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Integrating the Healthcare Integrating the Healthcare Enterprise Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS Christopher Carr Director of Informatics, RSNA

Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

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12/08/03IHE Cardiology Workshop Development International, Domain Specific Deployment Regional and National Lab Tech Cmte Lab Plan Cmte Cardiology Tech Cmte Cardiology Plan Cmte IT Infrastructure Tech Cmte IT Infrastructure Planning Cmte Radiology Planning Cmte Radiology Technical Cmte Sponsors: GMSIH, SFIL, JAHIS Sponsor: ACCSponsor: HIMSSSponsor: RSNA Strategic Development Committee Local/Domain Review Committees IHE-Europe IHE -UK IHE- Italy IHE- Denm ark IHE- Franc e IHE-Asia Oceania IHE- China IHE- Korea IHE- Japan IHE-North America Local/Domain Review Committees IHE- Canada IHE-USA Domain Committees/Domain Sponsors and Cooperating Organizations National/Regional Deployment Initiatives/Sponsoring Organizations Organization Overview

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Page 1: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise

Applying the IHE Process to Cardiology

Joyce Sensmeier MS, RN, BC, CPHIMSDirector of Professional Services, HIMSS

Christopher CarrDirector of Informatics, RSNA

Page 2: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE Process:IHE Process:Organizational OverviewOrganizational Overview

Goal:– Stimulate integration of healthcare

information resources to improve clinical care

– Develop and publish detailed frameworks for implementing established data standards

– Support testing, demonstration and education to promote deployment

Page 3: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

DevelopmentInternational, Domain

Specific

DeploymentRegional and National

Lab Tech Cmte

Lab Plan Cmte

Cardiology Tech Cmte

Cardiology Plan Cmte

IT Infrastructure

Tech Cmte

IT Infrastructure Planning Cmte

Radiology Planning Cmte

Radiology Technical Cmte

Sponsors: GMSIH, SFIL,

JAHIS

Sponsor: ACC Sponsor: HIMSSSponsor: RSNA

Strategic Development Committee

Local/Domain Review Committees

Local/Domain Review Committees

IHE-Europe

IHE-UK

IHE-Italy

IHE-Denm

ark

IHE-Franc

e

IHE-Asia Oceania

IHE-China

IHE-Korea

IHE-Japan

IHE-North America

Local/Domain Review Committees

IHE-Canada

IHE-USA

Domain Committees/Domain Sponsors and Cooperating Organizations

National/Regional Deployment Initiatives/Sponsoring Organizations

Organization OverviewOrganization Overview

Page 4: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Two principal activitiesTwo principal activities

Development– The work process that leads to publication

of the IHE Technical FrameworkDeployment

– Testing and demonstrations– Promotional and educational efforts

Page 5: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Development ActivitiesDevelopment Activities

Domain specific and Global in scopeDefines and documents standards-

based solutions to address specific clinical and operational integration needs Integration Profiles

Detailed in the Technical Framework

Page 6: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE Technical FrameworkIHE Technical Framework

Based on a consensus selection of established standards

Carefully constrains implementation of these standards

Makes the attainment of functional systems integration more efficient and less expensive

Page 7: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE Technical FrameworkIHE Technical Framework

Page 8: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Strategic Development Strategic Development CommitteeCommittee

Evolving to international in scope Broadest oversight bodyDefine and publish the goals of IHE and

guidelines for activitiesOversee adherence to goals/guidelinesCommunication and coordination

among domain committees and regional/national initiatives

Page 9: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Strategic Development Strategic Development CommitteeCommittee

Domain expansion activities Recruitment and liaison with related industry

organizations Composition

– Selected members/staff of sponsoring organizations– Current/past co-chairs of Domain

Planning/Technical Committees– Invited reps of national/regional initiatives– Invited domain experts and reps of targeted

expansion domains

Page 10: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Review CommitteeReview Committee

Executive staff and senior membership of sponsors

Mediate issues that may have implications for commercial competition

Final authority on planning and execution of deployment activities in their nation or region

Page 11: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Domain-specific Planning and Domain-specific Planning and Technical CommitteesTechnical Committees

International in scopePerform the work of selecting

appropriate standards to address identified integration issues

Define constrained implementations of these standards

Document these implementations in the IHE Technical Framework

Page 12: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Annual CycleAnnual Cycle

Scope planningTechnical Framework publication

and reviewCoordination with deployment

activities

Page 13: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Date Event July Planning and Technical Committees: Initial annual organizational meeting

Planning Committee: Initial Integration Profile development proposals

August - September

Planning Cmte: Development and review of Integration Profile proposals

October Planning Cmte: Selection of Integration Profiles for development as sections of Technical Framework

November - January

Technical Committee: Development of Technical Framework Supplements to support new Integration Profiles and other changes

February Tech Cmte: Publication of Expanded Technical Framework for public review

March Public Review period for expanded Technical Framework

April Tech Cmte: Resolve public comments on extensions to Technical Framework and publish draft for Trial Implementation.

