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Welcome to the Interoperability Showcase

Welcome to the Interoperability Showcase. brought to you by IHE Sponsors and Committee Members. IHE: A Framework for Interoperability. Integrating the Healthcare Enterprise A common framework for harmonizing and implementing multiple standards

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Welcome to the Interoperability Showcase

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  1. Welcome to theInteroperability Showcase brought to you by IHE Sponsors and Committee Members

  2. IHE: A Framework for Interoperability Integrating the Healthcare Enterprise • A common framework for harmonizing and implementing multiple standards • Enables seamless health information movement within and between enterprises, regions, nations • Promotes unbiased selection and coordinated use of established healthcare and IT standards to address specific clinical needs

  3. Standards: Necessary…Not Sufficient • Standards are • Foundational - to interoperability and communications • Broad - varying interpretations and implementations • Narrow - may not consider relationships between standards domains • Plentiful - often redundant or disjointed • Focused - standards implementation guides typically focus on a single standard IHE provides a standard process for implementing multiple standards

  4. IHE: Connecting Standards to Care • Healthcare professionals working with industry • Coordinate implementation of standards to meet clinical and administrative needs • Clinicians and HIT professionals identify the key interoperability problems they face • Providers and industry work together to develop and make available standards-based solutions • Implementers are able to follow common guidelines in purchasing and integrating effective systems IHE: A forum for agreeing on how to implement standards and processes for making it happen

  5. Integrating the Healthcare Enterprise “Achieving Interoperability through Implementation of Standards” 1997: Founded in Radiology (RSNA) and IT (HIMSS) • Many professional societies (stakeholder representation) • American Academy of Ophthalmology (AAO) • American College of Cardiology (ACC) • American College of Physicians (ACP) • American College of Clinical Engineering (ACCE) • American College of Emergency Physicians (ACEP) • American Society for Therapeutic Radiation Oncology (ASTRO) • GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory) • Healthcare Information Management Systems Society (HIMSS) • Radiological Society of North America (RSNA) • And many more….

  6. IHE Participants and Relationships • Participants include: • Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g. NIST, VA). • Vendors - Information Systems and Equipment • e.g., imaging, cardiology, devices • Consultants • Relationship with Standards Development Organizations (SDOs): • HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many others • Approved via ISO/TC 215 allowing for IHE profiles to be published as ISO deliverables

  7. IHE (International) Strategic Development Committee Global Development Regional Deployment IHE North America IHE Asia-Oceania China Japan Radiology IT Infrastructure Laboratory Canada USA Korea Taiwan Cardiology Patient Care Coordination Pathology IHE Europe Radiation Oncology Patient Care Devices Pharmacy / Medication Admin Netherlands France Germany Italy Spain UK Norway Sweden Professional Societies / Sponsors ACC ACP HIMSSRSNA Contributing & ParticipatingVendors GMSIH SFRSFIL ACCE COCIR EAR-ECR DRG SIRM BIR EuroRec ESC JAHISJIRAJRS METI-MLHW MEDIS-DCJAMI IHE Organizational Structure

  8. International Adoption of IHE Norway Germany Holland Canada Taiwan France Japan Korea China Spain USA Italy UK Year 7 (2005) Year 8 (2006) Year 1 (1999) Year 2 (2000) Year 3 (2001) Year 4 (2002) Year 5 (2003) Year 6 (2004)

  9. IHE based Regional and National EHR Projects (Operational and Planned) Toronto, Quebec, Alberta, BCCanada Infoway MA-Share – MA New York HIE Austria FranceDMP Philadelphia HIE THINC- New York NCHICA – N. Carolina Italy (Conto Corrente Salute) CHINA-MoH Lab results sharing

  10. Proven Standards Adoption Process Testing at Connectathons IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Document Use Case Requirements Easy to integrate products Timely access to information

  11. Growth in IHE Domains • Over 100 vendors involved world-wide • 8 Technical Frameworks • 48 Integration Profiles • Testing at “Connectathons” world-wide • Demonstrations at major conferences world-wide Veterinary Endoscopy Pathology Pharmacy Quality Patient Care Devices (1) Patient Care Coordination (5) Radiation Oncology (1) Eye Care (3) Laboratory (6) Cardiology (7) IT Infrastructure for Healthcare (17) Radiology (18) Year 5 (2003) Year 6 (2004) Year 8 (2006) Year 9 (2007) Year 4 (2002) Year 7 (2005) Year 1 (1999) Year 2 (2000) Year 3 (2001)

