1. Integrating the Healthcare Enterprise Using the IHE Framework in the Real World What does it mean to me?

2. HIMSS / RSNA2 Panel Members Speaker: Sanjay Jain, Cerner Corp. Panel: Dr. David Channin, ECC of RSNADr. David Channin, ECC of RSNA Andrei Leontiev, IDX SystemsAndrei Leontiev, IDX Systems Cor Loef, Philips Medical SystemsCor Loef, Philips Medical Systems Don Van Syckle, Merge TechnologiesDon Van Syckle, Merge Technologies Joe Biegel, MitraJoe Biegel, Mitra

3. HIMSS / RSNA3 The Problem ? Information Systems Connected By Human LinksInformation Systems Connected By Human Links –Slows Transfer of Information –Prone to Inaccuracy –Requires Duplicate Effort

4. HIMSS / RSNA4 The Consequences ? Errors and/or Delays in TreatmentErrors and/or Delays in Treatment Incomplete Information Available for Decision-makingIncomplete Information Available for Decision-making Inefficient Utilization of Staff and EquipmentInefficient Utilization of Staff and Equipment Increased CostIncreased Cost

5. HIMSS / RSNA5 Who Can Solve It? A Joint Initiative of:A Joint Initiative of: –Healthcare Professionals –The Information Technology Industry –Departmental System Suppliers radiology, laboratory, cardiology, ophthalmologyradiology, laboratory, cardiology, ophthalmology Current sponsors: HIMSS and RSNACurrent sponsors: HIMSS and RSNA Growing Interest From Other Societies, Specialties and Industry SegmentsGrowing Interest From Other Societies, Specialties and Industry Segments –All Invited to Join

6. HIMSS / RSNA6 The Solution? Connect the systems and flow the information throughout the enterprise automatically!

7. HIMSS / RSNA7 Why Is That Hard? The Different Systems Dont Use a Common VocabularyThe Different Systems Dont Use a Common Vocabulary The Different Systems Dont Use Common Communication Standards ConsistentlyThe Different Systems Dont Use Common Communication Standards Consistently The Flow of Information Through the Enterprise Changes With the Circumstances of the CaseThe Flow of Information Through the Enterprise Changes With the Circumstances of the Case

8. HIMSS / RSNA8 What Does IHE Do? IHE Defines a Common Vocabulary for Patient and Administrative InformationIHE Defines a Common Vocabulary for Patient and Administrative Information –Examples: OrderOrder Requested ProcedureRequested Procedure Accession NumberAccession Number Procedure StepProcedure Step

9. HIMSS / RSNA9 What Does IHE Do? IHE Defines the WorkflowIHE Defines the Workflow Identifies the Transactions Required to Make It WorkIdentifies the Transactions Required to Make It Work

10. HIMSS / RSNA10 What Does IHE Do? IHE Selects an Existing Industry Standard for Each Transaction and Specifies the Transaction UnambiguouslyIHE Selects an Existing Industry Standard for Each Transaction and Specifies the Transaction Unambiguously –For Example: DICOM Modality WorklistDICOM Modality Worklist HL7 ADT MessageHL7 ADT Message

11. HIMSS / RSNA11 What Does IHE Do? IHE Is Working to Ensure That All the Real-world Information Paths Are Supported by TransactionsIHE Is Working to Ensure That All the Real-world Information Paths Are Supported by Transactions –For Example: Patient RegistrationPatient Registration Order FillingOrder Filling Modality OperationsModality Operations

12. Patient later identified - enter proper data examination orders for J Doe Emergency Room physician orders the desired radiology procedure HIS IHE Trauma Workflow Events www.rsna.org/ihe Enter patient as J Doe RIS

13. HIMSS / RSNA13 What is the Big Picture? IHE Defines Integration Profiles to Group Related Transactions and Connects Them With Real-world FunctionsIHE Defines Integration Profiles to Group Related Transactions and Connects Them With Real-world Functions Integration Profiles Allow the Customer to Focus on High-level Integration While IHE Handles the DetailsIntegration Profiles Allow the Customer to Focus on High-level Integration While IHE Handles the Details

