1. IHE’s Educational Webinar Series Thank you for attending the 2010 Educational Webinar Series. Dates: Tuesday & Thursday’s beginning June 8, 2010 through September 2, 2010 Questions: Visit our website at www.ihe.net or contact us at secretary@ihe.net.www.ihe.net secretary@ihe.net View the full schedule and download the audio & visual recordings at: www.ihe.net/Events/webinars2010.cfmwww.ihe.net/Events/webinars2010.cfm

2. How to Participate In IHE Committees? June 15, 2010 --------------------------------------------- Celina Roth IHE- Secretariat to HIMSS Sponsored Domains HIMSS, Informatics Manager

3. Today’s Agenda Overview of IHE IHE Organizational Membership- Free! IHE Profile Development Cycle IHE Committee work IHE Connectathons HIMSS Interoperability Showcase Your Questions

4. Who Is IHE? In operation since 1997 (Radiology domain), consistent growth in both clinical disciplines and geographic dispersion Composed of over 300+ healthcare-related organizations world-wide Membership spans Clinical, IT, Standards Development, Education, Research and Government stakeholders

5. Who Is IHE? American College of Physicians (ACP), American College of Emergency Physicians (ACEP) American College of Obstetricians and Gynecologists (ACOG) Healthcare Information Management Systems Society (HIMSS) Radiological Society of North America (RSNA) Many other American Professional Societies (ACCE), (AAO), (ASTRO), etc. British Institute of Radiology (BIR), British Computer Society (BCS) German Radiology Society (DRG) …ASIP (IT France), SFIL (laboratory), French National Project (DMP), European Society of Cardiology JAHIS (IT Japan), JIRA, JRS,… and many more French National Project (ASIP-Santé) Dutch National Project (NICTIZ) Austrian National Project (ELGA) Canada Health Infoway (CHI) Regional projects (Italy, USA, Japan) …. and many more Baystate Health Diagnostic Maxillofacial Imaging University Associates (DMFIUA) Intermountain Healthcare, Inc. Montefiore Medical Center…. and many more Professional Associations Government Agencies Healthcare Providers View the full list of IHE International Organizational members here: www.ihe.net/governance/member_organizations.cfmww.ihe.net/governance/member_organizations.cfm

6. What Is IHE? A common technical framework for harmonizing and implementing multiple standards – Application-to-application – System-to-system – Setting-to-setting A path to seamless health information movement within and between enterprises, regions, nations A forum for unbiased selection and coordinated use of established healthcare and more general IT standards to address specific clinical needs

7. Why Have IHE? Interoperability: Where Health IT Often Fails IHTSDO IETF

8. Why Have IHE? Specific Extensions Profiles REPEATABLEREPEATABLEREPEATABLEREPEATABLE IHTSDO IETF

9. How can we Participate in IHE? 1.IHE International Organizational Member

10. IHE Membership Application How to Apply? IHE Membership is Free Complete on-line application at www.ihe.net/apply Submit declaration page Applications reviewed by IHE International Board Reviewed monthly Join IHE Clinical or Operational Domains and sub-committees Benefits of IHE Membership Leadership in HIT industry Direct work of IHE Committees Learn from industry’s top professionals Participation in IHE Domain First company to implement new IHE Profiles

11. IHE Committees Domains are areas of expertise in Healthcare IT. Each Domain has a planning and technical committee to manage and implement the work.

13. IHE Committees Anatomic Pathology Cardiology Eye Care IT Infrastructure Laboratory Patient Care Devices Pharmacy Quality, Research & Public Health Radiation Oncology Radiology IHE’s Eleven Clinical & Operational Domains:

14. IHE Development Process Planning Committees Recruitment Education Reviews IHE Profile proposals Identifies committee problems/ priorities Technical Committees Recruitment Develops IHE Integration Profiles Maintains IHE Technical Frameworks All IHE Domains have two committees:

15. Demonstrate at a IHE Development Cycle IHE Improves Safety, Quality and Efficiency in Hospitals Install Interoperable products at Hospitals Globally Adopted by ISO: TR 28380 Test at IHE Connectathons IHE Profile Drafted & Revised IHE Call for Proposals Opens (Months 1-2) Profile Selection by Committees (3-5) (Months 6-13) Final Results

