MedBiquitous Orientation

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MedBiquitous Orientation

• Peter GreeneMedBiquitous
• Chara BalasubramaiamMedBiquitous Europe
• Valerie SmothersMedBiquitous
• 2nd International Conference on Virtual Patient
  and MedBiquitous Annual Conference
• April 26, 2010

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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 standards has MedBiquitous created?
• Summary
• How to participate

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IntroductionsWhat 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
Universities
AccreditingBodies
Societies
?
CertifyingBoards
LicensingBoards
Government
InternationalPartners
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How it all started
And it kept growing
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MedBiquitous Technology Standards for
Healthcare Education

• 59 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
Metrics
Virtual Patients
Point of Care Learning
Competencies
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

Executive committee
Working groups
Standards committee
ANSI
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Why standards?
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Why standards?

• Activity
• You 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.

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Why standards?

• To facilitate exchange of data and resources
• To enable collaboration
• To create economies and networks of scale

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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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Sharing Educational Resources

• MedBiquitous Virtual Patient
• Healthcare LOM

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Building the Foundation
POCLearning
E-portfolio
Activity Report
Virtual Patients
Metrics
SCORMfor Healthcare
ProfessionalProfile
HealthcareLOM
Competency
American National Standard
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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.
• 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?

• Cost to develop
• Time to develop
• Technical, subject matter, and pedagogical
  expertise

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How Technology Standards for Virtual Patients
Could Work
ltXMLgt
Institution A
Institution B
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NetworkEffect
Created by Derrick Coetzee
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Why technology standards?

• Leverage content developed elsewhere (VP banks)
• Coordinate develop efforts across a discipline
  (ex. Geriatrics Education)
• Coordinate with other learning systems (SCORM
  2004)
• Provide flexibility in choosing VP authoring and
  delivery system (protecting your investment)

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MedBiquitous Virtual Patient Specification
SCORM Package
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electronic Virtual Patients

• 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 Partners

1. St Georges, University of London, UK
2. Karolinska Institutet, Sweden
3. Ludwig-Maximilians-University, Munich, Germany
4. University of Warwick, UK
5. Universiteit Maastricht, Netherlands
6. Heidelberg University, Germany
7. University of Medicine Cluj-Napoca, Romania
8. Uniwersytet Jagiellonski, Poland
9. University of Witten Herdecke, Germany

www.virtualpatients.eu
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VP Repurposing and Enrichment

• Repurposing is to convert a VP created for one
  purpose into a VP fit for another purpose
• Content enrichment is to add different learning
  objects such as text, videos, sounds, images,
  animations, assessments and even Second Life
  scenarios to an existing VP in order to enhance
  the educational value of that VP
• eViP definition http//www.virtualpatients.eu/abo
  ut-evip/about-the-project/evip-definitions/

Led by Karolinska Institutet (Sweden) involving
all partners
www.virtualpatients.eu
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Typical Repurposing Workflow
Repurposed and enriched demo cases available
herehttp//www.virtualpatients.eu/resources/demo
s/
www.virtualpatients.eu
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How are VPs used?

• Problem-based learning
• Teaching
• Learning
• Exams

www.virtualpatients.eu
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Problem-based Learning Sessions
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Teaching Sessions
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Self-directed Learning
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Formative and Summative Exams
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Outcomes

• Referatory of 320 collective VPs for
  multilingual, multicultural access, and
  integrated into curricula
• Tried and tested standards
• Sustainable network of faculties for the
  development and exchange of VPs
• 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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Healthcare LOM
Course 2
Course 1

• Mechanism for describing images and clinical
  content in a repository portfolio
• Easier search and discovery, potentially
  automated
• Extends IEEE LOM
• Used by AAMC, HEAL, VA

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Healthcare LOM Uses
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
Title Preventing sports injuries Target
audience Patient
Health Education
DatabaseB
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Healthcare LOM Uses
CE
Evaluation
Interdisciplinary teams
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Healthcare LOM Structure
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Healthcare LOM Structure
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Status of Professional Profile

• Version 1 approved as an American National
  Standard
• Requires reaffirmation or revision within 5 years
  (2013)

Executive committee
Working groups
Standards committee
ANSI
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mEducator A Best Practice Network
forRepurposing and SharingMedical Educational
Multi-type Content
co-funded by the European Commission
eContentplus programme
http//www.meducator.net
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Setting the Scene
co-funded by the European Commission
eContentplus programme
LCMS
Academic Institution
has/creates
autonomous specialized educational modules
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Setting the Scene
co-funded by the European Commission
eContentplus programme
LCMS
Academic Institution
LCMS
Academic Institution
autonomous specialized educational modules
LCMS
autonomous specialized educational modules

