ECDL Health in Italy Fulvia Sala AICA Italy

Motivation, problem area ü Major role of health informatics systems ü Systems as good

Motivation, problem area ü Elements of risks • new abilities • new legal and

ECDL Health Development of a specific module for ECDL: ü In 2005: set up

The Italian experience In Italy: preliminary planning of the initiative Research project ( AICA

The Italian experience: the preliminary survey The survey’s sample: ü around one hundred health

The Italian experience: the preliminary survey The survey’s primary findings: In hospitals/ health care

The Italian experience: the preliminary survey The survey’s primary findings: General practitioners ügeneralised use

The Italian experience: the preliminary survey The survey’s primary findings: General practitioners lack of

The Italian experience: the preliminary survey Unproductive time due to limited knowledge significant costs

The Italian experience: the preliminary survey Evaluation of the cost: ü by estimating the

The Italian experience: the preliminary survey Annual cost of unproductiveness for the Italian system:

The Italian experience: the preliminary survey The test for evaluating R. O. I for

The Italian experience: the preliminary survey Major findings of the test: ü after the

The Italian experience: the pilot courses In June 2007 AICA announced ECDL Health in

The Italian experience: the pilot courses The participants’ evaluations : achievement of expected objectives

The Italian experience: the pilot courses The participants’ evaluations : perceived usefulness of ECDL

Conclusion and outlook ü demand for health personnel training with regards to the use

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Motivation, problem area ü Major role of health informatics systems ü Systems as good as their users’ understanding ü Experienced health professionals educated ahead of the e health revolution ü Amount of time specifically dedicated to IT use: < 20% of total time § perceived as an “ accessory” activity Session 5 f, 23 October 2008 e. Challenges e-2008 Insert Org Logo in Master slide Copyright 2008 AICA, Bocconi University

Motivation, problem area ü Elements of risks • new abilities • new legal and ethical issues ü Need for an appropriate end user educational programme and qualification framework ECDL: international standard in end user computer skills Development of a specific module for ECDL Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

ECDL Health Development of a specific module for ECDL: ü In 2005: set up of an expert group ( six european countries + USA) ü In early 2006: syllabus of ECDL/ICDL health supplement syllabus= competencies framework ü Progress in different countries: • different health systems, languages, terminology Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience In Italy: preliminary planning of the initiative Research project ( AICA and Bocconi University) ü to measure the potential benefits of ICT training in the healthcare sector Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey The survey’s sample: ü around one hundred health organizations and hospitals ü 1000 general practitioners ü 500 pharmacies Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey The survey’s primary findings: In hospitals/ health care organizations ü 45% of employees make use of ICT but half of the users are administrative personnel üusers of individual IT instruments amount to around 250, 000 but only 7% of these claim to be expert users Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey The survey’s primary findings: General practitioners ügeneralised use of PCs üsome contradictory aspects in the ways the systems are used: § wide usage of internet § mostly specific applications Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey The survey’s primary findings: General practitioners lack of adequate training ümost experienced professionals educated in a paper based environment ü 80% of them didn’t have access to digital literacy programmes Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey Unproductive time due to limited knowledge significant costs Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey Evaluation of the cost: ü by estimating the average loss of time ( interviews to users) Health professionals % of time lost per working day Doctors and medical professionals 0, 9% Nurses 2, 8% Technical personnel 3, 6% Administrative personnel 7, 9% General practitioners 3, 4% ü by taking into account the average labour cost Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey Annual cost of unproductiveness for the Italian system: ≈ 900 million euro ≈ 1% of total health expenditure How can investments in ICT training contribute to reduce the cost? Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey The test for evaluating R. O. I for basic ICT training Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the preliminary survey Major findings of the test: ü after the course: decrease of the unproductive time by around 20% ü annual recovery of costs per individual: around € 4, 000 ü total annual recovery in the health system: over 2 billion€ ü a broad indicator of the level of potential ROI Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the pilot courses In June 2007 AICA announced ECDL Health in Italy Two pilots ECDL Health training courses: ü addressed to medical doctors and nurses of two Local Healthcare Units. Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the pilot courses The participants’ evaluations : achievement of expected objectives Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

The Italian experience: the pilot courses The participants’ evaluations : perceived usefulness of ECDL Health Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University

Conclusion and outlook ü demand for health personnel training with regards to the use of ICT within clinical process ü ECDL Health a valid answer to such a need § validation of technical competences § evaluation of the level of ability in the use of health informatics systems ü balance between a high tech perspective and a high touch one Insert Org Logo in Master slide Session 5 f, 23 October 2008 e. Challenges e-2008 Copyright 2008 AICA, Bocconi University