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Integrating the Healthcare Enterprise. IHE Tools for Users and Integrators: Connectathon, Integration Statements and RFP Toolkit. Cor Loef Co-chair IHE Radiology Technical Committee. Content. Benefits for clinicians and administrators IHE Process Connectathon Integration Statements
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Integrating the Healthcare Enterprise IHE Tools for Users and Integrators:Connectathon, Integration Statementsand RFP Toolkit Cor Loef Co-chair IHE Radiology Technical Committee IHE Interoperability Workshop
Content • Benefits for clinicians and administrators • IHE Process • Connectathon • Integration Statements • RFP approach IHE Interoperability Workshop
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
IHE drives healthcare standards based-integration IHE Interoperability Workshop
IHE process steps IHE Interoperability Workshop
A Proven Standards Adoption Process Product IHE IntegrationStatement IHEConnectathon IHEDemonstration Product With IHE Easy to Integrate Products IHETechnicalFramework Standards IHEIntegration Profiles B IHEIntegration Profile A RFP IHE ConnectathonResults 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 focus • Providers can deploy with stability and growth path IHE Interoperability Workshop
The Annual “Connectathon” • Unprecedented Cross-Vendor Testing • Voluntary Participation • Designed End-to-End Scenarios • Advanced Testing Tools • Rich Pool of Technical Talent • Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004 • Connectathon for Radiology Tokyo – February 2004 • Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004 • Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005 IHE Interoperability Workshop
IHE Connectathon Managed by the IHE Sponsors (Users) IHE Interoperability Workshop
Vendors publish IHE Integration Statements Product UVW supports the IHE K Actorwiththe IHE X and Y Integration Profiles IHE JActor with the IHE TIntegration Profile IHE Interoperability Workshop
IHE Integration Statement IHE Interoperability Workshop
Leveraging IHE Integration Statements • Vendors • Claim IHE Conformance 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
RFP Toolkit IHE Interoperability Workshop
Mapping of Information Flow between products in Hospital to IHE terminology Cardio Lab MPI Billing ADT RIS HIS Modality PACS Display IHE Interoperability Workshop
The Product World….. Product XYZfrom Vendor T IHE Interoperability Workshop
The IHE World…. Actor Actor Actor IHETransaction IHETransaction IHE Actor IHE Actor IHETransaction IHE Interoperability Workshop
Mapping IHE to Products Actor Actor Actor Poduct XYZfrom Vendor T IHETransaction IHETransaction IHE Actor IHE Actor IHETransaction IHE Interoperability Workshop
Phase 1: Modalities with RIS Connection & PACS • IHE Integration Profiles: • Scheduled Workflow (full) • Patient Information Reconciliation IHE Interoperability Workshop
Scheduled Workflow Patient Registration/UpdateOrder Management Proposed Protocols Loaded and Reviewed Worklist Modality Worklist Pt A, …, SPS=P1, P4 Pt C, …, SPS=P1, P5 Pt B, …, SPS=P2 Pt E, …, SPS=P4 Procedure Scheduled Order Protocol Defined Store Images StorageCommitment Storage Commitment List of Images With Performed Acquisition Protocols Performed Step: Status = Completed Modality Performed Procedure Step Performed Procedure: CT Head Performed Protocol Code=P1 Scheduled Protocol Code=P1, P5 Pat Name/ID, Dose, Accession #, Study UID Complete List of Images RIS PACS &Archive • A Closed Loop • Update Scheduling IS • Match Procedure with Order • Support Billing Based on MPPS • Avoid Reading incomplete Procedures IHE Interoperability Workshop
Phase 0: Modalities with RIS Connection • IHE Integration Profile: • Scheduled Workflow • DICOM Modality Worklist • Modality Performed Procedure Step IHE Interoperability Workshop
Scheduled Workflow (RIS part) Proposed Protocols Loaded and Reviewed Worklist Modality Worklist Patient Name, ID Requested Procedure Examination Type Scheduled Date, Time With Performed Acquisition Protocols Performed Step: Status = Completed Modality Performed Procedure Step Performed Procedure: CT Head Performed Protocol Code=P1 Scheduled Protocol Code=P1, P5 Pat Name/ID, Dose, Accession # RIS IHE Interoperability Workshop
IHE – Driving Market Adoption • IHE User Success Stories – Submitted since RSNA 2002(IHE Becomes Reality) • Provider Demonstration of their IHE Success – Planned for RSNA 2004. • IHE measures success on: • Compliant products availability • Provider deployed integrated systems IHE Interoperability Workshop
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