Integrating the Healthcare Enterprise IHE Brief Overview

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Integrating the Healthcare Enterprise (IHE)
Brief Overview
Joyce Sensmeier MS, RN, BC, CPHIMS Director of
Professional Services Healthcare Information and
Management Systems Society (HIMSS)
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What is IHE?

• A joint initiative to improve systems integration
• Process for coordinated adoption of standards
• Clinicians/IT staff define needs
• Vendors and IT Professionals develop solutions
• Technical Framework
• Professional societies supervise documentation,
  testing and demonstration/promotion

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Putting standards together.
for effective information exchange
Bridging the gap ? How to drive
effective standards Implementations

• IHE
• Integration Profiles Spec.
• Testing Process
• Compliance
• Practical Deployment

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Goals of IHE

• Speed up the rate and quality of integration in
  healthcare environments
• Foster communication among vendors
• Prove that integration is attainable based on
  standards
• Improve the efficiency and effectiveness of
  clinical practice

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What IHE is NOT!

• A standards development organization
• Uses established standards (HL7, DICOM, others)
  to address specific clinical needs
• Activity complementary to SDOs, formal
  relationship with HL7 and DICOM
• Simply a demonstration project
• Demos only one means to the endadoption
• Backed up by documentation, tools, testing, and
  publication of information

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IHE Participants

• Societies Representing Healthcare Segments
• ( RSNA, HIMSS, ACC, ACCE, Other Professional
  Societies )
• Users
• ( Clinicians, Medical Staff, Administrators,
  CIOs, )
• Information Systems Vendors
• Imaging Systems Vendors
• Consultants
• Standards Development Organizations (SDOs)
• DICOM
• HL7, others

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Benefits 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

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Benefits to IHE Participants

• Vendors
• Decreased cost and complexity of interface
  installation and management
• Validation of integration at Connectathon
• 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

Plus, IHE meets fixed deadlines
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IHE Process

• IHE bridges the gap between healthcare
  information exchange standards, IT standards, and
  their implementation, in easy to deploy products.
• Healthcare professionals define IHE integration
  profiles that when developed in IHEs vendor /
  provider collaborative manner, address complex
  healthcare delivery processes.
• IHE delivers, through yearly cycles
• a technical framework detailing specific use of
  existing standards in integration profiles,
• a testing process which validates
  implementations,
• an education and implementation promotion
  machinery,
• documentation by which customers can leverage the
  purchase of compliant systems.

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IHE drives healthcare standards based-integration

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A Proven Standards Adoption Process
IHE ConnectathonResults
User Site

• 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

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IHE Deliverables

• Venues for discussion between users and vendors
• Common vocabulary/ view of the world based on
• Standard information models (HL7, DICOM, etc.)
• Coded information and their meaning
• Technical Framework An Implementation Guide
• ACTORS in roles performing TRANSACTIONS to
  accomplish Specific Processes
• Together they form INTEGRATION PROFILES
• Connectathon Cross-vendor testing opportunity.
• Public Demonstrations / Education/ Publications
• Marketing Tools for compliant products
• Connectathon results published
• Products claim conformance with Integration
  Statement

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IHE Organizational Structure Multi-Domain
Multi-National
IHE Domain-related Planning and Technical
Committees
Global DevelopmentRadiology,IT
Infrastructure,Cardiology,Lab, etc.
contribute
Participants
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IHE A stepwise approach
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IHE 2004 achievements and expanding scope
Over 80 vendors involved world-wide, 4 Technical
Frameworks 31 Integration Profiles, Testing at
yearly Connectathons, Demonstrations at major
exhibitions world-wide
Provider-Vendor cooperation to accelerate
standards adoption
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Participating and Contributing Vendors (America)

• Agfa HealthCareAlgotec Systems,
  Ltd.BerdyCamtronicsCanon Medical
  SystemsCarefxCedara Software CorporationCerner
  CorporationCSISTDictaphoneEastman Kodak
  CompanyEmageonEclipsysEpicFujifilm Medical
  Systems USAGE HealthcareHeartlabHitachi
  Medical CorporationHologic, IncIDX Systems
  CorporationIMCO TechnologiesINFINITKonica
  Medical Imaging, IncKryptic

Marotech, Inc.McKesson Information
SolutionsMedconMedical Manager Health
SystemsMediface Co., Ltd.Merge
eFilmMortaraPhilips Medical SystemsRASNA
Imaging SystemsRaining Data SentillionSiemens
Medical SolutionsSoftmedicalStentor,
IncStorCOMM, IncSwissray International,
IncTiani Medgraph AGToshiba America Medical
SystemsUltraVisual Medical SystemsVital Images,
Inc.Voxar Limited XIMIS
In yellow, companies with IHE Committees Chairs
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IHE, the reliable bridgebetween information
exchange standards and their practical usein
healthcare
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Resources

• IT Infrastructure at http//www.himss.org/IHE/
• Brochure
• Fact sheet
• FAQs
• White paper
• Radiology at http//www.rsna.org/IHE
• Primer on IHE
• IHE Technical Framework
• Presentations
• Rules for Participation

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Questions?
ContactJoyce SensmeierDirector of Professional
Services, HIMSS Email - jsensmeier_at_himss.orgChr
is Carr - Email carr_at_rsna.org
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IHE

• Thank You !