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IHE Testimony

IHE Testimony. Didi Davis, Director of IHE, HIMSS National Committee on Vital and Health Statistics (NCVHS) July 27, 2006. Connecting standards to healthcare delivery. Care providers work with vendors to coordinate the implementation of standards to meet their needs

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IHE Testimony

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  1. IHE Testimony Didi Davis, Director of IHE, HIMSS National Committee on Vital and Health Statistics (NCVHS) July 27, 2006

  2. Connecting standards to healthcare delivery • Care providers work with vendors to coordinate the implementation of standards to meet their needs • Care providers identify the key interoperability problems they face • Drive industry to develop and make available standards-based solutions • Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions IHE, effective way to establish those “standards” for how to implement standards

  3. What is Integrating the Healthcare Enterprise? • IHE provides a common framework for passing health information seamlessly: • within the healthcare enterprise • across multiple healthcare enterprises • for local, regional & nationalhealth information networks • IHE is sponsored by healthcare professional associations: HIMSS, RSNA, ACC, ACP, ACCE, ESC, SFR, BIR, GMSIH, etc. • IHE drives standards adoption to address specific clinical or administrative needs

  4. IHE Organizational Structure Multi-Domain & Multi-National IHE (International) Strategic Development Committee SponsorCo-Chairs Global reports supervises IHE North America IHE Europe IHE Asia/Oceania Interoperability Regional &NationalDeployment Delegates IHE Domain-related Planning and Technical Committees Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc. contribute Participants

  5. 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 Proven Standards Adoption Process

  6. IHE 2006 – Nine Active Domains Close to 200 vendors involved world-wide,5 Technical Frameworks 51 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide

  7. Policy Policy Confidentiality & Security Network Functional Requirements Examples: Patient Data/Record Location Transport Security (e.g., Audit Trails, Authentication) Confidentiality & Security NCVHS Discussion Template of NHIN Confidentiality and Security Edge System Examples: Public health systems Other edge systems Other edge systems Confidentiality and Security Personal health records E-prescribing systems Immunization Registries Electronic health records Draft – NCVHS - 071406

  8. Requirement 1: Allow “edge” systems to retain functionality and autonomy

  9. Requirement 2: Allow Flexibility to support multiple architectures A broad range of architectures are supported (centralized, distributed, federated).

  10. 2YRs + Phase 4: Active Quality Reporting and Health Surveillance Phase 3: Clinical Decision Support and Advanced Access Control 6 mos to 1 yr Phase 2: Diagnostic Results and Therapeutic Information available Phase 1: Share Care Status Information Requirement 3: Provide Incremental Phases

  11. 2YRs + 6 mos to 1 yr available Some of the Benefits Healthcare Information Transparency Data-driven Clinical Decision Making Improve information access: (duplicate procedures, safety,  collaboration) Recognize simple hard costs savings: paper, fax, admin labor

  12. Hospital Record Reference to records Clinic Record Specialist Record 3-Records Returned 4-Patient data presented to Physician Aggregate Patient Info Index of patients records (Document-level) Clinical IT System Sharing System 2-Reference to Records for Inquiry Clinical Encounter Introduced at HIMSS in 2006 : IHE-XDS Community or sub-network Repository ofDocuments Repository ofDocuments

  13. 2006 Interoperability Showcase • More than 3,000 attendees visited the Showcase • 37 vendors demonstrated 48 health information technology (IT) systems in a RHIO format • 700 attendees created and tracked their own electronic health record (EHR) • 63 educational sessions presented • 5 international delegations visited the Showcase • Three HIMSS 2006 keynote speakers toured the Showcase • 16 clinical scenarios - EHR and personal health record (PHR) systems, and multiple care delivery settings

  14. General Impressions “I was impressed with the progress I saw in the Interoperability Showcase over the past year. I am encouraged by the vendor industry’s demonstration of the real potential for interoperability. This type of collaboration is required for us to realize the potential for information technology in healthcare.” • Dr. David Brailer, Vice Chairman, American Health Information Community and former National Coordinator, Health Information Technology

  15. What’s Missing or Needs Clarity?

  16. Nation-Wide coordination of policies, resources and priorities – ONC Initiatives and Contracts for unifying regions The National Health IT Effort • The AHIC Community serves as hub for identifying breakthrough opportunities • CCHIT focuses on developing a mechanism for certification of health care IT products • HITSP bringing together all relevant stakeholders to identify appropriate IT standards • HISPC is a partnership focused on addressing variations in business policy and state law that affect privacy and security • NHIN focuses on interoperability pilots starting in 2006 The Certification Commission for Health Information Technology (CCHIT) Health Information Technology Standards Panel (HITSP) American Health Information Community Nation-Wide Health Information Network Architecture Projects (NHIN) The Health Information Security and Privacy Collaboration (HISPC) • Chaired by HHS Secretary Leavitt • Seven federal agency representatives • Six health industry members • One IT industry member (Intel) • One employer (Pepsi) • One state health department member (IN)

  17. HITSP Harmonization Process ReceiveRequest I Harmonization Request II RequirementsAnalysis III Standards Identification IV Gaps/ Overlaps Resolution V Standards Selection VI InteroperabilitySpecification Construction VII InspectionTest VIII InteroperabilitySpecificationDissemination BeginSupport IXHarmonization Process Management

  18. The Role of IHE • Models for Harmonization • Mapping of standards which have different levels of granularity • Preferred standards and evolution over time • Unification • Building Blocks • Implementation Guides/Interoperability Specifications • Architecture and Context • Process Expertise • Standard v. Implementation Guide • Testing • Pilots such as those in Massachusetts

  19. IHE Web site: http://www.ihe.net http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm Technical Frameworks Technical Framework Supplements – Trial Implementation 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 More information…. Questions?

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