IHE s Educational Webinar Series

Transcription

1 IHE s Educational Webinar Series Thank you for attending the 2010 Educational Webinar Series. Dates: Tuesday & Thursday s beginning June 8, 2010 through September 2, 2010 Questions: Visit our website at or contact us at secretary@ihe.net. View the full schedule and download the audio & visual recordings at:

2 Introduction to IHE Integrating the Healthcare Enterprise John T Donnelly, MS MBA CPHIMS IHE International Board Member President, IntePro Solutions Inc. Glen Marshall IHE International Board Member Principal, Grok A Lot LLC Celina Roth IHE International Secretariat HIMSS, Informatics Manager

3 Today s Agenda What is IHE? Why have IHE? Who is IHE? How does IHE work? When does IHE happen? Where does IHE happen? Your Questions

4 What Is IHE? A common technical framework for harmonizing and implementing multiple standards Application to application System to system Setting to setting A path to seamless health information movement within and between enterprises, regions, nations A forum for unbiased selection and coordinated use of established healthcare and more general IT standards to address specific clinical needs

5 Why Have IHE? Interoperability: Where Health IT Often Fails IETF IHTSDO

6 Why Have IHE? IETF IHTSDO Profiles Specific Extensions R E P E A T A B L E

7 Why Have IHE? Interim Final Rule (Key elements) Transfer of care Lab Reports Submission to Immunization Registries Transmit summary info to patient Meaningful Use IHE profiles XDS MS & XPHR (CCD based) XD Lab, LTW, LDA Immunization Content (IC) XPHR [XDR, XDM, XDS transport] 5 Clinical Decision Support Rules Request Clinical Guidance (RCG) Public Health Surveillance Quality Reporting Transport: TCP/IP + SOAP 1.2 RFD, DSUB XDS MS (CCD based), RFD, QED XDS, XDR, XDM, XCA

8 IT Infrastructure empi Audit Why Have IHE? System Segmentation in the HC Enterprise EMR HIS User Auth Img Acq Radiology RIS PACS CVIS Cath Cardiology ECG Auto Mgr LIS Laboratory Analyzer Eye Care Pathology Therapy Plan Treatment Img Acq Radiation Therapy PhIS Pharmacy SIS Devices Surgery Nursing Station Devices Devices ICU / CCU / Wards Home Hub Devices Home

9 Why Have IHE? Care Delivery and Population Health Cooperation IT Infrastructure EMR HIS Eye Care Radiology Cardiology Laboratory Pathology Radiation Therapy Pharmacy Surgery ICU / CCU / Wards Care Delivery Enterprise Home emeasures Assess/Adj Quality Forums Reports eforms Responses Case Mgr Results Clinical Research Biosurveillance Monitor/Interv Incidents Public Health Screening Guidnce Analyze/Guide

10 Who Is IHE? Composed of over 300+ healthcare related organizations world wide Membership spans Clinical, IT, Standards Development, Education, Research and Government stakeholders In operation since 1997 (Radiology domain), consistent growth in both clinical disciplines and geographic dispersion

11 Who Is IHE? Professional Associations Government Agencies Healthcare Providers American College of Physicians (ACP), American College of Emergency Physicians (ACEP) American College of Obstetricians and Gynecologists (ACOG) Healthcare Information Management Systems Society (HIMSS) Radiological Society of North America (RSNA) Many other American Professional Societies (ACCE), (AAO), (ASTRO), etc. British Institute of Radiology (BIR), British Computer Society (BCS) German Radiology Society (DRG) ASIP (IT France), SFIL (laboratory), French National Project (DMP), European Society of Cardiology JAHIS (IT Japan), JIRA, JRS, and many more French National Project (ASIP Santé) Dutch National Project (NICTIZ) Austrian National Project (ELGA) Canada Health Infoway (CHI) Regional projects (Italy, USA, Japan). and many more Baystate Health Diagnostic Maxillofacial Imaging University Associates (DMFIUA) Intermountain Healthcare, Inc. Montefiore Medical Center. and many more

12 Who Is IHE? Contributing and Participating Vendors 2010 Interoperability Showcase subset 227 Healthcare IT and Consulting Organizations

13 Regional Deployment Who IHE International Is IHE? Board Global Development IHE North America IHE Asia-Oceania Canada China Japan Radiology Patient Care Coordination Laboratory USA Korea Taiwan Cardiology Patient Care Devices Pathology IHE Europe Radiation Oncology Pharmacy Eye Care Austria France Germany Netherlands Italy Norway Spain Sweden UK Quality, Research and Public Health IT Infrastructure Professional Societies / Sponsors ACC ACP RSNA COCIR ACCE ACOG SFR EAR-ECR ACEP HIMSS SFIL DRG SIRM BIR EuroRec ESC JAHIS JIRA JRS METI-MLHW MEDIS-DC JAMI Contributing & Participating Vendors 13 13

