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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. What IHE Delivers for Vendors, Purchasers, Users and Patients. Charles Parisot, GE Healthcare IHE IT Infrastructure Technical Committee Co-chair. Agenda. A solid governance tuned to deliver IHE benefits to users and patients

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise What IHE Delivers for Vendors, Purchasers, Users and Patients • Charles Parisot, GE Healthcare • IHE IT Infrastructure Technical Committee Co-chair IHE Interoperability Workshop

  2. Agenda • A solid governance tuned to deliver • IHE benefits to users and patients • IHE benefits to vendors and purchasers IHE Interoperability Workshop

  3. Understanding the Organization of the IHE Initiative • IHE has a clear focus • IHE is a domain-based initiative • IHE creates synergies for interoperability testing across domains • IHE addresses the standards adoption process • IHE is both regional and multi-national • IHE is both user lead and vendor driven IHE Interoperability Workshop

  4. Bridging the gap…. for effective information exchange Healthcare domains require highly structured and specialized clinical standards well beyond generic IT standards Providers, Payers & Policy Makers define constraints for health-system, regional structures, business objectives, legal reqmts. Providers and Vendors think in term of “solutions” to address specific workflows in clinical or infrastructure domains Info. Exchg. Standards Policies e.g. HL7, DICOM, SNOMED, X12, ASTM, LOINC, AAMI, CCR, NCCLS, NCPDP, CDA, Arden, IEEE, NDCP+ All IT Stds: Kerberos, IETF-RFCs, W3C, LDAP, ISO, IEEE, OASIS-ebXML, etc. e.g. HIPAA, RFP, Product Acquisition Contracts, Reimbursements Workflow Integration Standards designed to span a broad range of use cases for the present and the future Purchasing, operational, legal policies are required to deploy and use properly the integrated systems and shared patient information Set of specific information exchange standards to be specified for product plug & play for each specific workflow Policies • Solid & long-lasting • Flexibility & many options • Specificand Common • Options Removed IHEIntegrationProfile Bridging the gap ? How to drive effective standards Implementations • IHE: • Integration Profiles Spec. • Testing Process • Compliance • Practical Deployment IHE Interoperability Workshop

  5. Goals of IHE • Speed up the rate and quality of integration in healthcare environments • Foster communication among vendors and care providers • Prove that integration is attainable based on standards • Improve the efficiency and effectiveness of clinical practice • Improve interoperability among care domains and build foundation for the EHR • Integration solutions within the healthcare enterprise and across healthcare enterprises IHE Interoperability Workshop

  6. IHE: Domain-based for a stepwise approach Patient Management Order Management Patient Identifier Linkage, Registries, Security Electronic Health Record Other (e.g. Acces Control, eHealthWorkflows) Labora- tory Pharmacy,….. Radiology Cardiology IHE Interoperability Workshop

  7. IHE 2004 – Four Active Domains 4 Technical Frameworks with 31 Integration Profiles Testing at yearly Connectathons in three continents Demonstrations at major conferences world-wide Provider-Vendor cooperation to accelerate standards adoption IHE Interoperability Workshop

  8. A Proven Standards Adoption Process IHE Connect-a-thonResults Product IHE IntegrationStatement IHEConnect-a-thon IHEDemonstration Product With IHE Easy to Integrate Products Standards IHEIntegration Profiles B IHEIntegration Profile A RFP IHETechnicalFramework User Site IHE Integration Profiles at the heart of IHE : • Detailed selection of standards and options each solving a specific integration problem • A growing set of effective provider/vendor agreed solutions • Vendors can implement with ROI • Providers can deploy with stability IHE Interoperability Workshop

  9. IHE Contributors & Participants • Societies Representing Healthcare Segments • RSNA, HIMSS, ACC, ACCE, Other Professional Societies… • Any Healthcare Stakeholder Organization • Users • Clinicians, Medical Staff, Administrators, CIOs, … • Information Systems & Equipment (e.g. imaging) Vendors • Consultants • In addition, active liaison with Standards Development Organizations (SDOs) • HL7, DICOM, NCCLS, ASTM, others … IHE Interoperability Workshop

  10. How to contribute to IHE? Integration Profiles Development: • Clinicians/IT staff define needs: • Join IHE Domains Planning Committees • Interaction with Vendors in IHE Domains Planning Committee • Vendors and IT Professionals develop solutions • Join IHE Domains Technical Committees • Interact with contributing Vendors and Clinicians/IT Staff IHE Interoperability Workshop

  11. How to contribute to IHE? IHE Deployment: • IHE Sponsors (e.g. HIMSS, RSNA, ACC) invite all vendors (not only those contributing to profile development) to participate to supervised testing and demonstration/promotion. Sponsors publish Connect-a-thon results. • Sponsors, users and vendors define demonstrations and participate to IHE promotion: • Join IHE Regional and National Committees IHE Interoperability Workshop

