EuroRec’s First Draft List of EHR Certification Criteria

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

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

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

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

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

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

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

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

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

Medication management - examples MEDIQ

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

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

Care planning - examples MEDIQ

Published on the EuroRec web MEDIQ

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

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

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

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

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

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

EuroRec’s First Draft List of EHR Certification Criteria