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EuroRec Functional Statements Repository

EuroRec Functional Statements Repository. Regional Conference on Quality Labelling and Certification Belgrade, November 21, 2011. Health IT has a great potential. To increase efficiency of care by Reducing useless and duplicated tests and interventions;

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EuroRec Functional Statements Repository

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  1. EuroRec Functional Statements Repository Regional Conference on Quality Labelling and Certification Belgrade, November 21, 2011

  2. 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. Regional Conference Belgrade

  3. But we have… Regional Conference Belgrade

  4. 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. Regional Conference Belgrade

  5. 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” Regional Conference Belgrade

  6. 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 Regional Conference Belgrade

  7. 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.

  8. 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. Regional Conference Belgrade

  9. EuroRec approach to quality assessment----------EuroRec Repository Regional Conference Belgrade

  10. 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. Regional Conference Belgrade

  11. 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) Regional Conference Belgrade

  12. The EuroRec Repository Regional Conference Belgrade

  13. 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) Regional Conference Belgrade

  14. Medication related decision support… Regional Conference Belgrade

  15. Regional Conference Belgrade

  16. Indexing and Search Interface Regional Conference Belgrade

  17. Regional Conference Belgrade

  18. Overview translated statements Regional Conference Belgrade

  19. A set of statements in Serbian Regional Conference Belgrade

  20. A set of statements in Croatian Regional Conference Belgrade

  21. A set of statements in Serbian Regional Conference Belgrade

  22. A set of statements in Greek & English Regional Conference Belgrade

  23. “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. Regional Conference Belgrade

  24. 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. Regional Conference Belgrade

  25. 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) Regional Conference Belgrade

  26. Dublin, November 17-18

  27. List of (some/all) National Variants Regional Conference Belgrade

  28. 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 Regional Conference Belgrade

  29. 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 ! Regional Conference Belgrade

  30. Thank You ! Regional Conference Belgrade

  31. Some extra on definitions Regional Conference Belgrade

  32. Definition :creation Select a term / concept to be defined by clicking the ‘dictionary’ icon. Sofia, December 8 & 9, 2010

  33. Sofia, December 8 & 9, 2010

  34. Sofia, December 8 & 9, 2010

  35. Definitions -----maintenance Brussels, April 1, 2010

  36. Sofia, December 8 & 9, 2010

  37. Sofia, December 8 & 9, 2010

  38. Definition Translations Translations are managed in the same interface as illustrated Sofia, December 8 & 9, 2010

  39. Sofia, December 8 & 9, 2010

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