August 31, 2004Year 1 of IHE Cardiology @ ESC 1 Integrating the Healthcare Enterprise Achievements...

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


Content

Expectations of stakeholders

Essence of the IHE process

Achievements in Radiology

Lessons learned


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 …


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


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


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


IHE Process

Essence of IHE process:Essence of IHE process:IHE drives healthcare standards based-integration IHE drives healthcare standards based-integration


Healthcare Integration Vision and Ambition

Interoperable Healthcare IT


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


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


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


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


IHE Radiology Scheduled Workflow


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


Connectathon impressionConnectathon impression


ParticipatingParticipatingvendorsvendorsin the medicalin the medicalimaging industryimaging industry


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


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


IHE Integration Statement


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


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



IHE process expansion to new domains


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


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


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


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

August 31, 2004Year 1 of IHE Cardiology @ ESC 1 Integrating the Healthcare Enterprise Achievements...

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