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The EuroRec Institute: Its Structure, Activities and New Services

Learn about the EuroRec Institute, its activities, and new services aimed at fostering quality electronic health record systems in Europe. Established in December 2002, EuroRec supports interoperability and a European market for medical software.

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The EuroRec Institute: Its Structure, Activities and New Services

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  1. The EuroRec Institute:Its Structure, Activitiesand New Services François MENNERAT, MD PhD EuroRec ProRec-France

  2. Introduction to EuroRec www.eurorec.org

  3. The EuroRec Institute • European Institute for Health Records • Non-profit organisation • founded in December 2002 as their Federation by the four ProRec centres that were established at that time (Belgium, Spain, France, and Bulgaria) • registered on 12 May 2003 • according to the French law • Active at the European level with respect to the "subsidiarity principle" • Bound to become self-sustainable EuroRec 2006, Genève

  4. A succession of EU projects • MEDIREC - Medical Record • (EC, FP3, A-2103, 1994-1995) • PROREC - Promotion Strategy for the European HC Record • (EC, FP4, HC-1110, 1996-1998) • WIDENET - Offering World-Wide Services through an International Network of Health Record centres • (EC, FP5, IST-14203, 2000-2003) • Q-REC - Quality Labelling and Certification of Electronic Health Record systems in Europe • (EC, FP6, IST-27360, 2005-2008) EuroRec 2006, Genève

  5. A succession of EU projects • MEDIREC • The Lisbon Declaration • PROREC • First ProRec centres established and co-operation between all stakeholders • WIDENET • Extension of the PROREC network (additional ProRec centres created) • Establishment of EuroRec (June 14, 2003) • Q-REC • Harmonisation of EHRS Certification • Delivery of new Services EuroRec 2006, Genève

  6. EuroRec's overall objectives • Foster Quality of EHR Systems (EHRS) • To the benefit of patients • Support Interoperability of EHRS in Europe • To the benefit of citizens • Facilitate the emergence and consolidation of a European market of medical software EuroRec 2006, Genève

  7. EuroRec's goals • Support ProRec centres • Inform users of current trends in EHRs and express their needs • Helppublic authoritiesto define and implement strategies • Support the EHRsindustry (ROI) • Promoteresearch, educationand development in EHRs • Fosterinternational co-operation • with US, Canada, Japan, Australia… EuroRec 2006, Genève

  8. Members: Belgium Bulgaria Denmark France Germany Italy Ireland Romania Slovenia Spain Applicants: Norway Greece Hungary Portugal Poland Sweden The Netherlands Slovakia United Kingdom? The Network of ProRec centres “ Differences in legal and organisational framework, languages, etc. EuroRec 2006, Genève

  9. EuroRec (Economy of scale / Synergy) (Complementarity / National pecularities / Law / Languages) … ProRec Centres… … Users (Clinicians, Citizens) Healthcare Authorities Purchasers, Payers EHRS Vendors EuroRec: Organisation

  10. EuroRec: Organisation The current Board: • President Georges DE MOOR (BE) • Vice President (1) Kieran HICKEY (IE) • Vice President (2) Rolf ENGELBRECHT (DE) • Treasurer Louis SCHILDERS (BE) • Deputy Treasurer Knut BERNSTEIN (DK) • Secretary General François MENNERAT (FR) EuroRec 2006, Genève

  11. EuroRec: Funding • Membership fees • Annual conferences • Services (cf. newBusiness Plan) • E.C. funded projects : CERTFE, QREC, RIDE... EuroRec 2006, Genève

  12. 1997, Paris 1998, Rotterdam 1999, Sevilla 2001, Aix-en-Provence 2002, Berlin 2003, Dublin 2004, Bruxelles/Brussel 2006, Genève PROREC WIDENET Q-REC European Conferences on Electronic Health Records(EUROREC conferences) EuroRec 2006, Genève

  13. EHRs and EHRsFrom data storageto data interchangeand to data processingFrom communication to interoperability

  14. Electronic Health Record EHR - Basic generic form • repository of information regarding the health of a subject of care, in computer processable form ISO TR 20514:2005 "Definition, Scope and Context of Electronic Health Records" EuroRec 2006, Genève

  15. Electronic Health Record System (EHRS) • system for recording, retrieving and manipulating information in electronic health records • CEN prEN 13606-1 "Electronic Health Record Communication - Part 1: Reference Architecture" • set of components that form the mechanism by which electronic health records are created, used, stored, and retrieved • It includes people, data, rules and procedures, processing and storage devices, and communication and support facilities • ISO TR 20514:2005 "Definition, Scope and Context of Electronic Health Records" EuroRec 2006, Genève

  16. Clinical process • relies on data and information management (and processing): • acquisition • reception/sending out (emission) • storage • classification • interpretation/confrontation against knowledge • building up and validating hypotheses, making decisions • production of new data and information EuroRec 2006, Genève

  17. Flows and stocks of health data • do reflect this activity • EHR systems are (should be) at the core of any health information systems • The idea of a single centralised health record is nothing but a pipe dream • Even if repositories of sharable data are increasingly needed • several health records held by different parties will inevitably always exist • between which messages will convey data • Some of them will contain sharable data • Interoperability between these records is an unavoidable requirement EuroRec 2006, Genève

  18. Definition of Interoperability CEN / TC251 • a state which exists between two application entities when, • with regard to a specific task, • one application entity can accept data from the other and perform that task • in an appropriate and satisfactory manner • without the needfor extra operator intervention EuroRec 2006, Genève

  19. Key role of interoperability • Single most importantcharacteristic of EHRs= ability toshare EHR information between different authorised users • In technical terms requires: • interoperability of information in the EHR • interoperability of EHR systems which exchange and share this information ISO TR 20514:2005 "EHR Definition, Scope, & Context" EuroRec 2006, Genève

  20. Administrative Records Medical Records Nursing Records Patient Personal Health Records Trends in EHR Systems • EHR Systems become • transmural / virtual • multidisciplinary and interactive • intelligent Integration with other health care software applications into bigger systems... EuroRec 2006, Genève

  21. Trends in EHR Systems • Medical and Bio-Medical data • “The PHENOMES will meet the GENOMES in the EHRs of the Future” • Security: Privacy Enhancing Techniques • Semantic Interoperability: Ontology based approaches • Added value of EHRs: eg.Decision Support Systems • Grid Technology: HealthGrid EuroRec 2006, Genève

  22. Current and future activities:The Q-REC project European Quality Labelling and Certification of Electronic Health Records (EHR) Systems IST – 27370 - SSA

  23. Objectives of the project • Design an effective, credible and sustainable mechanism for the Quality Labelling / certification of EHR Systems in Europe • Define a model for Quality Labelling / Certification including • Good Practices and Guidelines • Harmonised procedures EuroRec 2006, Genève

  24. The scope of Q-REC • does not include • either national projects • or general issues regarding interoperability • is restricted to interoperability between EHR Systems • With an emphasis on conformity testing and certification EuroRec 2006, Genève

  25. Operationally • State of the art and existing procedures for the Quality Labelling / Certification of EHR Systems • Terminology regarding Quality Labelling/ Certification • Functionalprofiles for the classification of EHR Systems to certified • Good practices and models of certification procedures • including a list of quality criteria • Manual of benchmarking processes by formal testing for the quality labelling / certification of EHR Systems • Business Model for Certification / Quality Labelling EuroRec 2006, Genève

  26. Resources to support interoperability of EHR Systems Permanent publicly accessible Registers of • Quality conformance criteria • EHR Archetypes • Coding Systems used in Health Care • Relevant standards for EHR Systems • Available XML schemas and Open-Source components for EHR Systems EuroRec 2006, Genève

  27. Partners in the consortium EuroRec 2006, Genève

  28. Other projects • EuroRec is part of the RIDE project • "A Roadmap for Interoperability of eHealth Systems in Support of COM 356 with Special Emphasis on Semantic Interoperability" • EuroRec is part of the EHR-Implement project • Meant to examine political, social and organisational factors influencing large scale EHR implementations, and to identify best practices EuroRec 2006, Genève

  29. Conclusion • EuroRec is playing its part in the development of eHealth in Europe, as anticipated by the European Commission • By facilitating and supporting the extensive development, implementation and use of interoperable high quality EHR systems throughout Europe • By providing an increasing number of effective services to suppliers, users, and public authorities EuroRec 2006, Genève

  30. as well as for your questions ! Thank you for your attention… www.eurorec.org EuroRec 2006, Genève

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