Integrating the Healthcare Enterprise: What It Means to Me

1. Integrating the Healthcare Enterprise What does it mean to me? Using the IHE Framework in the Real World

2. Panel Members Speaker: Sanjay Jain, Cerner Corp. Panel: • Dr. David Channin, ECC of RSNA • Andrei Leontiev, IDX Systems • Cor Loef, Philips Medical Systems • Don Van Syckle, Merge Technologies • Joe Biegel, Mitra HIMSS / RSNA

3. The Problem ? • Information Systems Connected By Human Links • Slows Transfer of Information • Prone to Inaccuracy • Requires Duplicate Effort HIMSS / RSNA

4. The Consequences ? • Errors and/or Delays in Treatment • Incomplete Information Available for Decision-making • Inefficient Utilization of Staff and Equipment • Increased Cost HIMSS / RSNA

5. Who Can Solve It? • A Joint Initiative of: • Healthcare Professionals • The Information Technology Industry • Departmental System Suppliers • radiology, laboratory, cardiology, ophthalmology • Current sponsors: HIMSS and RSNA • Growing Interest From Other Societies, Specialties and Industry Segments • All Invited to Join HIMSS / RSNA

6. The Solution? Connect the systems and flow the information throughout the enterprise automatically! HIMSS / RSNA

7. Why Is That Hard? • The Different Systems Don’t Use a Common Vocabulary • The Different Systems Don’t Use Common Communication Standards Consistently • The Flow of Information Through the Enterprise Changes With the Circumstances of the Case HIMSS / RSNA

8. What Does IHE Do? • IHE Defines a Common Vocabulary for Patient and Administrative Information • Examples: • Order • Requested Procedure • Accession Number • Procedure Step HIMSS / RSNA

9. What Does IHE Do? • IHE Defines the Workflow • Identifies the Transactions Required to Make It Work HIMSS / RSNA

10. What Does IHE Do? • IHE Selects an Existing Industry Standard for Each Transaction and Specifies the Transaction Unambiguously • For Example: • DICOM Modality Worklist • HL7 ADT Message HIMSS / RSNA

11. What Does IHE Do? • IHE Is Working to Ensure That All the Real-world Information Paths Are Supported by Transactions • For Example: • Patient Registration • Order Filling • Modality Operations HIMSS / RSNA

12. IHE Trauma Workflow Events www.rsna.org/ihe Enter patient Patient later as J Doe identified - enter proper data Emergency Room physician orders the desired radiology procedure examination orders for J Doe HIS RIS

13. What is the Big Picture? • IHE Defines Integration Profiles to Group Related Transactions and Connects Them With Real-world Functions • Integration Profiles Allow the Customer to Focus on High-level Integration While IHE Handles the Details HIMSS / RSNA

14. Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps Key ImageNotes Access toRadiologyInformation Patient Information Reconciliation Exchange flaggingsignificant images Consistentaccess to images andreports Unknown patients and unscheduled orders Simple Image andNumeric Reports Exchange simplereports with image links and, optionally, measurements Presentation ofGrouped Procedures Subset a single acquisition ConsistentPresentation of Images Hardcopy and softcopy grayscale and presentation state IHE Integration Profiles HIMSS / RSNA

15. What has IHE Accomplished? • IHE Demonstrates the Feasibility of Integrating the Information Flow in a Healthcare Enterprise • IHE Provides a Common Solution Implemented by Many Vendors That Reduces Cost and Complexity of Integrating Information Systems and Modalities HIMSS / RSNA

16. How Do You Use IHE? • IHE Is Not a Product; It’s Something Vendors Add to or Build Into Systems to Facilitate Integration • Use IHE Integration Profiles for Integration of Radiology Department Information, and Images • IHE Profiles Will Help You Deal With Integrating Existing Equipment or in Planning for the Future HIMSS / RSNA

17. Isn’t the Scope of IHE Radiology Specific? • IHE Started With Radiology Because Radiology Departments Are Transitioning to a Digital Environment • Strategic Opportunity -- Information Benefits for Everyone, Everywhere Today and in the Future HIMSS / RSNA

18. What’s the Future? • The IHE Concept of Actor/transaction Based Integration Profiles Is Proven and Powerful • IHE Is Rapidly Expanding to Other Departmental Systems Including Laboratory, Cardiology, Ophthalmology • Societies, Users and Vendors Support These Efforts. HIMSS / RSNA

19. What Should You Do Now? • Plan to Integrate Your Information Systems Now or in the Very Near Future • Use IHE Integration Profiles When Writing RFPs and Purchasing Specifications HIMSS / RSNA

20. Where is More Information Available? • www.rsna.org/IHE • IHE Technical Framework • Brochures Here at the Conference: • IHE Demonstration Brochure • IHE Connect-a-thon Results Document • IHE Integration Profiles: Guidelines for Buyers HIMSS / RSNA

21. Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps Key ImageNotes Access toRadiologyInformation Patient Information Reconciliation Exchange flaggingsignificant images Consistentaccess to images andreports Unknown patients and unscheduled orders Simple Image andNumeric Reports Exchange simplereports with image links and, optionally, measurements Presentation ofGrouped Procedures Subset a single acquisition ConsistentPresentation of Images Hardcopy and softcopy grayscale and presentation state IHE Integration Profiles HIMSS / RSNA