Quality and Certification of Electronic Health Records

A. Hoerbst; E. Ammenwerth

doi:10.4338/ACI-2010-02-R-0009

Applied Clinical Informatics, Table of Contents

Appl Clin Inform 2010; 01(02): 149-164
DOI: 10.4338/ACI-2010-02-R-0009

Review

Schattauer GmbH

Quality and Certification of Electronic Health Records

An overview of current approaches from the US and Europe

A. Hoerbst

¹Research Division eHealth and Telemedicine, UMIT – University for Health Sciences, Medical Informatics and Technology, Eduard-Wallnoefer-Zentrum 1, Hall in Tirol, Austria

,

E. Ammenwerth

²Institute for Health Information Systems, UMIT – University for Health Sciences, Medical Informatics and Technology, Eduard-Wallnoefer-Zentrum 1, Hall in Tirol, Austria

› Author Affiliations

Abstract

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Keywords

Quality - certification - electronic health record - medical records

References

References
1 Berner E, Moss J. Informatics challenges for the impending patient information explosion. J Am Med Inform Assoc 2005; 12 (Suppl. 06) 614-617.
2 Eurostat.. Database Query –Healthcare Expenditures for all healthcare providers, per inhabitant from 2003 to 2006. http://epp.eurostat.ec.europa.eu/portal/page/portal/health/public_health/database
3 Burns F. Information for Health: An information strategy for the modern NHS 1998-2005. A national strategy for local implementation. 2006 [cited 2010 10.01.]; Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4002944
4 Sittig DF. Personal health records on the internet: a snapshot of the pioneers at the end of the 20th Century. Int J Med Inform 2002; 65 (Suppl. 01) 1-6.
5 Detmer D, Bloomrosen M, Raymond B, Tang P. Integrated personal health records: transformative tools for consumer-centric care. BMC Med Inform Decis Mak 2008; 8: 45.
6 Waegemann C. Testimony Regarding Personal Health Records. National Committee on Vital and Health Statistics. Chicago, IL, July 24, 2002. 2002 [cited 2010 10.01.]; Available from: http://www.ncvhs.hhs.gov/020724p6.htm
7 National IT Strategy 2003-2007 for the Danish Health Care Service, Ministry of the Interior and Health. Editor. 2003, Ministry of the Interior and Health.
8 Bernstein K. et al. Modelling and implementing electronic health records in Denmark. Methods of Information in Medicine, 2005; 74 (Suppl. 02) 213-220.
9 Hörbst A, Schabetsberger T, Ammenwerth E. Die Elektronische Gesundheitsakte –Interesse und Akzeptanz der Tiroler Bürger in eHealth2008 –Medical Informatics meets eHealth: Tagungsband eHealth2008 & eHealth Benchmarking. 2008. Wien: OCG.;
10 ISO 9000, ISO 9000 –Quality management systems.. Fundamentals and vocabulary. 2005 International Organization for Standardization.
11 CCHIT.. About the Certification Commission for Health Information Technology. [Website]. 2009 [cited 2010 10.01.]; Available from: http://www.cchit.org/about
12 Leavitt M, O’Kane ME. Joint Statement from the National Committee for Quality Assurance and the Certification Commission for Healthcare Information Technology. 2005 [cited 2009 10.12.]; Available from: http://www.ncqa.org/Portals/0/Newsroom/2005/Joint_5_24_05.pdf
13 Hörbst A. Grundlagen der Qualitätszertifizierung von Diensten im Rahmen der Elektronischen Gesundheitsakte, in Institute for Health Information Systems. 2008 UMIT –University for Health Sciences, Medical Informatics and Technology: Hall in Tyrol. p. 321.
14 CCHIT.. Get involved with the Certification Commission. 2009 [cited 2010 10.01.]; Available from: http://www.cchit.org/participate
15 CCHIT.. Certification Handbook: CCHIT Certified 2011 –Comprehensive Certification Program. 2009 [cited 2010 10.01.]; Available from: http://www.cchit.org/sites/all/files/CCHIT%20Certified%202011%20Comprehensive%20Certification%20Handbook%20Oct%2020%202009.pdf
16 NCQA.. NCQA to Certify Electronic Health Record (EHR) Systems; Certification Based on Compatibility with Diabetes Program. National Committee for Quality Assurance;. 2005 [cited 2010 10.01.]; Available from: http://www.ncqa.org/tabid/281/Default.aspx
17 CCHIT.. Project Laika. Certification Commission for Health Information Technology. 2009 [cited 2010 10.01.]; Available from: http://www.cchit.org/laika
