Post on 28-Dec-2015
August 31, 2004 Year 1 of IHE Cardiology @ ESC1
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
Achievements and Lessons Learned from Six Years of IHE Radiology
Cor Loef
Philips Medical Systems
Co-chair IHE-Radiology Technical Committee
August 31, 2004 Year 1 of IHE Cardiology @ ESC2
Content
Expectations of stakeholders
Essence of the IHE process
Achievements in Radiology
Lessons learned
August 31, 2004 Year 1 of IHE Cardiology @ ESC3
IHE StakeholdersSocieties Representing Healthcare Segments ( RSNA, HIMSS, ACC, ESC, Other Professional Societies… )
Users ( Clinicians, Medical Staff, Administrators, CIOs, … )
Information Systems Vendors
Imaging Systems Vendors
Consultants
Standards Development Organizations (SDOs) DICOM HL7, others …
August 31, 2004 Year 1 of IHE Cardiology @ ESC5
Benefits to IHE Stakeholders
Clinicians Improved workflow Information when and where needed Fewer opportunities for errors Fewer tedious tasks/repeated work
Administrators Improved efficiency Best of breed opportunities Decreased cost and complexity of interface deployment and
management
August 31, 2004 Year 1 of IHE Cardiology @ ESC6
Benefits to IHE StakeholdersVendors Decreased cost and complexity of interface installation and
management Validation of integration at Connectathon Lower the threshold and establish an infrastructure for new
markets Focus competition on functionality/service space,
not information transport space
SDOs Rapid feedback to adjust standards to real-world Establishment of critical mass and widespread adoption
August 31, 2004 Year 1 of IHE Cardiology @ ESC7
Prof. Societies Sponsorship
Healthcare Providers & Vendors
Healthcare IT Standards HL7, DICOM, etc.
General IT Standards Internet, ISO, etc.
Interoperable Healthcare IT Solution Specifications
IHE Integration Profile Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
Interoperable Healthcare IT Solution Specifications
IHE Integration Profile Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
IHE Process
Essence of IHE process:Essence of IHE process:IHE drives healthcare standards based-integration IHE drives healthcare standards based-integration
August 31, 2004 Year 1 of IHE Cardiology @ ESC9
Healthcare Integration Vision and Ambition
Interoperable Healthcare IT
Solution Specifications IHE Integration Profile
IHE implementation testing at
Connectathon
IHE Deployment
Interoperable Healthcare IT Practical Solution IHE Success Story
Valid IHE Healthcare IT Product Implementation IHE Integration Statement
The IHE process steps
August 31, 2004 Year 1 of IHE Cardiology @ ESC10
A Proven Standards Adoption Process
Easy toIntegrateProducts
IHEConnectathon
ProductWith IHE
IHEDemonstration
User Site
RFPRFP
StandardsIHE
IntegrationProfiles B
IHEIntegrationProfile A
IHETechnical
Framework
Product IHE IntegrationStatement
IHE ConnectathonResults
IHE Integration Profiles at the heart of IHE : Detailed selection of standards and options each solving a specific integration problem A growing set of effective provider/vendor agreed solutions Vendors can implement with focus Providers can deploy with stability and incremental growth
August 31, 2004 Year 1 of IHE Cardiology @ ESC11
Achievements in IHE Radiology1997/981997/98 — — The Foundation of IHE, Integrating the Healthcare The Foundation of IHE, Integrating the Healthcare EnterpriseEnterprise1997/981997/98 — — The Foundation of IHE, Integrating the Healthcare The Foundation of IHE, Integrating the Healthcare EnterpriseEnterprise
1999/20001999/2000 — — First IHE demonstration at RSNA/HIMSSFirst IHE demonstration at RSNA/HIMSS Scheduled Workflow: Modality Worklist,Scheduled Workflow: Modality Worklist,
Procedure Step, Storage Commit Procedure Step, Storage Commit
1999/20001999/2000 — — First IHE demonstration at RSNA/HIMSSFirst IHE demonstration at RSNA/HIMSS Scheduled Workflow: Modality Worklist,Scheduled Workflow: Modality Worklist,
Procedure Step, Storage Commit Procedure Step, Storage Commit
Consistent Presentation, Slice LinesConsistent Presentation, Slice LinesGrouped Procedures, Reporting, Grouped Procedures, Reporting, TemplatesTemplates
Consistent Presentation, Slice LinesConsistent Presentation, Slice LinesGrouped Procedures, Reporting, Grouped Procedures, Reporting, TemplatesTemplates
Security, CAD Workflow, Exception Security, CAD Workflow, Exception Mgt, Mgt, Charge Posting, Key Image NoteCharge Posting, Key Image Note
Security, CAD Workflow, Exception Security, CAD Workflow, Exception Mgt, Mgt, Charge Posting, Key Image NoteCharge Posting, Key Image Note
Reporting Workflow, Evidence Reporting Workflow, Evidence Documents,Documents,Multiple-source optionMultiple-source option
Reporting Workflow, Evidence Reporting Workflow, Evidence Documents,Documents,Multiple-source optionMultiple-source option
2000/12000/12000/12000/1 2002200220022002 2003200320032003 20020044
20020044
Portable Data for Imaging, NM ImagePortable Data for Imaging, NM ImagePortable Data for Imaging, NM ImagePortable Data for Imaging, NM Image
August 31, 2004 Year 1 of IHE Cardiology @ ESC12
IHE Radiology Integration ProfilesIHE Radiology Integration Profiles
Patient Info.
