September, 2005What IHE Delivers 1 Joyce Sensmeier, MS, RN, BC, CPHIMS, FHIMSS Vice President, Informatics, HIMSS Charles Parisot, GE Healthcare IT infrastructure Technical Committee Co-chair HITSP Board Member IHE and Standards Harmonization

2 U.S. Standards Harmonization one element of interoperability The Community serves as the hub for identifying breakthrough opportunities CCHIT will focus on developing a mechanism for certification of health care IT products HITSP will bring together all relevant stakeholders to identify appropriate IT standards HISPC is a partnership focused on addressing variations in business policy and state law that affect privacy and security NHIN is focused on interoperability pilots Healthcare Information Technology Standards Panel (HITSP) National Health Information Network Architecture Projects (NHIN) The Health Information Security and Privacy Collaboration (HISPC) The Certification Commission for Health Information Technology (CCHIT) American Health Information Community

3 HITSP guides, informs, & enables the standards harmonization process Established under the sponsorship of the American National Standards Institute (ANSI) and endorsement of the Healthcare Information and Management Systems Society (HIMSS) Cooperative partnership between the public and private sectors  To achieve a widely accepted and useful set of standards to enable and support widespread interoperability among healthcare software applications, as they will interact in a Nationwide Health Information Network (NHIN) The standards harmonization process is a Use Case driven process

4 The Community’s Breakthroughs Bio-surveillance  Implement real-time public health event monitoring and support rapid response management Ambulatory and emergency department visit, utilization, and lab result data Consumer Empowerment  Gain wide adoption of a personal health record that is easy-to- use, portable, longitudinal affordable and consumer centered Electronic clipboard – Medication history linked to the registration summary Electronic Health Record  Support the implementation of interoperable, certified EHRs, minimizing integration issues for providers Deploy standardized, widely available, secure solutions for accessing lab results and interpretations Use Cases will be detailed to support these primary areas

5 The Standards Harmonization Process Use cases will be developed in support of the AHIC breakthrough areas Use case development is an iterative and collaborative process During Gap Analysis, HITSP will resolve standards gaps and overlaps Implementation Guides will be developed and tested in an iterative process Lessons learned from execution of testing will inform final versions of the Implementation Guides Implementation Guides will be published upon completion Standards Gap Analysis Test and Refine Guides Use Case Development Function 2 Analyze Standards Gaps Function 3 Develop Standards Implementation Guides Function 1 Complete Use Case Definitions Function 4 Test and Refine Implementation Guides Standards Harmonization is an Iterative Process

6 Key HITSP milestones set the pace for harmonization Oct 2005Nov 2005Dec 2005Jan 2006Feb 2006Mar 2006Apr 2006May 2006Jun 2006Jul 2006Aug 2006Sep 2006 Project Startup & Work Planning Use Case Template Dry Run Breakthrough Use Cases Completed Standards Gaps/Overlaps Dissemination Plan and Release Schedule for Relevant Standards and Publicly Available Dissemination Channel Recommended Standards Implementation Guides Business Plan

7 A Framework for Interoperability Integrating the Healthcare Enterprise:  Improves patient care by harmonizing healthcare information exchange.  Provides a common standards-based framework for seamlessly passing health information among care providers, enabling local, regional and national health information networks.  Promotes the coordinated use of established standards–HL7, ASTM, DICOM, W3C, IEEE, etc.—to address specific clinical needs

8 Four Steps of the IHE Process Identify Interoperability Problems  Clinicians and IT experts work to identify common interoperability problems. Specify Integration Profiles  Healthcare IT professionals identify relevant standards and define how to apply them to address the problems, Test Systems at the Connectathon  Vendors implement IHE integration profiles in their products and test their systems for interoperability at the annual IHE Connectathon Publish Integration Statements for use in RFPs.  Vendors publish IHE integration statements to document the IHE integration profiles their products support.

9 IHE Strategy for RHIO Infrastructure Pragmatic for 2006 & Ease of Evolution Leverages existing standards to allow deployment in 2006 but plan for future Pragmatic for 2006 & Ease of Evolution Flexibility of RHIO configuration Enables architectural freedom (centralized vs. decentralized, patient vs. provider centric) Flexibility of RHIO configuration Interoperability for broad constituencies Supports breakthrough use cases: variety of care settings, care coordination, public health, PHR, EHR Interoperability for broad constituencies Offers consistent, standards-based and functional record sharing for EHRs & other ancillary systems

10 IHE Connectathon, January participants, 120+ systems 60+ vendors Four Domains: Cardiology, Radiology, IT Infrastructure, Patient Care Coordination

11 The Community’s Breakthroughs Consumer Empowerment  Gain wide adoption of a personal health record that is easy-to- use, portable, longitudinal affordable and consumer centered Electronic clipboard – Medication history linked to the registration summary  IHE XDS, XDS-MS, ATNA, CT, PIX, PDQ Electronic Health Record  Support the implementation of interoperable, certified EHRs, minimizing integration issues for providers Deploy standardized, widely available, secure solutions for accessing lab results and interpretations  IHE XDS,, ATNA, CT, PIX, PDQ, XDS-Lab (2006) IHE supports HITSP and will contribute IHE Integration Profiles for HITSP adoption.

12 IHE Web site: Frequently Asked Questions Integration Profiles in Technical Frameworks:  Cardiology  IT Infrastructure  Laboratory  Patient Care Coordination  Radiology Connectathon Results Vendor Products Integration Statements Participation in Committees & Connectathons

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