1 / 26

The Future of IHE

The Future of IHE. Linking Domains Across the Enterprise. Dr. Nikolaus Wirsz - IHE Planning Committee Siemens Medical Solutions. Future of IHE. Introduction IHE Over Time IHE Vision for Growth IHE Future Plans IHE Participation IHE International Conclusions. Introduction.

vernon
Download Presentation

The Future of IHE

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

  2. Future of IHE • Introduction • IHE Over Time • IHE Vision for Growth • IHE Future Plans • IHE Participation • IHE International • Conclusions HIMSS / RSNA

  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 Medical Information • Consistency of Medical InformationAcross Departments and Institutions • No Long-term Guarantee of Viability or Evolutionary Path HIMSS / RSNA

  4. Introduction Nov. 1998 HIMSS & RSNA Launch a New Initiative: “Integrating the Healthcare Enterprise (IHE)”An Incremental Multi-Year Project • Speed Up the Integration in Healthcare Environments • Foster Communication Between Vendors of Medical IT • Prove that Integration is Attainable Based on Standards • Participants: • Representatives of Healthcare Providers • Information Systems Vendors • Imaging Systems Vendors • Standardization Groups HIMSS / RSNA

  5. IHE Participation Who Is IHE ? • Societies / Associations: • Healthcare IT: ........................ HIMSS • Radiology: ............................. RSNA • Other Clinical Specialties: ... The Appropriate Societies • Vendors: • Healthcare IT: ........................ IS Vendors • Radiology: ............................. RIS Vendors, Imaging: Modalities, PACS, ... • Other Clinical Specialties: ... Suppliers of Departmental Systems/Products • Users: • Healthcare IT: ........................ CIOs, Administrators • Radiology: ............................. Radiologists • Other Clinical Specialties: ... Clinicians, Medical Staff HIMSS / RSNA

  6. 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 / RSNA

  7. IHE Over Time Year 2Expand Radiology TransactionsInitial Interdepartmental Information Sharing • Image Availability Information ( Location ) to Enable Subsequent Process Steps ( Reporting ) • Access to Radiology Information ( Reports and Images) within Radiology and within Other Departments • Access to Non-Radiology Information ( e.g. Lab Data ) • Patient Information Reconciliation ( “John Doe” / Trauma ) • Consistent Presentation of Images • Report Management HIMSS / RSNA

  8. 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 / RSNA

  9. IHE Success – Closing Loop acquisition in progress acquisition completed HIMSS / RSNA

  10. 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 Success - Integration Profiles HIMSS / RSNA

  11. IHE Future Plans Year 4 Radiology Resumes Vertical Growth • Improving the Reporting and Reviewing Workflow: • General Purpose Worklist for: • Interpretation / Reporting ( Radiologist’s Worklist ) • Post-Processing • Initial Security Features: • Audit / Authentication Controls • Charge Posting ( Billing / Financial Transactions) • Error Management (fixing operator errors and other exception cases using modality worklist) HIMSS / RSNA

  12. IHE Future Plans Long-Range Radiology and IT Infrastructure Issues • Integrated Clinical Desktop Linking Radiology and Other Clinical Applications • Master File Updates • Hanging Protocols (Radiologist’s Preferences) • Enhanced Queries for Structured Reports • Integration with the Master Patient Index (MPI) • Interdepartmental Information Sharing (Results, Images) • Standardized Codes and Terminology • Relevant Information Management (Historical Studies) HIMSS / RSNA

  13. IHE Future Plans Integration Beyond Boundaries • Encourage Other Clinical Fields to Attain Internal Vertical Integration • Expand Enterprise IT Infrastructure • IHE Year 5 Achieves Integration of: • Multiple Clinical Specialties • Significant IT Infrastructure Features HIMSS / RSNA

  14. IHE Vision for Growth A Multidimensional Expansion of Integration ADT 1st Dimension: Vertical Integration for Radiology IHE Years 1, 2, 3, 4, ... OrderMgt DeptSched. ImageMgr Modality HIMSS / RSNA

  15. 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 / RSNA

  16. Add’l Clinical Fields C a r d i o l o g y Laboratory 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 / RSNA

  17. Shaping the Future of IHE IHE Strategic Development Committee Est. July 2002 • Expansion of IHE process to meet integration needs of entire enterprise • Engage leading medical professionals and associations from other key domains to help move IHE beyond Radiology • Identify integration needs / barriers and problems / solutions within and across domains • Identify and recommend clinical and operational domains • Populate domain specific sub-committees: • Cardiology • Laboratory • Pharmacy / Medication Administration • Interdepartmental Information Sharing: Ad-hoc Query/Retrieve Master File Updates HIMSS / RSNA

  18. IHE International IHE Goes InternationalIHE International Steering Committee • IHE North America • IHE Europe: • IHE France: Demo at JFR Oct. 20-24, 2001 • IHE Germany: Demo at DRK May 8-11, 2002 • IHE France: Demo at Hospital Expo May 21-24, 2002 Demo at JFR Oct. 19-23, 2002 • IHE Italy: Demo at SIRM May 24-28, 2002 • IHE Japan: Demo at JMCP Apr. 2002 HIMSS / RSNA

  19. IHE Europe Why IHE in Europe ? • To address European-based healthcare information system vendors ( RIS, HIS ) • To provide information to, and get feedback from European healthcare providers. • To facilitate European influence in the IHE and avoid local European solutions if global solutions are adequate. HIMSS / RSNA

  20. IHE Europe European Healthcare Information Systems Market Is Different: • Healthcare information system vendors often address only national markets in Europe • Most imaging vendors have a global presence. However: integration with European IS vendors is needed. • Provide European vendors with a platform to develop and test world-class interoperability HIMSS / RSNA

  21. IHE Europe How To Implement IHE In Europe: • Sponsors: COCIR (European imaging vendors), ECR, EAR, National Societies (e.g. SFR, DRG, ...) • Formation of IHE-Europe Planning Committee • No IHE-Europe Technical Committee: re-use of IHE Technical Framework HIMSS / RSNA

  22. National Extensions National Extensions Japan US France Germany Evolution of the Technical Framework (1) Global Technical Framework … National SpecificitiesFeed the Global TF During its Definition/Review. HIMSS / RSNA

  23. Evolution of the Technical Framework (2) France Germany US Global France … Germany Japan US Global Japan • National Extensions should not contradict the Global TF • Year N+1 should include general purpose local extensions of Year N … Technical FrameworkYear N+1 Technical FrameworkYear N HIMSS / RSNA

  24. European Coordination IHEin theUSA European IHE Committee ComprehensiveTechnical Framework European-level exhibitions, marketing and education Connect-a-thon Vendor Participation National extensions IHE in France Planning Committee IHE in Germany Planning Committee IHE in ……. Planning Committee Demonstrations Education IHE Europe HIMSS / RSNA

  25. Healthcare Needs Addressed by IHE • Continuity and Integrity of Patient Information • Clinical Workflow Optimization • Fostering Communication Among DiverseMedical 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 / RSNA

  26. Questions? • Information Available On the Web at: www.rsna.org/IHE www.himss.org • Home Page of IHE Europe: www.IHE-Europe.org HIMSS / RSNA

More Related