November Tech Cmte: Resolve comments on Technical Framework and publish final stable version.

IHE Radiology TimelineIHE Radiology Timeline

Page 14: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Date Event

July Planning and Technical Committees: Initial annual organizational meetingPlanning Committee: Initial Integration Profile development proposals

August - September

Planning Cmte: Development and review of Integration Profile proposals

December Planning Cmte: Selection of Integration Profiles for development as sections of Technical Framework

January-May Technical Committee: Development of Technical Framework Supplements to support new Integration Profiles and other changes

June Tech Cmte: Publication of Expanded Technical Framework for public review

July Public Review period for expanded Technical Framework

August Tech Cmte: Resolve public comments on Technical Framework and publish draft for Trial Implementation

February Tech Cmte: Resolve comments on Technical Framework and publish stable yearly version.

IHE IT Infrastructure TimelineIHE IT Infrastructure Timeline

Page 15: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Planning CommitteePlanning Committee

Develop and review Integration Profile proposals

Determine scope development priorities within their domain

Communicate and coordinate development activities across domains

Page 16: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Technical CommitteeTechnical Committee

Assess feasibility of scope development priorities

Develop detailed documentation of approved Integration Profiles for inclusion of IHE Technical Framework

Page 17: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee RepresentationCommittee Representation

Includes representatives from organizations whose systems and software are used within the given domain

Domain experts provide guidance and oversight to development activities– Identify key clinical integration priorities– Review the work product to ensure that it

addresses these priorities. Staff liaison(s) from sponsoring organization

Page 18: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee ResponsibilityCommittee Responsibility

Participation is open and voluntaryGeneral invitation at start of annual

cycleResponsibilities

– Attendance at committee meetings– Attendance in teleconferences– Performing committee assignments

Page 19: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee Sponsors Committee Sponsors

Professional societies and trade associations representing relevant domains

Share responsibility for logistics and expenses of committee activities

Recruitment and organization of committee participants

Page 20: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee Sponsors Committee Sponsors

Scheduling and hosting meetingsSecretarial dutiesCommunication and publication of

materialsCoordinate educational/promotional

effortsDesignate staff and allocate resources

Page 21: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee Sponsors Committee Sponsors

Maintain and publish rosters and schedules of domain activities

Document meeting minutesMaintain committee documents/work

productsCommunicate with national IHE

initiatives and others

Page 22: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Committee Sponsors Committee Sponsors Designate individual members to

provide advisory input, oversee and participate in domain-specific planning committees

These representatives work through their organizations to gather the broadest domain expertise to determine strategic and scope development priorities

Page 23: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

  IHE Development Domain SponsorsDomain Organizational Sponsor

IT Infrastructure

Healthcare Information and Management Systems Society (HIMSS)

Radiology Radiological Society of North America (RSNA)

Laboratory Groupement pour la Modernisation du Système d'Information Hospitalier (GMSIH);Association Harmoniser et Promouvoir les Informatiques Medicales (H.PR.I.M)Japan Association of Healthcare Information Systems Industry (JAHIS)

Cardiology American College of Cardiology (ACC)

Page 24: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Cooperating OrganizationsCooperating Organizations Do not undertake the financial and resource

commitments Agree to be listed on IHE publications May designate a liaison to the appropriate

domain planning committee– Communicate their strategic and scope priorities– Receive reports of committee activities

Example: American College of Clinical Engineering (ACCE)

Page 25: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Deployment ActivitiesDeployment Activities Domain specific and national or regional in

scope Foster implementation of IHE Integration

Profiles Process:

– Interoperability testing– Demonstration– Education– Promotion

Page 26: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

National - Regional InitiativesNational - Regional InitiativesCoordinate the deployment of the IHE

Technical Framework and Integration Profiles

Give input to their development relevant to local needs

May rely on funding from other organizations (e.g. governmental bodies or foundations)

Page 27: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

National - Regional InitiativesNational - Regional Initiatives

Sponsored and overseen by relevant professional associations and local vendor representatives

