past, current and future initiatives of eurorec

Sarajevo, September 1, 2009 Georges De Moor, MD, PhD

EuroRec 2009 Annual Conference

Past, Current and Future Initiativesof EuroRec

Prof. Dr. Georges DE MOOREuroRec President

http://www.mie2009.org/


Current and Future Initiatives of EuroRec

2

EuroRec is an independent not-for-profit organisation established in 2003.

Its main mission is to promote - as a federation of national ProRec centres (15 member countries and 7 new applicants) - the use of high quality Electronic Health Record systems (EHRs) in Europe.

It therefore also supports certification by defining quality criteria.


Sarajevo, September 1, 2009 Georges De Moor, MD, PhD 3


- Adapt EuroRec’s Articles of Association (General Assembly Meeting,Nov.2009, Dublin)- Redefine EuroRec’s Global Business Plan

Organisational Issues:




- MediRec (FP3) (94-95) (C.A.) Lisbon Declaration (Recom. 9)

- ProRec (FP4) (96-98) (S.A.) Creation of first ProRec centres

- Widenet (FP5) (00-03) (A.M) Creation of EuroRec

- QRec (FP6) (05-08) (S.S.A.) Creation of Repository & Tools

- EHR-Implement (FP6) (07-10) Strategic Recommendations

- EHR-Q-TN (FP7) (09-12) (T.N.) Dissemination/Implementation

- HITCH (FP7) (09-10)

History of EU funded Projects




EuroRec has installed a central repository of validated quality criteria and other relevant materials that can be used to harmonise European quality labelling or certification, product documentation and procurement specification of EHR systems.

EuroRec will not impose any particular certification model or any specific criteria on any member country but will foster, via accredited centres and other channels, the progressive adoption of consistent and comparable approaches to EHR system quality labelling (cf. several models ! and EuroRec seal).

(today: +1500 criteria with translations in 18 languages).




- MediRec (FP3) (94-95) (C.A.) Lisbon Declaration (Recom. 9)

- ProRec (FP4) (96-98) (S.A.) Creation of first ProRec centres

- Widenet (FP5) (00-03) (A.M) Creation of EuroRec

- QRec (FP6) (05-08) (S.S.A.) Creation of Repository & Tools

- EHR-Implement (FP6) (07-10) Strategic Recommendations

- EHR-Q-TN (FP7) (09-12) (T.N.) Dissemination/Implementation

- HITCH (FP7) (09-10)

History of EU funded Projects




EHR-Implement is collecting, analyzing and comparing broad scale Electronic Health Record implementations in European countries in order to provide best practice and strategic recommendations.In the past political, social and organizational aspects that can jeopardise implementation have been overlooked.




This project fits with objective 1.6 of the 2nd Call for Proposals for the CIP-ICT PSP program: “Improving certification of e-Health products”

EHR-QTN is a Thematic Network project that prepares the health community across Europe (including also most Eastern European countries) for systematic and comparable quality assurance and certification of Electronic Health Record systems and other e-Health products. It is in the first place a dissemination project.

EuroRec is offering its repository of quality criteria and its tools to facilitate the deployment of such certifications throughout Europe.



Current and Future Initiatives of EuroRec

10

EHR-QTN

3 years28 Partners24 Countries72 Workshops

Austria

Ireland

United Kingdom

Belgium

Czech Republic

Hungary

Greece

Germany

France

Estonia

Denmark

Bulgaria

Croatia

Cyprus

Italy

Luxembourg

Netherlands

Norway

Poland

Portugal

Romania

Serbia

Slovakia

Slovenia

Spain




- Disseminating

- Translating of validating existing criteria and tools

- Defining the content of the EuroRec Seal 2010 (security; summary records; medication management and e-prescription)

- Strengthening via the ProRec centres its liaisons with all stakeholders (including governments)

- Conducting a market survey (a.o. database of vendors of EHR systems)- …




Healthcare Interoperability Testing and Conformance Harmonization

Establish a deployable process for the Technical Conformance Testing of Interoperability of ICT systems for Health.

