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  • What is IHE? Optimal patient care requires efficient access to comprehensive electronic health records (EHRs). The Integrating the Healthcare Enterprise (IHE) initiative accelerates the adoption of the information standards needed to support EHRs. More than 100 vendors have implemented and tested products based on IHE. IHE improves patient care by harmonizing healthcare information exchange. IHE provides a common standards-based framework for seamlessly passing health information among care providers, enabling local, regional and national health information networks.
  • The reality of the roadmap is shown on this slides. Across the world, local, regional, and national efforts are using the roadmap for guidance in the requirements, services, implementation timelines to build a viable interoperable network that is inclusive of all budgets and organization size.  The roadmap provides information that aligns and integrates the recommendations of standards organizations, certification requirements, government entities and public-private collaboratives. Italy, Spain and Denmark - Health Optimum Three European regions: Venetto Region (IT), Aragon Region (SP), Funen County (DK) have brought 5 hospital in and XDS domain with short-term sharing of clinical information for teleconsultation. In Clinical use since mid 2005 Italy - Contocorrente Salute – A regional personal health record open to any inhabitant. Interconnects 500 physician offices and 2 hospitals. Operational since January 2006. Canada – Ontario-Quebec-Saskatchewan Radiology reports and images for about 25% of the Canadian population. RFPs issued in November 2006, bids due March 2006. French National Personal Health Record Intended to serve 60 million inhabitants. Prefiguration tenders won by 6 consortia for deployment in 2006. National deployment planned for early 2007. Austria – Lower Austria Region XDS domain serves 1.5 million habitants, with 27 hospitals and clinics. Scheduled to open mid 2006. US IBM NHIN CSC NHIN
  • Transcript

    • 1. brought to you by IHE Sponsors and Committee Members Welcome to the Interoperability Showcase
    • 2. IHE: A Framework for Interoperability
      • Integrating the Healthcare Enterprise
      • A common framework for harmonizing and implementing multiple standards
      • Enables seamless health information movement within and between enterprises, regions, nations
      • Promotes unbiased selection and coordinated use of established healthcare and IT standards to address specific clinical needs
    • 3. Standards: Necessary…Not Sufficient
      • Standards are
        • Foundational - to interoperability and communications
        • Broad - varying interpretations and implementations
        • Narrow - may not consider relationships between standards domains
        • Plentiful - often redundant or disjointed
        • Focused - standards implementation guides typically focus on a single standard
      IHE provides a standard process for implementing multiple standards
    • 4. IHE: Connecting Standards to Care
      • Healthcare professionals working with industry
      • Coordinate implementation of standards to meet clinical and administrative needs
        • Clinicians and HIT professionals identify the key interoperability problems they face
        • Providers and industry work together to develop and make available standards-based solutions
        • Implementers are able to follow common guidelines in purchasing and integrating effective systems
      IHE: A forum for agreeing on how to implement standards and processes for making it happen
    • 5. Integrating the Healthcare Enterprise
      • “ Achieving Interoperability through Implementation of Standards”
      • 1997: Founded in Radiology (RSNA) and IT (HIMSS)
      • Many professional societies (stakeholder representation)
        • American Academy of Ophthalmology (AAO)
        • American College of Cardiology (ACC)
        • American College of Physicians (ACP)
        • American College of Clinical Engineering (ACCE)
        • American College of Emergency Physicians (ACEP)
        • American Society for Therapeutic Radiation Oncology (ASTRO)
        • GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)
        • Healthcare Information Management Systems Society (HIMSS)
        • Radiological Society of North America (RSNA)
        • And many more….
    • 6. IHE Participants and Relationships
      • Participants include:
        • Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g. NIST, VA).
