1	An Education Strategy for Primary Care Informatics Sheila Teasdale PRIMIS Service Director University of Nottingham, England
2	Overview What education and training is needed? What groups need it? How will it be delivered? How will it be evaluated? Examples from elsewhere …
3	Defining informatics education requirements for a number of groups within primary care undergraduate medical students primary care residents practicing physicians primary care faculty primary care informatics specialists and others in primary care teams? nurses? managers?
4	Specific goals establishment of informatics competencies establishment of recommendations for: curriculum teaching methods dissemination of these recommendations to professional and academic organizations across multiple disciplines evaluation of effectiveness (long term)
5	Tackling these tasks (1) informatics competencies examine current programs USA and elsewhere distil the best (international effort) add USA-specific issues distinguish between computer literacy and information proficiency
6	Tackling these tasks (2) curriculum derive from existing programs (especially USA, UK, Australia) assess resources needed “teaching the teachers” Board certification? teaching methods adult learning approach - skills- and problem-based informal / formal / distance / mentoring information management the goal - not just using the technology
7	Tackling these tasks (3) disseminate recommendations communication strategy (recipients of message?) website credibility: crucial role of NAPCI (long term) evaluate effectiveness baseline studies longitudinal evaluations
8	What’s missing … delivery of education and training! we need: multi-agency effort professional organisations’ buy-in quality monitoring
9	Australia $10m 3-year national strategy (1998-2001) policy, partnership and communication practical support via Regional Divisions of General Practice GP Computing Group clearing house (resource base) standards development and implementation coding, messaging, security electronic architecture and platforms management of information “IT officer” program - trainer network now extended
10	England England - $15bn NHS IM&T strategies 1998-2008 infrastructure NHSnet, NHS number, etc. standards coding, messaging, security, system functionality clinical systems used at the point of care coded, structured, with decision support PRIMIS education and training for whole practice team feedback on data quality and clinical practice focus on information management skills
11	Some barriers fragmentation of primary care focus on billing not clinical use lack of infrastructure and standards multidisciplinary approach not easy
12	Some opportunities build on existing initiatives USA and internationally think global - act local NAPCI role (short- to medium-term) bringing key players together (with infrastructure) working on curricula and delivery methods getting the timing right education strategy needs to be in place before widescale implementation of clinical systems!
13	The vision “Every primary care provider will use information technology that includes electronic health records with the ability to access and communicate needed clinical information to achieve high quality, safe, and affordable health care.”
14	An Education Strategy for Primary Care Informatics Sheila Teasdale PRIMIS Service Director University of Nottingham, England www.primis.nhs.uk