Expansion of Integrating the Healthcare Enterprise (IHE) Joyce Sensmeier MS, RN, BC, CPHIMS Director...

Expansion of Integrating the Expansion of Integrating the Healthcare Enterprise (IHE)Healthcare Enterprise (IHE)

Joyce Sensmeier MS, RN, BC, CPHIMSDirector of Professional Services

Healthcare Information and Management Systems Society (HIMSS)

04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003

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IHE MissionIHE Mission

Bring together stakeholders to implement

standards for communicating clinical

and operational data safely and

efficiently throughout the healthcare

enterprise


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IHE GoalIHE Goal

To provide relevant patient information at

the point of care to support caregiver

decision-making and optimal patient

care


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Shaping the Future of IHEShaping the Future of IHE

IHE Strategic Development Committee Est. July 2002– Goal: Expansion of IHE process to meet

integration needs of entire enterprise– Engage leading medical professionals and

associations from other key domains – Identify integration needs / barriers and

problems / solutions within and across domains


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IHE Strategic Development IHE Strategic Development CommitteeCommittee

Co-Chairs: Dr. David Piraino, Cleveland Clinic & Dr. Blackford Middleton, Partners Healthcare

Domain specific sub-committees:– IT Infrastructure/Interdepartmental

Information Sharing – Cardiology– Laboratory– Pharmacy / Medication Administration


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DeptSched.

ADT

OrderMgt

ImageMgr

Modality

11stst Dimension: Dimension:Vertical Integration for RadiologyVertical Integration for RadiologyIHE Years 1, 2, 3, 4, ...IHE Years 1, 2, 3, 4, ...

Dimensions for GrowthDimensions for Growth


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22ndnd Dimension: Dimension:Growing the HorizontalGrowing the HorizontalHealthcare Enterprise IntegrationHealthcare Enterprise Integration

Master Patient Index

Clinical Patient Record

Ordering Process

. . .Dept

Sched.

ADT

OrderMgt

ImageMgr

Modality

Patient Registration



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33rdrd Dimension: Dimension:Increasing the Number ofIncreasing the Number ofVertically IntegratedVertically IntegratedDepartmentsDepartments

Master Patient Index

Clinical Patient Record

Ordering Process

. . .

Patient RegistrationR

a d

i o

l o g

y

C a

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i o

l o g

y

Lab

orat

ory

Ad

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Cli

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al F

ield

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PartnershipsPartnershipsOrganization

– Sponsored by HIMSS and RSNA, International Societies

– Partnerships with the American College of Cardiology (ACC), American College of Clinical Engineering (ACCE), HL7, and DICOM

– Strategic Development Committee

– Domain specific planning and technical committees Radiology, IT Infrastructure, Cardiology, Medication Management

Membership– Healthcare professionals and industry representatives


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IHE Expansion into New AreasIHE Expansion into New Areas

New IT Infrastructure Committees Formed– (EMPI, Query-Display, Synchronized Patient

Views, and Advanced Security)New collaborations with ACC, HL7 &

ACCEWork progressing in:

– Laboratory– Pharmacy/Medication Management


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Clinical Query/Display ProfilesClinical Query/Display Profiles Query for Existing Reports in Well Known Presentation

Formats – CDA, PDF, RTF, …

Query for Well-Known Key Data – Allergies, Current Medications, Lab Panel Results…

Linked to user authentication and EMPI services Value Proposition

– Simple, rapid access to patient information for better care – Patients win!

– Supports workflow from within current workspace or application – Users win!


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Patient-Synchronized Patient-Synchronized Applications ProfileApplications Profile

Viewing the same patient while moving among applications on a desktop

Linked to user authentication and EMPI services

Value Proposition– Reduce the repetitive tasks of selecting same

patient in multiple applications – Users win!– Reduce likelihood of working with wrong patient –

A patient safety win!


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Advanced Security - Common Advanced Security - Common User Authentication ProfileUser Authentication Profile

Standards based user log-in for workstations and applications

Provisions for emergency accessValue Proposition

– Facilitates centralized user access management – IT win!

– Single sign-on speed and convenience – Users win!