  12. IHE Strategic Development Committee Global Development Regional Deployment IHE North America IHE Asia-Ocenia RadiologyPlanning Committee IT Infrastructure Planning Committee Japan CardiologyPlanning Committee USA Canada Taiwan Korea IT Infrastructure Technical Committee Radiology Technical Committee Cardiology Technical Committee IHE Europe LaboratoryPlanning and technicalCommittee Pharmacy Exporatory Sub-Committee France Germany Italy UK Netherland Spain Sweeden Norway Professional Societies / Sponsors Contributing and participatingVendors ACCHIMSSRSNA GMSIH SFRSFIL COCIR EAR-ECR DRG SIRM BIR EuroRec ESC JAHISJIRAJRS METIMEDIS-DCJAMI IHE Organizational Structure IHE Interoperability Workshop

  13. Organization of the IHE Initiative • IHE distributes its operations between a regional/national level and an international level • IHE is not a standards development organization • IHE operates on overlapping yearly cycle • IHE leverages dependencies and complementary interests between stakeholders • IHE is an open and flexible organization A novel approach to meet these challenges IHE Interoperability Workshop

  14. IHE Process • Users and vendors work together to identify and design solutions for integration problems • Intensive process with annual cycles: • Identify key healthcare workflows and integration problems • Research & select standards to specify a solution • Write, review and publish IHE Technical Framework • Perform cross-testing at “Connectathon” • Demonstrations at tradeshows (HIMSS/RSNA…) IHE Interoperability Workshop

  15. Trial Implementation Intgr-profile 0 --- Connectathon/Demo Vendor Participant Registered + 2 --- Vendor Participant passed Connectathon + 5 --- Demo &Education Material + 6 --- Final Intgr-profile + 9 --- Vendors release products with IHE Integration Statements --- IHE Domains Milestones – 20 month cycleDevelopment and Deployment - 10 --- Approved Supplement Scope - 7 --- Public Comment Intgr-profile - 2 --- Sponsors announce Connectathon/Demos with set of Implementation Profiles Proposed Supplement Scope IHE Interoperability Workshop

  16. When to contribute to IHE? IHE IT Infrastructure:(Contact Joyce.Sensmeier@himss.org) • June 2004: started planning of HIMSS 2005 demo. • November 2004: start planning development for 2005-2006 IHE Cardiology:(Contact Ken Queensberry: kqueensb@acc.org) • June 2004: started planning of ACC 2005 demo. • November 2004: start planning development for 2005-2006 IHE Laboratory:(Contact Karima.Bourquard@gmsih.fr) • July 2004: started planning of HIMSS 2005 demo. • June 2004: started planning development for 2005-2006 IHE Radiology:(Contact Chris Carr: carr@rsna.org) • April 2004: started planning of RSNA 2004 demo. • June 2004: started planning development for 2005-2006 IHE Interoperability Workshop

  17. How to participate to IHE? As a User or Vendor Contributor • Become a member of relevant Domains Planning or Technical Committees • Become a member of relevant Regional/National Committees As a Vendor Participant • Respond to Public Comments of Domain Supplements • Attend Yearly in September Educational/Workshops • Participate to Connect-a-thons and Demonstrations As a User/Consultant Participant • Respond to Public Comments of Domain Supplements • Attend Yearly in September Educational/Workshops • Attend Demonstrations and include IHE Integration Profiles in your RFPs and Integration Projects. IHE Interoperability Workshop

  18. What IHE is NOT! • A standards development organization • Uses established standards (HL7, DICOM, others) to address specific clinical needs • Activity complementary to SDOs, formal relationship with HL7, DICOM, NCCLS, etc. • Simply a demonstration project • Demos only one means to the end—adoption • Backed up by documentation, tools, testing, and publication of information IHE Interoperability Workshop

  19. Benefits to IHE Participants • Clinicians • Improved workflow • Information when and where needed • Fewer opportunities for errors • Fewer tedious tasks/repeated work • Administrators • Improved efficiency • Best of breed opportunities • Decreased cost and complexity of interface deployment and management IHE Interoperability Workshop

  20. Benefits to IHE Participants • Vendors • Align product interoperability with industry consensus • Decreased cost and complexity of interface installation and management • Focus competition on functionality/service space not information transport space • SDOs • Rapid feedback to adjust standards to real-world • Establishment of critical mass and widespread adoption Plus, IHE meets fixed deadlines IHE Interoperability Workshop

