1 IHE Certified Professional (ICP)Status and next steps Revised after brief discussion at the IHE World Summit 2016, Amsterdam

2 IHE Certified Professional (ICP)Why? There is a need to get a broader understanding of history, processes and base standards of IHE There is a need to support organizations in researching and selecting appropriate IHE specifications for implementing given workflows There is a need to estimate the applicability of IHE TFs to given interoperability problems There is a need to give a better understanding how to do the planning of policies and strategies according to the yearly cycle of IHE for an organization Who knows what!!?? IHE Certified Professional scheme: Identify individuals who can help

3 IHE Certified ProfessionalSpecialization Creation of a new certification program for IHE How would it look like Expert Specialized (ex: ICP Document Sharing) General Certification (ex: ICP Foundation Level) Audience

4 Certified Professional IHECreation of a new certification program for IHE Exam ICP Foundation Level ICP Document Sharing ICP Imaging ICP … Foundations X ITI Vol. 2 ? RAD Vol. 1 RAD Vol. 2 X TF Vol. X Y TF Vol. Z …

5 ICP – Foundation: “Most important” IHE profilesRank Profile 1 Consistent Time 11 Cross Community Access 2 Audit Trail and Node Authentication 12 Cross-Enterprise Document Reliable Interchange 3 Cross-Enterprise Clinical Documents Share (XDS.b) 13 Portable Data for Imaging 4 Patient Identifier Cross-referencing for MPI 14 Cross-Enterprise Sharing of Medical Summaries 5 Patient Demographics Query 15 Patient Administration Management 6 Scheduled Workflow 16 Access to Radiology Information 7 Patient Identifier Cross-Reference HL7 V3 17 Consistent Presentation of Images 8 Patient Demographic Query HL7 V3 18 Patient Information Reconciliation 9 Cross-enterprise Document Sharing for Imaging (XDS-I.b) 19 Device Enterprise Communication 10 Cross-Enterprise Document Sharing of Scanned Documents 20 Mammography Image

6 ICP – Foundation: Content, examA list of open questions informative, for candidates to prepare for the exam, e.g. part of a study guide Public For example: What is interoperability? Semantic interoperability? What activities do we need to reach it? Is this a technical exercise alone? What is IHE? Who is active in IHE, which basic types of members do you know and what do they contribute? How does IHE does the job? Is there a yearly rhythm, what happens when? Which domains exist in IHE? How do you find your way in the IHE document base? What do you read first? Where is the technical detail? A list of multiple / singe choice questions To be used for the exam Secret (until we have > 5000 questions and can select randomly) Development will be based on global standards / best practices For example Several clinical IT systems are syntactically interoperable but not semantic interoperable. Which service can not be offered? Which answer best describes the IHE profile development process? In which document (final text) of the IHE TF the architectural elements of radiology information systems are described so that users will be able to discuss it? See further examples ftp://ftp.ihe.net/GDC/EducationWG/ICPFoundation_2016/D_ExamQuestions_ICPExamples_V00.01.xlsx

7 ICP – Based on the IHE Conformity Assessment Scheme (CAS) conceptClear defined processes based on international standards and experience ISO/IEC 17024: “Conformity assessment -- General requirements for bodies operating certification of persons“ “ISO/IEC 17024:2012 contains principles and requirements for a body certifying persons against specific requirements, and includes the development and maintenance of a certification scheme for persons.” One document on “Process and Business Model”, similar to CAS-1 Process, structure, … Other documents on “Content” (Skills, learning goals, assessment, …), similar to CAS-2

8 Roles for IHE IHE is the “Scheme owner” IHE publishes certificatesHas the responsibility for the scheme, as in CAS Mandates / contracts exam providers Provides the decision making process E.g. “Certified Professional Committee” runs processes for commenting, balloting, reviews, similar to “Conformity Assessment Committee” Exam providers provide editorial support IHE publishes certificates To the candidates Potentially to the general public (if so decided)

9 ICP: Business Model Payment ModelAll exam providers must pay a license fee to IHE Fixed amount of 60 US$ per person who sat the exam; amount to be transferred from EP to IHE Total fee charged to candidate: 200$ ?? A range may be defined by IHE for the fee to allow for regional differences, so that this is reasonable for candidates. Expected 250 candidates per year in Europe, on the long term: Income of US$ for IHE Europe / IHE International to cover expenses of the program

