Frederic N. Schwartz, DO, FACOFP

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Education South Nassau Communities Hospital, Oceanside, NY Joy H.

1 Thomas G. Zimmerman, DO, FACOFP, CPHIMS President-Elect of AOAMI Assistant Professor of Family Medicine, NYCOM Director of Osteopathic Medical Education South Nassau Communities Hospital, Oceanside, NY Joy H. Lewis, DO, PhD, FACP Director of Public Health Programs and Practice Based Research A.T. Still University School of Osteopathic Medicine in Arizona Frederic N. Schwartz, DO, FACOFP Associate Dean for Community Campuses Professor and Chair, Family And Community Medicine A.T. Still University School of Osteopathic Medicine in Arizona

2 o Share survey results o Review Options for Medical Informatics training o Focus group discussions, how to make additional training a reality o Re-group and discuss findings o Recruit volunteers to assist in development

3 1. Describe the AOA membership opinions regarding medical informatics training. 2. Summarize options for additional training and certification in medical informatics. 3. Discuss AOAMI members interest in formal medical informatics training.

4 49,680 surveys distributed electronically 3,800 responses

5 Resident; 10% Teaching, nonclinical; 2% Group private practice; 15% Solo private practice; 7% Practice within a not-for-profit; 9% Student; 52% Practice within a for-profit; 4% Administration; 2%

61-70 years old, 4.3% 51-60 years old, 13.7% 71+ years old, 0.

6 61-70 years old, 4.3% years old, 13.7% 71+ years old, 0.1% years old, 11.3% years old, 54.3% years old, 16.3%

7 A "techie" computer enthusiast, 20% Super savvy in Informatics, 4% Computer phobic, 0% Barely computer literate, 7% Computer literate, 69%

IT for PH program development IT for PH assessments How to use H.I.T. for quality review How to assess new technology Health Information Systems How to use H.

8 IT for PH program development IT for PH assessments How to use H.I.T. for quality review How to assess new technology Health Information Systems How to use H.I.T. in patient care Evidence-based health care (EBHC) Electronic health record systems Which apps to get and how to use them

10 Maybe, tell me more., 34% Yes, 29% No, 37%

11 Maybe, tell me more., 29% Yes, 21% No, 50%

12 Elsewhere and Online = Cert. in H.I. At an OMS & Online = MS in H.I. At an OMS & Online = MS in P.H. specialty in H.I. At AOA or Elsewhere (40 hrs & online 80 hrs) = Cert. of Added Qual. in H.I. At AOA (12 hrs) & Online (12 hrs) = Cert. of completion of course Key: H.I.; Health Informatics, P.H.; Public Health

13 Individuals in the age range were more likely to be interested in earning a certificate/degree or some kind of recognition for accomplishment in learning. Individuals in the age range were more likely to choose maybe, tell me more.

14 Individuals who identified themselves as computer phobic or barely computer literate were more likely to be in the age range. Individuals who identified themselves as computer phobic were more likely to prefer information on how to use health information processing technology in patient care.

15 Individuals who identified themselves as a techie computer enthusiast or super savvy in informatics were more likely to be interested in an education process that would lead to a certificate or degree. Individuals who identified themselves as super savvy in informatics were more likely to be interested in an educational process that would lead to a degree in Public Health Informatics.

16 CME-AOAMI/OMED credit in medical informatics Certificate of completion Informatics Course- Advanced CME MPH Degree-with Informatics (Community Health Informatics) Emphasis Certificate of Added Qualification in Medical Informatics (proposed) Postgraduate Osteopathic Fellowship in Medical Informatics (proposed)

17 OMED-AOAMI and Others - prescribed set of CME presentations CME Credit - Resume can reflect. Certificate of Completion Informatics Course - Advanced CME 18 Hours of SOMA On-Line CME with competency testing 6 Hours of Workshop AOA/AOAMI with competency testing (at AOA)

18 Clinical Decision Support HIE Health Systems Project Management Systems Analysis and Design EHR Selection/Evaluation/Implementation Federal Initiatives ACA/Meaningful Use

19 A few programs exist - UIC has one ATSU/AOAMI plan tailored to working DO s MPH via ATSU/SHM SHM is currently a provider of a MPH for SOMA Medical Students Begins in OMS 2 - Dr. Lewis is SOMA Program Director Two to Four Years to Complete Practicum Component will probably require four weeks out of practice.

