1. First ARGOS Workshop First ARGOS WORKSHOP (Barcelona, March 15, 2010) EHR Certification in EU Georges De Moor georges.demoor@UGent.be This project is funded by the European Union

2. First ARGOS Workshop First ARGOS WORKSHOP: certification What are the issues? Rationale for EHR Certification: Numerous benefits for each type of stakeholder: Quality, interoperability for continuity of care and patient safety, robustness of EHR systems, investment risk reduction for purchasers, competitive advantage for vendors, market defragmentation…: see EuroRec discussion document.

3. First ARGOS Workshop First ARGOS WORKSHOP: certification Past and present approaches? Certification at EU Member State level: e.g. Belgium, Denmark, UK, Ireland, France… (Lessons learnt: see EuroRec discussion document) Harmonisation of certification at European level: e.g. through the EuroRec Seal and EuroRec/Prorec certification of industrial products in Austria, Denmark, Ireland… Different models: organised by HC authorities, up to…: self assessment by vendors…

4. First ARGOS Workshop First ARGOS WORKSHOP: certification Achievements (1)? (QRec project) The EuroRec Repository of Q.A. Criteria: + 1600 validated, indexed and translated criteria Certification Procedures The EuroRec Tools: the Certifier, the Documenter, the Procurer Services

5. First ARGOS Workshop First ARGOS WORKSHOP: certification Achievements (2)? (EHR-Q-TN project) Validation and further Translation of the Criteria: Further focus on criteria for: Medication Management, e- Prescription, and Summary Records… Validation and Customisation of the Tools EU Market overview plus inventory of EHR

6. First ARGOS Workshop First ARGOS WORKSHOP: certification Main Obstacle in the EU EU: Subsidiarity Principle: In Europe “Health care” is still under the authority of the EU Member States… EuroRec has to pass through the European Parliament…

7. First ARGOS Workshop First ARGOS WORKSHOP: certification Opportunities for EU-US Collaboration (the right moment) EU: EHR Q TN -project : New momentum for certification deployment in EU, incl. Eastern European member states… US: Incentive Programs provided through the Recovery Act: New proposed certification: 60 day comment-time-period… Common Visions emerging: importance of detailed clinical models, of more involvement of clinicians, of the principle of meaningful use…

8. First ARGOS Workshop First ARGOS WORKSHOP: certification Possible recommendations General Information Exchange through a Common Platform Agreements on common priorities (common framework?) International Harmonisation of certification criteria and procedures? (vendors are craving for it…) Development and validation of common archetypes (detailed clinical models) at a global level? Cross recognition of certification? Common certification authority?

9. First ARGOS Workshop First ARGOS WORKSHOP: Discussion Expected outcomes: - Policy briefs with recommendations - A plan for further collaboration? - A proposal for a EU-US collaboration platform? - Scientific outputs: papers, publications, book? - Gobal “Grand Finale” Conference

10. First ARGOS Workshop Next ARGOS WORKSHOP: AMIA Washington Date: November 12, 2010? - Activities before November (note: the 3 target areas are not too much dependent from each other) - Pre- or post- conference session? - Parallel session? - Panel discussion? other...? - Speakers and Experts to be invited?