Responsible for– Organizing testing/implementation efforts– Public presentations– Education

Page 28: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Deployment ActivitiesDeployment Activities Recruit national IHE initiative participants,

sponsors and contributors Participate in regional IHE initiative planning

activities & coordinate with national activities Communicate with other IHE regional and

national initiatives Plan and support interoperability testing

process, Connectathons, demonstrations and educational and promotional events

Page 29: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Deployment ActivitiesDeployment Activities

Retain a technical project manager/team to coordinate testing, Connectathons, and demonstrations

Publish and disseminate educational/promotional materials

Develop and proposed national extensions to the Technical Framework to address national policies/traditions of care

Page 30: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Date Event

April RSNA: Invitation to vendors to participate in testing and demonstration process; hold vendor workshop

April Submission of titles, abstracts and learning objectives for educational sessions at RSNA annual meeting

June Vendor applications due for participation in testing and demonstration process

July Participant meeting or Web conference

August Development and review of promotional materials

September Participant submission of MESA tools test results

October Connectathon testing event; results published in promotional materials

December Educational and promotional activities at RSNA annual meeting

Domain Deployment Timeline: Domain Deployment Timeline: Radiology/North AmericaRadiology/North America

Page 31: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

Date Event

May 28 HL7-IHE Interoperability Demonstration Planning Committee

June 15 Call for participation announced

August 15 Final call for participation in HL7-IHE Interoperability Demonstration

September 11-12 HL7-IHE Interoperability Demonstration - Vendor workshop, Memphis, TN

October 15 Application due for HL7-IHE Interoperability Demonstration and Connectathon

October 31, Nov. 30

Interim vendor progress reports due

January 26-30, 2004

HL7-IHE Interoperability Demonstration - IT Infrastructure Connectathon – San Diego, CA

February 22-26, 2004

HIMSS 2004 – HL7-IHE Interoperability Demonstration – Orlando, FL

Domain Deployment Timeline: Domain Deployment Timeline: IT Infrastructure/North AmericaIT Infrastructure/North America

Page 32: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE National and Regional IHE National and Regional Sponsors: North AmericaSponsors: North America

Healthcare Information and Management Systems Society

Radiological Society of North AmericaAmerican College of Cardiology (ACC)

Page 33: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE National and Regional IHE National and Regional Sponsors: EuropeSponsors: Europe

European Association of Radiology (EAR)

European Congress of Radiologists (ECR)

Coordination Committee of the Radiological and Electromedical Industries (COCIR)

Deutsche Röntgengesellschaft (DRG)

EuroPACS Association Groupement pour la

Modernisation du Système d'Information Hospitalier (GMSIH)

Société Francaise de Radiologie (SFR)

Società Italiana di Radiologia Medica (SIRM)

British Institute of Radiology (BIR)

College of Radiographers Institute of Physics and

Engineering in Medicine NHS Information Authority Royal College of

Radiologists (RCR)

Page 34: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

IHE National and Regional IHE National and Regional Sponsors: JapanSponsors: Japan

Ministry of Economy, Trade, and Industry (METI) Ministry of Health, Labor, and Welfare MEDIS-DC Japan Industries Association of Radiological Systems

(JIRA) Japan Association of Healthcare Information Systems

Industry (JAHIS) Japan Radiological Society (JRS) Japan Society of Radiological Technology (JSRT) Japan Association of Medical Informatics (JAMI)

Page 35: Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS

12/08/03 IHE Cardiology Workshop

DevelopmentInternational, Domain

Specific

DeploymentRegional and National

Lab Tech Cmte

Lab Plan Cmte

Cardiology Tech Cmte

Cardiology Plan Cmte

IT Infrastructure

Tech Cmte

IT Infrastructure Planning Cmte

Radiology Planning Cmte

Radiology Technical Cmte

Sponsors: GMSIH, SFIL,

JAHIS

Sponsor: ACC Sponsor: HIMSSSponsor: RSNA

Strategic Development Committee

Local/Domain Review Committees

Local/Domain Review Committees

IHE-Europe

IHE-UK

IHE-Italy

IHE-Denm

ark

IHE-Franc

e

IHE-Asia Oceania

IHE-China

IHE-Korea

IHE-Japan

IHE-North America

Local/Domain Review Committees

IHE-Canada

IHE-USA

Domain Committees/Domain Sponsors and Cooperating Organizations

National/Regional Deployment Initiatives/Sponsoring Organizations

Organization OverviewOrganization Overview