18 Public Law 111–5.. American Recovery and Reinvestment Act of 2009. 2009 [cited 2010 10.01.]; Available from: http://www.gpo.gov/fdsys/pkg/PLAW-111publ5/pdf/PLAW-111publ5.pdf
19 Office of the National Coordinator for Health Information Technology.. Federal Advisory Committees. 2009 [cited 2010 10.01.]; Available from: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1149&parentname=CommunityPage&parentid=40&mode=2&in_hi_userid=10741&cached=true
20 Health IT Policy Committee.. Health IT Policy Council Recommendations to National Coordinator for Defining Meaningful Use. 2009 [cited 2010 10.01.]; Available from: http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_888532_0_0_18/FINAL%20MU%20RECOMMENDATIONS%20TABLE.pdf
21 HIT Standards Committee –Joint Working Groups on Quality and Operations.. Meaningful Use Measure Grid - Data Elements Mapped to HITEP Datatypes. 2009 [cited 2010 10.01.]; Available from: http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_880493_0_0_18/MU%20Grid%20Data%20Element%20Standards_08202009.pdf
22 HIT Standards Committee.. PRIVACY AND SECURITY STANDARDS APPLICABLE TO ARRA REQUIREMENTS. 2009 [cited 2009 10.12.]; Available from: http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11113_880497_0_0_18/PRIVACY%20AND%20SECURITY%20STANDARDS%20APPLICABLE%20TO%20ARRA%20REQUIREMENTS.pdf
23 CCHIT.. Certification Handbook –Preliminary ARRA 2011 Certification Program. 2009 [cited 2010 10.01.]; Available from: http://www.cchit.org/sites/all/files/Preliminary%20ARRA%202011%20Certification%20Handbook%20Oct%2020%202009.pdf
24 EuroRec.. Articles of Association. 2009 01.11. [cited 2010 10.01.]; Available from: http://www.eurorec.org/files/filesPublic/Articles%20of%20Association%20November%202009.pdf
25 Devlies J. The EuroRec Seal 2010. 2009 [cited 2010 10.01.]; Available from: http://www.eurorec.org/files/filesPublic/eurorec2009/Seal2010Sarajevo.ppt
26 de Moor G. Extending “Certification of Electronic Health Records” at a Pan-European Level. 2009 [cited 2010 10.01.]; Available from: http://www.eurorec.org/files/filesPublic/Prague%2019feb09%20-%20DE%20MOOR%20Certification_alt.zip
27 European Commission.. EHR-Q-TN: Thematic Network on Quality and Certification of EHR systems. 2009 [cited 2010 10.01.]; Available from: http://ec.europa.eu/information_society/apps/projects/factsheet/index.cfm?project_ref=238912
28 Esterle L. EHR-Implement –National policies for EHR implementation in the European area: social and organizational issues. 2009 [cited 2010 10.01.]; Available from: http://www.ehr-implement.eu
29 National E-Health Transition Authority (NEHTA).. The National E-Health Transition Authority Strategic Plan (2009-2012). 2009 [cited 2010 10.01.]; Available from: http://www.nehta.gov.au/about-us/strategy
30 National E-Health Transition Authority (NEHTA).. Interoperability Framework Version 2.0. 2007 [cited 2010 10.01.]; Available from: http://www.nehta.gov.au/component/docman/doc_details/391-interoperability-framework-v20
31 MedCom.. MedCom –in English. 2009 [cited 2010 10.01.]; Available from: http://www.medcom.dk/wm109991
32 Health Level 7.. V3 Messaging Standard. 2009 [cited 2010 10.01.]; Available from: http://www.hl7.org/implement/standards/v3messages.cfm
33 Health Level 7.. Clinical Document Architecture. 2009 [cited 2010 10.01.]; Available from: http://www.hl7.org/implement/standards/cda.cfm
34 National Electrical Manufacturers Association.. DICOM –Strategic Document. 2009 [cited 2010 10.01.]; Available from: http://medical.nema.org/dicom/geninfo/Strategy.pdf
35 McDonald C, Huff S, Mercer K, Hernandez J, Vreeman D. Logical Observation Identifiers Names and Codes (LOINC^®) Users’ Guide. 2009 [cited 2010 10.01.]; Available from: http://loinc.org/downloads/files/LOINCManual.pdf
36 International Health Terminology Standards Development Organization.. About Snomed CT. 2009 [cited 2010 10.01.]; http://www.ihtsdo.org/snomed-ct/snomed-ct0
37 Blobel B. Q-Rec Project –Inventory of Relevant Standards for EHR Systems. 2007 [cited 2010 10.01.]; Available from: http://www.eurorec.org/services/standards/Q-RECEurorec_Overview%20on%20EHR%20Standards%2001.pdf