16. Open Call for Proposals IHE Profile Proposals must include: 1.Problem & Use case – How it looks in practice? 2.Ideal practice 3.Standards available to solve problem- Must have standards Chosen Profile Proposals Must provide: 1.Author to work with Committee to write IHE Technical

18. IHE Profile Development Cycle Typical IHE Profile Development Cycle…18 months September- October: Open call for proposals for IHE’s upcoming profile development cycle November – December: Planning & Technical Committees meet independently to determine PeriodActivityMilestone Sep-OctNew Profile and Change Proposal SubmissionSubmitted Profiles & CPs Nov-DecProfile Review & SelectionProfiles for Current Cycle Jan-MayTech Framework Supplement DevelopmentSupplement Released for Public Comment May-JulTech Framework Supplement Completion (reflecting Public Comment feedback) Supplement Released for Trial Implementation Aug-SepVendor Selects Profile(s) to SupportConnectathon Registration Oct-JanVendor Develops and Tests Application CodeCompleted Mesa Tests JanVendor Tests Interoperability with Other Vendors Successful Connectathon Test FebVendor Demonstrates Support for Profile(s)Demonstration Event

19. Why Have IHE? Interim Final Rule (Key elements) IHE profiles Transfer of careXDS-MS & XPHR (CCD based) Lab ReportsXD-Lab, LTW, LDA Submission to Immunization RegistriesImmunization Content (IC) Transmit summary info to patientXPHR [XDR, XDM, XDS transport] 5 Clinical Decision Support RulesRequest Clinical Guidance (RCG) Public Health SurveillanceRFD, DSUB Quality ReportingXDS-MS (CCD based), RFD, QED Transport: TCP/IP + SOAP 1.2XDS, XDR, XDM, XCA Meaningful Use

20. Why Have IHE? eMPI User Auth IT Infrastructure Laboratory LIS Auto Mgr Analyzer EMR - HIS Cardiology CVIS CathECG Radiology RIS PACS Img Acq Eye Care -----Pathology Radiation Therapy Therapy Plan Img Acq Treatment ICU / CCU / Wards Nursing Station Devices Devices Home Hub Devices System Segmentation in the HC EnterprisePharmacy PhIS Audit Surgery SIS Devices Home

21. Why Have IHE? IT Infrastructure Laboratory EMR - HIS Cardiology Radiology Eye Care Eye Care Patholog y Patholog y Radiation Therapy ICU / CCU / Wards Pharmacy Surgery Home Care Delivery Enterprise Care Delivery and Population Health Cooperation Clinical Research Results eForms Responses Quality Forums Assess/Adj eMeasuresReports Public Health Monitor/Interv Biosurveillance Incidents Case Mgr Screening Guidnce Analyze/Guide

22. Who Is IHE? Contributing and Participating Vendors 2010 Interoperability Showcase subset 227 Healthcare IT and Consulting Organizations

23. Who Is IHE? 2323 Regional Deployment IHE International Board Contributing & Participating Vendors IHE Europe IHE North America France USA Canada IHE Asia-Oceania Japan KoreaTaiwan Netherlands Spain Sweden UK Italy Germany Norway China Austria ACC ACCE ACEP JAHIS JIRA JRS METI-MLHW MEDIS-DC JAMI RSNA SFR SFIL SIRM BIR EuroRec COCIR EAR-ECR DRG ESC Professional Societies / Sponsors ACP ACOG HIMSS Global Development Radiology Cardiology Patient Care Coordination Patient Care Devices Pharmacy Laboratory Pathology Eye CareRadiation Oncology Quality, Research and Public Health IT Infrastructure

24. Where Does IHE Happen? Product Development/Connectathons Demonstrations Implementations

25. Where Does IHE Happen? Product Development /Connectathons

26. Where Does IHE Happen? 2010 North America Connectathon  104 vendors and organizations (up from 71 in 2009)  >150 individual systems being tested  498 engineers working collaboratively to test interoperability  1000’s of vendor-vendor connections; 10,000’s of transactions  498 x 8 hrs/day x 5 days = 19,920 engineer-hours x $100/hr = $2 million of test effort (not including prep and setup time!!) 2010 Connectathons Outside North America  Europe: Bordeaux, France  Japan: Kyoto, Japan  Korea: Daegu, S. Korea Product Development /Connectathons

