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Expectations from the Process of EHRs Quality Labelling and Certification

Expectations from the Process of EHRs Quality Labelling and Certification. John O’Brien National Director Hospitals Office. Index. Context Key Expectations for EHR Quality labelling/certification Some associated considerations/issues. Context. Purchaser/Payor Healthcare Authority

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Expectations from the Process of EHRs Quality Labelling and Certification

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  1. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien National Director Hospitals Office

  2. Index • Context • Key Expectations for EHR Quality labelling/certification • Some associated considerations/issues

  3. Context • Purchaser/Payor • Healthcare Authority • Certification/Accreditation background • EHR – central factor of production • Increasing complexity of Health care delivery • Multi-episode • Multi-diagnosis • Multi-location • Multi-professional

  4. Context • Purchaser/Payor • Healthcare Authority • Certification/Accreditation background • EHR – central factor of production • Increasing complexity of Health care delivery • Multi-episode • Multi-diagnosis • Multi-location • Multi-professional EHR - Key Component of Healthcare Production Process

  5. Context • Cost • Historic success limitations • Investors in EHR’s expect: • Efficient procurement/deployment • Effective/quality outcomes • Riskdiminution • Demonstrable RoI • Improved patient experience and diagnosis/treatment/care outcomes • Improved education/training/research outcomes • Improved workforce productivity • Improved business performance

  6. Context • Cost • Historic success limitations • Investors in EHR’s expect: • Efficient procurement/deployment • Effective/quality outcomes • Riskdiminution • Demonstrable RoI • Improved patient experience and diagnosis/treatment/care outcomes • Improved education/training/research outcomes • Improved workforce productivity • Improved business performance QUALITY LABELLING AND CERTIFICATION OF EHR's HAS THE POTENTIAL TO SUPPORT MANY OR ALL OF THESE IMPERATIVES

  7. Key Expectations for EHR Quality Labelling/Certification • More efficient procurement • Potential time reduction: • Standard Criteria & Certified Product/Vendors leads to: • Speedier short listing • Speedier evaluation • Resource/time savings for Vendors & procurers • Potential cost reductions • Vendors • Procurers • More efficient deployment • Suggest incorporation of deployment standards/criteria into the certification scheme • Quality labelling/certification has potential to assure certified EHR vendors optimise deployment timeframes • Potential cost reductions • Speedier procure-to-use timelines

  8. Key Expectations For EHR Quality Labelling/Certification • Effective Quality Outcomes • A key requirement is that an EHR functions as specified • Availability of quality assured products improve prospects in this area • Risk Reduction • Record of successful EHR acquisition/implementationnot impressive • Quality labelling/certification of EHR’s has potential to significantly reduce associated risk by: • Specifying expectations/content of EHR'’s • Specifying interoperability requirements of EHR • Specifying deployment standards • Educating vendors/users on requirements of successful EHR’s • Driving performance standards convergence • Certifying compliance with expectations, content, interoperability, deployment and standards requirements for specific EHR’s

  9. Key Expectations For EHR Quality Labelling/Certification • RoI Assurance • Potential to provide improved confidence that purpose/objectives of investment will be realised where products and vendors are quality assured • Improved contribution of EHR’s to Service, Academic, Business Performance • Thestandards/criteria structure for quality labelling/certification scheme must be constructed around service, academic, business performance excellence • Scheme likely to guide/push vendor community to match product to service excellence standards

  10. Key Expectations For EHR Quality Labelling/Certification • RoI Assurance • Potential to provide improved confidence that purpose/objectives of investment will be realised where products are quality assured • Improved contribution of EHR’s to Service, Academic, Business Performance • Thestandards/criteria structure for quality labelling/certification scheme must be constructed around service, academic, business performance excellence • Scheme likely to guide/push vendor community to match product to service excellence standards QUALITY LABELLING/CERTIFICATION HAS EXTENSIVE POTENTIAL TO SIGNIFICANTLY IMPROVE SUCCESS AND PERFORMANCE POSSIBILITIES FOR EHR’S AT SEVERAL LEVELS FOR PURCHASERS/ FUNDERS/HEALTH AUTHORITIES. IT IS TO BE WELCOMED/SUPPORTED

  11. Some Associated Considerations/issues • Capacity/capabilities of receptor entities: • Procurement capability/capacity • Implementation capability/capacity

  12. Some Associated Considerations/issues • Capacity/capabilities of receptor entities: • Procurement capability/capacity • Implementation capability/capacity QUALITY LABELLING/CERTIFICATION OF EHRs AND VENDORS NOT SUFFICIENTTO ASSURE SUCCESS. NEED TO SPECIFY AND ASSURE RECEPTOR CAPACITY/ CAPABILITY THROUGH REQUIREMENT SET

  13. Some Associated Considerations/issues • Standards/criteria must be • Demonstrably excellence / best-in-class based • Continuously updated/redeveloped • Currency relevance assured • Process of quality labelling/certification scheme as important as structure (standards/criteria) • Surveyors • Capabilities/Selection/Training/Credibility • Mandatory / voluntary • Evaluation approach (audit vs SA / PR etc.) • Certification award (pass/fail vs graded etc.) • QA/QI focus • Continuously evaluated

  14. Some Associated Considerations/issues • Objectivity of scheme • Notified Body Government vs non-Government • Anti-competitiveness avoidance

  15. Some Associated Considerations/issues • Objectivity of scheme • Notified Body Government vs non-Government • Anti-competitiveness avoidance CRITICAL ISSUESNOT PREDETERMINED. CORE PHILOSOPHYFREQUENTLY NOT SUFFICIENTLY PROVIDED FOR

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