21 American HealthCare System Advanced HIT-Human Interfaces, system integration Database Systems and Internet Applications HIT Integration, Interoperability, Security Standards Decision Support, EMR selection, Foundations of Leadership

22 Needs AOA approval of the certificate, content, and process 24 hours of SOMA Online Education with Competency Testing 12 Hours of Workshop training at AOAMI with Competency Testing (Consecutive AOA OMED Meetings) After satisfying CME and other prerequisites Need to pass a certifying examination

23 Appraise and compare Electronic Health Record Systems (EHRs) Create specification and implementation plans for specific EHRs-monitor and evaluate implementation Judge, evaluate, and implement clinical decision support systems (CDSS) Create specification and implementation plans for specific CDSS-monitor and evaluate implementation Compare and recommend systems for patient communication (SPC) Create specification and implementation plans for specific SPC-monitor and evaluate implementation Compare and recommend systems for enhanced practice efficiency.

24 Proposed eligibility requirements to sit for the CAQ exam: AOAMI member in good standing for 3 years Primary certification in AOA-accredited specialty 5 years demonstrated experience with informatics OR Specified CME requirements OR Completion of osteopathic fellowship in MI AOAMI would need to partner with osteopathic specialty colleges

25 Fellowship Program must be approved by AOA COPT Requires AOAMI to take steps for program approval and identify fellowship delivery partners-nachc [National Association of Community Health Centers] may well be a willing partner via its member Community Health Centers (FQHCs)

26 Prepare physicians for the practice of Clinical Health Informatics. Program includes a broad-based, intense study of the technological basis of informatics, and the unique challenges of Health Informatics, including but not limited to the political, social, and economic effects of informatics programs and processes.

27 Provide specialized training to select physicians in the discipline of Health Informatics. This includes the basic science of informatics, the impact of technology on practice of medicine, strategies for change including but not limited to environmental assessment, program implementation and evaluation, impact assessment, and program adaptation.

28 Provide fellows with the opportunity to implement informatics programs in a clinical environment with emphasis on project development skills from assessment to quality outcome management. Provide opportunities for fellows to be involved in teaching and research in the field of Health Informatics.

29 Provide in-depth knowledge of health informatics in a structured environment that includes reading requirements, outside clinic rotations, staff/fellow conferences, and formal courses. Practical patient information management skills are obtained through daily patient care, case presentations, new patient evaluations, and on-call duties.

30 Dr. Zimmerman will put us into groups Using the materials provided create a group response- Please: 1. Rate the Feasibility/Practicality of Physician Participation in the Option (Use your best judgment as to the amount of additional time for preparation-homework) from 1-5 with 1 being easy to achieve and 5 being almost impossible. 2. As a group-after discussion-for each option please describe how achievement of the educational objectives could affect a physician s practice or career choices-do not limit your answers to today s market-look out 5-10 years. Describe the new career components if any in a sentence or two. 3. We will post the sheets on the wall, and each of you is invited to place a star next to the most intriguing (exciting?) career path described. YOUR GROUP WORK IS A 30 MINUTE EXERCISE

AMERICAN OSTEOPATHIC BOARD OF PATHOLOGY

APPLICATION HANDBOOK 2014 AMERICAN OSTEOPATHIC BOARD OF PATHOLOGY Anatomic Pathology Laboratory Medicine Forensic Pathology Dermatopathology Established 1943 Affiliated Organizations American Osteopathic