June 2006What IHE Delivers 1 IHE Workshop 2006 - Changing the Way Healthcare Connects Flora Lum,...

1June 2006 What IHE Delivers

IHE Workshop 2006 - IHE Workshop 2006 - Changing the Way Healthcare ConnectsChanging the Way Healthcare Connects

Flora Lum, M.D.Flora Lum, M.D.Director, Quality of Care and Knowledge Base DevelopmentDirector, Quality of Care and Knowledge Base DevelopmentAmerican Academy of OphthalmologyAmerican Academy of Ophthalmology

Jim Riggi, CTO Medflow, Inc.Jim Riggi, CTO Medflow, Inc.

Co-Chair IHE Eye Care Technical CommitteeCo-Chair IHE Eye Care Technical Committee

IHE Eye CareIHE Eye CareProcess and TimelineProcess and Timeline

June 2006 2

Standards are critical but alone are not enoughStandards are critical but alone are not enough

Standards offer generality, ambiguity and Standards offer generality, ambiguity and alternativesalternatives

Standard implementation guides are focused on a Standard implementation guides are focused on a single standardsingle standard

Increasing complexityIncreasing complexity

IHE provides a standard process for IHE provides a standard process for implementing multiple standards!implementing multiple standards!

June 2006 3

Connecting Standards to CareConnecting Standards to Care

Care providers work with vendors to coordinate Care providers work with vendors to coordinate implementation of standards to meet their needsimplementation of standards to meet their needs

Care providers identify key interoperability problems they Care providers identify key interoperability problems they faceface

Drive industry to develop and make available standards-Drive industry to develop and make available standards-based solutionsbased solutions

Implementers follow common guidelines in purchasing and Implementers follow common guidelines in purchasing and integrating systems that deliver these solutionsintegrating systems that deliver these solutions

What is the effective way to establish those What is the effective way to establish those “standards” for how to implement standards?“standards” for how to implement standards?

June 2006 4

What is What is Integrating the Healthcare Enterprise?Integrating the Healthcare Enterprise?

IHE provides a common framework for passing IHE provides a common framework for passing health information seamlessly:health information seamlessly: withinwithin the healthcare enterprise the healthcare enterprise acrossacross multiple healthcare enterprises multiple healthcare enterprises for local, regional & national for local, regional & national health information health information

networksnetworks..

IHE is sponsored by IHE is sponsored by healthcare professional healthcare professional associationsassociations..

IHE IHE drives standards adoptiondrives standards adoption to address to address specific clinical needs.specific clinical needs.

June 2006 5

Why is AAO sponsoring IHE Eye Why is AAO sponsoring IHE Eye Care?Care?

Strong belief in the benefits of standard setting Strong belief in the benefits of standard setting and interoperabilityand interoperability Enhance quality of patient careEnhance quality of patient care Increase efficiencies for eye care practicesIncrease efficiencies for eye care practices Reduce costs to developers and ultimately usersReduce costs to developers and ultimately users Accelerate usability of electronic health record systemsAccelerate usability of electronic health record systems

AAO provides neutral forum to bring vendors and AAO provides neutral forum to bring vendors and users togetherusers together

June 2006 6

Standards Adoption ProcessStandards Adoption Process

Document Use Case RequirementsDocument Use Case Requirements

Identify available standards (e.g. HL7, DICOM, IETF, OASIS)

Identify available standards (e.g. HL7, DICOM, IETF, OASIS)

Develop technical

specifications

Develop technical

specifications

Testing at ConnectathonsTesting at Connectathons IHE

DemonstrationsIHE Demonstrations

Products with IHEProducts with IHE

Timely access to Timely access to informationinformationTimely access to Timely access to informationinformation Easy to integrate

productsEasy to integrate products

June 2006 7

Driving healthcare standards-based integrationDriving healthcare standards-based integration

Prof. Societies Sponsorship

Healthcare Providers & Vendors

Healthcare IT Standards HL7, DICOM, etc.

General IT Standards Internet, ISO, etc.

