An Overview of the IHE IT Infrastructure

1. An Overview of theIHE IT Infrastructure IHE Vendors Workshop 2006 IHE IT Infrastructure Education Glen F. Marshall

2. What You Will Learn • What is the IHE IT Infrastructure? • Of what value is the IHE IT Infrastructure? • How do you get the IHE IT Infrastructure? • How do you add to IHE IT Infrastructure? • What comes next?

3. application application application application Infrastructure What is the IHE IT Infrastructure? • IT Infrastructure is... • IT that enables computer applications • Operating platforms • Computer languages • Computing hardware • Networks • IT that serves multiple applications • Security • Databases • Interfaces

4. What is the IHE IT Infrastructure? • IHE IT Infrastructure is... • Standards-based IT infrastructure implementation guides, a/k/a the Technical Framework • A domain committee • Planning – approve the year’s work and future roadmap • Technical – author/maintain the Technical Framework • A service resource • Provides stakeholder education • Collaborates with SDOs and consortia • Collaborates within IHE clinical domain committees

5. What is the IHE IT Infrastructure? • IHE IT Infrastructure domain produces... • Profiles that serve the purposes of clinical workflows, regardless of IHE clinical domain • Examples: Security, Records Storage, Patient Identifiers • Basic implementation-specification foundations to be extended by specific IHE clinical domains • Examples: Retrieve Forms for Data Input, Basic document content specifications • White papers for current work items • Examples: Cross-enterprise user authentication, Web Services, Risk Management

6. What is the IHE IT Infrastructure? • Profiles - Medical Information • Document Sharing • XDS – Cross-Enterprise Document Sharing • XDS Stored Query • XDS-SD – XDS Scanned Documents • XDP – Cross-Enterprise Document Interchange • NAV – Notification of Document Availability • RID – Retrieve Information for Display • Patient Management • PAM – Patient Administration Management • PDQ – Patient Demographics Query • PIX – Patient Identifier Cross-referencing • PSA – Patient Synchronized Applications • RFD – Retrieve Form for Data Capture

7. What is the IHE IT Infrastructure? • Profiles - Security • ATNA – Audit Trial and Node Authentication • CT – Consistent Time • DSG – Document Digital Signature • EUA – Enterprise Use Authentication • PWP – Personnel White Pages

8. What is the IHE IT Infrastructure? • Next-step Work • XDS Federation • PIX and PDQ using HL7 v3 • Web Services Transport for IHE Transactions • XUA – Cross-Enterprise User Authentication • Risk Management Planning White Paper

9. Imaging Information Document Digital Signature Medical Summary (Meds, Allergies, Pbs) Attesting “true-copy and origin Format of the Document Content and associated coded vocabulary Notice of Document Availability Format of the Document Content and associated coded vocabulary Know about new information Audit Trail & Node Authentication Centralized privacy audit trail and node to node authentication to create a secured domain. Consistent Time Coordinate time across networked systems What is the IHE IT Infrastructure? Emergency Referrals Patient Created Summaries Patient Demographics Query Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Patient Consent Lab Results Document Content Format of the Document Content and associated coded vocabulary Scanned Documents Patient Identifier Cross-referencing Format of the Document Content and associated coded vocabulary Format of the Document Content Map patient identifiers across independent identification domains Cross-Enterprise Document Sharing Support for RHIOs Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Cross-enterpriseDocument Point-to-Point Interchange Media-CD/USB & e-mail push

10. What is the IHE IT Infrastructure?

11. What is the IHE IT Infrastructure? • Discussion...Any new profiles that we need?

12. Of what value is the IHE IT Infrastructure? • Stakeholders • Vendors • Healthcare Providers – Institutions and Clinicians • Healthcare Consumers – People and Employers • Healthcare payers • Public health agencies • Safety net providers • Clinical and health-services researchers

13. Of what value is the IHE IT Infrastructure? • Benefits for vendors • Free shared expert intellectual property • Reduced development effort • Quicker time-to-market • Reduced implementation effort and negotiation • Greater collaboration among all stakeholders • Exposure in HIMSS Interoperability Showcase • Simplified RFP responses • Better sales results when standards are important • Satisfied customers

14. Of what value is the IHE IT Infrastructure? • Benefits for Purchasers • Quicker realization of IT benefits • Fewer implementation fumbles • Fewer multi-vendor coordination headaches • Lower implementation cost • Benefits for Consumers • Less user time spent fumbling with infrastructure • More time for clinical IT use à Better outcomes • Potentially more funding for care-specific IT

15. Of what value is the IHE IT Infrastructure? • Benefits for Payers • Less overhead in care-provision and interfaces • Benefits for Public Health • Better data collection à better population health • Benefits for Safety Net Providers • Easier access to patient data à less expense • Benefits for Researchers • Simpler data collection à less expense

16. Of what value is the IHE IT Infrastructure? • Discussion...What other values do you see?

17. How do you get the IHE IT Infrastructure? • Study: Technical Framework • www.ihe.net/Technical_Framework/index.cfm • Volume 1 – Profiles • Volume 2 – Transaction • www.ihe.net – New profiles and transactions • Practice: Connectathon Testing • www.ihe.net and www.connectathon.net • Buy it: • Healthcare IT vendors’ infrastructure-specialists • Partnership with other healthcare IT vendors

18. How do you add to IHE IT Infrastructure? • Implement the profiles • Your experience adds to the shared knowledge. • Based on experience, you can make Change Proposals to update the framework. • Your participation in the Connectathon adds to the collective IHE experience.

19. How do you add to IHE IT Infrastructure? • Comment on the new profiles • Your knowledge and perceptions adds to the quality of the Technical Framework. • It is better to discover and correct problems in the design phase than in the coding phase. • Your good ideas will be folded-into the final work.

20. How do you add to IHE IT Infrastructure? • Help author the profiles(Technical Committee) • Your technical expertise contributes to – and is honed by – the collaborative experience • Your ideas will be consolidated and improved-upon by working with expert peers. • “Many hands make light work.”

21. How do you add to IHE IT Infrastructure? • Help plan the profiles(Planning Committee) • Your market expertise contributes to – and is honed by – the collaborative experience • Your ideas will be consolidated and improved-upon by working with expert peers. • “Many hands make light work.”

22. How do you add to IHE IT Infrastructure? • Discussion...How else can you add to theIT Infrastructure?

23. What comes next? • Education at this conference • Comments for the new IT Infrastructure profiles – due by July 5 • Publication of the new IT Infrastructure profiles for trial implementation – early August • Publication of IHE IT Infrastructure Roadmap update – early August • Sign-up for the 2007 Connectathon and HIMSS Interoperability Showcase – September 15 • Implement and test for 2007 Connectathon, per schedule • Connectathon - January 15-19, 2007 • HIMSS Interoperability Showcase - February 28 – March 1, 2007

24. IHE Web Site - http://www.ihe.net Technical Frameworks Technical Framework Supplements – Trial Implementation Calls for Participation IHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for Buyers IHE Connectathon Results Vendors’ Product Integration Statements Sponsors’ IHE sites http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm More Information

25. Questions?

26. Thank You.