Integrating the Healthcare Enterprise - PowerPoint PPT Presentation

1 / 22
About This Presentation
Title:

Integrating the Healthcare Enterprise

Description:

Speed up the rate and quality of integration in healthcare environments ... Focus: Support document sharing between EHRs in different care settings and organizations ... – PowerPoint PPT presentation

Number of Views:23
Avg rating:3.0/5.0
Slides: 23
Provided by: ihest8
Category:

less

Transcript and Presenter's Notes

Title: Integrating the Healthcare Enterprise


1
Integrating the Healthcare Enterprise
  • IHE, beyond cardiology and radiology
  • An interoperability strategy for the enterprise

Charles Parisot, GE Healthcare IHE IT
Infrastructure Co-chair
2
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

3
IHE drives healthcare standards based-integration

4
A Proven Standards Adoption Process
IHE Connect-a-thonResults
IHETechnicalFramework
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

5
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
6
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

7
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

8
IHE A stepwise approach
9
Key IHE Concepts
  • Generalized Systems -gt Actors
  • Interactions between Actors -gt Transactions
  • Problem/Solution Scenarios -gt Integration
    Profiles
  • For each Integration Profile
  • the context is described (which real-world
    problem)
  • the actors are defined (what systems are
    involved)
  • the transactions are defined (what must they do)

10
IHE Radiology Integration profiles




-












11
IHE Penetration in Radiology
  • Now entering Year 6 !!
  • 50 vendors worldwide
  • 100 systems in annual Connectathons
  • Geographic spread
  • U.S., France, Germany, Japan, Italy, Korea,
    Taiwan, U.K, Norway, Netherlands, Spain, etc.
  • Well over 100 commercial products available

12
IHE IT Infrastructure 2004-2005
Patient Synchronized Applications
Synchronize multiple applications on a desktop to
the same patient
Patient Identifier Cross-referencing for MPI
Patient Identifier Cross-referencing for MPI
Map patient identifiers across independent
identification domains
Map patient identifiers across independent
identification domains
13
IHE Penetration in IT Infrastructure and
Laboratory
  • Has just completed Year 1 !!
  • About 20 vendors worldwide
  • 40 systems in annual Connectathons
  • Geographic spread
  • U.S., France, Italy, Japan, Germany, etc.
  • Commercial products appearing

14
IHE Laboratory Integration Profiles
15
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
16
An Example ofIHE IT InfrastructureIntegration
Profile
17
Introduction EHR Cross-Enterprise Document
Sharing
First step towards the longitudinal dimension of
the EHR Focus Support document sharing
between EHRs in different care settings and
organizations
18
Typically, a patient goes through a sequence of
encounters in different Care Settings
Long Term Care
Acute Care (Inpatient)
Other Specialized Care(incl. Diagnostics
Services)
GPs and Clinics (Ambulatory)
Continuity of Care Patient Longitudinal Record
19
Finding the records of a patient-Manual tedious
The challenge Finding and accessing
easily documents from other care providers
In the community.
Clinical IT System
20
Sharing records that have been published
21
Building and accessing Documents
Documents Registry
EHR-LRLongitudinal Recordas usedacross-encount
ers
Long Term Care
Acute Care (Inpatient)
Other Specialized Careor Diagnostics Services
PCPs and Clinics (Ambulatory)
EHR-CR Care Record systemssupporting care
delivery
22
XDS Value Proposition
  • Foundation for Health IT Infrastructures Shared
    Electronic Health Record, in a community, region,
    etc.
  • Effective means to contribute and access clinical
    documents across health enterprises.
  • Scalable sharing of documents between private
    physicians, clinics, long term care, pharmacy,
    acute care with different clinical IT systems.
  • Easy access Care providers are offered means to
    query and retrieve clinical documents of interest.

23
XDS - Value Proposition
  • Distributed Each Care delivery organization
    publishes clinical information for others.
    Actual documents may remain in the source EHR-CR.
  • Cross-Enterprise A Registry provides an index
    for published information to authorized care
    delivery organizations belonging to the same
    clinical affinity domain (e.g. an LHII).
  • Document Centric Published clinical data is
    organized into clinical documents. using
    agreed standard document types (HL7-CDA,
    ASTM-CCR, PDF, DICOM, etc.).
  • Document Content Neutral Document content is
    processed only by source and consumer IT systems.
  • Standardized Registry Attributes to ensure
    deterministic document searches.

24
XDS Conclusion
  • Foundation for EHR Health IT Infrastructures
  • Effective contribution and access to shared
    documents across all types of health enterprises
  • Scalable, Flexible and Easy access
  • XDS to be one of the major highlights of 2005
    Annual HIMSS Conference Exhibition. Dallas,
    Tex., Feb. 13-17
  • used as a foundation for an on-site demonstration
    of interoperability in support of a National
    Health Information Networks.
  • Attendees at the conference will be able to
    create and share their own health records across
    vendor booths as well as in the ambulatory and
    acute care settings on the conference exhibit
    floor.

25
How real is XDS ?
  • Specification work since Nov 2003
  • Under Public Comments June-July 2004
  • 600 constructive comments received,
  • Stable specification IHE TF Aug 15th, 2004
  • IHE Connectathon January 2005 (USA)
  • HIMSS Feb 2005 show-wide demonstration
  • IHE Connectathon April 2005 (Europe)

26
IHE, The practical solutions to the effective
use of information exchange standards in
healthcare
27
IHE
  • Thank You !

28
More information.
  • IHE Web sites
  • http//www.ihe-europe.org
  • http//www.himss.org/IHE
  • http//www.rsna.org/IHE
  • http//www.acc.org/quality/ihe.htm.
  • Technical Frameworks
  • ITI V1.0, RAD V5.5, LAB V1.0, CARD V1.0
  • Technical Framework Supplements - Trial
    Implementation
  • May 2004 Radiology
  • August 2004 Cardiology, IT Infrastructure
  • December 2004 Laboratory
  • Non-Technical Brochures
  • IHE Fact Sheet and FAQ
  • IHE Integration Profiles Guidelines for Buyers
  • IHE Connect-a-thon Results
  • Vendor Products Integration Statements
Write a Comment
User Comments (0)
About PowerShow.com