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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. IHE in an International Context. Ellie Avraham Eastman Kodak – IHE Planning & Technical Committees Member Dr. Nikolaus Wirsz Siemens Medical Solutions – IHE Planning Committee Member

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise IHE in an International Context • Ellie AvrahamEastman Kodak – IHE Planning & Technical Committees Member • Dr. Nikolaus WirszSiemens Medical Solutions – IHE Planning Committee Member • Prof. Berthold Wein, MDUniversity Clinic Aachen, Germany – IHE Europe Committee User Co-Chair • Geert ClaeysAgfa-Gevaert NV – IHE Europe Committee Industry Co-Chair • Dr. Takeo Ishigaki, MD Nagoya University Graduate School of Medicine – IHE Japan Committee Co-Chair

  2. Introduction • Integrating the Healthcare (IHE) is an initiative to stimulate the integration of Healthcare Information and Imaging Systems – Provides Interoperability and Workfolws Optimization. • IHE was initiated in the USA (1998) by theRSNA & HIMSS societies. • The foundation of IHE is the Technical Frameworkthat contains the Global framework and thenational specializations framework (DICOM & HL7) • IHE has an international vision encouraging theIHE nationals initiatives to address the National specific Healthcare policies and practices

  3. Scope of the International IHE Initiatives • International – Global Technical Framework • Define Integration Solutions and Optimize Workflow Profiles • Define the Actors and Transactions to implement the Integration Profiles

  4. Scope of National IHE InitiativesNorth America – Europe – Asia • National Healthcare Specializations • Define specific information for the National Healthcare System:Policies, Practices and Information in Native Languages based on DICOM (Latin1, ISO-2022) and HL7 national Patient management, using additional segments: ZFU, ZBE,… • Developing Testing and Simulation Tools: MESA • Peer-to-Peer Testing based on Global & National Framework • Connectathon – Multi Vendor Testing: • Testing Integration Solution based on the Global & National Framework • Demonstrations, Education and Success Stories in each country

  5. HIS PACS RIS acquisition acquisition in progress /completed in progress /completed IHE Success – Closing the Loop

  6. Scheduled Workflow Charge Patient Information Reconciliation Posting Admission, Order Management, Scheduling, Store, Retrieve Collect and post timely billable Manage Worklists, Track Status,Perform &NotifyAcquisitionRelated Steps Presentation of Reporting Post - ReconcileWorklists,StatusandData Objects ForUnknownPatientsandDemographicsChanges procedure Grouped Processing Workflow details Procedures Workflow Manage Manage Manage individual worklists, track worklists, track procedure image status, perform status, perform subsets from a & notify & notify image multi - procedure diagnostic processing & acquisition for reporting steps CAD steps viewing & reporting Simple Image Evidence Consistent Key Image Create,Store,Manage,Retrieve &UseImages and Numeric c Documents Presentation of Notes Reports Images Create, store, Create, store, Create, store, Create, store, manage, retrieve & manage, retrieve & manage, retrieve & manage, retrieve use objects to flag use simple use objects for & use objects to significant images diagnostic reports hardcopy and record study with optional image softcopy grayscale evidence links & presentation states Access to Radiology Information Consistent access to images and reports Basic Security Audit Trail Consolidation & Node Authentication IHE Success – Integration Profiles

  7. International IHE Initiatives • IHE North America • IHE Europe • IHE-F France • IHE-D Germany • IHE-I Italy • IHE-UK United Kingdom • IHE-N Norway (Starting) • IHE-DK Denmark (Starting) • IHE-S Sweden (Considers Participation) • IHE-NL Holland (Considers Participation) • IHE Asia / Oceania • IHE-J Japan • IHE-PRC China • IHE-KR Korea

  8. 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

  9. Global IHE RadiologyTechnical Framework – Volumes I, II, III • IHE Radiology Technical FrameworkVolumes I, II, III Contain Definitions for theOverall Integration of Healthcare Systems: • HIS • RIS • PACS • Workstations • Acquisition Modalities • Printers

  10. National IHE ExtensionsTechnical Framework – Volume IV • Process for Developing National Extensions • Scope of National Extensions in IHE Radiology: • 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, …) • Financial Information and Transactions for the Specific National Health Reimbursement System • Clinical Workflow Optimization and Information Access to Support the National Care Practices and Policies

  11. Testing & Verificationby National IHE Initiatives • IHE North AmericaConnectathon – October 2003 • 37 vendors • 15 countries • IHE EuropeConnectathon – March 2003 • 44 vendors • 9 countries • IHE JapanConnectathon for Asia & Oceania – February 2004

  12. IHE Japan – Main events • Connectathon in February/March 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) • New IHE Domain to Develop the Technical Framework for Endoscopic and Physiological Examination • Analyze the Cardiology Workflow for Japan • Analyze the Nuclear Medicine Workflow for Japan • Develop IHE LAB National Extensions for Japan

  13. 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 UKRC • IHE-UK HCC

  14. Benefits of Multi-National IHE Developments User Benefits • Availability of Products Tailored toAddress Specific National Needs: • National Character Sets • National Privacy and Confidentiality Policies • Facilitate Integration and Workflow Optimization to Accommodate Specific National Policies: • Regional Care Practices • National Health Reimbursement System

  15. Benefits of Multi-National IHE Developments Vendor Benefits • Rationalizing Product Design toAddress Global and Regional Requirements • Better Product Positioning on theInternational Market • Avoiding Localization Problems in Installations

  16. IHE in an International Context Panel Discussion IHE – The Global Integration Solution • IHE North America:http://www.rsna.org/IHE or http://www.himss.org/IHE • IHE Europe:http://www.IHE-Europe.org • IHE France:http://www.gmsih.fr/fr/som_comm.htm • IHE Germany:http://www.IHE-D.org • IHE Italy:http://www.rad.unipd.it/IHE • IHE UK:http://www.IHE-UK-org • IHE Japan:http://www.jira-net.or.jp/ihe-j/en/index.html • Dr. OkazakiIHE Japan • Ellie AvrahamEastman Kodak • Dr. Nikolaus WirszSiemens Medical Solutions • Geert ClaeysAgfa-Gevaert NV

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