EuroRec ( )

Transcription

1 EuroRec ( ) The «European Institute for Health Records» A not-for-profit organisation, established April 16, 2003 Mission: the promotion of high quality Electronic Health Record systems (EHRs) in Europe Federation of national ProRec centres in Europe

2 ProRec Centers Centres Belgium Bulgaria Denmark France Italy Germany Ireland Romania Slovenia Spain Slovakia Applicants United Kingdom Serbia The Netherlands Poland Norway Greece Hungary Portugal Sweden Differences in languages, cultures and HC-delivery/funding systems

3 EHRs: TRENDS EHRs start to become: transmural, virtual multidisciplinary and interactive longitudinal and intelligent Administrative Records Medical Records Nursing Records Personal Patient Records! Integration with other ehealth applications...!

4 Q-REC European Quality Labelling and Certification of Electronic Health Record systems (EHRs) Duration: Contract No: IST SSA Coordinator: Prof. Georges De Moor EHR-Implement National policies for EHR implementation in the European area: social and organisational issues Duration: Contract No: IST SSA Coordinator: Dr. Laurence Esterle RIDE A Roadmap for Interoperability of ehealth Systems in Support of COM 356 with Special Emphasis on Semantic Interoperability Duration: Contract No: IST Coordinator: Prof. Asuman Dogac

5 QREC s Objective To develop formal methods and to create a mechanism for the quality labelling and certification of EHR systems in Europe, in primary- and in acute hospital-care settings EuroRec Institute is coordinating partner QREC has 12 partners and 2 subcontractors Project duration is 30 months (1/1/ /6/2008)

6 QREC: ORIGIN Several EU-member states (Belgium, Denmark, UK, Ireland, ) have already proceeded since years with (EHRs-) quality labelling and/or certification (more often in primary care) but these differ in scope, in legal framework under which they operate, in policies and organisation, and perhaps most importantly in the quality and conformance criteria used for benchmarking These differences represent a richness but also a risk: harmonisation efforts should help to avoid further market fragmentation in Europe

7 Central Repository EuroRec will install a central repository of validated quality criteria and other relevant materials that can be used to harmonise European testing, quality labelling and procurement specification of EHR systems. It will not impose particular certification models or specific criteria on any member country but will foster, via ProRec centres and other channels, the progressive adoption of consistent and comparable approaches to EHR system quality labelling.

8 Q-REC Rationale Certification is Essential To assure the quality of EHR systems, e.g., patient safety may be at risk due to: system design, specification and functional inadequacies, poor or confusing presentation of clinical relevant information. Sharing of information requires a quality assessment of EHR products with a view to ensuring interoperability with other systems because: healthcare information, in particular clinical information, is often scattered over a number of informatics systems the structures of these EHRs may significantly differ from one system to the other, depending on the creator and the purpose. more and more incentives are being given to share patients medical data to support high quality care and continuity of care in a seamless way. Certification of EHRs is essential for purchasers and suppliers to ensure that EHR systems are robust enough to deliver the anticipated benefits as EHR systems and related product quality (data portability and interoperability are difficult to judge). To reduce the risk for purchasers and therefore accelerate the adoption of high quality and more interoperable EHRs.

9 The EuroRec Repository: Introduction The Q-Rec repository will comprise several kinds of artefacts relating to the quality labelling and benchmarking of EHR systems: EHR system requirements The year 1 priority EHR system conformance criteria EHR system test plan items An inventory of quality labelled (certified) EHR systems An inventory of EHR related standards An inventory of terminology and coding schemes A directory of certified EHR archetype repositories A directory of reviewed open source specifications and components

10 EHRs Criteria: Business Cases A purchaser wishing to procure an EHR system module An e-health programme wishing to ensure consistent EHR system functionality nationally A vendor wishing to (re-)develop an EHR system module Developers wishing to interface to a given EHR system module across multi-vendor systems All may be: seeking design guidance wishing to obtain quality labelling certification searching for trustworthy products

11 Repository Workflow EuroRec Repository

12 Typology of EHR System Statements Source Statements faithfully extracted from original EHR system specifications and test plans translated if necessary Fine Grained Statements (FGS) usually derived from source statements made more generic, decomposed, reworded, corrected Good Practice Requirements (GPR) recomposed from FGS into the more common useful building blocks may enhance or extend the scope of FGS: push the boat out a bit Generic Test Criteria derived from FGS and/or GPR formally worded as testable functions

