1. brought to you by IHE Sponsors and Committee Members Welcome to the Interoperability Showcase

2. What is Integrating the Healthcare Enterprise? A 9-year public-private initiative Driven by end-users, IHE improves patient care by harmonizing electronic health information exchange Enables approved standards to seamlessly pass health information among care providers on a local, regional and national level IHE Frameworks are freely available to all The IHE Global Standards Adoption process as approved by the International Standards Organization (ISO) as a Technical Report 28380 in August 2007

3. How does IHE work? Clinicians and IT professionals identify key clinical and business workflow problemsClinicians and IT professionals identify key clinical and business workflow problems Clinicians, IT professionals, consultants, and vendors jointly solve those problems by standardizing the way existing standards are implemented in HIT productsClinicians, IT professionals, consultants, and vendors jointly solve those problems by standardizing the way existing standards are implemented in HIT products IT professionals follow the IHE guidelines in purchasing and integrating effective systemsIT professionals follow the IHE guidelines in purchasing and integrating effective systems

4. Whos involved in IHE? Users - Clinicians, Staff, Administrators, CIOs, Govt agencies (e.g. NIST, VA, DoD, CDC, CMS)Users - Clinicians, Staff, Administrators, CIOs, Govt agencies (e.g. NIST, VA, DoD, CDC, CMS) Professional Societies representing 270,000 individual members:Professional Societies representing 270,000 individual members: –HIMSS, RSNA, ACC, ACP, AAO, ACCE, ASTRO, etc Standards Development Orgs (SDOs):Standards Development Orgs (SDOs): –HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, etc Vendors & consultants (e.g., imaging, EHRs, cardiology, medical devices)Vendors & consultants (e.g., imaging, EHRs, cardiology, medical devices)

5. Who benefits from IHEs work? Patients –Enhance cares quality, safety, efficiency & effectiveness Clinicians –Improve workflow & information reporting –Fewer error opportunities; Less repeated work Vendors & Consultants –Satisfy customers interoperability demands –Decreased cost & complexity of installation & mgt SDOs –Rapid feedback to address real-world issues –Establishment of critical mass and widespread adoption Government –Reduced costs of implementing EHR systems –Increased patient information interoperability

6. IHE = ONLY set of harmonized global standards adopted by several national & regional projects Quebec, Toronto, Alberta, British Columbia Canada Infoway Denmark (Funen) Italy (Veneto) Spain (Aragon) Austria THINC- New York NCHICA – N. Carolina Italy (Conto Corrente Salute) MA-Share – MA France DMP UK CfH (Radiology WF) Philadelphia HIE CHINA-MoH Lab results sharing State Project – NY CHINA-Shangai Imaging Info Sharing JAPAN-Nogaya Imaging Info Sharing

7. Integrating the Healthcare Enterprise Achieving Interoperability through Implementation of Standards 1997: Founded in Radiology (RSNA) and IT (HIMSS) Many professional societies (stakeholder representation)Many professional societies (stakeholder representation) –American Academy of Ophthalmology (AAO) –American College of Cardiology (ACC) –American College of Physicians (ACP) –American College of Clinical Engineering (ACCE) –American College of Emergency Physicians (ACEP) –American Society for Therapeutic Radiation Oncology (ASTRO) –GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory) –Healthcare Information Management Systems Society (HIMSS) –Radiological Society of North America (RSNA) –And many more….

8. IHE Organizational Structure ACC ACP HIMSS RSNA JAHIS JIRA JRS METI-MLHW MEDIS-DC JAMI GMSIH SFR SFIL ACCE SIRM BIR EuroRec COCIR EAR-ECR DRG ESC Professional Societies / Sponsors Contributing & Participating Vendors IHE (International) Board Global Development Radiology Cardiology IT Infrastructure Patient Care Coordination Patient Care Devices Laboratory Pathology QualityRadiation Oncology IHE Europe IHE North America France USA Canada IHE Asia-Oceania Japan KoreaTaiwan Netherlands Spain UK Italy Germany Norway Regional Deployment China DenmarkIsrael

9. Proven Standards Adoption Process Document Use Case Requirements Identify available standards ( e.g. HL7, DICOM, IETF, OASIS) Develop technical specifications Testing at Connectathons IHE Demonstrations IHE Demonstrations Products with IHE Timely access to information Easy to integrate products

10. Growth in IHE Domains Radiology (18) IT Infrastructure for Healthcare (17) Cardiology (7) Laboratory (6) Radiation Oncology (1) Patient Care Coordination (5) Patient Care Devices (1) Quality Eye Care (3) Veterinary Endoscopy Pathology Pharmacy Year 1 (1999) Year 2 (2000) Year 3 (2001) Year 4 (2002) Year 5 (2003) Year 6 (2004) Year 7 (2005) Year 8 (2006) Year 9 (2007) Over 200 vendors involved world-wide Over 200 vendors involved world-wide 8 Technical Frameworks 8 Technical Frameworks 48 Integration Profiles 48 Integration Profiles Testing at Connectathons world-wideTesting at Connectathons world-wide Demonstrations at major conferences world-wide Demonstrations at major conferences world-wide

11. How to Use IHE As a Vendor Implementer Participate and Implement IHE Integration ProfilesParticipate and Implement IHE Integration Profiles Test systems through Connectathon processTest systems through Connectathon process Publish an IHE Integration Statement for productsPublish an IHE Integration Statement for products As a User Implementer or Consultant Use IHE Integration Profiles to develop interoperability strategyUse IHE Integration Profiles to develop interoperability strategy Use Connectathon Results and Integration Statements to evaluate vendorsUse Connectathon Results and Integration Statements to evaluate vendors Require IHE Integration Profile compliance in RFPsRequire IHE Integration Profile compliance in RFPs

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13. supported by: Infrastructure Patient Identity ManagementPatient Identity Management Cross Enterprise Document Sharing RegistriesCross Enterprise Document Sharing Registries Cross Enterprise Document Sharing RepositoriesCross Enterprise Document Sharing Repositories Audit RepositoryAudit Repository

14. Showcase Layout