EuroRec: Euroropean institute for health records
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EuroRec 2006


EuroRec 2006 Annual Conference: programme

“Electronic Health Record systems (EHRs) and Certification”
(10th of October, 2006, Geneva, Geneva Palexpo, Mont-Blanc hall)

Welcome and coffee (10:00 - 10:30)

Morning Session (10:30 - 12:00)

10:30 - 10:40

Introduction
Georges De Moor (EuroRec, President)

Prof. Dr. Georges De Moor

Prof. Dr. Georges De Moor

Professor Dr. Georges J.E. De Moor studied Medicine and specialised in Clinical Pathology and Nuclear Medicine at the State University of Ghent (Belgium), where he also obtained a PhD in Medical Information Science.

Currently, he is head of the Department of Health Informatics and Medical Statistics at the State University of Ghent, where he teaches Medical Informatics, Statistics, Decision Theory and Evidence Based Medicine.

As president of RAMIT (Research in Medical Informatics and Telematics), he has been involved in more than 80 European or International Research and Development projects, as well as in Standardisation activities. During seven years, Prof. De Moor acted as Founding Chairman of CEN/TC251, the official Technical Committee on standardisation in Health Informatics in Europe.

Prof. De Moor has also founded a number of spin-off companies (e.g. MediBRIDGE, GEMARAN, Language and Computing, Custodix and TeleTendo).He is also President of MSHUGe (Microsoft Healthcare Industry Users Group Europe, Asia and Africa) and of the EuroRec Institute (Certification of Electronic Health Record Systems in Europe).

Dr De Moor is also Head of the Clinical Pathology laboratory at the St Elisabeth Hospital in Zottegem.

Prof. De Moor chairs a number of official Committees (e.g. the Health Telematics Committee and the Clinical Pathology Committee of the Belgian Ministries of Health and Social Affairs,), as well as a number of scientific and professional organisations (e.g. of the Belgian physicians specialised in Health Data Management).

He has edited several books, and published over 200 articles in international peer reviewed scientific journals.

10:40 - 11:00

The EuroRec Institute: its Structure, Activities and its New Services
Francois Mennerat (EuroRec Secretary General)

Francois Mennerat

Francois Mennerat

Dr. François MENNERAT, MD PhD, who first practised as a Family Doctor, then got other University degrees, up to a PhD in health informatics and health systems management. After having been a medical adviser with public and non-for-profit health insurance bodies, an associate lecturer at the University of Saint-Étienne, and for three years an officer at the French Ministry of health, he is currently establishing as a private consultant. He has been very active for over 15 years in the field of Health Informatics, both in European R&D projects, and in CEN/TC251. He was the founding past chairman of ProRec-France, and is currently the secretary general of the EuroRec Institute.

11:00 - 11:10

Standardisation in Europe: the New Approach and the Importance of Certification
Octavian Purcarea replacing Anne Lehouck (E.C.)

Presentation

11:10 - 11:45

The EHR Standards: an Overview
Gerard Freriks (Q-REC Consortium, Partner)

Presentation

Gerard Freriks, MD

Gerard Freriks

Active in IT and medical informatics from 1970. Worked for 20 years as General Practitioner. Participation in standardisation organisations since 1996: HL7, CEN/tc251 (convenor of wg1) and ISO/tc215 Present activities: Quality of IT in healthcare, Information security, EHR, and eHealth strategies.

Vision:
Healthcare of the future needs IT of the future. IT of the future is based on new paradigms enabling: plug-and-play semantic interoperability, exchange of data, information and knowledge plus, new ways for human-computer interaction, very robust architectures and, high quality software design, building, implementation and maintenance.

11:45 - 12:00

The Relevance of EHR Standards and of EHR Quality Labelling for SMEs
Alain Maskens (Health One, Executive Director)

Presentation

Alain Maskens

Alain Maskens

While born and living in Brussels, Alain Maskens is currently the Chief Scientific Officer of HEALTHone Global Ltd (London, UK).