13 Repository Workflow EuroRec Repository

14 Indexing the statements (1) Multiple indexing of each statement to maximise the likelihood of finding all relevant statements when searching via the indices 1. Business Function (50 in 8 subcategories) 2. Care Setting (18 in 3 subcategories) 3. Component Type (18 in 4 subcategories)

15 Some statistics

16 EuroRec Repository Maintenance Tools Creation of Fine Grained Statements Creation of Good Practice Requirements Indexing statements Linking statements Maintenance and update of Fine Grained Statements Maintenance and update of Good Practice Requirements Translation functions Access management Versioning and audit functions Overviews and statistics

17 1. From Reference Statements to Fine Grained Statements: selecting the Reference Statement Reference statements frequently include multiple functions. Extract of the Irish 2007 criteria for General Practitioners

18 2. From Reference Statements to Fine Grained Statements: editor and linkage and indexing FGS Editor Linking an existing FGS Indexing

19 4. Fine Grained Statement: maintenance interface Linked to 4 reference statements Included in 1 Good Practice Requirement Version and translation management Editing area

20 5. Fine Grained Statement: similar view of attributes of a FGS Linked to 4 reference statements Included in 1 Good Practice Requirement Applicable indexes Area with comments from outside, if any

21 6. Fine Grained Statement View of a Fine Grained Statement with link to the Source Statements and the Good Practice Requirements.

22 12. Overview of Good Practice Requirements List of Good Practice Requirements, with number of Fine Grained Statements included number of EuroRec Baskets with this GPR selected view icon on indexes display icon of links and indexes icon enabling the user to give comments view icon on the translations maintenance icon

23 13. Good Practice Requirement View The statement Five Fine Grained Statements included The indexes for that Good Practice Requirement Area with comments from outside, if any

24 16. Multilingual Good Practice Requirement Example of Good Practice Requirement in English, Bulgarian, German, Danish, French, Dutch, Romanian and Slovenian

25 EuroRec Languages (non-exhaustive list) English (default language) Bulgarian Danish Dutch French German Romanian Slovenian

26 EuroRec Use Tools The EuroRec Composer To compose user defined, re-usable and exchangeable baskets of Fine Grained Statements. The EuroRec Certifier To format a EuroRec Basket content to obtain the basic layer for the certification of EHR systems. This is done by adding structure and attributes to the selected Fine Grained Statements. The EuroRec Documentor To document EHR systems and their functions, enhancing their understanding and comparability by using the EuroRec statements. The EuroRec Procuror To list and describe, for purchase purposes, required functionalities and product characteristics using EuroRec statements. The EuroRec Scriptor To produce and link Test Scenarios to EuroRec Baskets for Certification, Documentation and/or Procurement purposes.

27 EuroRec Baskets Certification Documentation Procurement Test Criteria Sets Test Scenarios Test Procedures

28 EuroRec Services 1. An Inventory of Certification Criteria for EHR systems 2. An Inventory of Standards relevant for EHR systems 3. EHR Archetypes 4. Open Source Components and XML Schemas 5. EHR Tutorials 6. Register of Health Coding Systems in use in Europe 7. Events

29 Events at WHIT 2007 Tuesday, 23 October 13:30 14:30 Location: room 1 TL7 - Thought Leader Session EHRs Certification: Global Issues Wednesday, 24 October 11:30 12:30 Location: room 3 ES34 Integrating IT Leadership to Improve Healthcare Delivery and Performance Certification of EHRs: Criteria, Procedures and Tools EuroRec will present an update on the development of its certification criteria repository, as well as on its recommended procedures, including the use of its EHR profiling tool. 17:15 18:00 Location: product tutorial theatre - booth 1021 Demo of the EuroRec Tools EuroRec EHR certification and documentation New era in certification - Real time demo Thursday, 25 October 09:00 10:00 Location: room 2 ES44 Integrating IT Leadership to Improve Healthcare Delivery and Performance EHR in Europe: A new paradigm. Archetypes: a Revolution Three new CEN European standards constitute a new paradigm. The Archetype paradigm enables 'plug-andplay' semantic interoperability between EHR systems. Via the process of 'creative destruction' new ICT vendors will enter the market using this new exciting paradigm. These European standards help fulfill the ambitious 2010 goals, as accepted by the European Commission.

30 Thank you for your attention!