14 How Does IHE Work? Develop technical specifications Identify available standards Test at Connectathons Demonstrate Identify Products with IHE Document use case requirements Improve Safety, Quality and Efficiency Adopted by ISO: TR Install Interoperable products

15 When Does IHE Happen Typical IHE Profile Development Cycle 18 months Period Activity Milestone Sep Oct New Profile and Change Proposal Submission Submitted Profiles & CPs Nov Dec Profile Review & Selection Profiles for Current Cycle Jan May Tech Framework Supplement Development Supplement Released for Public Comment May Jul Tech Framework Supplement Completion (reflecting Public Comment feedback) Supplement Released for Trial Implementation Aug Sep Vendor Selects Profile(s) to Support Connectathon Registration Oct Jan Vendor Develops and Tests Application Code Completed Mesa Tests Jan Vendor Tests Interoperability with Other Vendors Successful Connectathon Test Feb Vendor Demonstrates Support for Profile(s) Demonstration Event

16 Where Does IHE Happen? Product Development/Connectathons Demonstrations Implementations

17 Where Does IHE Happen? Product Development /Connectathons

18 Where Does IHE Happen? Product Development /Connectathons 2010 North America Connectathon 104 vendors and organizations (up from 71 in 2009) >150 individual systems being tested 498 engineers working collaboratively to test interoperability 1000 s of vendor vendor connections; 10,000 s of transactions 498 x 8 hrs/day x 5 days = 19,920 engineer hours x $100/hr = $2 million of test effort (not including prep and setup time!!) 2010 Connectathons Outside North America Europe: Bordeaux, France Japan: Kyoto, Japan Korea: Daegu, S. Korea

19 Where Does IHE Happen? Demonstration Events (2010) HIMSS Annual Conference, Atlanta GA March 2010 World of Health IT (Wohit), Barcelona Spain- March 2010 Association for the Advancement of Medical Instrumentation (AAMI), Tampa FL- June 26-28, 2010 Radiological Society of North America (RSNA), Chicago, IL November 16 18, 2010 AsiaPac HIT Conferences Beijing, China May 2010 Daegu, S. Korea October 26 28, 2010

20 Where Does IHE Happen? Implementations

21 Where Does IHE Happen? Quebec, Toronto, Alberta, British Columbia Canada Infoway VITL-Vermont Providence HIE Boston Medical Center - MA Philadelphia HIE SHARP Community KeyHIE Pennsylvania NHIN Trial Implementation CareSpark TN & VA THINC- New York NCHICA N. Carolina

22 Where Does IHE Happen? Harmonized with Industry Drivers in U.S.A IHE Roadmap Highly Consistent with National ehealth Collaborative [formerly AHIC] Use Case Priorities and Roadmap EHR, Population Health, Consumer Empowerment, Security and Privacy, Quality Workgroups IHE Works Closely with Organizations Established by ONC to Promote Adoption of EHRs HITSP HITSP integration specifications leverage 24+ IHE Profiles Participation at Connectathons/Demonstrations NHIN Spec Factory Collaborated with NHIN Working Groups to provide information and guidance regarding IHE profiles appropriate for NHIN requirements Fostered IHE-NHIN harmonization via IHE profile change proposal (CP) development IHE Assistance with NIST Certification Specifications & Testing Working collaboratively on an initiative Project Cypress with NIST, MITRE, CCHIT, Canada Health Infoway, and IHE USA) Collaborated with NIST to provide testing tools and services

23 Where Does IHE Happen? NETHERLANDS Friesland Natn l Mamography Walles (Imaging-Tender) France DMP Lower Austria Austria Suisse St Gallen Lausane Italy Conto Corrente Salute Venetto - Friuli Quebec, Toronto, Alberta, British Columbia Canada Infoway VITL-Vermont Boston Medical Center - MA Philadelphia HIE Belgium Flemish-Leuven KeyHIE Pennsylvania CareSpark TN & VA South Africa CHINA-Shanghai Imaging Info Sharing CHINA-MoH Lab results sharing JAPAN-Nagoya Imaging Info Sharing, Providence Health System - OR THINC- New York NCHICA N. Carolina 23

24 Questions?

25 Following this presentation today Webinar #2 in the Series: What is a HIMSS Interoperability Showcase & the IHE N.A. Connectathon? New (& Current) Participant Webinar: Learn important information and details on a HIMSS Interoperability Showcase and how to participate at one and its main testing event, an IHE Connectathon. Date: Today, immediately following this webinar Tuesday, June 8, 2010 at 10:30 11:30 CT Registration: Register in advance by visiting:

26 Next Week s Web Series Presents Webinar #4: How to Participate in an IHE Committee? Register at: Date: Tues, June 15, 2010 at 9:30 10:30 am CT New & Current Participant Webinar: Participate in IHE s committees. Join us to learn how your organization can become a free IHE Organizational Member.

27 Want to Learn More About IHE? Visit our website at or contact us at If you are interested in receiving our monthly newsletter please send an to View our full schedule of presentations during the IHE 2010 Educational Webinar Series here: