Professional Documents
Culture Documents
Edition 1.0
December 2013
ISBN: 978-0-9751013-1-5
Produced in Australia
All rights reserved. No part of this publication may be reproduced or transmitted in any form,
or by any means, electronic or mechanical, including photocopying, recording, or any
information storage and retrieval system, without permission in writing from the publisher.
Edition 1.0
December 2013
Preface ............................................................................................................................................................... 1
What is certification?..................................................................................................................................... 1
Why is certification important? ..................................................................................................................... 1
What is the relationship of this health informatics competency framework with the CHIA program? ....... 1
HINZ
Dr David Parry
Liz Schoff
Prof James Warren
The Certified Health Informatician Australasia (CHIA) exam aims to test whether a candidate has the
knowledge and skills that are identified in the competency framework to perform as a health informatics
professional.
What is the relationship of this health informatics competency framework with the
CHIA program?
The CHIA Health Informatics Competencies Framework provides the context in which the questions for the
exam have been developed. The competencies set the minimum requirements in terms of skills,
knowledge, understandings and capabilities that will enable a candidate to perform in a professional
environment.
The competencies serve to define what health informatics professionals know and do. This framework can
also be used as a set of guidelines for recruiting purposes, definitions of career pathways, or the design of
educational and training activities.
The development of this competency framework is expected to play a key role in raising the profile of
health informaticians, contributing to a wider recognition of the profession, and defining more clearly the
body of knowledge underpinning this discipline.
This competency framework aims at defining only the competencies of the core health and biomedical
informatics discipline. It is expected that further frameworks will be developed to define specific sets of
competencies for each of the sub-specialisations.
These three organisations have developed competency frameworks in health and biomedical informatics.
Some IMIA competencies are quite general as they were proposed for health professionals (as IT users)
whereas we are focusing on defining competencies for Health Informaticians or Health Informatics
Specialists.
IMIA recommendations are extremely useful for the development of educational curriculum.
There is a clear distinction between information technology and information science; therefore we
have addressed this in creating two separate competency streams in these areas.
The consideration of health informatics as a scientific discipline is mostly addressed by the AMIA
competencies.
The importance of the human and social context is specifically addressed in the AMIA framework.
We recognise the work and competency framework completed by the Australian Health Informatics
6
Education Council (AHIEC) . However, as the AHIEC framework is mostly based on the IMIA framework
it was decided that the broader IMIA document would be used.
The IMIA and AHIEC frameworks expand on the different areas of specialisations in health informatics
however, which we recognise requires further development.
It is also recognised that the health information management competencies developed by HIMAA are
complementary to the health informatics set of competencies, but it is more fitting to define the
relationship between these competencies in consultation with the health information management
professional jurisdiction at a future date.
Although both IMIA and AHIEC frameworks contain different levels of competencies and different
specialisations streams it was deemed appropriate to regulate the varying levels of complexities in the
form of knowledge, comprehension, application and analysis type of questions during the exam writing
7
process rather than within the competency itself.
After the exhaustive exercise of reviewing the 3 competency frameworks including the mapping of
competencies between each of the organisations, it was deem appropriate to develop a new competency
framework based on the existing frameworks but with a focus on the Australian healthcare system.
Our motivation to design a specific model of competencies is based on the set of reasoning above.
We will be further developing the competencies for specialisations so they can be used for the preparation
of exams in order to recognise specialised skills and knowledge.
Scientific skills *
Health Informatics #
ICT +
Information Science +
Health Science
Management Science
Areas of specialisation
Human and Social
Context
Total number of
45 48 22 51 52
competencies
YES (6) YES (2) NO NO YES
1: Know IT user & 1: Knowledge
2: Understand HBI specialist 2: Comprehension
Different levels of
3: Apply 3: Application
competency 4: Enable 4: Analysis
5: Advise
6: Strategise
YES: YES: NO NO YES:
Health and Aged 8 focus areas Combining both
Care; HI; IT HI; IS (Imaging, IMIA and AHIEC
HI; Specialist HI; bioinformatics, specialties
Clinical chemoinformatics
Specialisation Informatician; , public health
Health informatics)
Information
Manager; Clinical
Terminologist
+ In the IMIA competencies the ICT and Information Science streams are combined
* In the CHIA competencies the Scientific skills are incorporated across all the CHIA streams
# The Health Informatics stream is named the Core principles in the competency framework
At the time of the mapping exercise, all of the AHIEC competencies could be mapped directly to IMIA
competencies. Therefore it was determined that the IMIA model would be the better version to use for our
mapping exercise.