27. Where Does IHE Happen? Demonstration Events (2010) HIMSS Annual Conference, Atlanta GA- March 2010 World of Health IT (Wohit), Barcelona Spain- March 2010 Association for the Advancement of Medical Instrumentation (AAMI), Tampa FL- June 26-28, 2010 Radiological Society of North America (RSNA), Chicago, IL- November 16- 18, 2010 AsiaPac HIT Conferences Beijing, China- May 2010 Daegu, S. Korea- October 26 – 28, 2010

28. Where Does IHE Happen? Implementations

29. Where Does IHE Happen? http://tinyurl.com/WWXDS Quebec, Toronto, Alberta, British Columbia Canada Infoway THINC- New York NCHICA – N. Carolina Philadelphia HIE VITL-Vermont Boston Medical Center - MA CareSpark – TN & VA KeyHIE Pennsylvania NHIN – Trial Implementation Providence HIE SHARP Community

30. Where Does IHE Happen? IHE Roadmap Highly Consistent with National eHealth Collaborative [formerly AHIC] Use Case Priorities and Roadmap  EHR, Population Health, Consumer Empowerment, Security and Privacy, Quality Workgroups IHE Works Closely with Organizations Established by ONC to Promote Adoption of EHRs  HITSP  HITSP integration specifications leverage 24+ IHE Profiles  Participation at Connectathons/Demonstrations  NHIN Spec Factory  Collaborated with NHIN Working Groups to provide information and guidance regarding IHE profiles appropriate for NHIN requirements  Fostered IHE-NHIN harmonization via IHE profile change proposal (CP) development IHE Assistance with NIST Certification Specifications & Testing  Working collaboratively on an initiative – Project Cypress – with NIST, MITRE, CCHIT, Canada Health Infoway, and IHE USA)  Collaborated with NIST to provide testing tools and services Harmonized with Industry Drivers in U.S.A

31. Where Does IHE Happen? 31 Quebec, Toronto, Alberta, British Columbia Canada Infoway THINC- New York NCHICA – N. Carolina Italy Conto Corrente Salute Venetto - Friuli Boston Medical Center - MA Philadelphia HIE CHINA-MoH Lab results sharing KeyHIE Pennsylvania CHINA-Shanghai Imaging Info Sharing JAPAN-Nagoya Imaging Info Sharing, Nationwide PDI guideline South Africa VITL-Vermont CareSpark – TN & VA NETHERLANDS Friesland Natn’l Mamography Lower Austria France DMP Walles (Imaging-Tender) Belgium Flemish-Leuven Suisse St Gallen Lausane Providence Health System - OR

32. Questions?

33. Following this presentation today Webinar #2 in the Series: What is a HIMSS Interoperability Showcase & the IHE N.A. Connectathon? New (& Current) Participant Webinar: Learn important information and details on a HIMSS Interoperability Showcase and how to participate at one and its main testing event, an IHE Connectathon. Date: Today, immediately following this webinar Tuesday, June 8, 2010 at 10:30 - 11:30 CT Registration: Register in advance by visiting: www.ihe.net/Events/webinars2010.cfm www.ihe.net/Events/webinars2010.cfm

34. Next Week’s Web Series Presents Webinar #4: How to Participate in an IHE Committee? Register at: www.ihe.net/Events/webinars2010.cfmwww.ihe.net/Events/webinars2010.cfm Date: Tues, June 15, 2010 at 9:30 - 10:30 am CT New & Current Participant Webinar: Participate in IHE’s committees. Join us to learn how your organization can become a free IHE Organizational Member.

35. Want to Learn More About IHE? Visit our website at www.ihe.net or contact us at secretary@ihe.net.www.ihe.net secretary@ihe.net If you are interested in receiving our monthly newsletter please send an email to secretary@ihe.net secretary@ihe.net View our full schedule of presentations during the IHE 2010 Educational Webinar Series here: www.ihe.net/Events/webinars2010.cfm