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The Future of IHE

The Future of IHE. Linking Domains Across the Enterprise. Dr. Nikolaus Wirsz – IHE Planning Committee Siemens Medical Solutions. The Future of IHE. Introduction The Vision IHE Over Time IHE Success IHE Future Plans IHE Vision for Growth Shaping the Future of IHE IHE Benefits.

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The Future of IHE

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  1. The Future of IHE Linking Domains Across the Enterprise Dr. Nikolaus Wirsz – IHE Planning Committee Siemens Medical Solutions

  2. The Future of IHE • Introduction • The Vision • IHE Over Time • IHE Success • IHE Future Plans • IHE Vision for Growth • Shaping the Future of IHE • IHE Benefits HIMSS 2003

  3. Introduction • Integration solutions available today - BUT: • Proprietary departmental solutions leave many problems unresolved: • Communicating Medical Data Across Multiple Systems from Different Vendors • Access to the Complete Information • Consistency of InformationAcross Departments and Institutions • No Long-term Guarantee of Viability or Evolutionary Path HIMSS 2003

  4. The Vision Nov. 1998 HIMSS & RSNA Launch a New Initiative: Integrating the Healthcare Enterprise (IHE)An Incremental Multi-Year Project HIMSS 2003

  5. The Vision • Speed up the integration in healthcare environments • Foster communication between vendors • Prove that integration is attainable based on standards HIMSS 2003

  6. The Vision Participants: • Representatives of Healthcare Providers: HIMSS, RSNA, … • Users: Radiologists, Medical Staff, Administrators, CIOs, … • Information Systems Vendors: RIS & HIS Vendors • Imaging Systems Vendors: Modality & PACS Vendors • Standards Committee Members: HL7, DICOM HIMSS 2003

  7. IHE Over Time • Year 1Initial Functional System ArchitectureIntegrate Radiology with HIS • Patient Registration & ADT • Order Entry & Scheduling • Image Communication: • Image Acquisition • Image Storage • Image Retrieval HIMSS 2003

  8. IHE Over Time • Year 2Expand Radiology Transactions Interdepartmental Information Sharing • Image Availability Information ( Location ) toEnable Subsequent Process Steps ( Reporting ) • Access to Radiology Information ( Reports and Images) within Radiology and within Other Departments • Patient Information Reconciliation (“John Doe” / Trauma) HIMSS 2003

  9. IHE Over Time • Year 2Expand Radiology Transactions Interdepartmental Information Sharing • Consistent Presentation of Images • Report Management • Enable Access to Non-Radiology Information(e.g. Lab data) HIMSS 2003

  10. IHE Over Time • Year 3Consolidation Year for RadiologyDrive IHE into Market and into Real World • Improvements Based on Year 1 and 2 Experience: • Order Tracking ( Order Status Updates ) • Clinical Data and Alerts Available to Medical Staff • Templates for Structured Reports • Rules to Link Reports to Studies / Images • Include Other Clinical Specialties • Advance Integration with Enterprise Information Systems • Encourage IHE Initiative Worldwide HIMSS 2003

  11. IHE Over Time • Year 4 • Radiology Resumes Vertical Growth • Post-Processing Workflow:Using DICOM General Purpose Worklist • Initial Security Features:Audit & Authentication Controls • Charge Posting:Billing / Financial Transactions • Error Management:Fixing operator errors and other exception cases using DICOM Modality Worklist HIMSS 2003

  12. IHE Over Time • Year 4 • The Vision is REAL • IHE is no longer just a demonstration • IHE expands its presence on the exhibit floor • 13 poster presentations and user success stories are featured HIMSS 2003

  13. acquisition acquisition in progress /completed in progress /completed IHE Success – Closing Loop HIMSS 2003

  14. Scheduled Workflow Post- Processing Workflow Patient Information Reconciliation ChargePosting Admit, order, schedule, acquire & store images with notification of completed steps Schedule, perform, & notify image processing & CAD steps Collection of billable procedure details Unknown patients and unscheduled orders Consistent Presentation of Images Key ImageNotes Simple Image and Numeric Reports Simple reports with image links and measurements Hardcopy and softcopy grayscale presentation state Flag & search for significant images Presentation of Grouped Procedures Manage subsets of a single acquisition Access to Radiology Information Retrieve & view images and reports Basic Security Audit Trail Consolidation & Node Authentication IHE Success – Integration Profiles HIMSS 2003

  15. IHE Future Plans • Year 5Boost Evolution and Acceptance of IHE • Expansion to other Clinical Specialties • Support for Interpretation / Reporting Workflow: • Radiologist’s Worklist:Using DICOM General Purpose Worklist • Evidence Documents:Measurements, Waveforms, Procedure Documentation, HIMSS 2003