        • Vendors - Information Systems and Equipment
          • e.g., imaging, cardiology, devices
        • Consultants
      • Relationship with Standards Development Organizations (SDOs):
        • HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many others
      • Approved via ISO/TC 215 allowing for IHE profiles to be published as ISO deliverables
    • 7. IHE Organizational Structure ACC ACP HIMSS RSNA JAHIS JIRA JRS METI-MLHW MEDIS-DC JAMI GMSIH SFR SFIL ACCE SIRM BIR EuroRec COCIR EAR-ECR DRG ESC Professional Societies / Sponsors Contributing & Participating Vendors IHE (International) Strategic Development Committee Global Development Radiology Cardiology IT Infrastructure Patient Care Coordination Patient Care Devices Laboratory Pathology Pharmacy / Medication Admin Radiation Oncology IHE Europe IHE North America France USA Canada IHE Asia-Oceania Japan Korea Taiwan Netherlands Spain Sweden UK Italy Germany Norway Regional Deployment China
    • 8. International Adoption of IHE France USA Germany Italy Japan UK Canada Korea Taiwan Norway Holland Spain China Year 1 (1999) Year 2 (2000) Year 3 (2001) Year 4 (2002) Year 5 (2003) Year 6 (2004) Year 7 (2005) Year 8 (2006)
    • 9. IHE based Regional and National EHR Projects (Operational and Planned) Toronto, Quebec, Alberta, BC Canada Infoway Austria THINC- New York NCHICA – N. Carolina Italy (Conto Corrente Salute) MA-Share – MA France DMP Philadelphia HIE CHINA-MoH Lab results sharing New York HIE
    • 10. Proven Standards Adoption Process Document Use Case Requirements Identify available standards ( e.g. HL7, DICOM, IETF, OASIS) Develop technical specifications Testing at Connectathons IHE Demonstrations Products with IHE Timely access to information Easy to integrate products
    • 11. Growth in IHE Domains Radiology (18) IT Infrastructure for Healthcare (17) Cardiology (7) Laboratory (6) Radiation Oncology (1) Patient Care Coordination (5) Patient Care Devices (1) Quality Eye Care (3) Veterinary Endoscopy Pathology Pharmacy Year 1 (1999) Year 2 (2000) Year 3 (2001) Year 4 (2002) Year 5 (2003) Year 6 (2004) Year 7 (2005) Year 8 (2006) Year 9 (2007)
      • Over 100 vendors involved world-wide
      • 8 Technical Frameworks
      • 58 Integration Profiles
      • Testing at “Connectathons” worldwide
      • Demonstrations at major conferences worldwide
      • Clinical Departments:
        • Radiology, Cardiology, Lab,…
      • Across Departmental & Institutional Boundaries – XDS
        • RHIOs, HER Enablers
    • 12. IHE Integration Profiles for Health Info Nets What is available and has been added in 2006/07 Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Emergency Referrals Format of the Document Content and associated coded vocabulary PHR Extracts/Updates Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Content Format of the Document Content and associated coded vocabulary Scanned Documents Format of the Document Content Imaging Information Format of the Document Content and associated coded vocabulary Clinical and PHR Content Health Data Exchange Final Text Approved Trial Implementation-2006 – Final Txt 2007 Medical Summary ( Meds, Allergies, Pbs) Format of the Document Content and associated coded vocabulary Consistent Time Coordinate time across networked systems Audit Trail & Node Authentication Centralized privacy audit trail and node to node authentication to create a secured domain. Basic Patients Privacy Consents Establish Consents & Enable Access Control Document Digital Signature Attesting “true-copy and origin Security Patient Demographics Query Patient Identifier Cross-referencing Map patient identifiers across independent identification domains Notification of Document Availability Notification of a remote provider/ health enterprise Request Form for Data Capture External form with custom import/export scripting Patient ID Mgmt Other Cross-Enterprise Document Pt-Pt Reliable Interchange Cross-Enterprise Document Media Interchange
