1 / 24

Integrating the Healthcare Enterprise

This article explores the process of encouraging global adoption of healthcare standards through the development of domain frameworks, national/regional deployment, and accommodating differences. It also discusses the principles and activities of IHE Canada, including the development of technical frameworks and the role of domain sponsors. Additionally, it highlights the deployment work of IHE Canada, including vendor recruitment, testing processes, education, and user success stories. The article concludes by discussing the role of IHE National/Regional and National/Regional Initiative Sponsors, including IHE North America, IHE Europe, and IHE Japan.

maryhickman
Download Presentation

Integrating the Healthcare Enterprise

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Integrating the Healthcare Enterprise IHE in an International Context Chris Carr Radiological Society of North America – Director of Informatics Staff Liaison to IHE

  2. Introduction • Process to encourage global adoption of standards • Domain framework development • National/regional deployment • Mechanisms for accommodating national/regional differences • Ideas for IHE Canada IHE Canada

  3. Principles re: Intl’zation • IHE’s mission: encourage adoption of standards-based solutions for integrating healthcare information systems in order to improve care • Eliminate arbitrary divergence • Be respectful of real diversity IHE Canada

  4. Division of Labor • IHE activities fall into two categories: • Development • Writing and publishing the Technical Frameworks • GLOBAL – Domain-specific • Deployment • Testing, demonstrations, education • NATIONAL/REGIONAL – Cross-domain IHE Canada

  5. Global Technical Frameworks The foundation of IHE is the Technical Frameworks, a set of global standards-based technical specification. IHE Canada

  6. Development Work • Annual cycles of expansion, review and publication of Technical Frameworks • Driven by vendor committees • Guided by clinical domain experts from sponsoring organizations • Currently active IHE domains: • Cardiology, IT Infrastructure, Laboratory, Radiology IHE Canada

  7. Domain Sponsors • Organize and support domain committee work • Recruit vendor participation • Organize meetings and communication • Publish Technical Frameworks • Provide clinical expertise to help domain committees set priorities and review solutions • Dedicate volunteer representatives to be engaged with committee work IHE Canada

  8. How to Be a Domain Sponsor • Be an association representing clinical experts • Get representatives from industry to work on domain committees • Commit to sponsoring committee activities with goal of public demonstration or other event • Tell the other domain sponsors who you are and agree to work together • Be persistent IHE Canada

  9. Current Domain Sponsors • Cardiology American College of Cardiology (ACC) • IT Infrastructure - Healthcare Information and Management Systems Society (HIMSS) • Radiology - Radiological Society of North America (RSNA) • Laboratory - Groupement pour la Modernisation du Système d'Information Hospitalier (GMSIH); Société Française d'Informatique de Laboratoire (SFIL); Japan Association of Healthcare Information Systems Industry (JAHIS) IHE Canada

  10. Deployment Work • Recruit vendors to participate • Organize testing process, including Connectathons • Joint multi-domain Connectathon planned for January 2005 • Education and demonstrations at major medical meetings and other venues • User Success Stories • IHE Users Group • Disseminate tools for users IHE Canada

  11. Deployment Sponsorship • IHE National Initiatives • Medical associations, industry groups, government-supported organizations, others—band together and share work • Responsible for organizing testing, staging events, recruiting participants, hiring technical support, performing outreach, publishing educational materials, etc., etc. IHE Canada

  12. How to Be a National Initiative • Self-organize: bring together relevant associations, government groups, etc. • Commit to IHE principles and process • Plan one or more events: testing and education • Communicate with the other national initiatives about your activities IHE Canada

  13. National/ Regional Initiative Sponsors IHE North America (IHE-NA) • Healthcare Information and Management Systems Society (HIMSS) • Radiological Society of North America (RSNA) • American College of Cardiology (ACC) IHE Europe (IHE-EUR) §European Association of Radiology (EAR) §          European Congress of Radiology (ECR) §          Coordination Committee of the Radiological and Electromedical Industries (COCIR) §          Deutsche Röntgengesellschaft (DRG) §          EuroPACS Association §          Groupement pour la Modernisation du Système d'Information Hospitalier (GMSIH) §          Société Francaise de Radiologie (SFR) §          Società Italiana di Radiologia Medica (SIRM) §          British Institute of Radiology (BIR) §          College of Radiographers §          Institute of Physics and Engineering in Medicine §          NHS Information Authority §          Royal College of Radiologists (RCR) IHE Japan (IHE-J) §Ministry of Economy, Trade, and Industry (METI) §          Ministry of Health, Labor, and Welfare §          MEDIS-DC §          Japan Industries Association of Radiological Systems (JIRA) §          Japan Association of Healthcare Information Systems Industry (JAHIS) §          Japan Radiological Society (JRS) §          Japan Society of Radiological Technology (JSRT) §          Japan Association of Medical Informatics (JAMI) IHE Canada