Shortly after the AMIA board published its white paper specifying core competencies for their graduate
education. We regrouped and merged all three (IMIA, AMIA and COACH) frameworks together.
Each stream from the three organisations were reviewed carefully under the topic areas, compared,
mapped and then regrouped. Any repetitions, overlaps, redundancies were removed and the new
competencies were restructured, ultimately producing the final competency framework.
The six competency streams in the new framework currently exist in the other three competency
frameworks from IMIA, AMIA and COACH but may have been grouped under other speciality names. We
have broken down the six streams of competencies to their core area of speciality which forms
fundamental building blocks from the bottom up, each lower block consolidating higher blocks so that the
overall framework is well supported and structured.
A seventh competency category Specialisations is also listed in the tables below. Competencies will
progressively be developed for a series of specialisations, and over coming years the Certified Health
Informatician Australasia program will be progressively extended to allow candidates to apply for
certification in these specialisations.
2. Adapted from Overview of Competencies & Benefits and Uses of a Competency-Based System, by
P.Shannon and S.Deng, 2008 retrieved from http://www.slideshare.net/davidgay/overview-of-
competencies-benefits-and-uses-of-a-competencybased-system
3. Kulikowski, C.A., Shortliffe, E.H., Currie, M.C., Elkin, P.L., Hunter, L.E., Johnson, T.RWilliamson, J.J .
(2012) AMIA Board white paper: definition of biomedical informatics and specification of core
competencies for graduate education in the discipline. J Am Med Assoc. Doi: 10.1136/amiajnl-2012-
001053.
4. Mantas, J., Ammenwerth, E., Demiris, G., Hasman, A., Haux, R., Hersh, WWright, W. (2010)
Recommendations of the International Medical Informatics Association (IMIA) on Education in
Biomedical and Health Informatics (First Revision). Methods of Information in Medicine. Doi:
10.3414/ME11-01-0060.
5. COACH. (2012, November). Health Informatics Professional Core Competencies. Retrieved from
https://www.coachorg.com/en/resourcecentre/resources/Health-Informatics-Core-Competencies.pdf
About HISA
With a 20+ year history, the Health Informatics Society of Australia Ltd (HISA) is the peak body for health
informatics & ehealth in Australia. We have a vested interest in growing workforce capacity and capability
in heath IT and are passionate advocates for the e-health enabled transformation of healthcare.
HISA is a not-for-profit, member organisation with a broad and diverse stakeholder community with over
1000 active members and a database of over 13,000 committed participants in digital health, e-health and
health informatics. We have access to the best minds in e-health nationally and globally including: IMIA
(which links HISA to WHO & over 60 specialist health informatics organisations across the planet!), APAMI
(Asia Pacific Association for Medical Informatics) and HINZ (Health Informatics New Zealand).
HISA membership is open to individuals and organisations. The majority of HISA members are senior
players and leaders in their fields. Together, our membership represents thousands of years of combined
experience in health and in health-IT.
About ACHI
The Australasian College of Health Informatics (ACHI) is the professional body for health informatics in the
Asia-Pacific Region. The credentialed Fellows and Members of the College are national and international
experts, thought leaders and trusted advisers in health informatics. ACHI sets standards for education and
professional practice in health informatics, supports initiatives, facilitates collaboration and mentors the
community.
About HIMAA
The Health Information Management Association of Australia Limited (HIMAA) is the recognised, peak body
for health information management professionals in Australia.
The association attracts membership from all areas of the HIM industry, including health information
managers and clinical coders. A member of the national advocacy body for not-for-profit professional
associations, Professions Australia, HIMAA is committed to improving the health of Australians through
professional information management.
HIMAA provides competency standards for the delivery of education and training across the learning life of
the HIM practitioner, and strives to promote and support our members as the universally recognised
specialists in information management at all levels of the healthcare system.