38 National E-Health Transition Authority (NEHTA).. Review of Shared Electronic Health Record Standards. Sydney, Australia: National E-Health Transition Authority;. 2006 [cited 2010 10.01.]; Available from: http://www.nehta.gov.au/component/docman/doc_download/68-review-of-shared-electronic-health-records-standards-v10
39 Eichelberg M, Aden T, Riesmeier J, Dogac A, Laleci GB. Electronic Health Records Standards –a Brief Overview. In: Proceedings of the 4th IEEE International Conference on Information and Communications Technology (ICICT 2006). 2006
40 Eysenbach G, Powell J, Kuss O, Sa E-R. Empirical studies assessing the quality of health information for consumers on the World Wide Web: a systematic review. Journal of the American Medical Association 2002; 287 (Suppl. 20) 2691-2700.
41 Kalra D. Electronic Health Record Standards. IMIA Yearbook of Medical Informatics 2006. Stuttgart: Schattauer GmbH; 2006: 136-144.
42 Ludwick D, Doucette J. A Review of General Practice System Certification Programs in Seven Countries and five Canadian Provinces. Healthcare Quarterly 2009; 12 (Suppl. 03) 111-123.
43 IHE International.. About IHE 2009 [cited 2010 10.01.]; Available from: http://www.ihe.net/About
44 IHE International.. Integrating the Healthcare Enterprise (IHE) International –Principles of Governance. 2007 Available from: http://www.ihe.net/governance/upload/IHE_Governance_Interim_Document_2007_10_05.pdf
45 openEHR.. The openEHR Foundation. 2008 [cited 2010 10.01.]; Available from: http://www.openehr.org/about/foundation.html
46 Schloeffel P, Beale T, Hayworth G, Heard S, Leslie H. The Relationship between CEN 13606, HL7, and OpenEHR. In: HIC 2006 and HINZ 2006: Proceedings. Westbrook J, Callen J, Margelis G, Warren J. (Editors). Brunswick East, Vic.: Health Informatics Society of Australia; 2006
47 Eichelberg M, Aden T, Riesmeier J, Dogac A, Laleci BG. A Survey and Analysis of Electronic Healthcare Record Standards. ACM Computing Surveys 2005; 37 (Suppl. 04) 277-315.
48 Bergmann J. openEHR –Die Geschichte eines Baukastensystems für eine gemeinsame Elektronische Gesundheitsakte. Forum der Medizin Dokumentation und Medizin Informatik 2005; 1: 8-15.
49 Classen D, Avery A, Bates D. Evaluation and Certification of Computerized Provider Order Entry Systems. Journal of the American Medical Informatics Association. 2007; 14 (Suppl. 01) 48-55.
50 Ludwick DA, Doucette J. Adopting Electronic Medical Records in Primary Care: Lessons Learned from Health Information Systems Implementation Experience in Seven Countries. International Journal of Medical Informatics. 2009; 78 (Suppl. 01) 22-31.
51 Han Y, Carcillo J, Venkataraman S, Clark R, Watson S, Nguyen T, Bayir H, Orr R. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005; 116: 1506-1512.
52 Terlaak A, King AA. The effect of certification with the ISO 9000 Quality Management Standard: A signaling approach. Journal of Economic Behavior & Organization 2006; 60 (Suppl. 04) 579-602.
53 Hoerbst A, Schabetsberger T, Hackl W, Ammenwerth E. Requirements Regarding Quality Certification of Electronic Health Records. In: Adlassnig K-P, Blobel B, Mantas J, Masic I, (Eds.) Medical Informatics in a United and Healthy Europe –Proceedings of MIE 2009 –The XXIInd International Congress of the European Federation for Medical Informatics. Studies in Health Technology and Informatics Vol. 150. Amsterdam: IOS Press.;
54 Integrating the Healthcare Enterprise (IHE) International.. IHE 2010 North America Connectathon Policies and Guidelines. 2009 Available from: http://www.ihe.net/north_america/upload/NA2010-Connectathon-Policies-and-Guidelines_2009-08-27.pdf.
55 Blobel Bernd und Pharow. Peter 2008. Analysis and Evaluation of EHR Approaches. In: Andersen, Stig Kjær und Klein, G. O. und Schulz, S. und Arts, J. und Mazzoleni, M. C., (eds.) eHealth beyond the horizon –get IT there: proceedings of MIE 2008, the XXIst international congress of the European Federation for Medical Informatics. Studies in health technology and informatics, 136. IOS Press; Amsterdam, S.: 359-364.