• Inter-Institution Communication cannot always be
  effective

Academic Institution
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autonomous specialized educational modules
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Setting the Scene
co-funded by the European Commission
eContentplus programme

• Need of virtual distributed pools of autonomous
  specialized educational modules

• mechanisms for
• Searching
• Retrieving
• Evaluating
• educational content in Medicine and Life
  sciences

• Rating
• Adapting
• Revising

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mEducator
co-funded by the European Commission
eContentplus programme
project title mEducator Multi-type Content
Repurposing and Sharing in Medical
Education project type Best Practice
Network programme eContentplus Information
Society Media Directorate General, ?uropean
Commission duration 2009-2012 consortium 14
partners from 10 EU countries, lead by AUTH
(GR) website http//www.meducator.net/
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Personal Blogs
Class Discussion Forums
Class Wikis
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Healthcare Consumers and Clinicians Collaborate
Social Bookmarking
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eTrace Graphics annotation based lessons
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Triage Trainer
NanoMission

• Medical data in a training scenario
• Developed by TrueSim/VEGA group in collaboration
  with the SGI
• Uses Virtual Patient concept
• Sophisticated and dynamic model required for
  detailed simulation of casualties

• Developed by PlayGen, another SGI partner
• Introduces nanomedical concepts in an interactive
  and engaging way
• Requires data in formats that enable interactive
  and realistic interactions between user and
  biological system

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Openness

• mEducator project aims at Openness and Open
  Educational Resources

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How can you benefit?

• Register and join the mEducator community
• http//www.meducator.net

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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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Break 15 minutes
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Tracking and Measuring Competence

• Professional Profile
• Competency Framework
• 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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Why share profile data?

• Credentialing
• Unique identification
• Patient saftey

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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

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Status of Professional Profile

• Approved standard
• Revising standard as part of required maintenance

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Competency Object

• Any abstract statement of learning or performance
  expectations, and information related to the
  statement.

ID Title Description Category
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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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LearningObjects
Curriculum
Evidence
LMS
Portfolio
Curriculum Mgt
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Status of Competency Framework

• Working drafts of schema and specification
  available
• Working draft of competency object schema and
  specification available, too.

Executive committee
Working groups
Standards committee
ANSI
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Activity Report

• Provides a standard XML format for continuing
  education/continuing professional development
  certificates and Maintenance of Certification
  (MoC) activity reports
• Allows organizations to centrally track learning
  and performance improvement

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Current Problems with CE Tracking and Measurement

• We arent tracking CE
• We dont help the learner assess gaps
• We cant tell if CE matches learners
  practice-based needs
• We dont measure CE value consistently
• We dont verify claimed credits for certification
  or licensure

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Reporting and Tracking CE/MoC
Provider A
Activity report
ltxmlgt
Dr. John Does CE Tracker A Asthma Management
.5 cr B Bronchodialators .5 cr A Pain
Management .5 cr Report to Board
CE Tracker
Activity report
ltxmlgt
Provider B
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Status of Activity Report

• Approved standard
• Maintenance of standard underway
• Users include American Heart Association,
  HighWire Press, Mesdcape, AOA, CECity, and RSNA a

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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
• Whats 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 Activity Report

• Approved standard
• Maintenance of standard underway

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Tracking professionals

• Activity
• How many are engaged in efforts to track
  credentials, competencies, or professional
  development?
• 10 min

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Summary
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MedBiquitous Goals

• Better tracking and evaluation of professional
  education and certification activities
• Activity Report
• Medical Education Metrics
• Easier discovery of relevant education and
  information resources when and where needed
• Healthcare LOM

82
MedBiquitous Goals

• Interoperability and sharing of high quality
  online education
• MedBiquitous Virtual Patient
• Coordination and tracking of competence
  assessment data
• Professional Profile
• Competency Framework

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Curriculum Transformation

• Activity
• The Vice Principal wants a curriculum that
  integrates broad, practical experience with basic
  science, and she wants it in six months time.
• 15 min

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Back to your challenges

• Can existing standards address any of the
  challenges you face?
• Are there needs for other standards?

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Questions for you

• Are standards a good idea?
• Should you develop them within your own
  organization?
• What are the benefits of standards to 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

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Contact

• Valerie Smothersvalerie.smothers_at_medbiq.org
• Chara Balasubramaniamcbalasub_at_sgul.ac.uk
• www.medbiq.org