My presentation on "Influence of Theater of Absurd in the play 'The Birthday Party'
Theater Presentation
Transcript of Theater Presentation
brought to you bybrought to you by
IHE Sponsors and Committee MembersIHE Sponsors and Committee Members
Welcome to theWelcome to theInteroperability ShowcaseInteroperability Showcase
IHE: A Framework for Interoperability
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• A common framework for harmonizing and A common framework for harmonizing and implementing multiple standardsimplementing multiple standards
• Enables seamless health information movement Enables seamless health information movement within and between enterprises, regions, nationswithin and between enterprises, regions, nations
• Promotes unbiased selection and coordinated use Promotes unbiased selection and coordinated use of established healthcare of established healthcare andand IT standards to IT standards to address specific clinical needsaddress specific clinical needs
Standards: Necessary…Not Sufficient
• Standards areStandards are– Foundational - to interoperability and communicationsFoundational - to interoperability and communications– Broad - varying interpretations and implementationsBroad - varying interpretations and implementations– Narrow - may not consider relationships between Narrow - may not consider relationships between
standards domainsstandards domains– Plentiful - often redundant or disjointedPlentiful - often redundant or disjointed– Focused - standards implementation guides typically Focused - standards implementation guides typically
focus on a single standardfocus on a single standard
IHE provides a standard process for IHE provides a standard process for implementing multiple standardsimplementing multiple standards
IHE: Connecting Standards to Care
• Healthcare professionals working with industryHealthcare professionals working with industry• Coordinate implementation of standards to meet Coordinate implementation of standards to meet
clinical and administrative needsclinical and administrative needs– Clinicians and HIT professionals identify the key Clinicians and HIT professionals identify the key
interoperability problems they faceinteroperability problems they face– Providers and industry work together to develop and Providers and industry work together to develop and
make available standards-based solutionsmake available standards-based solutions– Implementers are able to follow common guidelines in Implementers are able to follow common guidelines in
purchasing and integrating effective systemspurchasing and integrating effective systems
IHE: A forum for agreeing on how to implement IHE: A forum for agreeing on how to implement standards and processes for making it happenstandards and processes for making it happen
Integrating the Healthcare Enterprise
““Achieving Interoperability through Implementation of Standards”Achieving Interoperability through Implementation of Standards”
1997: Founded in Radiology (RSNA) and IT (HIMSS)1997: Founded in Radiology (RSNA) and IT (HIMSS)• Many professional societies (stakeholder Many professional societies (stakeholder
representation)representation)– American Academy of Ophthalmology (AAO)American Academy of Ophthalmology (AAO)– American College of Cardiology (ACC)American College of Cardiology (ACC)– American College of Physicians (ACP)American College of Physicians (ACP)– American College of Clinical Engineering (ACCE) American College of Clinical Engineering (ACCE) – American College of Emergency Physicians (ACEP) American College of Emergency Physicians (ACEP) – American Society for Therapeutic Radiation Oncology (ASTRO)American Society for Therapeutic Radiation Oncology (ASTRO)– GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)– Healthcare Information Management Systems Society (HIMSS)Healthcare Information Management Systems Society (HIMSS)– Radiological Society of North America (RSNA)Radiological Society of North America (RSNA)– And many more….And many more….
IHE Participants and Relationships
• Participants include:Participants include:– Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g. Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g.
NIST, VA).NIST, VA).– Vendors - Information Systems and EquipmentVendors - Information Systems and Equipment
• e.g., imaging, cardiology, devicese.g., imaging, cardiology, devices
– ConsultantsConsultants
• Relationship with Standards Development Organizations Relationship with Standards Development Organizations (SDOs):(SDOs):– HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many
othersothers
• Approved via ISO/TC 215 allowing for IHE profiles to be Approved via ISO/TC 215 allowing for IHE profiles to be published as ISO deliverablespublished as ISO deliverables
IHE Organizational Structure
ACCACPHIMSSRSNA
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
GMSIHSFRSFILACCE
SIRMBIREuroRec
COCIREAR-ECRDRG
ESC
Professional Societies / Sponsors Contributing &Participating
Vendors