  21. Leveraging IHE Integration Statements • Vendors • Claim IHE Compliance in an explicit way • Can rely on an objective and thorough specification(IHE Technical Framework) • Willing to accept contractual commitments • Willing to correct “implementation errors” • Buyers • Can compare product integration capabilities • Simplify and strengthen their RFPs • Can leverage a public and objective commitment • Decreased cost and complexity of interface deployment and management IHE Interoperability Workshop

  22. Participating and Contributing Vendors (America) GE Healthcare Heartlab Hitachi Medical Corporation Hologic, Inc IDX Systems Corporation IMCO Technologies InSiteOne INFINITT Konica Minolta Marotech, Inc. McKesson Information Solutions Medcon Medical Manager Health Systems Mediface Co., Ltd. Merge eFilm Mortara Procom Philips Medical Systems RASNA Imaging Systems Sectra Sentillion Siemens Medical Solutions Softmedical Stentor, Inc StorCOMM, Inc Swissray International, Inc Tiani Medgraph AG Toshiba America Medical Systems UltraVisual Medical Systems Vital Images, Inc. Voxar Limited WebMD XIMIS Agfa HealthCare Algotec Systems, Ltd. Berdy Camtronics Canon Medical Systems Carefx Cedara Software Corporation Cerner Corporation CSIST Dictaphone DR Systems Dynamic Imaging Eastern Informatics Eastman Kodak Company Emageon Eclipsys Fujifilm Medical Systems In yellow, companies with IHE Committees Chairs (Summer 2004) IHE Interoperability Workshop

  23. Participating and Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical Solutions Algotec ARES SA aycan Digitalsysteme ConVis DEDALUS Dianoema Eastman Kodak Company Ebit Sanita EDL ELFIN s.r.l. Engineering Sanità Enti Locali ESAOTE ETIAM Ferrania Fujifilm GE Healthcare GMD GIE Convergence-Profils GWI Research IASI Srl IdeoPass Image Device-Cerner Company INFINITT INOVIT McKesson MED2RAD MEDASYS SA Medavis Medigration GmbH MEDIMON Ltd. MEDOS AG Merge eFilm METAFORA Minolta Europe Omnilab Philips Medical Systems Rasna Imaging Systems RAYPAX INC. Rogan-Delft Sago spa Sectra Imtec AB Siemens Medical Solutions Soluzioni Informatiche srl Stentor Inc. Swissray Medical AG Symphonie On Line Synapsis TELEMIS S.A. TIANI MEDGRAPH AG TOREX GAP Medical Toshiba Medical Systems TSI groupe europMedica VEPRO AG VISUS Technology Transfer WAID XR PARTNER In yellow, companies with IHE Committees Chairs (Summer 2004) IHE Interoperability Workshop

  24. Benefits for Participating Vendors Marketing Benefits: • Opportunity for Increased Visibility • Corporate and Product Level • Improve Product Positioning • Demonstrate Open Systems Capabilities • Help Build Markets Leveraging Product Interoperability and Functionality • Build Client Confidence through Collaboration IHE Interoperability Workshop

  25. Benefits for Participating Vendors Marketing/Product Benefits: • Connectathon Process • Testing in controlled and validated environment • Cost-efficient access to testing with industry peers • Multi-vendor success criteria for each actor • Opportunity for validation beyond structured process • Build and strengthen business relationships • Use of published success in marketing and product materials IHE Interoperability Workshop

  26. Benefits for Participating Vendors Product Benefits: • Demonstrated Integration in Commercially Available Products • Focus Resources on Product Development and Enhancement • Simplify Implementation in a Multi-Vendor Environment • “Productizing” of Standards in a Structured and Managed Process IHE Interoperability Workshop

  27. Benefits for Participating Vendors Reuse the IHE Experience to: • Plan Your Product Development Roadmap • Improve Interoperability of Your Products • Increase Functionality of Your Products • Contribute to Integrated Solutions • Manage Projects in a Controlled Fashion IHE Interoperability Workshop

  28. Healthcare Needs Addressedby the IHE Initiative • Continuity & Integrity of Patient Information • Clinical Workflow Optimization • Foster Communication Among Diverse Medical Information Systems • Avoid Repeating Tasks • Eliminate Data Redundancy Improving the Patient Care Process IHE Interoperability Workshop

  29. IHE, the effective bridgebetween information exchange standards and their practical usein healthcare IHE Interoperability Workshop

  30. More information…. • IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm. • Technical Frameworks: • ITI V1.0, RAD V5.5, LAB V1.0 • Technical Framework Supplements - Trial Implementation • May 2004: Radiology • August 2004: Cardiology, IT Infrastructure • Non-Technical Brochures : • Calls for Participation • IHE Fact Sheet and FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connect-a-thon Results • Vendor Products Integration Statements IHE Interoperability Workshop

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