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Sept 13-15, 20 04 IHE Interoperability Wo rkshop 1 Integrating the Healthcare Integrating the Healthcare Enterprise Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements and RFP Toolkit Cor Loef Co-chair IHE Radiology Technical Committee

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Page 1: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop1

Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise

IHE Tools for Users and Integrators:Connectathon, Integration Statements

and RFP Toolkit

Cor Loef

Co-chair IHE Radiology Technical Committee

Page 2: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop2

ContentContent

Benefits for clinicians and administrators

IHE Process

Connectathon

Integration Statements

RFP approach

Page 3: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop3

Benefits to IHE ParticipantsBenefits to IHE Participants

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

Page 4: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop4

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

IHE drives healthcare standards based-integration IHE drives healthcare standards based-integration

Page 5: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop5

Healthcare Integration Problem

Interoperable Healthcare IT

Solution Specifications IHE Integration Profile

IHE implementation

Testing

IHE Deployment

Interoperable Healthcare IT Practical Solution IHE Success Story

Valid IHE Healthcare IT Product Implementation IHE Integration Statement

IHE process steps

Page 6: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop6

A Proven Standards Adoption ProcessA 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 ROI Providers can deploy with stability

Page 7: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop7

The Annual “Connectathon”The Annual “Connectathon” Unprecedented Cross-Vendor Testing Voluntary Participation

Designed End-to-End Scenarios

Advanced Testing Tools

Rich Pool of Technical Talent

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

Page 8: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop8

IHE ConnectathonIHE ConnectathonManaged by the IHE Sponsors (Users)

Shortcut to rsna-connectivity2.lnk

Page 9: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop9

Page 10: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop10

Page 11: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop11

Vendors publishVendors publish IHE Integration Statements IHE Integration Statements

Product UVW supports the

IHE K Actor with the

IHE X and Y Integration Profiles

IHE J Actor with the

IHE T Integration Profile

Page 12: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop12

IHE Integration StatementIHE Integration Statement

Page 13: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop13

Page 14: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop14

Leveraging IHE Integration Leveraging IHE Integration StatementsStatements

Vendors Claim IHE Compliance in an explicit way Can rely on an objective and thorough specification (IHE Technical

Framework) Willing to accept contractual commitments Willing to correct “implementation errors”

Buyers Can compare product integration capabilities Simplify and strengthen their RFPs Can leverage a public and objective commitment Decreased cost and complexity of interface deployment and

management

Page 15: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop15

Information Flow in HospitalInformation Flow in Hospital

MPI

ADT

RIS

PACSModality Display

HIS

Billing

Lab Cardio

Page 16: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop16

The Product World…..The Product World…..

Product XYZfrom Vendor T

Page 17: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop17

The IHE The IHE WWorld….orld….

IHE ActorIHE Actor

ActorActorActorActor

ActorActor

IHEIHETransactionTransactionIHEIHE

TransactionTransaction

IHEIHETransactionTransaction

IHE ActorIHE Actor

Page 18: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop18

Mapping IHE to ProductsMapping IHE to Products

Poduct XYZfrom Vendor T

IHE ActorIHE Actor

ActorActorActorActor

ActorActor

IHEIHETransactionTransactionIHEIHE

TransactionTransaction

IHEIHETransactionTransaction

IHE ActorIHE Actor

Page 19: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop19

Phase 1: Modalities with RIS ConnectionPhase 1: Modalities with RIS Connection

IHE Integration Profile:Scheduled Workflow

(DICOM Modality Worklist)

Page 20: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop20

RISRIS

Scheduled Workflow (Modality Worklist)Scheduled Workflow (Modality Worklist)

Modality Modality WorklistWorklist

Proposed Protocols

Loaded and Reviewed

WorklistWorklistPatient Name, IDPatient Name, ID

Requested ProcedureRequested Procedure

Examination TypeExamination Type

Scheduled Date, TimeScheduled Date, Time

Page 21: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop21

Phase 2: Modalities with RIS Connection & PACSPhase 2: Modalities with RIS Connection & PACS

IHE Integration Profiles:•Scheduled Workflow (full)•Patient Information Reconciliation•Presentation of Grouped Procedures•Access to Radiology Information

Page 22: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop22

Patient Registration/UpdatePatient Registration/UpdateOrder ManagementOrder Management

Order Order Protocol Protocol DefinedDefinedStore ImagesStore Images

Storage CommitmentStorage CommitmentStorageStorage

CommitmentCommitment

List of ImagesList of Images

PACS &PACS &ArchiveArchive

RISRIS

A Closed LoopA Closed Loop•Update Scheduling ISUpdate Scheduling IS

•Match Procedure with OrderMatch Procedure with Order•Support Billing Based on MPPSSupport Billing Based on MPPS

•Avoid Reading incomplete ProceduresAvoid Reading incomplete Procedures

Scheduled WorkflowScheduled Workflow

Modality Modality WorklistWorklist

Procedure Scheduled Procedure Scheduled

Proposed Protocols

Loaded and Reviewed

WorklistWorklistPt A, …, Pt A, …, SPS=P1, P4SPS=P1, P4

Pt C, …, Pt C, …, SPS=P1, P5SPS=P1, P5

Pt B, …, Pt B, …, SPS=P2SPS=P2

Pt E, …, Pt E, …, SPS=P4SPS=P4

ModalityModalityPerformedPerformedProcedure Procedure StepStep

With Performed With Performed Acquisition Acquisition ProtocolsProtocolsPerformed Step:Performed Step:

Status = CompletedStatus = CompletedPerformed Procedure: CT HeadPerformed Procedure: CT Head Performed Protocol Code=P1Performed Protocol Code=P1

Pat Name/ID, Dose, Pat Name/ID, Dose, Accession #, Study UIDAccession #, Study UIDComplete List of ImagesComplete List of Images

Scheduled Protocol Code=P1, PScheduled Protocol Code=P1, P55

Page 23: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop23

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

Page 24: Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements

Sept 13-15, 2004 IHE Interoperability Workshop24

More information….More information….IHE Web sites:

http://www.himss.org/IHEhttp://www.rsna.org/IHEhttp://www.acc.org/quality/ihe.htm.

Technical Frameworks:• ITI V1.0, RAD V5.5, LAB V1.0

Technical Framework Supplements - Trial Implementation• May 2004: Radiology• August 2004: Cardiology, IT Infrastructure

Non-Technical Brochures :• Calls for Participation• IHE Fact Sheet and FAQ• IHE Integration Profiles: Guidelines for Buyers• IHE Connect-a-thon Results• Vendor Products Integration Statements