1. MEDIQ EuroRec’s First Draft List of EHR Certification Criteria Knut Bernstein MEDIQ kb@mediq.dk

2. MEDIQ Agenda  Criteria in Q-Rec  The methodology  The first preliminary list  Next steps

3. MEDIQ 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!

4. MEDIQ Criteria in QREC Harmonisation of criteria Surveys  source criteria Publication and use ClassificationIndexing

5. MEDIQ 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)

6. MEDIQ 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

7. MEDIQ 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

8. MEDIQ 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

9. MEDIQ Selection process (no. of criteria) 1400 From BE, DK, IE, UK, US 1000 Classification 188 Grouping + QA Harmonising + Peer review 81 (Indexing)

10. MEDIQ Medication management - examples

11. MEDIQ 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

12. MEDIQ Health assessment - examples KeywordCriteria 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?

13. MEDIQ Care planning - examples KeywordCriteria 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

14. MEDIQ Published on the EuroRec web

15. MEDIQ Published on the EuroRec web

16. MEDIQ Published on the EuroRec web

17. MEDIQ Published on the EuroRec web

18. MEDIQ Published on the EuroRec web

19. MEDIQ Indexing using an extensive classification Harmonisation of criteria Surveys  source criteria Publication and use Classification Indexing

20. MEDIQ 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

21. MEDIQ 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

22. MEDIQ Indexing  Business function  Care/usage setting  Criteria type  Specification weight Care Setting general practice secondary care (hospital) Criteria type Functionality Knowledge (terminology) Data set

23. MEDIQ 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

24. MEDIQ Thank you for your attention Knut Bernstein MEDIQ kb@mediq.dk