10 Structure in Year 0: building the ICP using IHE processesIHE Certified Professional Scheme (ICP-S) Drafts IHE Certified Professional (ICP) Committee Exam Providers Syllabus Drafts: ICP Foundation Exam Drafts: ICP Foundation Ballot and publish Vendors, users (experts) Comment, review IHE Certified Professional Scheme (ICP-S) (Trial, Release) Feedback Exam: ICP Foundation (Trial, Release) Syllabus: ICP Foundation (Trial, Release)

11 Perform exams in Year 1,2,… Exam fee to IHEIHE Certified Professional Committee Management Exam Providers Joe Candidate, ICP Foundation, Exam, 12.June 2017 Exam results Provide exam Exam fee to Exam Provider Take exam Candidate Fondation CPIHE Issue certificate, provide to candidate,publish

12 Resources for scheme and exam developmentScenario 1: Volunteers If we get volunteers to do this (We did not get many of these so far!) Scenario 2: Paid contract by IHE international Availability of funds?? Scenario 3: Development by selected organizations in exchange for exclusivity for a limited period of time How many exam providers do we allow for how long? We need a contract with deliverables and timeframe. Does this meet the principles of openness and transparency?? May introduce bias into the exam

13 IHE Effort, proforma budgetYear 0 Provide IHE Committee as a “host” of the activites, scheme owner Institutional support of IHE profile development process to develop scheme, syllabus and exam Expected effort: est. 1/8 FTE*, committee management Expected expenses Yr1 Estimated number of exams: Year 1: 40 Year 2: 60 Year 3: 100 Yr2 Yr3 Expected effort: est. .25FTE*, once the system is in operation * Full Time Equivalent (FTE)

14 ICP Next Steps, deliverablesDecision to “Go” Basic agreement (“Nomination”) between IHE and Exam Providers so that work can start Decision available by Q3 2016 After that, in parallel: IHE Form “Certified Professional Committee” (working title) in IHE Comment and decide on Exam, Syllabus, and ICP Scheme Exam providers Creation, revisions of ICP Scheme documents and structure for quality, similar to CAS Creation, revisions of Exam and Syllabus for ICP Foundation Available by Q1 2017? Target test exams at CATs 2017?

15 Pilot 2017- towards first examsTrials at CATs 2017 „within IHE“, to generate expert feedback Early adopters Q ?? Bring in additional training providers These will bring in newcomers Ideas, suggestions?

16 Contact Stefan Sauermann Werner Henschelchen University of Applied Sciences Technikum Wien, Vienna, Austria Werner Henschelchen Global Association for Software Quality, Nürnberg, Germany

17 Exclusivity IHE intends to follow the principles of openness and transparency in all its processes IHE intends that once the pilot is complete qualified exam providers and training providers will be authorized based on qualification and market saturation. Any qualified training provider can apply once the program has launched

18 ICP – Foundation: Business Outcome ITarget audience/prerequisite skills for a ICP Foundation A person with a health IT background with a requirement to use IHEs products, either someone (contracted) to work for a healthcare provider organization, or someone employed by a software development company. A competent ICP Foundation will be able to apply the IHE methodology (ISO/TR 28380) develop interoperability specifications for an existing healthcare environment identify and use the appropriate existing IHE profiles when faced with a healthcare interoperability project.

19 ICP – Foundation: Business Outcome IIIHE Methodology explain the concepts and organisational structure of IHE to teams explain the process of the Connectathon contribute to IHE profile development by submitting "Change Proposals", e.g. if new requirements arise, or if they find an issue in an existing profile capture the interoperability requirements of users in healthcare and formulate specifications using the IHE profile development methodology (ISO/TR 28380). identify components in existing IT systems that conform to IHE profiles IHE Technical Frameworks and Profiles capture the interoperability requirements of users in healthcare and formulate specifications using existing IHE profiles. assess the available IHE and base standard related skills within a team, identify gaps, provide guidance on how missing knowledge can be acquired help resolve specific issues of IHE conformance e.g during procurement, development or maintenance

