1. Expansion of Integrating the Healthcare Enterprise (IHE) Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services Healthcare Information and Management Systems Society (HIMSS)

2. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 1 IHE Mission Bring together stakeholders to implement standards for communicating clinical and operational data safely and efficiently throughout the healthcare enterprise

3. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 2 IHE Goal To provide relevant patient information at the point of care to support caregiver decision-making and optimal patient care

4. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 3 Shaping the Future of IHE IHE Strategic Development Committee Est. July 2002 – Goal: Expansion of IHE process to meet integration needs of entire enterprise – Engage leading medical professionals and associations from other key domains – Identify integration needs / barriers and problems / solutions within and across domains

5. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 4 IHE Strategic Development Committee Co-Chairs: Dr. David Piraino, Cleveland Clinic & Dr. Blackford Middleton, Partners Healthcare Domain specific sub-committees: – IT Infrastructure/Interdepartmental Information Sharing – Cardiology – Laboratory – Pharmacy / Medication Administration

6. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 5 Dept Sched. ADT Order Mgt Image Mgr Modality 1 st Dimension: Vertical Integration for Radiology IHE Years 1, 2, 3, 4,... Dimensions for Growth

7. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 6 2 nd Dimension: Growing the Horizontal Healthcare Enterprise Integration Master Patient Index Clinical Patient Record Ordering Process... Dept Sched. ADT Order Mgt Image Mgr Modality Patient Registration Dimensions for Growth

8. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 7 3 rd Dimension: Increasing the Number of Vertically Integrated Departments Master Patient Index Clinical Patient Record Ordering Process... Patient Registration R a d i o l o g y C a r d i o l o g y Laboratory Addl Clinical Fields Dimensions for Growth

9. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 8 Partnerships Organization – Sponsored by HIMSS and RSNA, International Societies – Partnerships with the American College of Cardiology (ACC), American College of Clinical Engineering (ACCE), HL7, and DICOM – Strategic Development Committee – Domain specific planning and technical committees Radiology, IT Infrastructure, Cardiology, Medication Management Membership – Healthcare professionals and industry representatives

10. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 9 IHE Expansion into New Areas New IT Infrastructure Committees Formed – (EMPI, Query-Display, Synchronized Patient Views, and Advanced Security) New collaborations with ACC, HL7 & ACCE Work progressing in: – Laboratory – Pharmacy/Medication Management

11. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 10 Clinical Query/Display Profiles Query for Existing Reports in Well Known Presentation Formats – CDA, PDF, RTF, … Query for Well-Known Key Data – Allergies, Current Medications, Lab Panel Results… Linked to user authentication and EMPI services Value Proposition – Simple, rapid access to patient information for better care – Patients win! – Supports workflow from within current workspace or application – Users win!

12. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 11 Patient-Synchronized Applications Profile Viewing the same patient while moving among applications on a desktop Linked to user authentication and EMPI services Value Proposition – Reduce the repetitive tasks of selecting same patient in multiple applications – Users win! – Reduce likelihood of working with wrong patient – A patient safety win!

13. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 12 Advanced Security - Common User Authentication Profile Standards based user log-in for workstations and applications Provisions for emergency access Value Proposition – Facilitates centralized user access management – IT win! – Single sign-on speed and convenience – Users win!

14. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 13 EMPI - Patient Identity Cross- Referencing Profile Mapping a patients multiple identities across registration domains Enable access to data and information across independent domain boundaries Value Proposition – Broader access to needed patient data wherever it is – Users win! – Lower costs to use data in existing systems anywhere in the enterprise – IT wins!

15. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 14 Current Participants Agfa Berdy Medical CareFX Cerner Fuji GE Medical HX Technologies IDX IntePro Kodak Madison Info Tech Montefiore Med Center Mitra Micros Per-Se Philips Practical Healthcare Management QuadraMed SAIC Sentillion Siemens

16. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 15 Invitation to New Participants Join Committees – Work on integration profiles – Teleconference, meetings and homework Participate in connectathons and HIMSS 2004 Support IHE Integration Profiles in your products Gain worldwide promotion and acceptance of your product

17. IHE IT Infrastructure Timeline February 5-7 2003First face to face meeting - Oakbrook, IL February 27IT Planning t-con Select 2003/Year 5 IT profiles April 22-25 Face to face meeting to close all tech issues June 2-6 Face to face meeting to produce Public Comment TF July 14 Comments due on IT Profiles for Public Comment July 28-August 1 Face to face comments consolidation meeting August 10IHE IT Integration Profiles (approved-final) September 10-11 Vendor workshop - Memphis, Reg. due October 1 st. January 12-16 2004 IHE IT Connectathon - San Diego, CA February 22-26 2004HIMSS HL7- IHE Demo – Orlando, FL

18. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 17 Other expansion areas Cardiology – Chair – Dr. David Thiemann Johns Hopkins – Kick-off meeting March 28, Chicago – Sponsored by the American College of Cardiology (ACC) – 45 participants – ACC board reviewing proposal for launch of IHE Cardiology activities – White paper

19. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 18 Other expansion areas Laboratory – Chair – Dr. David Chou University of Washington – International meeting May 23, 2003 – Perugia, Italy – Sponsored by IHE Europe – Laboratory proposal document open for comments

20. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 19 Other expansion areas Pharmacy/Medication Management – Chair - Dr. Thomas Abendroth Penn State - Hershey – Sub committee clinician meeting held February 17 – Identified problems and refined use cases – White paper being reviewed/finalized

21. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 20 Other expansion areas American College of Clinical Engineeriing – Collaboration meeting at HIMSS Feb. 12 ACCE proposed formal relationship w/ IHE – Establish IHE task force in ACCE – Provide clinical engineering resource – Educate clinical engineering community – Promote IHE initiative to hospitals & manufacturers – Presentation to ACCE Symposium June 14

22. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 21 Other collaborations Standards drive Healthcare Solutions HL7-IHE Interoperability Demonstration HIMSS – February 22-26, 2004 Combined demo proposal being reviewed by HL7 and IHE Present demonstration adjacent to HL7 & IHE booth on main aisle of exhibit floor with joint theater area

23. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 22 HL7-IHE Interoperability demo Demo scenario integrates 3 components: - IHE IT Integration Profiles, and selected domain specific Profiles (e.g. Radiology). - HL7 standard functions - HL7 draft standard functions Demo highlights how each component feeds into other and contributes to successful driving of standards in healthcare solutions.

24. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 23 Conclusion Year 5 key expansion evolving into other domains Work in Radiology will continue – led by RSNA Work in IT Infrastructure will continue – led by HIMSS Support and involvement building across other societies, disciplines and internationally

25. 04/22/03 Radiology Vendor Workshop 2003 -- ©HIMSS/RSNA 2003 24 Next Steps Consider new areas of involvement Sign-up Contacts – Joyce Sensmeier, Director of Professional Services, HIMSS at jsensmeier@himss.orgjsensmeier@himss.org – Chris Carr, Director of Informatics, RSNA at carr@rsna.orgcarr@rsna.org

26. Questions? www.himss.org/IHE