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This workshop focuses on improving EHR quality by addressing quality issues, defining requirements, and creating a consistent language for functional statements. EuroRec's approach includes a repository with over 1,700 functional statements, tools for quality labelling, procurement, and documentation, as well as services for interested parties. The workshop aims to promote reliable applications, standard compliance, and effective usage of e-Health systems. By emphasizing quality requirements and interoperability, EuroRec strives to enhance the efficiency and effectiveness of healthcare systems. Join us to explore the EuroRec repository and its impact on EHR quality assessment on January 26, 2011, in Vilnius, Lithuania.
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EuroRec Functional Statements Repository EHR-QTN Workshop Vilnius, January 26, 2011 Dr. Jos Devlies, Belgium
Health IT has a great potential • To increase efficiency of care by • Reducing useless and duplicated tests and interventions; • Reducing cost of processing (paper) documents. • To increase quality of care by • Availability of shared interoperable patient data; • Monitoring and enabling evidence based disease management; • Integrating knowledge based clinical surveillance and decision support. EHR-QTN Workshop – Vilnius - Lithuania
But we have… EHR-QTN Workshop – Vilnius - Lithuania
a big quality issue… Quality of the products as such very disparate, sometimes incredibly poor, not always offering what they promise. Poor availability of “interoperable” content due to a lack of standards, due to insufficient use of existing standards. Poor “usability” of content due to insufficient structuring of that “content”: still too much free text in the absence of efficient tools to interpret that free text. Enormous issue of no usage, under-usage, wrong usage of even the best applications. EHR-QTN Workshop – Vilnius - Lithuania
Quality • Is never obvious. • It requires a commitment to quality requirements • It requires for applications to be • Reliable & Trustworthy • Functional & Comparable • Sufficient user friendly • Structured and as much as possible “interoperable” EHR-QTN Workshop – Vilnius - Lithuania
This means that authorities need to Define requirements for EHR systems => regulation Test or verify compliance of a system to these requirements Quality assess an e-Health application EHR-QTN Workshop – Vilnius - Lithuania
But we have a problem… To express what we expect an application has to do. To document in a reliable way the functions of an application in order to optimise procurement of applications. To translate political and social functional needs into product requirements. To verify that these requirements are met… To measure the appropriate use of the systems. EHR-QTN Workshop – Vilnius - Lithuania
We need… a “language” in a consistent way across domains and countries To describe functionality. To describe requirements. To translate those requirements in product specifications. To redact test criteria and procedures to validate applications against these specifications. EHR-QTN Workshop – Vilnius - Lithuania
EuroRec approach to quality assessment----------EuroRec Repository EHR-QTN Workshop – Vilnius - Lithuania
EuroRec created • A repository of functional “descriptive statements” • Over 1.700 statements • A subset translated in 19 languages • Generic statements as well as statements addressing “specialised” areas as e.g. “requirements for EHR systems as source for clinical trials data” • EuroRec does not define what’s required • Suggesting “professional profiles”. • Leaving it to the authorities to decide what’s important… slightly different in each country (healthcare still national competence). • Also “less than best” practice needs to be described. EHR-QTN Workshop – Vilnius - Lithuania
EuroRec created • Tools to use these statements • As test criteria for quality labelling • For Product procurement • For Product documentation • A set of services to assist interested parties • A validation service against “cross-border subsets” of quality requirements (EuroRec Seal) EHR-QTN Workshop – Vilnius - Lithuania
The EuroRec Repository EHR-QTN Workshop – Vilnius - Lithuania
Sources… http://www.eurorec.org Belgium (1999-2006-2010) CCHIT (USA) Alberta (Canada) Ireland (GP-IT) France (LAP) Denmark Meaningful use (USA) Clinicalresearch (eClinical Forum) Austria (Labfunctions) EHR-QTN Workshop – Vilnius - Lithuania
Medication related decision support… EHR-QTN Workshop – Vilnius - Lithuania
Indexing and Search Interface EHR-QTN Workshop – Vilnius - Lithuania
Overview translated statements EHR-QTN Workshop – Vilnius - Lithuania
A set of statements in Serbian EHR-QTN Workshop – Vilnius - Lithuania
A set of statements in Croatian EHR-QTN Workshop – Vilnius - Lithuania
A set of statements in Serbian EHR-QTN Workshop – Vilnius - Lithuania
A set of statements in Greek & English EHR-QTN Workshop – Vilnius - Lithuania
“National Variants” Statements are “generic” which means that some of them need to be specified. The intention is to be more specific on some issues in order to comply to e.g. national regulations. Can be defined in each of the local languages, but only after producing an English version of the National Variant. EHR-QTN Workshop – Vilnius - Lithuania
National variant interface Grey flag indicating: no national variant Coloured flag: existing national variant. Click on grey flag: interface for data entry English version of a national variant first. Click on coloured flag: specific national variant(s) will be displayed. EHR-QTN Workshop – Vilnius - Lithuania
National variant creation (English first) Only after adding the English statement, possibility to add national variants in national language(s). Possible to edit an existing national variant with version management. (see next slide) EHR-QTN Workshop – Vilnius - Lithuania
List of (some/all) National Variants EHR-QTN Workshop – Vilnius - Lithuania
HL 7 criteria ? • Main difference: functionality and “regulation” in one statement • Problem: • -quite some criteria does (not/only) apply in a given environment / domain of application • regional / national differences depending on legal / cultural context or on local priorities • Nevertheless: addressing the same issues EHR-QTN Workshop – Vilnius - Lithuania
Conclusions As explained in other presentations: there is a big role for national health authorities in quality assurance of e-Health products used in the respective countries. There is also a need to cross-border recognition of quality labelling and certification. EuroRec developed tools to facilitate that quality labelling and certification USE THEM ! EHR-QTN Workshop – Vilnius - Lithuania
Thank You ! EHR-QTN Workshop – Vilnius - Lithuania