    • 13. Compliance with US National Health Info Net HITSP Interoperability Specs and CCHIT Roadmap Patient Demographics Query Patient Identifier Cross-referencing Map patient identifiers across independent identification domains Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Cross-Enterprise Document Media Interchange Emergency Referrals Format of the Document Content and associated coded vocabulary PHR Extracts/Updates Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Content Format of the Document Content and associated coded vocabulary Scanned Documents Format of the Document Content Imaging Information Format of the Document Content and associated coded vocabulary Medical Summary ( Meds, Allergies, Pbs) Format of the Document Content and associated coded vocabulary Patient ID Mgmt Consistent Time Coordinate time across networked systems Audit Trail & Node Authentication Centralized privacy audit trail and node to node authentication to create a secured domain. Basic Patients Privacy Consents Establish Consents & Enable Access Control Document Digital Signature Attesting “true-copy and origin Security Clinical and PHR Content Health Data Exchange Cross-Enterprise Document Reliable Interchange Accepted by HITSP in 2006 Candidate for HITSP & CCHIT in 07 Notification of Document Availability Notification of a remote provider/ health enterprise Request Form for Data Capture External form with custom import/export scripting Other
    • 14. How to Participate
      • As a User or Vendor Committee Member
      • Become a member of a Domain’s Planning or Technical Committees
      • As a User, Consultant or Vendor Interested Observer
      • Provide Public Comments on Technical Framework Supplements
      • Attend Demonstrations, Educational Events and Workshops
    • 15. How to Use IHE
      • As a Vendor Implementer
      • Implement IHE Integration Profiles
      • Test systems through Connectathon process
      • Publish an IHE Integration Statement for products
      • As a User Implementer or Consultant
      • Use IHE Integration Profiles to develop interoperability strategy
      • Use Connectathon Results and Integration Statements to evaluate vendors
      • Demand IHE Integration Profile compliance in RFPs
    • 16.  
    • 17. Brought to you by…
    • 18. Debuting this year in the Showcase…
      • Secured Health Information Exchange with broad content
      • New Directions Focus (Life Sciences [Bio-Pharma], PIX/PDQ v3.0, ELINCS Lab)
      • HITSP Interoperability Specifications
      • Clinical data exchange amongst patient care devices
      • Personal health record solutions
      • Financial and administrative systems for billing and claims attachments (CAQH/CORE)
      • Clinical scenarios focusing on clinician and patient access, and information sharing across the full continuum of care
      A Growing Cast 12 9 Other participants 61 76 Total 14 16 Supporters 35 51 Vendors Connected 2006 2007
    • 19. HIMSS Interoperability Showcase The largest multi-vendor prototype ever built ! 18 edge systems 4 infrastructure systems 5 edge systems 4 infrastructure systems 13 edge systems 3 infrastructure systems 3 infrastructure systems Community Network B Document Registry Practice Practice Practice Clinic Clinic Clinic Clinic Hospitals Hospitals Hospitals Hospital Diag Test Other Practice Practice Hospital Hospital Community Network C Document Registry Practice Practice Clinic Hospitals Hospitals Community Network A Document Registry Practice Practice Practice Practice Practice Clinic Clinic Clinic Clinic Hospitals Hospitals Hospitals Diag Test
    • 20. Your Guide to the Showcase Theatre G
    • 21. supported by: Infrastructure
      • Patient Identity Management
        • incl. New Directions – using HL7v3
      • XDS Document Registries
      • XDS Document Repositories
      • Audit Repository
    • 22. … and also starring
      • HITSP Theater (M)
        • Showcasing breakthrough use cases and public health protection
      • ELINCS Theater (N)
        • Interoperability between EHR & Lab
      • CAQH Theater (M)
        • Interoperability between Provider & Health Plan
      • Life Sciences (L)
        • New Directions bridging research/surveillance and EHR’s
      • Standards Area – HL7, ISO, CDISC, NIST, HITSP, CAQH
    • 23. … held over from last season The “Distributed Demo” The first 200 people to return a fully-stamped “autograph sheet” to the Showcase reception kiosk will win a IHE USB key!!
    • 24. What happens next?
      • Docents will guide you to a story/act/cast, each demonstrating interoperability
      • OR
      • A presentation begins immediately in this theatre
    • 25.
      • Providers and Vendors
      • Working Together to Deliver
      • Interoperable Health Information Systems
      • in the Enterprise
      • and Across Care Settings
      http://www.ihe.net
    • 26.