Integrating the Healthcare Enterprise

1. Integrating the Healthcare Enterprise Vision for IHE Demonstrations Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, Healthcare Information and Management Systems Society (HIMSS) IHE Interoperability Workshop

2. IHE Demonstrations 2004-2005 • RSNA 2004, Nov. 28 - Dec. 3, Chicago, IL: Portable Data for Imaging • HIMSS 2005, Feb. 13-17, Dallas, TX: Interoperability Showcases • ACC 2005, Mar. 6-9, Orlando, FL: IHE Cardiology Demonstration IHE Interoperability Workshop

3. IHE at RSNA 2004 • Portable Data for Imaging (PDI) Demonstration • Distributed demonstration in vendor booths • Participants create and import CDs conformant with profile • Sample CDs distributed to attendees in advance and on site • Participation already set, testing in process • IHE User Success Stories • 14 selected from 40 abstracts submitted • Presented as posters in infoRAD showcase exhibit • Available online during and after conference • IHE Education Sessions • 20 in dedicated infoRAD classroom • 2 Refresher Course sessions IHE Interoperability Workshop

4. HIMSS 2005 Interoperability Showcases • A national vision of a connected and interoperable healthcare infrastructure • The Interoperability and Ambulatory IT Showcase exhibit areas will feature cross-enterprise sharing of health information in the acute care and ambulatory environment within the framework of a National Health Information Infrastructure. • These hands-on exhibits linked with vendor booths will create a highly interactive environment to demonstrate practical interoperability featuring standards-based connectivity across the health care enterprises from acute care to ambulatory care IT. One of the most significant healthcare industry efforts of the 21st century. HIMSS has taken a leadership role in making this vision a reality. IHE Interoperability Workshop

5. Interoperability Showcases • Cross-enterprise Showcase • 4,000 square feet on exhibit floor – located near attendee registration • Focus on cross-enterprise interoperability of an electronic health record and document sharing • Ambulatory Care Showcase • 4,000 square feet on exhibit floor - adjacent to Cross-enterprise Showcase • Focus on interoperability of IT applications in ambulatory care in a variety of settings IHE Interoperability Workshop

6. Interoperability Showcase Booth laboratory cardiology Cross-enterprisedoc sharing (Choice of XDS,PWP,RID,PDQ) radiology HIMSS 2005 – Three participation opportunities Vendor Systems Conditions: Apply before Oct 15th + system pass IHE connect-a-thon Vendor chose among 15 existing integration profiles. May participate from own vendor booth in addition to Showcase booths. ITInfrastructure Vendor Booth Vendor Booth Ambulatory Showcase Booth radiology laboratory Pharma ? IHE Interoperability Workshop

7. Cross-enterprise Showcase • Technical demonstration • Featuring the IHE framework enabling standards-based health information exchange within and across multiple healthcare enterprises, available in products today • Clinical scenarios • Focusing on clinician access and document sharing within the acute care environment and across multiple settings • Includes the Continuity of Care Record (CCR), radiology images, cardiology reports, laboratory results, etc. • Connectivity with • Ambulatory Care Showcase • Health Level Seven (HL7) Demonstration • Participating vendors booths • Show-wide attendee access at ‘Surf the Web’ kiosks IHE Interoperability Workshop

8. Cross-enterprise Showcase • Interoperability Theater • Featuring learning sessions on: • Outcomes of national demonstrations and industry research projects • Regional health information exchange initiatives • Federal agency interoperability initiatives • Standards development initiatives and related activities • Issues, products and insights from industry leaders IHE Interoperability Workshop

9. IHE Interoperability Workshop

10. Cross-enterprise Showcase • Visionary demonstrations of the future in healthcare – Organizational participants • Featuring initiatives, collaborations, and standards development activities in support of interoperability • Agency for Health Research and Quality (AHRQ) • Centers for Disease Control (CDC) • Center for Information Technology and Leadership (CITL) • Continuity of Care Record (CCR) • Department of Defense (DoD) • ISO TC 215 Health Informatics • Oregon Health Information Infrastructure • Santa Barbara County Health Data Exchange • Veterans Health Administration • Washington University Personal Health Record Project IHE Interoperability Workshop

11. Ambulatory Care Showcase • Demonstration of interoperability across a variety of settings including a free-standing diagnostic enter, a large clinic, a small practice and the patient’s home • Use cases will guide the attendee through the settings in the normal course of care • Theater area for related presentations • Invited speakers and Leadership level only • Product placement near demonstration IHE Interoperability Workshop

12. Interoperability Showcase at HIMSS 2005 Foundation for NHII Interoperability This is the first time that a standards-based integration approach is implemented to share patient record information across care delivery organizations in a multi-vendor clinical applications environment. This demonstrates the momentum of the vendors in responding effectively to the HHS patient record vision. Use of IHE Integration Profiles during integration testing and pilot phases of a system development lifecycle will ensure interoperability among systems and provide care delivery organizations with the solid business case for specific product selections. IHE is gaining maturity by addressing multi-domains (IT Infrastructure, cardiology, laboratory, radiology, continuity of care) within and across enterprises. IHE Interoperability Workshop

13. IHE Demo at ACC 2005 • A demonstration of IHE interoperability is planned for the March 2005 meeting of the American College of Cardiology (Orlando) • The demonstration will target clinical Cardiologists, Cardiology Administrators, and Information Services (IS) staff • For many, this will be their first exposure to IHE IHE Interoperability Workshop

14. Presentation Formats • Kiosk in the ACC exhibit area of the exhibits hall (video loop) • Small theater presentations (slide shows) • Technical Demonstration area (2500 square feet reserved). Clinical scenarios will be used as the basis of interactions with participants. IHE Interoperability Workshop

15. Technical Demonstration • Will focus on showing how clinically-relevant problems can be solved with IHE • Clinical Scenarios: • Cath: Primary Angioplasty for an Acute MI on an unregistered patient (“John Doe”) • Echo: Emergency (unordered) echo in the ICU • Echo: Stress echo (coordinated views and stages) • ECG: Retrieve ECG for Display IHE Interoperability Workshop

16. Important dates • October 27-28 • Participant workshop, Oak Brook, IL • November 28 - December 3 • RSNA IHE PDI Demo, Chicago, IL • January 17-21 • IHE Connectathon, Oak Brook, IL • February 13-17 • HIMSS 2005, Dallas, Texas • March 6-9 • ACC IHE Cardiology Demonstration, Orlando, FL IHE Interoperability Workshop

17. Questions? IHE Interoperability Workshop

18. 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