IHE Process

IHE Integration Profile: A well-defined and tested solution to a specific information exchange problem

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

June 2006 8

IHE organizational Structure Multi-Domain & IHE organizational Structure Multi-Domain & Multi-NationalMulti-National

Participants

contribute

Global Development:Radiology,IT Infrastructure,Cardiology,Lab, Eye Care, etc.

Delegates

IHE Europe

IHE North America

IHE Asia/Oceania

Regional &NationalDeployment

supervises reports

IHE (International) Strategic Development Committee

SponsorsCo-Chairs

Global

Interoperability

IHE Domain-related Planning Committee and

Technical Committee

National Extensions

June 2006 9

IHE Contributors & ParticipantsIHE Contributors & Participants

Societies Representing Healthcare SegmentsSocieties Representing Healthcare Segments RSNA, HIMSS, ACC, ACCE, AAORSNA, HIMSS, ACC, ACCE, AAO Any Healthcare Stakeholder OrganizationAny Healthcare Stakeholder Organization

UsersUsers Clinicians, Medical Staff, Administrators, CIOs, …Clinicians, Medical Staff, Administrators, CIOs, …

Information Systems & Equipment VendorsInformation Systems & Equipment Vendors Electronic health record systems, practice management Electronic health record systems, practice management

systems, image management systems, manufacturers of systems, image management systems, manufacturers of medical devices and instruments medical devices and instruments

In addition, active liaison with Standards In addition, active liaison with Standards Development Organizations (SDOs)Development Organizations (SDOs) HL7, DICOM, NCCLS, ASTM, ISO, othersHL7, DICOM, NCCLS, ASTM, ISO, others

June 2006 10

Achievements and expanding scopeAchievements and expanding scope15 Active national chapters on 4 continents, 5 Technical Frameworks

42 Integration Profiles, Testing at yearly Connectathons,Demonstrations at major exhibitions world-wide

3 Integration Profiles

IHE Cardiology

IHE Laboratory

IHE Radiology

IHE

Oncology

Patient Care Coordination

IHE

IT Infrastructure





1 Integration Profile IHE

Eye Care

June 2006 11

A Proven Standards Adoption ProcessA Proven Standards Adoption Process

IHEIntegrationProfiles B

IHEIntegrationProfile A

Easy toIntegrateProducts

IHEIHEConnect-a-thonConnect-a-thon

ProductWith IHE

IHEIHEDemonstrationDemonstration

User Site

RFPRFP

StandardsStandards(e.g. ASTM-CCR(e.g. ASTM-CCR

HL7 CDA)HL7 CDA)

Product IHE IntegrationStatement

IHE Connect-a-thonResults

IHE Integration Profiles at the heart of IHE :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 ROI Providers can deploy with stability Process started in 1998 with continuous improvements

Requirements

June 2006 12

IHE ConnectathonIHE Connectathon

Open invitation to vendor communityOpen invitation to vendor community

Use of advanced testing tools (MESA)Use of advanced testing tools (MESA)

Testing organized and supervised by project Testing organized and supervised by project management teammanagement team

Thousands of cross-vendor tests performedThousands of cross-vendor tests performed

Results recorded and publishedResults recorded and published

Excellent opportunity for vendors to test their Excellent opportunity for vendors to test their products with other vendorsproducts with other vendors

June 2006 13

IHE ConnectathonsIHE Connectathons

Vendors do not pass…Vendors do not pass…until IHE Technical Project Manager attests it !until IHE Technical Project Manager attests it !

Massive yearly events :Massive yearly events :60-70 vendors60-70 vendors120-160 engineers120-160 engineersOver 100 systemsOver 100 systems…….integrated in 5 days.integrated in 5 days

June 2006 14

Integration StatementsIntegration Statements

June 2006 15

**HIMSS web-based survey in data collection in November 2004 – 163 participants

2005 IHE Survey Results2005 IHE Survey Results

0 2 4 6

1

Perceived Value and Benefits

Demonstration isImportant Part ofIHE Activities

Benefit of Testingat Connectathon

Perceived Value ofConnectathon

June 2006 16

IHE Eye Care ProcessIHE Eye Care Process

Open invitation to vendor community to Open invitation to vendor community to participate in process – October 2005participate in process – October 2005