IHE (International) Strategic Development Committee
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Pharmacy /Medication Admin
RadiationOncology
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
Regional Deployment
China
International Adoption of IHE
FranceUSA
Germany
Italy
JapanUK
Canada
Korea
Taiwan
Norway
Holland
SpainChina
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IHE based Regional and National EHR Projects (Operational and Planned)
Toronto, Quebec, Alberta, BCCanada Infoway
Austria
THINC- New YorkNCHICA – N. Carolina
Italy (Conto Corrente Salute)
MA-Share – MA
FranceDMP
Philadelphia
HIE
CHINA-MoHLab results sharing
New York HIE
Proven Standards Adoption Process
Document Use Case RequirementsDocument Use Case Requirements
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)
Develop technical specifications
Develop technical specifications
Testing at ConnectathonsTesting at Connectathons
IHEDemonstrationsIHEDemonstrations
Products with IHEProducts with IHE
Timely access to informationTimely access to information
Easy to integrate productsEasy to integrate products
Growth in IHE Domains
Radiology (18)
IT Infrastructure for Healthcare (17)
Cardiology (7)
Laboratory (6)
Radiation Oncology (1)
Patient Care Coordination (5)
Patient Care Devices (1)
Quality
Eye Care (3)
VeterinaryEndoscopyPathologyPharmacy
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• Over 100 vendors involved world-wideOver 100 vendors involved world-wide• 8 Technical Frameworks8 Technical Frameworks• 58 Integration Profiles58 Integration Profiles
•Testing at “Connectathons” worldwideTesting at “Connectathons” worldwide• Demonstrations at major conferences worldwideDemonstrations at major conferences worldwide
•Clinical Departments:Clinical Departments:•Radiology, Cardiology, Lab,…Radiology, Cardiology, Lab,…
•Across Departmental &Across Departmental & Institutional Boundaries – XDS Institutional Boundaries – XDS
•RHIOs, HER EnablersRHIOs, HER Enablers
IHE Integration Profiles for Health Info Nets What is available and has been added in 2006/07
Cross-Enterprise Document Sharing
Registration, distribution and access across health enterprises of clinical
documents forming a patient
electronic health record
Emergency Referrals Format of the Document Content
and associated coded vocabulary PHR Extracts/Updates
Format of the Document Content and associated coded vocabulary
ECG Report Document
Format of the Document Content and associated coded vocabulary
Lab Results Document Content
Format of the Document Content and associated coded vocabulary
Scanned Documents Format of the Document ContentImaging Information
Format of the Document Content and associated coded vocabulary
Medical Summary (Meds, Allergies, Pbs)
Format of the Document Contentand associated coded vocabulary
Consistent TimeCoordinate time across networked
systems
Audit Trail & Node Authentication
Centralized privacy audit trail and node to node authentication to create
a secured domain.
Basic Patients Privacy Consents
Establish Consents & Enable Access Control
Document Digital Signature
Attesting “true-copy and origin
SecuritySecurityClinical and PHR ContentClinical and PHR Content
Health Data ExchangeHealth Data Exchange
Patient Demographics Query
Patient Identifier Cross-referencing
Map patient identifiers across independent identification
domains
Notification of Document Availability
Notification of a remote provider/ health enterprise
Request Formfor Data Capture
External form with custom import/export scripting
Patient ID MgmtPatient ID Mgmt
OtherOther
Cross-Enterprise Document Pt-Pt Reliable Interchange
Final Text ApprovedFinal Text Approved
Trial Implementation-2006 Trial Implementation-2006 –– Final Txt 2007Final Txt 2007
Cross-Enterprise Document Media Interchange
Compliance with US National Health Info NetHITSP Interoperability Specs and CCHIT RoadmapHITSP Interoperability Specs and CCHIT Roadmap
Patient Demographics Query
Patient Identifier Cross-referencing
Map patient identifiers across independent identification
domains
Cross-Enterprise Document Sharing
Registration, distribution and access across health enterprises of clinical
documents forming a patient
electronic health record
Cross-Enterprise Document Media Interchange
Emergency Referrals Format of the Document Content
and associated coded vocabulary PHR Extracts/Updates
Format of the Document Content and associated coded vocabulary
ECG Report Document
Format of the Document Content and associated coded vocabulary
Lab Results Document Content
Format of the Document Content and associated coded vocabulary
Scanned Documents Format of the Document ContentImaging Information
Format of the Document Content and associated coded vocabulary
Medical Summary (Meds, Allergies, Pbs)
Format of the Document Contentand associated coded vocabulary
Patient ID MgmtPatient ID Mgmt
Consistent TimeCoordinate time across networked
systems
Audit Trail & Node Authentication
Centralized privacy audit trail and node to node authentication to create
a secured domain.
