mediq eurorec’s first draft list of ehr certification criteria knut bernstein mediq [email protected]
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MEDIQ
EuroRec’s First Draft List of EHR Certification Criteria
Knut BernsteinMEDIQ
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Agenda
Criteria in Q-Rec The methodology The first preliminary list Next steps
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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
Warning!
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Criteria in QREC
Harmonisation of criteria
Surveys source criteria
Publicationand use
Classification
Indexing
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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)
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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
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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
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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
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Selection process (no. of criteria)
1400From BE, DK, IE, UK, US
1000Classification
188Grouping + QA
Harmonising + Peer review
81(Indexing)
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Medication management - examples
Keyword Criteria description ReferenceRead journal Read journal: The patients actual
medication are shownDK: 506-1
Review medication regimen
The system should display patient's medication regimen in a patients record.
IE: 819
Medication listings
The system shall display the current active medication lists for each patient
QREC
Prescribing The system shall record the prescribing of medication, including the indication or diagnosis
QREC
Prescriptions and reports
The system shall provide the ability to print and re-print prescriptions
QREC
Drug database The system shall allow to define preferred prescriptions for use in certain conditions.
QREC
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Medication data & processes
Reference data
Prescription data
medicinal products database
Administration data
prescription
medication administration
pt. medi-cation list
Medication data (history/active)
Prescribe (with decision support)
import,maintain
(re)print, send
document
view
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Health assessment - examples
Keyword Criteria description
Clinical reasoning
Interventions and care plans shall be linked to diagnoses or health assessments.
Customised screens and reports
The EHR system shall enable screens for data entry and display, and report and query tools to be customised according to user needs, for teams and or disciplines.
Controversial?Move to a general section?
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Care planning - examples
Keyword Criteria description
Apply care plan to the patient
The system shall provide the ability to apply (instantiate) a care plan, protocol, or guideline as the patients actual plan
Alert deviation from care plan
The system shall provide the ability of tracking of tasks to completion, and controls, including triggering of alerts where tasks have not been completed.
Monitoring outcomes
The system shall provide the ability to monitor of actual health outcomes against expected outcomes, identifying variations
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Published on the EuroRec web
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Published on the EuroRec web
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Published on the EuroRec web
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Published on the EuroRec web
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Published on the EuroRec web
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Indexing using an extensive classification
Harmonisation of criteria
Surveys source criteria
Publicationand use
Classification
Indexing
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Indexing
Business function
Care/usage setting
Criteria type
Specification weight
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
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Indexing
Business function
Care/usage setting
Criteria type
Specification weight
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
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Indexing
Business function
Care/usage setting
Criteria type
Specification weight
Care Setting• general practice• secondary care (hospital)
Criteria type• Functionality• Knowledge (terminology)• Data set
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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
