Ingredients of a European business model for certification of EHR systems

Transcription

1 Ingredients of a European business model for certification of EHR systems

2 The demographics Health funding impacted by global financial crisis Population expansion volume impact The aging non-working sector Growth of LTC patients Impact of lifestyle diseases Fewer in work to generate wealth for healthcare Educated patients demand impact Access to internet medical advice / research Access to personal records Medical advancements cost impact New drugs, treatments etc New technologies

3 IT critical to healthcare cost and change management Investment in IT still lags other sectors by some considerable margin Healthcare is complex Paper based processes are inadequate Poor sharing of patient information both within hospitals and across the continuum Care Providers need IT IT enables change in processes Potential for significant resource savings Improving quality of care Why then does healthcare lag? It is not simply lack of funds

4 Poor EHR take up Three key reasons - Rand Study (January 2013) EHR usability - functionality Healthcare provider commitment Interoperability (or lack of!) What then is the cost of low deployment? Poor RoI for all stakeholders failure to address potential cost savings Over reliance on inadequate processes Poor use of resources failure to address change and cost Patient safety risk / claims / cost

5 EHR - survey

6 10 reasons for EHR Enable a wider availability of health and care related data, accessible any time anywhere. Improve cost efficiency of care avoiding double or unnecessary procedures and care consumption. Improve quality of care through decision support, surveillance and monitoring care, supporting operational processes. Enable appropriate documentation of the care. Improve interoperability and continuity of care through sharing of information. Improve care management by structuring patient data. Enable traceability, reliability and responsibility management. Improve practice management by saving time for the provider. Enable patient empowerment. Enable re-use of care related information.

7 Essentials for EHR success (83) Assured compliance to national rules and standards (65) Increasing quality of the products through coherent and pre-tested functionality (63) Leverage exchange of health (care) related data and interoperability of systems (59) Improved patient safety in care (54) Improving the quality of the care by improving the quality of the content based on related criteria (53) Increase compliance to user and use quality requirements (51) Have a reliable data source for secondary use (49) Improve EHR Procurement (48) Validated privacy protection (37) Stimulate competition on quality and reduce market fragmentation (20) Improve market deployment and product development

8 Benefits of quality labelling and certification The European EHR Market remains very fragmented The market is actually worse, the least used systems not reported. Market very disparate regarding functional and software quality Quality labelling and certification leads to better systems Creates a more level open market by increasing the quality requirements / minimum standards decreasing number of suppliers per country improves supplier security Assures stakeholder engagement Move away from proprietary systems

9 Certification of EHR systems Three options for quality labelling Voluntary option Today s position no incentives Mandatory option. The mandatory model may work in some countries Public sector healthcare Incentivised option The incentivised model seems by far the most promising model to promote a more generalised use of certified systems

10 Third party assessment of EHR Comprehensive functional third party testing not feasible considering the amount of functions in an EHR system. The EuroRec Repository over functional statements not all the statements apply for each individual application an estimated 1000 statements apply for an average EHR system

11 Key business model ingredients National leadership Clear mandate is essential for all stakeholders Set out the rules Provide the incentives / motivation Quality / Accreditation organisation(s) Independent of key stakeholders Health providers Commitment to deployment and change Demand Quality of systems and data Demand conformance to national minimum Business case for change Suppliers Investment only if accreditation mandated Commitment to system conformance Quality labelling criteria European set EuroRec Locally adapted