1. Integrating the Healthcare Enterprise

2. Initiative to adopt standards for information and communication in healthcare IT Sponsored by health organizations worldwide Develops profiles: implementable system specifications Carries out regular testing for HIT systems

3. IHE, global standards-based profiles adopted by several national & regional projects Quebec, Toronto, Alberta, British Columbia Canada Infoway Denmark (Funen) Italy (Veneto) Spain (Aragon) THINC- New York NCHICA – N. Carolina Boston Medical Center - MA France DMP UK CfH (Radiology WF) Philadelphia HIE CHINA-MoH Lab results sharing CPHIC – Pennsylvania CHINA-Shanghai Imaging Info Sharing JAPAN-Nagaya Imaging Info Sharing South Africa Malaysia VITL-Vermont CareSpark – TN & VA Netherland Amsterdam Lower Austria Italy (Conto Corrente Salute)

4. Key Profile: XDS-I Cross-enterprise Document Sharing for Imaging Imaging component of the Electronic Health Record in a community, region, etc. Effective means share imaging documents across sites Without XDS-I, access to the radiology report across health enterprises is difficult Enables sharing among radiology and other care sites with different clinical IT systems Easy access: Care providers query and retrieve images and reports with same mechanisms used for other medical documents

5. Sharing Images and Reports Care Site Imaging Center Community Health Center Regional Hospital Emergency Dept Local Clinic Repository Registry Registry Regional Health Information Network Regional Repository

6. Project: Gauteng Department of Health, South Africa Pilot: Connect 770-bed Sebokeng Regional Hospital and 3 associated Clinics (LevaiMbatha, JohanDeo and Helga Kuhn) Access to all results including radiology images and reports Centralized EHR for every patient Improved business processes and efficiency over previous paper records Aggregated patient data used to track prevalence of HIV infection and effectiveness of safe sex campaign

7. Gauteng Province

8. Gauteng Province Pilot Sites

9. Gauteng Province

11. Gauteng Province: Project Details IHE XDS and related profiles deployed on consolidated server/router rackable solution: easy installation, minimal training Architecture allows information sharing with clinics having limited and intermittent bandwidth Six-month pilot went live in November 2008 Full project to be implemented in 3 years over 37 hospitals, 400+ clinics, approximately 17,000 beds, 9,245,087 residents