1. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien National Director Hospitals Office

2. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, GenevaIndex Context Key Expectations for EHR Quality labelling/certification Some associated considerations/issues

3. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, GenevaContext Purchaser/Payor Healthcare Authority Certification/Accreditation background EHR – central factor of production Increasing complexity of Health care delivery Multi-episode Multi-diagnosis Multi-location Multi-professional

4. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, GenevaContext Purchaser/Payor Healthcare Authority Certification/Accreditation background EHR – central factor of production Increasing complexity of Health care delivery Multi-episode Multi-diagnosis Multi-location Multi-professional EHR - Key Component of Healthcare Production Process

5. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, GenevaContext Cost Historic success limitations Investors in EHR’s expect: Efficient procurement/deployment Effective/quality outcomes Risk diminution Demonstrable RoI Improved patient experience and diagnosis/treatment/care outcomes Improved education/training/research outcomes Improved workforce productivity Improved business performance

6. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, GenevaContext Cost Historic success limitations Investors in EHR’s expect: Efficient procurement/deployment Effective/quality outcomes Risk diminution Demonstrable RoI Improved patient experience and diagnosis/treatment/care outcomes Improved education/training/research outcomes Improved workforce productivity Improved business performance QUALITY LABELLING AND CERTIFICATION OF EHR's HAS THE POTENTIAL TO SUPPORT MANY OR ALL OF THESE IMPERATIVES

7. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Key Expectations for EHR Quality Labelling/Certification More efficient procurement Potential time reduction: Standard Criteria & Certified Product/Vendors leads to: Speedier short listing Speedier evaluation Resource/time savings for Vendors & procurers Potential cost reductions Vendors Procurers More efficient deployment Suggest incorporation of deployment standards/criteria into the certification scheme Quality labelling/certification has potential to assure certified EHR vendors optimise deployment timeframes Potential cost reductions Speedier procure-to-use timelines

8. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Key Expectations For EHR Quality Labelling/Certification Effective Quality Outcomes A key requirement is that an EHR functions as specified Availability of quality assured products improve prospects in this area Risk Reduction Record of successful EHR acquisition/implementation not impressive Quality labelling/certification of EHR’s has potential to significantly reduce associated risk by: Specifying expectations/content of EHR'’s Specifying interoperability requirements of EHR Specifying deployment standards Educating vendors/users on requirements of successful EHR’s Driving performance standards convergence Certifying compliance with expectations, content, interoperability, deployment and standards requirements for specific EHR’s

9. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Key Expectations For EHR Quality Labelling/Certification RoI Assurance Potential to provide improved confidence that purpose/objectives of investment will be realised where products and vendors are quality assured Improved contribution of EHR’s to Service, Academic, Business Performance The standards/criteria structure for quality labelling/certification scheme must be constructed around service, academic, business performance excellence Scheme likely to guide/push vendor community to match product to service excellence standards

10. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Key Expectations For EHR Quality Labelling/Certification RoI Assurance Potential to provide improved confidence that purpose/objectives of investment will be realised where products are quality assured Improved contribution of EHR’s to Service, Academic, Business Performance The standards/criteria structure for quality labelling/certification scheme must be constructed around service, academic, business performance excellence Scheme likely to guide/push vendor community to match product to service excellence standards QUALITY LABELLING/CERTIFICATION HAS EXTENSIVE POTENTIAL TO SIGNIFICANTLY IMPROVE SUCCESS AND PERFORMANCE POSSIBILITIES FOR EHR’S AT SEVERAL LEVELS FOR PURCHASERS/ FUNDERS/HEALTH AUTHORITIES. IT IS TO BE WELCOMED/SUPPORTED

11. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Some Associated Considerations/issues Capacity/capabilities of receptor entities : Procurement capability/capacity Implementation capability/capacity

12. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Some Associated Considerations/issues Capacity/capabilities of receptor entities : Procurement capability/capacity Implementation capability/capacity QUALITY LABELLING/CERTIFICATION OF EHRs AND VENDORS NOT SUFFICIENT TO ASSURE SUCCESS. NEED TO SPECIFY AND ASSURE RECEPTOR CAPACITY/ CAPABILITY THROUGH REQUIREMENT SET

13. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Some Associated Considerations/issues Standards/criteria must be Demonstrably excellence / best-in-class based Continuously updated/redeveloped Currency relevance assured Process of quality labelling/certification scheme as important as structure (standards/criteria) Surveyors Capabilities/Selection / Training/Credibility Mandatory / voluntary Evaluation approach (audit vs SA / PR etc.) Certification award (pass/fail vs graded etc.) QA/QI focus Continuously evaluated

14. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Some Associated Considerations/issues Objectivity of scheme Notified Body Government vs non-Government Anti-competitiveness avoidance

15. Expectations from the Process of EHRs Quality Labelling and Certification John O’Brien – National Director Hospitals Office “Electronic Health Record systems (EHRs) and Certification” Annual Conference 10-10-2006, Geneva Some Associated Considerations/issues Objectivity of scheme Notified Body Government vs non-Government Anti-competitiveness avoidance CRITICAL ISSUES NOT PREDETERMINED. CORE PHILOSOPHY FREQUENTLY NOT SUFFICIENTLY PROVIDED FOR