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EBMPracticeNet: A Bilingual National Electronic Point-Of-Care Project for Retrieval of Evidence-Based Clinical Guideline Information and Decision Support.

Van de Velde S, Vander Stichele R, Fauquert B, Geens S, Heselmans A, Ramaekers D, Kunnamo I, Aertgeerts B - JMIR Res Protoc (2013)

Bottom Line: Translation of the guidelines to Dutch and French was done with translation software, post-editing by translators and medical proofreading.A strategy is determined to adapt the guideline content to the Belgian context.The link between all the EHRs from different vendors and a national database held on a single platform that is controlled by all EBM organizations in Belgium are the strengths of EBMPracticeNet.

View Article: PubMed Central - HTML - PubMed

Affiliation: EBMPracticeNet, Leuven, Belgium. stijn.vandevelde@med.kuleuven.be.

ABSTRACT

Background: In Belgium, the construction of a national electronic point-of-care information service, EBMPracticeNet, was initiated in 2011 to optimize quality of care by promoting evidence-based decision-making. The collaboration of the government, health care providers, evidence-based medicine (EBM) partners, and vendors of electronic health records (EHR) is unique to this project. All Belgian health care professionals get free access to an up-to-date database of validated Belgian and nearly 1000 international guidelines, incorporated in a portal that also provides EBM information from other sources than guidelines, including computerized clinical decision support that is integrated in the EHRs.

Objective: The objective of this paper was to describe the development strategy, the overall content, and the management of EBMPracticeNet which may be of relevance to other health organizations creating national or regional electronic point-of-care information services.

Methods: Several candidate providers of comprehensive guideline solutions were evaluated and one database was selected. Translation of the guidelines to Dutch and French was done with translation software, post-editing by translators and medical proofreading. A strategy is determined to adapt the guideline content to the Belgian context. Acceptance of the computerized clinical decision support tool has been tested and a randomized controlled trial is planned to evaluate the effect on process and patient outcomes.

Results: Currently, EBMPracticeNet is in "work in progress" state. Reference is made to the results of a pilot study and to further planned research including a randomized controlled trial.

Conclusions: The collaboration of government, health care providers, EBM partners, and vendors of EHRs is unique. The potential value of the project is great. The link between all the EHRs from different vendors and a national database held on a single platform that is controlled by all EBM organizations in Belgium are the strengths of EBMPracticeNet.

No MeSH data available.


EBMPracticeNet information structure.
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figure1: EBMPracticeNet information structure.

Mentions: EBMPracticeNet was officially founded as a non-profit organization in 2011, and originated from grass roots gathering of EBM-producing organizations. This integrative cooperation project was inspired by CEBAM, the Belgian Centre for EBM and the Belgian branch of the Dutch Cochrane Collaboration. EBMPracticeNet is open to four types of organizations, namely independent producers of EBM information, disseminator organizations, user organizations, and governmental public health departments. Funding comes from the national health insurance institute (National Institute for Health and Disability Insurance, INAMI-RIZIV). The project fits within the broader range of eHealth initiatives in Belgium. The goal is to share national or adapted international EBM guidelines on one certified and secured platform (eHealth), easily accessible to different vendors of EHRs. The information structure of EBMPracticeNet is presented in Figure 1.


EBMPracticeNet: A Bilingual National Electronic Point-Of-Care Project for Retrieval of Evidence-Based Clinical Guideline Information and Decision Support.

Van de Velde S, Vander Stichele R, Fauquert B, Geens S, Heselmans A, Ramaekers D, Kunnamo I, Aertgeerts B - JMIR Res Protoc (2013)

EBMPracticeNet information structure.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713937&req=5

figure1: EBMPracticeNet information structure.
Mentions: EBMPracticeNet was officially founded as a non-profit organization in 2011, and originated from grass roots gathering of EBM-producing organizations. This integrative cooperation project was inspired by CEBAM, the Belgian Centre for EBM and the Belgian branch of the Dutch Cochrane Collaboration. EBMPracticeNet is open to four types of organizations, namely independent producers of EBM information, disseminator organizations, user organizations, and governmental public health departments. Funding comes from the national health insurance institute (National Institute for Health and Disability Insurance, INAMI-RIZIV). The project fits within the broader range of eHealth initiatives in Belgium. The goal is to share national or adapted international EBM guidelines on one certified and secured platform (eHealth), easily accessible to different vendors of EHRs. The information structure of EBMPracticeNet is presented in Figure 1.

Bottom Line: Translation of the guidelines to Dutch and French was done with translation software, post-editing by translators and medical proofreading.A strategy is determined to adapt the guideline content to the Belgian context.The link between all the EHRs from different vendors and a national database held on a single platform that is controlled by all EBM organizations in Belgium are the strengths of EBMPracticeNet.

View Article: PubMed Central - HTML - PubMed

Affiliation: EBMPracticeNet, Leuven, Belgium. stijn.vandevelde@med.kuleuven.be.

ABSTRACT

Background: In Belgium, the construction of a national electronic point-of-care information service, EBMPracticeNet, was initiated in 2011 to optimize quality of care by promoting evidence-based decision-making. The collaboration of the government, health care providers, evidence-based medicine (EBM) partners, and vendors of electronic health records (EHR) is unique to this project. All Belgian health care professionals get free access to an up-to-date database of validated Belgian and nearly 1000 international guidelines, incorporated in a portal that also provides EBM information from other sources than guidelines, including computerized clinical decision support that is integrated in the EHRs.

Objective: The objective of this paper was to describe the development strategy, the overall content, and the management of EBMPracticeNet which may be of relevance to other health organizations creating national or regional electronic point-of-care information services.

Methods: Several candidate providers of comprehensive guideline solutions were evaluated and one database was selected. Translation of the guidelines to Dutch and French was done with translation software, post-editing by translators and medical proofreading. A strategy is determined to adapt the guideline content to the Belgian context. Acceptance of the computerized clinical decision support tool has been tested and a randomized controlled trial is planned to evaluate the effect on process and patient outcomes.

Results: Currently, EBMPracticeNet is in "work in progress" state. Reference is made to the results of a pilot study and to further planned research including a randomized controlled trial.

Conclusions: The collaboration of government, health care providers, EBM partners, and vendors of EHRs is unique. The potential value of the project is great. The link between all the EHRs from different vendors and a national database held on a single platform that is controlled by all EBM organizations in Belgium are the strengths of EBMPracticeNet.

No MeSH data available.