, Scottish Government

and

Helen McFarlane,

Allied Health Professions Programme Director,

NHS Education for Scotland


Allied Health ProfessionalsContents

• Background• Stage one results• Stage two objectives• Project Governance• Defining terms• Method • Potential Limitation and their mitigation• Discussion• Early Recommendation areas


Allied Health ProfessionalsBackground

1. pre registration nursing , midwifery and AHP curricula should reflect the eHealth agenda” 2. Post registration education development opportunities in ICT for NMAHPs should be reviewed3. NMAHP should be appropriately trained and equipped to use eHealth for recoding

and using information to improve the patient experience and health outcomesScottish Executive (2002) Delivering Care, enabling health –

Harnessing the nursing, midwifery and AHP contribution to implementing Delivering for Health

“Build NMAHP eHealth capabilities through education and development” National eHealth Programme (2007)

The NMAHP contribution to realising benefits of the National eHealth Programme

“enable the assessment, integration and delivery of eHealth capability for NMAHPs to meet both current and projected future educational requirements for NMAHPs in order to meet patients needs for health services in NHS Scotland”

National eHealth Programme (2008) Enabling eHealth – a capabilityframework and delivery plan for NMAHP Education



Stage One NMAHP eHealth Education Framework



Stage Two Exploring eHealth within the

pre-registration Curricula of NMAHPs

Objectives

Demonstrate how eHealth is delivered within curricula, identifying examples of good

practice and gaps in both provision and regulator expectations.

Make recommendations which support education providers, planners,

commissioners and enable individual practitioners to meet eHealth learning / training

needs, requirements and standards;


Allied Health ProfessionalsProject Governance

Project organisation and reporting structures:

NMAHP eHealthProgramme

Board

NMAHP eHealthEducation Project

Board/ NES SteeringGroup

SHANAHP NMAHP eHealth

Education Project team


Allied Health ProfessionalsAbout NHS Education for Scotland

Born on 1st April 2002

“To contribute to the highest quality of healthcare in NHS Scotland by promoting best practice in the education and lifelong learning of all its staff.”

Design, Commission, Assure and, where appropriate, Provide educational solutions for workforce development to ensure improved patient care



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Allied Health ProfessionalsSHANAHP

Scottish Academic Heads of Nursing, Midwifery and Allied

Health Professions – Chair: Frank Crossan.

Identified as key partner in leading work and in implementing

emergent recommendations.

Avoided need for competitive tender process.

Risk of AHP academic programmes not all involved.


Allied Health ProfessionalseHealth Definition

Use of information and communication technology to support healthcare delivery.Includes:• Using Internet to access health information• Teleconferencing, videoconferencing, to support education and clinical networks• Visiting the NHS online eLibrary to access to literature and information; • The use of handheld technologies such as mobile phones and portable devices

to record, view and communicate clinical data; • Electronic communication via email or wireless messaging devices; • Interfacing with telehealth applications to monitor, consult, diagnose, or treat

remotely; • Building, maintaining and managing electronic patient records; • Using software applications to support the management of health service

resources, and • Interacting with electronic clinical decision support systems.


Allied Health ProfessionalsMethod

Literature Review – Thematic Analysis

Online Quantities Survey Questionnaire

• Seven LtMHI Learning Outcomes

• Barriers, Enablers and Good Practice

• Bristol Online Survey available for 6 Weeks

Semi Structured interviews

• Telephone and face to face

• Further clarification

• Detail of good practice to be shared

Sample and Response

• 12 Higher education Institutions

• Programme Leads identified as respondents


Allied Health ProfessionalsFramework used was Learning to Manage Health Information– a theme for clinical education;

Making a difference

• Protection of Individuals & Organisations

• Data, Information & Knowledge

• Communication & Information Transfer

• Health & Care Records

• The Language of Health: Clinical Coding & Terminology

• Clinical Systems & Applications

• eHealth: the Future Direction of Clinical Care


Allied Health ProfessionalsLiterature Review – Key Barriers

• Lack of Understanding of Health Informatics

• Lack of champions/trained staff within clinical schools

• Crowded curricula

• Focus on IT skills not Health Informatics

• To many competing directives, checklists, and gold standards

• Lack of buy in from educational institutions

• Inadequate liaison between education providers and employers

• Uncertainly over who is ultimately leading or overseeing Health Informatics Education

• Students denied access to live clinical systems

• Lack of guidance and support from Health Informatics Research Groups

(Murphy 2004)


Allied Health ProfessionalsPotential Limitations and their Mitigation

Potential Limitations• Range of programmes in each institution and complex curricula• Limited AHP participation or representation on SHANAHP• Confusing eHealth and eLearning• Potential low response rate• Difficulty in identifying or collecting examples of good practice

Mitigation activities• Communication strategies• SHANAHP involvement• One survey form per programme • Contact with other AHP programmes leads• Defining eHealth with examples• Mix method to collect data – qualitative and quantative



Discussion

• Demystifying eHealth

• Making eHealth explicit vs. ubiquitous

• Supporting authenticate learning

• Education for Educators

• Basic IT skills pre-requisite or supported

• How to stay one step ahead of the future


Allied Health ProfessionalsEarly Recommendations Areas

Developing Awareness



Shared Learning



Access to eHealth Environments



Incorporation of LtMHI Themes into Curricula



Embedding ICT Skills



The Future is Here

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