…a project where two different worlds will interact with each other:

- Technical Conformance Testing of Interoperability , ,and

- Quality Labelling and Certification

! CEN/CENELEC/ETSIM403 – eHealth Interoperabillity / Phaze 2

HITCH




- Semantic Interoperability: the EHR-content, ontologies, archetypes, templates, terminologies

- Personal Health Records: and their interaction with Professional Health Records

- Re-use of Electronic Health Record data: for research, clinical trials (and vice-versa! )

- EHRs and Pre-emptive care: genetic data to manage individual risk for potential diseases

- Certification of other EHR-related systems: widening EuroRec’s scope

- Collaboration at global level: e.g. between the EU and the US

Other New Areas of Interest




- to identify high quality archetypes (detailed clinical models) which will have been developed elsewhere and to make them available to a broader community; including in the repository - in addition to “funtional “criteria - ,criteria related to “content”

- to organize the involvement of clinicians via their official and authoritative associations (cf. ELSA)

- to develop formal methods of validating the design and content of archetypes

- to develop a formal process of verification and certification for archetypes

Validation of detailed clinical models




EHRs: Secondary Uses (examples)

User / Clinician

re-use

ClinicalTrial

Safety and Adverse

event Register

EHR

Decision Support

UtilisationReview

MarketingBillingt2 t4

t5

t6

t3

KnowledgeMgmt

Platform

t1 (de-identification)

Patient




Pilot Projects: “Transatlantic Methods for Handling Global Challenges in the European Union and United States”

RELEX/C1/2009/PP

The general objective of the pilot projects is to promote mutual understanding and learning among EU and US policy researchers and policymakers on a number of challenges with a global dimension.

EuroRec’s interest:Comparative assessment of the EU and US approaches in the target area“e-Health: interoperability and certification of Electronic Health Records”




Theme 1: Re-use of Clinical Care and of Clinical Trial Data

Theme 2: Personal Health Systems, Personal Electronic Health Records and Professional Electronic Healthcare Records

Theme 3: Towards Interoperability through Quality Labelling and Certification

Theme 4: Semantic Interoperability: Terminologies and Classifications, Ontologies, Artefacts and Templates




- EuroRec is reinforcing its internal structure and is redefining its business plan.

- EuroRec is further deploying certification services (one of its main missions) in Europe.

- EuroRec is broadening the spectrum of its R&D activities hereby focusing on semantic interoperability (EHR content ).

- EuroRec is striving to get to more convergence with other organisations at global level .

SUMMARY




http://www.eurorec.org

[email protected]

Thanks for listening!




08:30 – 09:00 Registration

Theme 1: Re-use of Clinical Care and of Clinical Trial Data

09:00 – 09:15 Georges De Moor, EuroRec, Belgium Current and Future Initiatives of EuroRec.

09:15 – 09:40 Elaine Sawatsky, Canada Health System Use of Data: Secondary but Important.

09:40 – 10:00 Selina Sibbald, Quintiles, United Kingdom

Re-use of clinical care and of clinical trial data. A CRO point of view.

10:00 – 10:20 Andreas Schmidt, Hoffman-La Roche, Switzerland (TBC)

The possible impact of the re-use of EHR data. A point of view from the pharma industry.

10:20 – 10:45 Discussion

10:55 – 11:30 Break




Theme 2: Personal Health Systems, Personal Electronic Health Records and Professional Electronic Healthcare Records

11:30 – 12:00

Laurent Debenedetti – GIP-DMP, France

Re-launching the French national project ‘DMP – Dossier Médical Personnel’ based on lessons learnt, local engagement and Concertation.

12:00 – 12:20

Discussion




Theme 3: Towards Interoperability through Quality Labelling and Certification

14:00 – 14:20 Jos Devlies, EuroRec, Belgium

The EuroRec Seal 2010

14:20 – 14:40 Richard Perkins,eClinical Forum, France

EHR-CR, EHR compliant to clinical trial requirements.

14:40 – 15:10 Discussion

15:10 – 15:40 Break




Theme 4: Semantic Interoperability: Terminologies and Classifications, Ontologies, Artefacts and Templates

15:40 – 16:10 Ceusters Werner, Buffalo University, USA

Post-hoc interpretation of mutually incoherent information models:the role and benefits of realism-based ontology.

16:10 – 16:40 Dipak Kalra, City University, United Kingdom

The contribution of archetypes towards semantic interoperability within national eHealth programmes.

16:40 – 17:30 Michael Palmer,Commission, EuropeGeorges De Moor, EuroRec, Belgium

Debate and Conclusions


past, current and future initiatives of eurorec

Documents