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EuroRec’s First Draft List of EHR Certification Criteria

EuroRec's first preliminary list of EHR certification criteria for demonstration and feedback purposes. The list is incomplete, inconsistent, and not validated. Harmonisation of criteria and classification indexing are key focus areas.

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EuroRec’s First Draft List of EHR Certification Criteria

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  1. EuroRec’s First Draft List of EHR Certification Criteria Knut Bernstein MEDIQ kb@mediq.dk MEDIQ

  2. Agenda • Criteria in Q-Rec • The methodology • The first preliminary list • Next steps MEDIQ

  3. Warning! Warning! • The list is a very preliminary draft • For demonstration purposes • For feed-back on a general level • It is incomplete • It is inconsistent • It is not validated MEDIQ

  4. Surveys  source criteria Classification Indexing Publication and use Criteria in QREC Harmonisation of criteria MEDIQ

  5. Sources of criteria • Published certification criteria from • Belgium, Denmark, Ireland, United Kingdom • Certification Commission for Healthcare IT (CCHIT) • Security criteria sources also from • ISO 13803 • The Netherlands (TNO) MEDIQ

  6. Harmonisation 1: Classification of business function • Health assessment and diagnose documentation • Care planning, shared care and care pathways • Medication management • Findings and result documentation • Alerts, notification and reminders • Patient demographic services • Security MEDIQ

  7. Harmonisation 2: Grouping • Creating topic groups within one business function • i.e. prescribing, unique patient identifier • Circulated for QA • Some criteria added • A few criteria removed MEDIQ

  8. Harmonisation 3: Formulating criteria • From the topic groups formulate one or more Q-Rec criteria • Circulated for peer review • Trying to find the right level of details MEDIQ

  9. Selection process (no. of criteria) From BE, DK, IE, UK, US 1400 Classification 1000 Grouping + QA 188 Harmonising + Peer review 81 (Indexing) MEDIQ

  10. Medication management - examples MEDIQ

  11. import, maintain view Prescribe (with decision support) (re)print, send document Medication data & processes medicinal products database Reference data pt. medi-cation list Medication data (history/active) Prescription data prescription Administration data medication administration MEDIQ

  12. Health assessment - examples Controversial? Move to a general section? MEDIQ

  13. Care planning - examples MEDIQ

  14. Published on the EuroRec web MEDIQ

  15. Published on the EuroRec web MEDIQ

  16. Published on the EuroRec web MEDIQ

  17. Published on the EuroRec web MEDIQ

  18. Published on the EuroRec web MEDIQ

  19. Indexing using an extensive classification Surveys  source criteria Classification Harmonisation of criteria Indexing Publication and use MEDIQ

  20. Business function: Clinical • medication management • health assessment and diagnose documentation • care planning, shared care and care pathways • findings and result documentation alerts, notifications and reminders • long-term illness management • decision support • workflow and task management Indexing • Business function • Care/usage setting • Criteria type • Specification weight MEDIQ

  21. Business functions: • Patient demographic services • Security • EHR data (record) management • Appointments and scheduling • Patient consents, authorizations, directives • Service department systems • Analysis and reporting • Population health • Education, training, support • Financial and insurance • Health system management Indexing • Business function • Care/usage setting • Criteria type • Specification weight MEDIQ

  22. Indexing • Business function • Care/usage setting • Criteria type • Specification weight • Care Setting • general practice • secondary care (hospital) • Criteria type • Functionality • Knowledge (terminology) • Data set MEDIQ

  23. Next steps • Improve existing list • Separate out general EHR criteria • Match with mental models and standards • QA security criteria • Indexing using the full classification • Extend list • Add other business functions • Publish and ask for comments • Develop a tool MEDIQ

  24. Thank you for your attention Knut Bernstein MEDIQ kb@mediq.dk MEDIQ

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