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EMPI - Patient Identity Cross-EMPI - Patient Identity Cross-Referencing ProfileReferencing Profile

Mapping a patient’s multiple identities across registration domains

Enable access to data and information across independent domain boundaries

Value Proposition– Broader access to needed patient data wherever it

is – Users win!– Lower costs to use data in existing systems

anywhere in the enterprise – IT wins!


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Current ParticipantsCurrent Participants

Agfa Berdy Medical CareFX Cerner Fuji GE Medical HX Technologies IDX IntePro Kodak Madison Info Tech

Montefiore Med Center Mitra Micros Per-Se Philips Practical Healthcare

Management QuadraMed SAIC Sentillion Siemens


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Invitation to New ParticipantsInvitation to New Participants

Join Committees– Work on integration profiles – Teleconference, meetings and homework

Participate in connectathons and HIMSS 2004

Support IHE Integration Profiles in your products

Gain worldwide promotion and acceptance of your product

IHE IT Infrastructure TimelineIHE IT Infrastructure TimelineFebruary 5-7 2003 First face to face meeting - Oakbrook, IL

February 27 IT Planning t-con Select 2003/Year 5 IT profiles

April 22-25 Face to face meeting to close all tech issues

June 2-6 Face to face meeting to produce Public Comment TF

July 14 Comments due on IT Profiles for Public Comment

July 28-August 1 Face to face comments consolidation meeting

August 10 IHE IT Integration Profiles (approved-final)

September 10-11 Vendor workshop - Memphis, Reg. due October 1st.

January 12-16 2004 IHE IT Connectathon - San Diego, CA

February 22-26 2004 HIMSS HL7- IHE Demo – Orlando, FL


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Other expansion areasOther expansion areasCardiology

– Chair – Dr. David Thiemann Johns Hopkins

– Kick-off meeting March 28, Chicago– Sponsored by the American College of

Cardiology (ACC)– 45 participants– ACC board reviewing proposal for launch of

IHE Cardiology activities– White paper


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Other expansion areasOther expansion areas

Laboratory– Chair – Dr. David Chou

University of Washington

– International meeting May 23, 2003– Perugia, Italy– Sponsored by IHE Europe– Laboratory proposal document open for

comments


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Pharmacy/Medication Management– Chair - Dr. Thomas Abendroth

Penn State - Hershey

– Sub committee clinician meeting

held February 17– Identified problems and refined use cases– White paper being reviewed/finalized


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American College of Clinical Engineeriing– Collaboration meeting at HIMSS Feb. 12

ACCE proposed formal relationship w/ IHE– Establish IHE task force in ACCE– Provide clinical engineering resource– Educate clinical engineering community

– Promote IHE initiative to hospitals & manufacturers

– Presentation to ACCE Symposium June 14


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Other collaborationsOther collaborations

Standards drive Healthcare SolutionsHL7-IHE Interoperability DemonstrationHIMSS – February 22-26, 2004Combined demo proposal being

reviewed by HL7 and IHEPresent demonstration adjacent to HL7

& IHE booth on main aisle of exhibit floor with joint theater area


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HL7-IHE Interoperability demoHL7-IHE Interoperability demo

Demo scenario integrates 3 components: - IHE IT Integration Profiles, and selected

domain specific Profiles (e.g. Radiology). - HL7 standard functions - HL7 draft standard functions Demo highlights how each component feeds

into other and contributes to successful driving of standards in healthcare solutions.


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ConclusionConclusion

Year 5 key expansion evolving into other domains

Work in Radiology will continue – led by RSNA

Work in IT Infrastructure will continue – led by HIMSS

Support and involvement building across other societies, disciplines and internationally


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Next StepsNext Steps

Consider new areas of involvementSign-upContacts

– Joyce Sensmeier, Director of Professional Services, HIMSS at [email protected]

– Chris Carr, Director of Informatics, RSNA at [email protected]

Questions?Questions?

www.www.himsshimss.org/IHE.org/IHEwww.www.himsshimss.org/IHE.org/IHE

Expansion of Integrating the Healthcare Enterprise (IHE) Joyce Sensmeier MS, RN, BC, CPHIMS Director...

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