A Louvain (Belgium) and Boston trained internist and medical oncologist, he obtained a Ph. D. in experimental cancer research in 1982. He practiced medical oncology in Belgium for several years, while pursuing part-time research activities in preventative oncology.

Alain’s research activity acquainted him early with the use of computers, and led him to create, in 1985, the first version of Health One, one of the first examples of PC-based health record software. In 1986, he was co-founder of Health Data Management Partners s.a. (Brussels) (HDMP), within which the development and marketing of Health One for the Belgian market has been continued to the present day. At HDMP Alain participated in the creation of the international research consortium which won the invitation to tender of the European Community for the development of a widely applicable data architecture for electronic healthcare records (The Good European Health Record project, 1992-1995). His research effort was mainly directed towards the portability of the individual health record.

After the takeover of HDMP by SmithKline Beecham (1996/1997), Alain continued a career of independent consultant in medical informatics and remained active in the CEN working group on the standard architecture for communication of healthcare records.

In 2004, Alain Maskens cooperated in the creation of Health One Global, a Company now responsible for the development and distribution of HEALTHone based electronic healthcare record solutions at the international level.

LUNCH (offered to all participants by EuroRec and RAMIT) 12:00 - 13:30

Afternoon Session (13:30 - 16:00)

13:30 - 13:40

The Importance of the Certification of Electronic Health Record systems in Europe
Ilias Iakovidis (European Commission, DG Information Society)

Ilias Iakovidis

Ilias Iakovidis

Ilias Iakovidis PhD, is a Deputy Head of the ICT for Health unit of the European Commission. He is responsible for the research strategy of the unit and its implementation. He is working on the follow up of the eHealth Action Plan COM (2004) 356 of which he was the main co-author. He coordinates the international cooperation in the area of eHealth. Beyond the office duties he continues to publish in journals and books, teach at graduate programs and specialized seminars, and give keynote lectures at major international conferences. In 2001 he has been elected fellow of American College of Medical Informatics for his contribution to the field.

13:40 - 13:55

Quality Labelling and Certification of EHRs in Europe: The Q-REC project
Georges De Moor (EuroRec, President)

Presentation

13:55 - 14:15

EuroRec’s First Draft List of EHR Certification Criteria
Knut Bernstein (ProRec Denmark)

Presentation

Knut Bernstein

Knut Bernstein

Dr. Knut Bernstein Position: Director
Institution: MEDIQ
Country: Denmark
Web: www.mediq.dk
Email: kb@mediq.dk
Phone: +45 3092 2272

Dr. Knut Bernstein is a partner in the consultancy company MEDIQ, having electronic health record assessment, certification, semantic interoperability, and data modelling as his primary responsibilities. He is also working on IT strategy development and EHR dissemination plans.
Currently he is participating in the “European Quality Labelling and Certification of EHRs” project, and he is the president of ProRec Denmark. He has more than ten years experience with coordination of European R&D projects.

He has a long-standing experience in e-health, electronic communication, and standardisation from previous engagements with the Danish Healthcare Network and participation in CEN.

14:15 - 14:30

Implementing National EHRs Strategies in Europe:Organisational, Social and Political Issues
Laurence Esterle (INSERM, France)

Presentation

Laurence Esterle

Laurence Esterle

Laurence Esterle, M.D, PhD, is research director (senior scientist) at INSERM. From 1977 to 1991, she exercised research activities in the immunology field in INSERM laboratories. From 1991 to 1993, she was the scientific director of the French cystic fibrosis patient association. In 1993, she joined INSERM headquarters where she was in charge of the scientific programs on medical research, life sciences and public health. In 1999, she became Director of the department in charge of the scientific co-ordination and the scientific strategy.

In September 1999, she has joined the ‘Observatoire des sciences et des techniques’ (OST) as Deputy Director. OST is a public institute in charge of S&T indicator production and evaluation of R&D policies. She became Director of OST in 2001. At the end of her mandate in 2005, she joined Cermes, which is a CNRS/INSERM laboratory in France, specialised in the sociology of health and medical research. She is developing research on public policy and innovation in the field of eHealth. She is also invited scientist at the Institute of computer sciences in Forth (Greece) where she is studying the socio-technical aspect of eHealth innovation.