  16. IHE Future Plans • Year 5Boost Evolution and Acceptance of IHE • Expansion to other Clinical Specialties • Support IHE Efforts Evolving in Other Domains: • Cardiology • Overall Healthcare IT Infrastructure:MPI, Desktop Integration, … • Concepts for Extended Archiving: • Centralized / Decentralized Archiving Solutions inMulti-Institution Environments HIMSS 2003

  17. IHE Future Plans • Integration Beyond Radiology Boundaries • Encourage Other Clinical Fields to Attain Internal Vertical Integration: • Cardiology • Laboratory / Pathology • Pharmacy / Medication Management • Expand Enterprise IT Infrastructure in Healthcare • Goals: • Integration of Multiple Clinical Specialties • Incorporate IT Infrastructure Features HIMSS 2003

  18. IHE Vision for Growth A Multidimensional Expansion of Integration ADT 1st Dimension: Vertical Integration for Radiology IHE Years 1, 2, 3, 4, ... Order Mgt DeptSched. ImageMgr Modality HIMSS 2003

  19. IHE Vision for Growth A Multidimensional Expansion of Integration Patient Registration ADT Ordering Process Master Patient Index OrderMgt Clinical Patient Record . . . DeptSched. 2nd Dimension: Growing the Horizontal Healthcare Enterprise Integration ImageMgr Modality HIMSS 2003

  20. Laboratory / Pathology Pharmacy / Med. Adm. Add’l Clinical Fields C a r d i o l o g y R a d i o l o g y IHE Vision for Growth A Multidimensional Expansion of Integration Patient Registration Ordering Process Master Patient Index Clinical Patient Record . . . 3rd Dimension: Increasing the Number of Vertically Integrated Departments HIMSS 2003

  21. ADT/ Reg. IHE Vision for Growth Lab/Path. Radiology Cardiology Int. Med. ER Endoscopy Dental Ophthalm HIMSS 2003

  22. Shaping the Future of IHE • IHE Strategic Development Committee • Est. August 2001 • Expansion of IHE process to meetintegration needs of entire enterprise • Engage leading medical professionals and associations from other key domains to helpmove IHE beyond Radiology HIMSS 2003

  23. Shaping the Future of IHE • Objectives: • Identify and recommend clinical and operational domains • Identify steps in the typical patient care workflow • Identify integration needs and barriers within and across domains • Populate domain specific planning and technical committees HIMSS 2003

  24. Shaping the Future of IHE • IT Infrastructure Issues • Enterprise Master Patient Index ( EMPI ) • Advanced Security & Access Privileges • Single Sign-On &Desktop Applications Synchronization • Liaison & Coordination with the HL7 Organization HIMSS 2003

  25. IHE Organizational Structure IHE Steering Committee Strategic Development Committee IHE Japan Planning Committee IHE Europe Planning Committee IHE France Planning Committee IHE Germany Planning Committee RadiologyPlanning Committee IT Infrastructure Planning Committee Cardiology Committee IHE Italy Planning Committee IHE UK Planning Committee Sub-Committee Laboratory IHE … Planning Committee Sub-Committee Pharmacy IT Infrastructure Technical Committee Radiology Technical Committee …… JAPAN EUROPE North America JIRA COCIR EAR ECR HIMSS JRS SFR DRG SIRM RSNA … GMSIG ZVEI BIR … … Professional Societies / Sponsors HIMSS 2003

  26. IHE Expands Scope • Recruiting Participants in New Committees • Enterprise Master Patient Index • Advanced Security • Query/Display/Synchronized Patient View • Special Panel Session in IHE Theatre • Overview of new IHE enterprise initiatives • Learn how to participate • Tuesday, February 11, 9:15 – 10:00 a.m. • Wednesday, February 12, 12:15 – 1:00 p.m HIMSS 2003

  27. Special IHE Panel Session • IHE - IT Infrastructure: The Value Proposition • Find out how you can benefit from participating in IHE committees and Connectathons • Learn how IHE fills the interoperability gap • Hear the status of new enterprise initiatives • Software vendors, developers and interested parties invited to attend special panel session HIMSS 2003

  28. Benefits of IHE • Continuity and Integrity of Patient Information • Clinical Workflow Optimization • Fostering Communication Among Diverse Information Systems • Avoid Repeating Tasks • Eliminating Gaps and Redundancies in Data Access • Driving the Use and Evolution ofHealthcare Communication Standards Improving the Patient Care Process HIMSS 2003

  29. Questions? http://www.rsna.org/IHE • Information Available On the Web at: • Home Page of IHE Europe: http://www.IHE-Europe.org • Home Page of IHE Japan: http://www.jira-net.or.jp/ihe-j/en/index.html HIMSS 2003

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