Basic Patients Privacy Consents
Establish Consents & Enable Access Control
Document Digital Signature
Attesting “true-copy and origin
SecuritySecurityClinical and PHR ContentClinical and PHR Content
Health Data ExchangeHealth Data Exchange
Notification of Document Availability
Notification of a remote provider/ health enterprise
Request Formfor Data Capture
External form with custom import/export scripting
OtherOther
Cross-Enterprise Document Reliable Interchange
Accepted by HITSP in 2006Accepted by HITSP in 2006
Candidate for HITSP & CCHIT in 07Candidate for HITSP & CCHIT in 07
How to Participate
As a User or Vendor Committee MemberAs a User or Vendor Committee Member• Become a member of a Domain’s Planning or Become a member of a Domain’s Planning or
Technical CommitteesTechnical Committees
As a User, Consultant or Vendor Interested As a User, Consultant or Vendor Interested ObserverObserver
• Provide Public Comments on Technical Provide Public Comments on Technical Framework SupplementsFramework Supplements
• Attend Demonstrations, Educational Events and Attend Demonstrations, Educational Events and WorkshopsWorkshops
How to Use IHE
As a Vendor ImplementerAs a Vendor Implementer• Implement IHE Integration ProfilesImplement IHE Integration Profiles• Test systems through Connectathon processTest systems through Connectathon process• Publish an IHE Integration Statement for productsPublish an IHE Integration Statement for products
As a User Implementer or ConsultantAs a User Implementer or Consultant• Use IHE Integration Profiles to develop Use IHE Integration Profiles to develop
interoperability strategyinteroperability strategy• Use Connectathon Results and Integration Use Connectathon Results and Integration
Statements to evaluate vendorsStatements to evaluate vendors• Demand IHE Integration Profile compliance in RFPsDemand IHE Integration Profile compliance in RFPs
Brought toBrought toyou by…you by…
Debuting this year in the Showcase…
• Secured Health Information Secured Health Information Exchange with broad contentExchange with broad content
• New Directions Focus (Life New Directions Focus (Life Sciences [Bio-Pharma], PIX/PDQ Sciences [Bio-Pharma], PIX/PDQ v3.0, ELINCS Lab)v3.0, ELINCS Lab)
• HITSP Interoperability HITSP Interoperability SpecificationsSpecifications
• Clinical data exchange amongst Clinical data exchange amongst patient care devicespatient care devices
20072007 20062006
Vendors Vendors ConnectedConnected 5151 3535
SupportersSupporters 1616 1414
Other Other participantsparticipants 99 1212
TotalTotal 7676 6161• Personal health record solutionsPersonal health record solutions
• Financial and administrative systems for billing and claims Financial and administrative systems for billing and claims attachments (CAQH/CORE)attachments (CAQH/CORE)
• Clinical scenarios focusing on clinician and patient access, and Clinical scenarios focusing on clinician and patient access, and information sharing across the full continuum of careinformation sharing across the full continuum of care
A Growing CastA Growing Cast
Community Community Network BNetwork B
Document Registry
PracticePracticePractice
ClinicClinicClinicClinic
HospitalsHospitalsHospitalsHospital
Diag Test
Other
PracticePractice HospitalHospital
Community Community Network CNetwork C
Document Registry
PracticePractice
Clinic
Hospitals
Hospitals
HIMSS Interoperability ShowcaseThe largest multi-vendor prototype ever built !The largest multi-vendor prototype ever built !
18 edge systems18 edge systems4 infrastructure systems4 infrastructure systems
5 edge systems 5 edge systems 4 infrastructure systems4 infrastructure systems
13 edge systems13 edge systems3 infrastructure systems3 infrastructure systems
3 infrastructure3 infrastructuresystemssystems
Community Community Network ANetwork A
Document Registry
PracticePracticePracticePracticePractice
ClinicClinicClinicClinic
HospitalsHospitalsHospitals
Diag Test
G
Your Guide to the Showcase Theatre
supported by: Infrastructure
• Patient Identity ManagementPatient Identity Management– incl. New Directions – using HL7v3incl. New Directions – using HL7v3
• XDS Document RegistriesXDS Document Registries
• XDS Document RepositoriesXDS Document Repositories
• Audit RepositoryAudit Repository
…and also starring
• HITSP Theater (M)HITSP Theater (M)– Showcasing breakthrough use cases and public health Showcasing breakthrough use cases and public health
protectionprotection
• ELINCS Theater (N)ELINCS Theater (N)– Interoperability between EHR & LabInteroperability between EHR & Lab
• CAQH Theater (M)CAQH Theater (M)– Interoperability between Provider & Health PlanInteroperability between Provider & Health Plan
• Life Sciences (L)Life Sciences (L)– New Directions bridging research/surveillance and EHR’sNew Directions bridging research/surveillance and EHR’s
• Standards Area – Standards Area – HL7, ISO, CDISC, NIST, HITSP, CAQHHL7, ISO, CDISC, NIST, HITSP, CAQH
…held over from last season
The “Distributed Demo”The “Distributed Demo”
The first 200 people to return a fully-The first 200 people to return a fully-stamped “autograph sheet” to the stamped “autograph sheet” to the Showcase reception kiosk will win a Showcase reception kiosk will win a IHE USB key!!IHE USB key!!
What happens next?
• Docents will guide you to a story/act/cast, Docents will guide you to a story/act/cast, each demonstrating interoperabilityeach demonstrating interoperability
OROR
• A presentation begins immediately in this A presentation begins immediately in this theatretheatre
Providers and VendorsProviders and Vendors
Working Together to DeliverWorking Together to Deliver
Interoperable Health Information SystemsInteroperable Health Information Systems
in the Enterprisein the Enterprise
and Across Care Settingsand Across Care Settings
http://www.ihe.net