First ARGOS Workshop First ARGOS WORKSHOP (Barcelona, March 15, 2010) EHR Certification in EU Georges De Moor This project is funded by the European Union

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.

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…

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

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

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…

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…

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?

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

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?