She is an expert of R&D policies and strategic evaluation and is involved in many scientific or evaluation committees at the national and European levels.

14:30 - 14:50

The RIDE Interoperability Roadmap
Asuman Dogac (RIDE, Turkey)

Presentation

Asuman Dogac

Asuman Dogac

Asuman Dogac, PhD
Professor, Department of Computer Engineering
Director, Software Research & Development Center
Faculty of Engineering
Middle East Technical University (METU)
Ankara, Turkey
http://www.srdc.metu.edu.tr/~asuman

Asuman Dogac is a full professor of Department of Computer Engineering at the Middle East Technical University, Ankara, Turkey and the founding director of the Software Research and Development Center at METU. Her research interests include Semantic Web, Internet computing, e-Business, and eHealth. She has more than hundred publications in refereed International journals and conferences which are available from: http://www.srdc.metu.edu.tr/webpage/ publications.html. Her project work is available from: http://www.srdc.metu.edu.tr/webpage/ projects.html.

In 2004, Prof. Dogac received IBM (USA) Faculty award. She is also the recipient of several local awards including 1991 Mustafa Parlar Research Award, 2000 METU Tarik Somer Superior Achievement award, and 2000 Mustafa Parlar Science award. Currently, she is on the editorial board of eight International Journals.

Break (14:50 - 15:00)

15:00 - 15:20

Archetypes: the Missing Link
Dipak Kalra (UCL, UK)

Presentation

Dipak Kalra

Dipak Kalra

Dipak Kalra is a clinical senior lecturer at CHIME (UCL). He plays a leading international role in research and development of electronic health record architectures and systems. His interests include the requirements and models needed to ensure the robust long-term preservation of clinical meaning and protection of privacy. He leads CEN and ISO Task Forces producing an international EHR Communications standard. He is involved in a UK Medical Research Council e-Science project, CLEF, developing a pseudonymised repository of cancer records and query tools to support bio-informatics research. Dipak is a Director of the openEHR Foundation, chairman of its Clinical Review Board and a member of its Architecture Review Board. He was previously a GP for eight years in a deprived part of London.

15:20 - 15:40

The Use of Coding Systems in EHRs: the role of SNOMED CT
Martin Severs (NHS, UK)

Presentation

Martin Severs

Professor Martin Severs is currently the Chairman of the NHS Information Standards Board which is the single assurance and approval body for the use of Information Standards within the NHS and with its communicating partners in England. As well as being a practicing Consultant Geriatrician, Martin is also the Associate Dean in Clinical Practice within the Science Faculty at the University of Portsmouth and until July 2006 the Higher Education Institutions representative Non-Executive Director on the Hampshire and Isle of Wight Strategic Health Authority. He has over 15 years of experience in health informatics and was the original chair of the medical group and initiator of the national professional information advisory groups in England. He has been and is one of representatives of the NHS on the SNOMED International Authority since its inception in 1999.

15:40 - 16:00

A Roadmap for EHR-Coding Systems
Pieter Zanstra (Semantic Health, The Netherlands)

Presentation

Pieter Zanstra

Pieter Zanstra

Plant physiologist / Medical Informatician.
1977-1978 University Illinois Champaign Urbana
1979-1984 State University Groningen
1985-1991 University Hospital Groningen. Deputy head of the department of Medical Information and Decision Science. 1989-1990 Prime contractor of the AIM project A1002 OAR;
1989-1990 Dutch National Council for Public Health for AIM project A1031 SESAME.
1991-... Radboud University Nijmegen Medical Centre; Co-ordinator Health Terminology Centre. 1992-1995 partner and co-leader of the AIM A2012 GALEN project. Member and Deputy convenor (2003)of CEN TC251 WG 2. Co-founder of the European Federation of Classification Centres. 1996-1998 Partner and co-leader of the HcT GALEN In Use project. Project Leader of the ToMeLo. 2006 Coordinator EU semanticHEALTH project. p.zanstra@mi.umcn.nl