  14. International IHE Initiatives IHE North America • IHE-US USA • IHE-C Canada? IHE Europe • IHE-F France • IHE-D Germany • IHE-I Italy • IHE-UK United Kingdom • IHE-N Norway (Organizing) • IHE-DK Denmark (Organizing) • IHE-S Sweden (Organizing) • IHE-NL Netherlands (Organizing) IHE Asia / Oceania • IHE-J Japan • IHE-PRC China • IHE-KR Korea IHE Canada

  15. Testing and Verificationby National IHE Initiatives • IHE North AmericaConnectathon – October 2003 • 37 vendors • 15 countries • IHE EuropeConnectathon – March 2004 • 45 vendors • 9 countries • IHE JapanConnectathon for Asia & Oceania – February 2004 IHE Canada

  16. IHE Japan – Main events • Connectathon in February 2004 • Demonstration at JRC April 8-10 2004 in YokohamaShowing the IHE Radiology Integration Profiles: • Scheduled Workflow (SWF) • Patient Information Reconciliation (PIR) • Consistent Presentation of Images (CPI) • Simple Image & Numeric Reports (SINR) • Analyze the Cardiology Workflow for Japan • Analyze the Nuclear Medicine Workflow for Japan • Develop IHE LAB National Extensions for Japan IHE Canada

  17. IHE Europe – Main events • Implemented the 1st IHE LAB Integration Profile – Additional IHE Lab Integration Profiles Planned • Implementing the IHE IT Infrastructure Integration Profiles: • Retrieve Information Display (RID) • Enterprise User Authentication (EUA) • Patient Identifier Cross-Reference (PIX) for MPI • Consistent Time (CT) • IHE Europe Connectathon in Padova (Italy) in March 2004 Testing IHE RAD, ITI and LAB Profiles • IHE Demonstrations in Europe in 2004: • IHE-F Hôpital Expo • IHE-F JFR • IHE-D DRK • IHE-D MEDICA • IHE-I SIRM • IHE-UK HCC IHE Canada

  18. IHE North America – Main events • First multi-domain Connectathon (Oak Brook, IL?) – January 2005 • Domain development work in • Cardiology – First four integration profiles • IT Infrastructure – Five existing profiles, three new • Radiology – Three new supplements to augment existing 12 • Ongoing liaison with SDOs: HL7, DICOM, ASTM • Distributed media demonstration at RSNA 2004 • Broad interoperability demonstration at HIMSS 2005 • First IHE Cardiology demonstration activities at ACC 2005 IHE Canada

  19. National Extensions • Developed by national initiatives • Meet specific local needs: • Language • Regulations • Traditions of care • Reviewed and approved by domain Technical Committees • Published in volume IV of Technical Framework IHE Canada

  20. National Extensions • Scope of National Extensions so far: • Character Set for National Languages • Translations of IHE Concepts and Data Fields into National Languages • Extension of Patient and Provider Information According to National Policies (Privacy, Confidentiality, …) • Account of less than 2% of IHE requirements IHE Canada

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

  22. Benefits of IHE International • Leverage a global framework for implementing standards • Engage clinical experts in determining development priorities • Provide education on the potential of integrated systems to improve care • Speed the development of international healthcare information infrastructure IHE Canada

  23. Toward IHE Canada • Identify a group of interested stakeholders • Start a network of communication • Plan roles and establish roster of committees • Plan an event • Testing: joint North American Connectathon • Demonstration at Canadian meeting • Identify liaisons to IHE domain committees and Strategic Development Committee • Make your membership and plans known IHE Canada

  24. More information…. • Web sites: www.himss.org/ihe www.rsna.org/ihe • IHE Rad Technical Framework 2003 – V5.5 • IHE IT Technical Framework 2004 – V 1.0 • IHE Laboratory Technical Framework 2004 – V 1.0 • Non-Technical Brochures : • IHE Fact Sheet and IHE FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connectathon Results IHE Canada

More Related