14. HIMSS / RSNA14 Presentation of Grouped Procedures Subset a single acquisition IHE Integration Profiles Patient Information Reconciliation Unknown patients and unscheduled orders Consistent Presentation of Images Hardcopy and softcopy grayscale and presentation state Access to Radiology Information Consistent access to images and reports Key Image Notes Exchange flagging significant images Simple Image and Numeric Reports Exchange simple reports with image links and, optionally, measurements Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps

15. HIMSS / RSNA15 What has IHE Accomplished? IHE Demonstrates the Feasibility of Integrating the Information Flow in a Healthcare EnterpriseIHE Demonstrates the Feasibility of Integrating the Information Flow in a Healthcare Enterprise IHE Provides a Common Solution Implemented by Many Vendors That Reduces Cost and Complexity of Integrating Information Systems and ModalitiesIHE Provides a Common Solution Implemented by Many Vendors That Reduces Cost and Complexity of Integrating Information Systems and Modalities

16. HIMSS / RSNA16 How Do You Use IHE? IHE Is Not a Product; Its Something Vendors Add to or Build Into Systems to Facilitate IntegrationIHE Is Not a Product; Its Something Vendors Add to or Build Into Systems to Facilitate Integration Use IHE Integration Profiles for Integration of Radiology Department Information, and ImagesUse IHE Integration Profiles for Integration of Radiology Department Information, and Images IHE Profiles Will Help You Deal With Integrating Existing Equipment or in Planning for the FutureIHE Profiles Will Help You Deal With Integrating Existing Equipment or in Planning for the Future

17. HIMSS / RSNA17 Isnt the Scope of IHE Radiology Specific? IHE Started With Radiology Because Radiology Departments Are Transitioning to a Digital EnvironmentIHE Started With Radiology Because Radiology Departments Are Transitioning to a Digital Environment Strategic Opportunity -- Information Benefits for Everyone, Everywhere Today and in the FutureStrategic Opportunity -- Information Benefits for Everyone, Everywhere Today and in the Future

18. HIMSS / RSNA18 Whats the Future? The IHE Concept of Actor/transaction Based Integration Profiles Is Proven and PowerfulThe IHE Concept of Actor/transaction Based Integration Profiles Is Proven and Powerful IHE Is Rapidly Expanding to Other Departmental Systems Including Laboratory, Cardiology, OphthalmologyIHE Is Rapidly Expanding to Other Departmental Systems Including Laboratory, Cardiology, Ophthalmology Societies, Users and Vendors Support These Efforts.Societies, Users and Vendors Support These Efforts.

19. HIMSS / RSNA19 What Should You Do Now? Plan to Integrate Your Information Systems Now or in the Very Near FuturePlan to Integrate Your Information Systems Now or in the Very Near Future Use IHE Integration Profiles When Writing RFPs and Purchasing SpecificationsUse IHE Integration Profiles When Writing RFPs and Purchasing Specifications

20. HIMSS / RSNA20 Where is More Information Available? www.rsna.org/IHEwww.rsna.org/IHE –IHE Technical Framework Brochures Here at the Conference:Brochures Here at the Conference: –IHE Demonstration Brochure –IHE Connect-a-thon Results Document –IHE Integration Profiles: Guidelines for Buyers

21. HIMSS / RSNA21 Presentation of Grouped Procedures Subset a single acquisition IHE Integration Profiles Patient Information Reconciliation Unknown patients and unscheduled orders Consistent Presentation of Images Hardcopy and softcopy grayscale and presentation state Access to Radiology Information Consistent access to images and reports Key Image Notes Exchange flagging significant images Simple Image and Numeric Reports Exchange simple reports with image links and, optionally, measurements Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps