Connecting Leaders in Technology and Healthcare

October 10th, 2006Geneva, Switzerland

EuroRec 2006

Expectations from the Process of EHRs Quality Labelling and

Certification

Dennis NiebergalPresident & CEO, CLINICARE

Corporation dniebergal@clinicare.com

Dennis NiebergalPresident & CEO, CLINICARE

Corporation dniebergal@clinicare.com

Dennis P NiebergalSecretary, CHITTA Board

Vice-Chair, CHITTA Standards & Interoperability (SIC) Committee

Share our Experience as a vendor and a CHITTA member

MISSION - The mission statement focuses on building a sustainable, responsible industry

“CHITTA, the voice of the Canadian Healthcare Information and Communications Technology industry,

promotes a cohesive, sustainable and responsible community, that facilitates the transformation of

healthcare through the deployment of world-class, innovative solutions within Canada and abroad.”

CHITTA mission, updated April 2006

“Companies” - Software, Hardware, Telco, Services, etc

CHITTA started 2002

ESTABLISHING STRUCTURE –Committees reflect CHITTA’s priorities; whileWorking Groups facilitate focused work effort

CHITTA BoardCHITTA Board

Standards and InteroperabilityCommittee

AdvocacyCommittee

DevelopmentCommittee

CHITTA/ITAC IntegrationCommittee

Physician Office Systems (POS)Working Group

Privacy in HealthWorking Group

Lab Information SystemsWorking Group

AlliancesWorking Group

Conferences and Trade ShowsWorking Group

Industry CatalogueWorking Group

CHITTA Awards ProgrammeWorking Group

10 Provinces and 3 Territories

CHITTA’s POS Working Group(s)

PURPOSE To position CHITTA members to have an industry voice in provincial initiatives; and to encourage national participation in EHR-based activities

The Provincial Committees is co-chaired by POS VendorsHas a membership of over 20 POS vendors out of 40 POS Vendors from across Canada. Over 150 CHITTA members.

“I am delighted at the establishment of CHITTA. CHITTA allows us to work proactively, with the vendor community on issues of mutual concern. While recognizing that clients and vendors respond to different drivers, CHITTA enables us to work efficiently and constructively with vendors, benefiting from their experience and expertise in developing policy or solutions to system-wide concerns.

CHITTA's involvement in the POSP/VCUR process has been instrumental in making the process participative and transparent.”

Mary Gibson, Alberta POSP Program Director

A case study: POS in Alberta

Vendors were actively engaged in Alberta’s next generation approach to POS

Reached an agreement to be the official channel for communications for the Alberta POSP/VCUR process; CHITTA members were voting members on the Task Force and Work Groups• They played a key role in defining the Report’s requirements and

the scheduling of their implementation• This phase of CHITTA’s participation was concluded with a joint

Information session held in Calgary, May 8th, 2003 attended by 64 representatives of the vendor and government stakeholders

…and heralded the transition of CHITTA’s role to facilitate broad vendor involvement in Alberta’s EHR Rollout strategy

The Alberta Collaboration Experience

V Vendor Conformance & Usability Requirements

Vendors are an equal stakeholder in helping to define the Physician Office System (POS) and Conformance Testing Process.

CCHIT – Alberta POS VCUR ?

VCUR 2005 overview

A Joint Initiative

Alberta Health & Wellness – Alberta Medical Association – Alberta’s Regional Health Authorities

V Vendor Conformance & Usability Requirements

BackgroundBackground

POSP developed VCUR through collaboration with major stakeholders: physicians clinic (Medical Group) managers vendors (through Canadian Healthcare Information Technology

Trade Association “CHITTA”) regional health authorities Alberta Provincial Government - Health and Wellness

VCUR 2004 published April 2003 came into force April 1, 2004 first VCUR Product List published first week April, 2004