20 ICP – Foundation: Learning OutcomesIHE Methodology understand the main concepts of IHE (actors, transactions,...), the document structure of IHE technical frameworks. understand the structure and processes of IHE especially for developing the technical frameworks understand the structure and processes of IHE for testing at the Connectathon understand and generate integration statements explain the IHE domains research information from IHE sources: IHE homepage, Wiki, FTP conduct simple and advanced browsing in the CAT results matrix and product registry IHE Example profiles, base standards, general healthcare IT knowledge understand and explain base standards such as XML understand and explain the basic concepts of IHE base standards: HL7 V3, CDA, HL7V2.X, OASIS understand and explain the basic concepts of terminologies, ontologies, coding systems and value sets used in the IHE, specifically LOINC, SnomedCT, ICD and HL7 tables. understand and explain the basics of Security : CIA-Triad, encryption, digital signatures, certificates, authorization models, policies, federated identity management. understand an apply the 'top 20 most often implemented profiles' (as determined by looking at CAT statistics) be aware of the existence and scope of all other profiles

21 ICP – Foundation: Select the important profilesThe Advanced Browsing feature of the CAT results webpage was used results were filtered for "Profiles" (Rows) results were filtered for "Companies" (Columns) a specific CAT in the time 2010 to 2015 was selected (Title) The results were exported into a table and the number of "*" per row (profile) was counted the export was repeated for all CATs 2010 to 2015 the numbers from all CATs were summed up See the details See the tables ftp://ftp.ihe.net/GDC/EducationWG/ICPFoundation_2016/D_IHECATResults_2010To2015_TestedProfiles_V00.01.xlsx

22 ICP – Foundation: Exam developmentSomebody* does the editorial work collect questions Prepare for review and testing Collect feedback on questions Provide input to discussion in IHE IHE Considers input from exam providers Provides the “decision making” process within IHE Reviews, commenting, balloting Decides on the final exam questions ballot Authorised exam providers then provide exams Using the questions that were balloted within IHE * Based on selected business model (e.g. exclusive exam provider, volunteer committee, etc.)

23 ICP and Exam Providers (EPs)Why do we need “Exam Providers” Exam Providers in ICP – Testing Labs in CAS - SIMILAR!!! Need to have a standardized way of creating and conducting exams globally Help with marketing on international and regional level Help with creation of exam processes on international level (use of experience) Help with creation of exam questions on international and regional level (localization) Help with creation of regional extensions Help with accreditation of training material Possibility to ask for initial payment and to receive a regular income for IHE

24 ICP: Building the schemeWork to do for nominated EPs: Nominated EPs agree to work on the scheme from the very beginning EPs agree to develop all necessary processes together with IHE EPs give a clear commitment to support the IHE Certified Professional scheme EPs agree to provide sufficient workforce in the development and ramp up phases over the next seven years Based on selected business model

25 ICP: Building the structureAssessment and Nomination of EPs by IHE (Educational Workgroup, GDC, board…) : selecting and recruiting Exam Providers to get things moving Basis is ISO (standard for personnel certification) Exam Providers shall /should (?) be certified according to international standards (ISO 9001 certification, ISO audit) IHE shall / should (?) have experience in the field of certification (at least 6 years on the certification market) IHE nominates exactly one exam provider per region (North America, South America, Africa, Asia, EMEA, Oceania) The initial exam providers get a term of 7 years after nomination to co-develop the market and processes of the ICP scheme together with IHE To be finalized

26 ICP: Criteria for EPs Nomination Process: EPs applyExam Provider needs to show a marketing plan for the first x years Exam Provider needs to show a development plan for the first x years to develop its region Exam Provider needs to show a business plan Exam Provider needs to name its experts to create exam questions and to do accreditation of training material Exam Provider needs to show its planning for localization of the program

27 ICP: Assessment of EPs IHE checks the exam provider according to the requested standards and requirements Report of assessment with Date of assessment Name of assessor(s) Name and address of exam provider Assessed scope of nomination

28 ICP and Intellectual Property (IP)Why no open source when it comes to exams? Open source in case of exam questions would create a need for thousands of exam questions otherwise it would be easy to download exam questions and to learn their answers (question of quality) No need to pay a fee to IHE

29 ICP: Certified / Accredited EPsNomination Process: Granting the certificate / Accreditation to the EP As soon as we have the “ICP Scheme”: As soon as EPs can prove that they are conformant: Assessment / Audits of EPs who meet all standards and requirement of the ICP Scheme Similar to “Accredited Testing Labs” in CAS IHE will provide a certificate to the exam provider (Accreditation, certification, …)

30 ICP: Moving it on, extending, …EP certification process: Renewal, re-certification, re-accreditation, … Review / audit of EPs after X years Is there anything to be changed, all fine, …