Recon-ciliation
Access to Radiology Information
Consistent Present-ation of Images
Basic Security
-
EvidenceDocs
KeyImageNotes
Simple Image & Numeric Reports
Presentation of Grouped Procedures
Post-
Processing Workflow
Reporting Workflow
Charge Posting
Scheduled Workflow
Portable Data for Imaging
NMImage
August 31, 2004 Year 1 of IHE Cardiology @ ESC13
IHE Radiology Scheduled Workflow
August 31, 2004 Year 1 of IHE Cardiology @ ESC14
The Annual “Connectathon”The Annual “Connectathon” Unprecedented Cross-Vendor Testing
Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004
Connectathon for Radiology Tokyo – February 2004Connectathon for Radiology Tokyo – February 2004
Connectathon for IT Infrastructure, Laboratory & Radiology - Padova Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004(Italy) March 29 - April 2, 2004
Connectathon for IT Infra, Lab, Cardiology, Radiology - Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005January 2005
August 31, 2004 Year 1 of IHE Cardiology @ ESC15
Connectathon impressionConnectathon impression
August 31, 2004 Year 1 of IHE Cardiology @ ESC16
ParticipatingParticipatingvendorsvendorsin the medicalin the medicalimaging industryimaging industry
August 31, 2004 Year 1 of IHE Cardiology @ ESC17
August 31, 2004 Year 1 of IHE Cardiology @ ESC18
Live Integration of Live Integration of 47 HIS, RIS, PACS, and 47 HIS, RIS, PACS, and
Modalities from 24 vendorsModalities from 24 vendors
Participation in the demonstrationsParticipation in the demonstrations
August 31, 2004 Year 1 of IHE Cardiology @ ESC19
IHE Integration Statements published by vendors
Product UVW supports the
IHE K Actor with the
IHE X and Y Integration Profiles
IHE J Actor with the
IHE T Integration Profile
August 31, 2004 Year 1 of IHE Cardiology @ ESC20
IHE Integration Statement
August 31, 2004 Year 1 of IHE Cardiology @ ESC21
August 31, 2004 Year 1 of IHE Cardiology @ ESC22
IHE – Driving Market Adoption
IHE User Success Stories – Submitted since RSNA 2002(IHE Becomes Reality)
Provider Demonstration of their IHE Success – Planned for RSNA 2004.
IHE measures Success on:
Compliant products availability Provider deployed integrated systems at clinical sites
August 31, 2004 Year 1 of IHE Cardiology @ ESC23
IHE
EHR- Longitudinal Record
IHE Cardiology
IHE Laboratory
IHE Radiology
IHE
Future Domain
IHE
Future Domain
IHE
IT Infrastructure Intra-Enterprise
Cross-Enterprise
12 Integration Profiles
1 Integration Profile
3 Integration Profiles
5 Integration Profiles
IHE process expansion to new domains
August 31, 2004 Year 1 of IHE Cardiology @ ESC24
RadiologyPlanning Committee
RadiologyTechnical Committee
IHE EuropeCommittee IT Infrastructure
Planning Committee
IT InfrastructureTechnical Committee
IHE JapanCommittee
LaboratorySub-CommitteePharmacy
Sub-Committee
IHE FrancePlanning Committee
IHE GermanyPlanning CommitteeIHE Italy
Planning CommitteeIHE UKPlanning CommitteeIHE Norway
Planning Committee
IHE Strategic Development Committee
KOREA EUROPE Global Development
JIRA COCIR EAR ECR HIMSSJRS SFR DRG SIRM RSNA… GMSIG ZVEI BIR ACC
ESC ..... ...
Professional Societies / Sponsors
USA
IHE USACommittee
IHE NL
IHE Spain
CardiologyPlanning Committee
CardiologyTechnical Committee
IHE IHE geographic expansiongeographic expansion
JAPAN
IHE KoreaCommittee
August 31, 2004 Year 1 of IHE Cardiology @ ESC25
IHE Organizational StructureMulti-Domain & Multi-National
Participants
contribute
Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc.
Delegates
IHE Europe
IHE North America
IHE Asia/Oceania
Regional &NationalDeployment
supervises reports
IHE (International) Strategic Development Committee
SponsorCo-Chairs
Global
Interoperability
IHE Domain-related Planning and
Technical Committees
National Extensions
August 31, 2004 Year 1 of IHE Cardiology @ ESC26
In Summary: IHE Radiology
Now entering Year 7 (of the initial foreseen 5 year )
50+ vendors worldwide
100+ systems in annual Connectathons
Geographic spread U.S., France, Germany, Japan, Italy, U.K, Netherlands, Spain, etc.
Well over 100 commercial products available
Countless sites integrated with IHE enabled products
August 31, 2004 Year 1 of IHE Cardiology @ ESC27
Lessons Learned IHE RadiologyEssential role of sponsor societies and individual leaders to drive the process with a vision, ambition and energy, and facilitate the voluntary collaboration of the industry participants
Marketing of the IHE initiative and benefits is not easy, because the first interest of the vendors is on the unique features of their products
Demonstrations are needed to get initial momentum in an IHE domain, but subsequently the focus needs to shift to Success Stories to keep the process going
Carefully monitor the real deployment in products of the IHE Integration Profiles, otherwise danger of creating IHE Utopia
Domains with larger scope, more industry players, more societies, government involvement, will be more difficult to organize than “simple” Radiology