Page 12

The Alberta Collaboration Experience

Vendor Conformance & Usability Requirements

POSP/VCUR Work Group 1Technical, Privacy and Security Requirements

Jody Bevan, JonokeJim Duggan, TELUS

V

POSP/VCUR Work Group 2

Functionality and Usability Requirements

Dennis Niebergal, CLINICAREVic Toews, RISE HealthWare

CHITTA POS Working GroupChair, Dennis Niebergal

Vendor Conformance and Usability Requirements (VCUR)

VCUR (conformance tested vendors) List published April 1, 2004• Money only available for Alberta Physicians using

VCUR approved vendors.- $651. per Physician per Month

2nd VCUR (VCUR-2) finalized jointly with CHITTA POS members December, 2005.• Conformance tested vendors published April 1st, 2006• Money only available for Alberta Physicians using

VCUR-2 approved vendors

The Alberta Collaboration Experience

CHITTA’s role has been extended to include other segments of the Vendor Community: Vendors serving the Regional Health Authorities Retail Pharmacy Vendors

To work in with Alberta WellNet and POSP to effect direct vendor participation in The provincial EHR roll out strategy and its

implementation

The setting of messaging standards

The establishment of conformance testing criteria and methodology 

The primary responsibility of the working group is to work in collaboration and partnership with Alberta WellNet and POSP to facilitate the achievement of the roll-out of the provincial EHR/EMR strategy; specifically

The Pharmaceutical Information Network (PIN) The Provincial Personal Health Identifier (PPHI) Laboratory test results history and delivery (EDI) POS EMR functionality and usability (VCUR)

For POS vendors to pass conformance testing, they are required to get certified with Alberta WellNet for System-to-System (S2S) integration with the Provincial EHR/EMR

CHITTA’s Alberta EHR Conformance “Testing” Working Group

CHITTA’s Alberta EHR Conformance “Testing” Working Group

The Working Group is led by two co-chairs, which consist of representatives of CHITTA members whose firms are actively involved in the Alberta marketplace, including, but not limited to:

Physician Office Vendors (POS) Regional Health Authority Vendors Retail and RHA Pharmacy Information Systems Vendors Laboratory Information Systems Vendors Open communication and information exchange will be maintained

in a forthright manner for CHITTA and non-CHITTA vendors.

3 CHITTA member’s employees seconded to WellNet for System-to-System (S2S) Integration

CLINICARE Corporation RISE Healthware Inc. Ware Solutions

10 Provinces and 3 Territories

Related initiatives in other Canadian provinces

Ontario • CHITTA Ontario POS working group working together with

OntarioMD to jointly develop the next version of Physician Office systems EMR / PMA specifications

BC

• Physician Office IT (PITO) using Alberta’s VCUR-2 as part of their Standing Offer RFP

Saskatchewan

• Saskatchewan Health agrees that Alberta Collaboration is a better process and involving the vendors as an equal stakeholder means more chance for success of implementing IT initiatives.

BC is leveraging Alberta’s processBC is leveraging Alberta’s process

RequirementsWorking Group

Small group MD Req’s Review

PITO Clinical Advisory Team Req’s Review

Well-tested EMR requirements source materials

(SPEED sub-group)

(MDs, MOAs, nurses)

PITO CAT Vendor User Demonstrations

PITO SC Approval,RFP Process, &Submission Evaluation

Final Scoring &PITO SC Approval

PITO Vendor List(gathers existing sources, removes duplicates, addresses gaps, and places in PITO requirements template.

(1 MD, 2 analysts)

V Vendor Conformance & Usability Requirements

Steven Huesing, President www.chitta.caCHITTA, the Health Division of ITAChealthcare@shaw.ca

Dave Wattling, Chairmandave.wattling@courtyard-group.com

Dennis Niebergal, Secretarydniebergal@clinicare.com

OFFICES5782 – 172 Street 2800 Skymark Avenue. Suite 402Edmonton, AB, T6M 1B4 Mississauga, ON L4W 5A6780.489.4574 905.602.8345