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Past, Current and Future Initiatives of EuroRec

Past, Current and Future Initiatives of EuroRec. Prof. Dr. Georges DE MOOR. EuroRec President. EuroRec is an independent not-for-profit organisation established in 2003.

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Past, Current and Future Initiatives of EuroRec

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  1. Past, Current and Future Initiatives of EuroRec Prof. Dr. Georges DE MOOR EuroRec President

  2. EuroRec is an independent not-for-profit organisation established in 2003. Its main mission is to promote - as a federation of national ProRec centres (15 member countries and 7 new applicants) - the use of high quality Electronic Health Record systems (EHRs) in Europe. It therefore also supports certification by defining quality criteria.

  3. Organisational Issues: • - Adapt EuroRec’s Articles of Association (General Assembly Meeting,Nov.2009, Dublin) • Redefine EuroRec’s Global Business Plan

  4. History of EU funded Projects • MediRec (FP3) (94-95) (C.A.) Lisbon Declaration (Recom. 9) • ProRec (FP4) (96-98) (S.A.) Creation of first ProReccentres • Widenet (FP5) (00-03) (A.M) Creation of EuroRec • QRec (FP6) (05-08) (S.S.A.) Creation of Repository & Tools • EHR-Implement (FP6) (07-10) Strategic Recommendations • EHR-Q-TN (FP7) (09-12) (T.N.) Dissemination/Implementation • HITCH (FP7) (09-10)

  5. EuroRec has installed a central repository ofvalidatedqualitycriteriaand other relevant materialsthatcanbeused to harmonise Europeanquality labelling or certification, productdocumentation and procurementspecification of EHR systems. (today: +1500 criteriawith translations in 18 languages). EuroRecwillnot impose anyparticular certification modelor anyspecificcriteria on anymember country but willfoster, via accredited centres and otherchannels, the progressive adoption of consistent and comparable approaches to EHR system quality labelling (cf. severalmodels ! and EuroRecseal).

  6. History of EU funded Projects • MediRec (FP3) (94-95) (C.A.) Lisbon Declaration (Recom. 9) • ProRec (FP4) (96-98) (S.A.) Creation of first ProReccentres • Widenet (FP5) (00-03) (A.M) Creation of EuroRec • QRec (FP6) (05-08) (S.S.A.) Creation of Repository & Tools • EHR-Implement (FP6) (07-10) Strategic Recommendations • EHR-Q-TN (FP7) (09-12) (T.N.) Dissemination/Implementation • HITCH (FP7) (09-10)

  7. EHR-Implementis collecting, analyzing and comparing broad scale Electronic Health Record implementations in European countries in order to provide best practice and strategic recommendations. In the past political, social and organizational aspects that can jeopardise implementation have been overlooked.

  8. This project fits with objective 1.6 of the 2nd Call for Proposals for the CIP-ICT PSP program: “Improving certification of e-Health products” EHR-QTNis a Thematic Network project that prepares the health community across Europe (including also most Eastern European countries) for systematic and comparable quality assurance and certification of Electronic Health Record systems and other e-Health products. It is in the first place a dissemination project. EuroRec is offering its repository of quality criteria and its tools to facilitate the deployment of such certifications throughout Europe.

  9. Poland Norway United Kingdom Austria Hungary Portugal Ireland Belgium Romania Bulgaria Italy Croatia Cyprus Czech Republic Serbia Denmark Slovakia Estonia Slovenia Luxembourg France Spain Germany Netherlands Greece EHR-QTN 3 years 28 Partners 24 Countries 72 Workshops

  10. Disseminating • Translating of validating existing criteria and tools • Defining the content of the EuroRec Seal 2010 (security; summary records; medication management and e-prescription) • Strengthening via the ProReccentres its liaisons with all stakeholders (including governments) • Conducting a market survey (a.o. database of vendors of EHR systems) • - …

  11. HITCH HealthcareInteroperabilityTesting and ConformanceHarmonization • Establish a deployable process for the Technical Conformance Testing of Interoperability of ICT systems for Health. • …a project where two different worlds will interact with each other: • Technical Conformance Testing of Interoperability , ,and • Quality Labelling and Certification • ! CEN/CENELEC/ETSI • M403 – eHealthInteroperabillity / Phaze 2

  12. Other New Areas of Interest • Semantic Interoperability: the EHR-content, ontologies, archetypes, templates, terminologies • Personal Health Records: andtheir interaction with Professional Health Records • Re-use of Electronic Health Record data: for research, clinical trials (and vice-versa! ) • EHRs and Pre-emptive care: genetic data to manage individual risk for potential diseases • Certification of other EHR-related systems: widening EuroRec’s scope • Collaboration at global level: e.g. between the EU and the US

  13. Validation of detailed clinical models • to identify high quality archetypes (detailed clinical models) which will have been developed elsewhere and to make them available to a broader community; including in the repository - in addition to “funtional “criteria - ,criteria related to “content” • to organize the involvement of clinicians via their official and authoritative associations (cf. ELSA) • to develop formal methods of validatingthe design and content of archetypes • - to develop a formal process of verification and certification for archetypes

  14. Clinical Trial Safety and Adverse event Register Marketing Utilisation Review Knowledge Mgmt Platform Decision Support Patient User / Clinician EHRs: Secondary Uses (examples) EHR re-use t1 t6 (de-identification) t5 t2 t4 t3 Billing

  15. Pilot Projects: “Transatlantic Methods for Handling Global Challenges in the European Union and United States” RELEX/C1/2009/PP The generalobjective of the pilotprojects is to promotemutualunderstanding and learningamong EU and US policyresearchers and policymakerson a number of challengeswith a globaldimension. EuroRec’s interest: Comparativeassessment of the EU and US approaches in the target area “e-Health: interoperability and certification of Electronic Health Records”

  16. Theme 1: Re-use of Clinical Care and of Clinical Trial Data Theme 2: Personal Health Systems, Personal Electronic Health Records and Professional Electronic Healthcare Records Theme 3: Towards Interoperability through Quality Labelling and Certification Theme 4: Semantic Interoperability: Terminologies and Classifications, Ontologies, Artefacts and Templates

  17. SUMMARY • EuroRec is reinforcing its internal structure and is redefining its business plan. • EuroRec is further deploying certification services (one of its main missions) in Europe. • EuroRec is broadening the spectrum of its R&D activities hereby focusing on semantic interoperability (EHR content ). • -EuroRec is striving to get to more convergence with other organisationsat global level .

  18. Thanks for listening! http://www.eurorec.org georges.demoor@ugent.be

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