Panel Discussion "Globalisation and Industry Perspectives"

16:00 - 16:10

Expectations from the Process of EHRs Quality Labelling and Certification
John O’Brien (National Hospitals Office, Director, Ireland)

Presentation

John O’Brien

John O’Brien

John is Director of the National Hospitals Office and is responsible for 53 Acute hospitals in the Health Service Executive. He was Chief Executive of St. James’s Hospital, the largest Academic Teaching Hospital in Ireland. He has extensive experience in Health and Hospital Management both Nationally and Internationally covering some 30 years. John has led and executed a large range of special interest initiatives in the Health Sector covering areas such as Information Systems, Strategy Planning, Commissioning of major health Enterprises, Corporate Governance and Executive systems design and large scale organisation reconfiguration and change. He has also participated as a member of a number of Ministerial/Department of Health & Children sponsored review groups including Steering Panels for the Value for Money Review of the Health System (Deloitte & Touche) and more recently the Audit of Structures and Functions in the Health System (Prospectus), which report formed the basis for the Major Reform Programme at present in implementation in the Irish Health System.

John holds graduate qualifications in Economics, Politics and Health Management and a Masters degree in Public Administration. He also holds a Senior Lecturer position in Health Policy and Management with the University of Dublin, Trinity College. John is a Fellow of the Royal Academy of Medicine in Ireland and a member of the Irish Statistical and Social Enquiry Society.

In the area of quality, John has acted as Project Director of the National initiative established to develop an Accreditation Scheme for the Irish Health System. Up to recently, he has held the position of Transitional Executive Head of the Irish Health Services Accreditation Board (IHSAB), the Statutory Body established to, inter alia, administer this scheme. He was appointed Surveyor as part of the first wave initiative in this area in 2000 and has led surveys in Major Academic and large group Hospitals both in and outside Ireland. He has also devised and overseen implementation of an extensive quality programme at St. James’s Hospital in recent years.

16:10 - 17:00

Discussion: Ilias Iakovidis, Georges De Moor, Dennis Niebergal (Canada), Kees Smedema (COCIR, The Netherlands), Jean François Penciolelli (ORACLE, France), Alain Maskens (Health One, Belgium), Bernd Blobel (ProRec, Germany), Ian Reinecke (Australia) and Chris Nolan, moderator (ProRec, Ireland)

Dennis Niebergal

Dennis Niebergal

Dennis P. Niebergal ...is the President & CEO of CLINICARE Corporation, a leading North American provider of Physician Office Software and Services. Prior to founding CLINICARE in 1984, Dennis held a number of information management and technical positions with a variety of computer and commercial firms. He holds a degree in Business Administration with a major in Computer Science from George Brown College in Toronto.

Dennis has been instrumental in the growth of CLINICARE. A visionary in the field of e-Health, Dennis is an internationally recognized expert in Electronic Medical Records (EMR). Dennis has been active as both a speaker or chair at numerous conferences and as a member of various national and international committees related to Health Information and Electronic Health Records (EHR). Dennis was an active member of the Alberta Health and Wellness Vendor Conformance Usability Requirements (VCUR) Committee and has chaired many of COACH’s annual Electronic Health Record Symposiums and Great Debates. Dennis received the COACH ‘President Award’ during the 2001 e-Health annual conference for all his voluntary efforts and contributions to COACH.

In December 2005, CLINICARE was recognized for the 3rd year in a row as ‘Best in KLAS’ for Ambulatory EMR (6-25 physician groups). With Dennis’s guidance over the last 22 years, CLINICARE has been rated as North America’s #1 Ranked EMR vendor. KLAS Enterprises, LLC is a research and consulting firm specializing in monitoring and reporting the performance of healthcare information technology (HIT) software vendors. In addition, at the inaugural event of the 2005 Canadian Health Informatics Awards, CLINICARE was honoured with the top distinction – ‘Company of the Year’ as well as ‘Corporate Citizen of the Year’.

Dennis was one of the founding members of the Canadian Healthcare Information Technology Trade Association (CHITTA) and currently sits on their Board of Directors as Secretary. In addition, he is Co-Chair of CHITTA’s Standing Committee on Physician Office Systems (POS) and serves as CHITTA’s designated liaison to the Canadian Society of Telehealth (CST).

With Dennis’s direction and active involvement with the HL7 Standard, CLINICARE has been using HL7 Standards within its software product suite since it first developed a Lab Information System (LIS) electronic interface in 1985. CLINICARE currently supports over 20 internally developed electronic HL7 interfaces and is adding more for its physician customers, including the use of XML, CDA, etc.

He is currently on the Canadian Electronic Drug (CeRx) Messaging Standard project (an Infoway led standards development initiative) working group. This working group will see the establishment of pan-Canadian HL7 version 3 message specifications to support clinical drug interactions between and among clinicians as well as the drug portion of Electronic Health Records at a provincial, territorial or regional level.

Dennis also serves on a number of National and International Committees. He was an active participant in the CIHI’s working Groups 1 (Health Data Model) and 4 (Interoperability). Dennis was a member of the Canadian Delegation to the European Common Market on Health Telematics (1994); and was retained as an expert for the European Commission (EU) Telematics Applications in Health - Electronic Healthcare Records (EHCR)” projects Annual Technical Project Reviews in Brussels, Belgium for 4 of the last 6 years.

Chris Nolan

Chris Nolan

Fellow Irish Computer Society (1990), Fellow Institute for Management Information Systems (1976), Certified Member Irish Management Institute (1981), Fellow Institute of Directors (1987), Fellow Royal Academy of Medicine in Ireland (1996) Member of the Healthcare Information and Management Systems Society (USA) (1997).
He has 30 + years in health IT. 5 years with the UK NHS up to 1974, 9 years with the Irish Health Service, to date, the rest with large multinational companies dedicated to Health IT. The latter gave extensive access to many health systems around the globe focusing on Europe, Middle East, Asia Pacific and USA. He has worked on Acute Care Hospital Information Systems, Laboratories (all disciplines), Pharmacy, Radiology, Imaging (Clinical and Document), as well as all other departments including Finance and Administration. He has been involved in Community and Primary care systems as well.

Past and current activities:

  • Project Director of the Institute of Health Care Informatics
  • Managing Partner of CR Consultants Ltd Ireland
  • Director of Healthcare Informatics Training Services Ltd., Ireland (Health training courses).
  • Board member of ProRec Ireland and of the Irish Forum for Health Informatics.
  • Founding secretary of the Healthcare Informatics Society of Ireland
  • Founder member of the HealthCare Informatics Standards Committee of the National Standards Authority of Ireland.
  • Member of the Board of the EuroRec Institute.
  • In the early 1980s he was the Irish delegate for a number of years to the EC DG XIII committee
  • He chaired one of 3 evaluator panels and was a judge for the final awards selection at the High-Level European Ministerial eHealth Conference in 2004

Jean François Penciolelli

Jean François Penciolelli

Industry Segment:Healthcare
Years of industry experience: 15 years
Professional Qualifications:
Large Projects Management > € 50 m
Large Staff Management > 100 people
List of companies worked for & titles:
Assistance Publique - Hôpitaux de Paris (20 000 beds Hospital Group in Paris)
Telcos Department Manager (1989-1992),
Technical Training Center Director (1993-1996),
Software Development Department Chief (1996-1999)
La Française des Jeux (National French Lottery)
Software Development Department Chief (1999-2000)
2(AI) (An Application Service Provider for small and medium size companies) CEO (2000-2003)
Oracle Corporation
EMEA Healthcare Business Development Director
Specific knowledge areas:
Electronic Data Interchange
Hospital Information System Integration Healthcare Informations Systems Architecture
HC Smart cards
On line Healthcare services (i.e. social claims)
IT and BP Outsourcing services
Level of expertise: (expert or v.knowledgeable): Very knowledgeable
Current Oracle Organisation: Director, Business Development
EMEA or Country: EMEA
jean-francois.penciolelli@oracle.com

Post Conference RIDE Semantic Interoperability Workshop (upon invitation only)