  12. IHE Integration Profiles for Health Info NetsWhat is available and has been added in 2006/07 Security Patient ID Mgmt Basic Patients Privacy Consents Patient Demographics Query Establish Consents & Enable Access Control Patient Identifier Cross-referencing Medical Summary (Meds, Allergies, Pbs) Map patient identifiers across independent identification domains Document Digital Signature Format of the Document Content and associated coded vocabulary Attesting “true-copy and origin Audit Trail & Node Authentication Other Centralized privacy audit trail and node to node authentication to create a secured domain. Request Formfor Data Capture External form with custom import/export scripting Consistent Time Notification of Document Availability Cross-Enterprise Document Pt-Pt Reliable Interchange Coordinate time across networked systems Notification of a remote provider/ health enterprise Cross-Enterprise Document Media Interchange Clinical and PHR Content Emergency Referrals PHR Extracts/Updates Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Content Format of the Document Content and associated coded vocabulary Scanned Documents Format of the Document Content and associated coded vocabulary Imaging Information Format of the Document Content Format of the Document Content and associated coded vocabulary Health Data Exchange Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Final Text Approved Trial Implementation-2006 –Final Txt 2007

  13. Compliance with US National Health Info NetHITSP Interoperability Specs and CCHIT Roadmap Other Request Formfor Data Capture External form with custom import/export scripting Notification of Document Availability Notification of a remote provider/ health enterprise Clinical and PHR Content Security Patient ID Mgmt Emergency Referrals PHR Extracts/Updates Format of the Document Content and associated coded vocabulary Basic Patients Privacy Consents Patient Demographics Query ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Content Establish Consents & Enable Access Control Format of the Document Content and associated coded vocabulary Scanned Documents Format of the Document Content and associated coded vocabulary Patient Identifier Cross-referencing Imaging Information Format of the Document Content Medical Summary (Meds, Allergies, Pbs) Format of the Document Content and associated coded vocabulary Map patient identifiers across independent identification domains Document Digital Signature Format of the Document Content and associated coded vocabulary Attesting “true-copy and origin Health Data Exchange Audit Trail & Node Authentication Cross-Enterprise Document Sharing Centralized privacy audit trail and node to node authentication to create a secured domain. Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Consistent Time Cross-Enterprise Document Media Interchange Coordinate time across networked systems Cross-Enterprise Document Reliable Interchange Accepted by HITSP in 2006 Candidate for HITSP & CCHIT in 07

  14. How to Participate As a User or Vendor Committee Member • Become a member of a Domain’s Planning or Technical Committees As a User, Consultant or Vendor Interested Observer • Provide Public Comments on Technical Framework Supplements • Attend Demonstrations, Educational Events and Workshops

  15. How to Use IHE As a Vendor Implementer • Implement IHE Integration Profiles • Test systems through Connectathon process • Publish an IHE Integration Statement for products As a User Implementer or Consultant • Use IHE Integration Profiles to develop interoperability strategy • Use Connectathon Results and Integration Statements to evaluate vendors • Demand IHE Integration Profile compliance in RFPs

  16. Brought toyou by…

  17. Debuting this year in the Showcase… A Growing Cast • Secured Health Information Exchange with broad content • New Directions Focus (Life Sciences [Bio-Pharma], PIX/PDQ v3.0, ELINCS Lab) • HITSP Interoperability Specifications • Clinical data exchange amongst patient care devices • Personal health record solutions • Financial and administrative systems for billing and claims attachments (CAQH/CORE) • Clinical scenarios focusing on clinician and patient access, and information sharing across the full continuum of care

  18. HIMSS Interoperability ShowcaseThe largest multi-vendor prototype ever built ! Community Network B Community Network A Document Registry Document Registry Practice Practice Hospitals Practice Hospitals Practice Hospitals Hospital Practice Practice Hospital Practice Hospitals Hospital Practice Hospitals Practice Hospitals Practice Diag Test Clinic Clinic Clinic Diag Test Clinic Other Clinic Clinic Clinic Clinic Community Network C Document Registry Hospitals Practice Hospitals Practice Clinic 3 infrastructure systems 18 edge systems4 infrastructure systems 13 edge systems3 infrastructure systems 5 edge systems 4 infrastructure systems

  19. Your Guide to the Showcase Theatre G

  20. supported by: Infrastructure • Patient Identity Management • incl. New Directions – using HL7v3 • XDS Document Registries • XDS Document Repositories • Audit Repository

  21. …and also starring • HITSP Theater (M) • Showcasing breakthrough use cases and public health protection • ELINCS Theater (N) • Interoperability between EHR & Lab • CAQH Theater (M) • Interoperability between Provider & Health Plan • Life Sciences (L) • New Directions bridging research/surveillance and EHR’s • Standards Area – HL7, ISO, CDISC, NIST, HITSP, CAQH

  22. …held over from last season The “Distributed Demo” The first 200 people to return a fully-stamped “autograph sheet” to the Showcase reception kiosk will win a IHE USB key!!

  23. What happens next? • Docents will guide you to a story/act/cast, each demonstrating interoperability OR • A presentation begins immediately in this theatre

  24. Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings http://www.ihe.net

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