Open process to create the Technical Framework Open process to create the Technical Framework – January ~ May 2006– January ~ May 2006

Open public comment period – April 2006Open public comment period – April 2006

Comments reviewed and suggestions Comments reviewed and suggestions incorporated – April ~ May 2006incorporated – April ~ May 2006

Profile for trial implementation released – June Profile for trial implementation released – June 20062006

June 2006 17


Requirement for Modality VendorsRequirement for Modality Vendors Dr. David Clunie has offered to check DICOM images Dr. David Clunie has offered to check DICOM images

for correctness, such as Ophthalmic Photography.for correctness, such as Ophthalmic Photography. This is also for other kinds of DICOM objects, like This is also for other kinds of DICOM objects, like

DICOM Encapsulated PDFs.DICOM Encapsulated PDFs. Every vendor should make use of this opportunity.Every vendor should make use of this opportunity. Email the images to David (Email the images to David ([email protected]) or put ) or put

them on an FTP or web site and send him link, or upload them on an FTP or web site and send him link, or upload to his FTP:to his FTP:ftp://vatest:[email protected]/incoming/ftp://vatest:[email protected]/incoming/

mailto:[email protected]

June 2006 18


Vendors can start testing right nowVendors can start testing right now

Tools are already available cover 90% of the IHE Tools are already available cover 90% of the IHE Technical Framework specifications (based on Technical Framework specifications (based on existing IHE radiology technical specifications)existing IHE radiology technical specifications)

http://wuerlim.wustl.edu/mesa/software/mesa_distribution.html

A project manager will be handling:A project manager will be handling: Development of testing tools (MESA)Development of testing tools (MESA) Planning and operations of ConnectathonPlanning and operations of Connectathon Testing before and during ConnectathonTesting before and during Connectathon Results and feedback to vendorsResults and feedback to vendors



June 2006 19


Development of MESA testing tools for the Development of MESA testing tools for the exceptions (10% that is different from existing exceptions (10% that is different from existing specifications) – June ~ Augustspecifications) – June ~ August

Vendors implement profiles – July ~ SeptVendors implement profiles – July ~ Sept

Organizational meeting for Connectathon and Organizational meeting for Connectathon and MESA tools made available – August 10MESA tools made available – August 10thth

Vendors submit MESA test results – Sept 15Vendors submit MESA test results – Sept 15thth

Test results and issues provided to each vendor Test results and issues provided to each vendor – Sept 27– Sept 27thth

June 2006 20

IHE Eye Care ConnectathonIHE Eye Care Connectathon

Open invitation to vendor communityOpen invitation to vendor community

Week of October 9Week of October 9thth

RSNA headquarters, ChicagoRSNA headquarters, Chicago

Prerequisite to participate in the AAO Annual Prerequisite to participate in the AAO Annual Meeting Interoperability ShowcaseMeeting Interoperability Showcase

Cost to participate for Connectathon: $6,000 Cost to participate for Connectathon: $6,000 (costs for facilities, IT network, project manager)(costs for facilities, IT network, project manager)

Application: Contact Flora Lum, Application: Contact Flora Lum, [email protected], , (415) 561-8592(415) 561-8592


June 2006 21

IHE Eye Care ShowcaseIHE Eye Care Showcase

50x50 booth space on show floor for vendors to 50x50 booth space on show floor for vendors to demonstrate interoperabilitydemonstrate interoperability

Marketing and publicity to members through AAO Marketing and publicity to members through AAO website, mailed brochures, on-site advertising, website, mailed brochures, on-site advertising, Eyenet magazine, on-site brochure, booth Eyenet magazine, on-site brochure, booth signagesignage

Presentations at the Technology PavilionPresentations at the Technology Pavilion

Cost to participate for Showcase: $5,000 Cost to participate for Showcase: $5,000 (furniture, IT/electrical, equipment, marketing, (furniture, IT/electrical, equipment, marketing, etc.)etc.)

Application: Contact Flora Lum, Application: Contact Flora Lum, [email protected], , (415) 561-8592(415) 561-8592


June 2006 22

June 2006What IHE Delivers 1 IHE Workshop 2006 - Changing the Way Healthcare Connects Flora Lum,...

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