Introduction to Introduction to Integrating the Healthcare Enterprise (IHE)Integrating the Healthcare Enterprise (IHE)

Making Interoperability Making Interoperability

and Health Information Exchange and Health Information Exchange Real - Real - TodayToday

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What’s the problem?

• The problem of The problem of interoperability interoperability requires requires implemented implemented standardsstandards for cost effectiveness for cost effectiveness

• There are There are plentyplenty of standards, but of standards, but– They are overlapping, disjointed or conflictingThey are overlapping, disjointed or conflicting– They are not consistently appliedThey are not consistently applied– Real world uses require multiple standards in a Real world uses require multiple standards in a

coordinated mannercoordinated manner

• Lack of a consistent end-to-end approach leads Lack of a consistent end-to-end approach leads to implementation paralysis!to implementation paralysis!

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What is Needed

• Engage all the stakeholdersEngage all the stakeholders• Develop a consistent end-to-end workflow Develop a consistent end-to-end workflow

based on real world problemsbased on real world problems• Select appropriate interoperability standards, Select appropriate interoperability standards,

and provide explicit guidance for useand provide explicit guidance for use• Establish a mechanism for testing and Establish a mechanism for testing and

validating implementationsvalidating implementations• Promote standards-based integration in the Promote standards-based integration in the

marketplacemarketplaceThat’s “the IHE way!”

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What is Integrating the Healthcare Enterprise?

• A 12-year old worldwide public-private A 12-year old worldwide public-private collaboration collaboration

• Improves patient care and provider Improves patient care and provider efficiency by harmonizing electronic health efficiency by harmonizing electronic health information exchangeinformation exchange

• Creates implementable standards-based Creates implementable standards-based specifications for interoperability use casesspecifications for interoperability use cases

• Provides an implementation testing pathway to Provides an implementation testing pathway to bring IHE-compliant products to marketbring IHE-compliant products to market

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Who is IHE?

• ~ 370 members: ~ 370 members: – 55 healthcare professional organizations55 healthcare professional organizations– 15 government agencies; 7 standards organizations15 government agencies; 7 standards organizations– 45 provider, research and education organizations45 provider, research and education organizations– 250 HIT and consulting companies250 HIT and consulting companies

• 12 technical domains12 technical domains– Sponsored by professional organizationsSponsored by professional organizations

• 15 national, regional, and international 15 national, regional, and international deployment organizationsdeployment organizations– Ensure IHE is aligned with local interoperability projectsEnsure IHE is aligned with local interoperability projects

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How does IHE work?

• Clinicians and HIT professionals work together Clinicians and HIT professionals work together to identify key clinical interoperability issuesto identify key clinical interoperability issues

• Jointly they define solutions called Jointly they define solutions called IHE profiles IHE profiles that harmonize the way standards are that harmonize the way standards are implemented in HIT productsimplemented in HIT products

• HIT vendors implement IHE profiles in their HIT vendors implement IHE profiles in their systems and test them at annual systems and test them at annual ConnectathonConnectathon

• HIT users specify IHE profiles in purchase HIT users specify IHE profiles in purchase tenders to achieve interoperabilitytenders to achieve interoperability

Proven Standards Adoption Process

Document Use Case RequirementsDocument Use Case Requirements

Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Develop technical specifications

Develop technical specifications

Testing at ConnectathonsTesting at Connectathons

IHEDemonstrationsIHEDemonstrations

Products with IHEProducts with IHE

Timely access to informationTimely access to information

Easy to integrate productsEasy to integrate products

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IHE Organizational Structure

ACCACPHIMSSRSNA

JAHISJIRAJRS

METI-MLHWMEDIS-DCJAMI

GMSIHSFRSFILACCE

SIRMBIREuroRec

COCIREAR-ECRDRG

ESC

Professional Societies / Sponsors Contributing &Participating

Vendors

IHE International Board

IHE Europe

IHE North America

France

USA

Canada

IHE Asia-Oceania

Japan

Korea Taiwan

Netherlands

Spain Sweden

United Kingdom

ItalyGermany

Norway

Regional Deployment

China

Switzerland

Turkey

Global Development

Radiology

Cardiology

ITInfrastructure

Patient CareCoordination

Patient CareDevice

Laboratory

AnatomicPathology

PharmacyRadiationOncology

Dental Endoscopy Eye Care

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National and Regional Projects Using IHE Profiles

Quebec, Ontario,Alberta, British ColumbiaCanada Health Infoway

Denmark (Funen)Italy (Veneto)Spain (Aragon)

THINC- New YorkNCHICA – N. Carolina

Italy (Conto Corrente

Salute)

Boston Medical

Center - MA

FranceDMP

UK CfH(Radiology WF)

Philadelphia HIE

CHINA-MoHLab results sharing

CPHIC – Pennsylvani

a

CHINA-ShanghaiImaging Info Sharing

JAPAN-NagoyaImaging Info Sharing

South Africa

Malaysia

VITL-Vermont

CareSpark – TN & VA

NetherlandAmsterdam

LowerAustria

Austria

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IHE and “Meaningful Use”

• IHE is a formal partner in the “Standards and IHE is a formal partner in the “Standards and Interoperability Framework” Harmonization Project of Interoperability Framework” Harmonization Project of the HHS Office of the National Coordinator for Health ITthe HHS Office of the National Coordinator for Health IT

• IHE Cross-Enterprise Document Sharing (XDS) profiles IHE Cross-Enterprise Document Sharing (XDS) profiles are the basis for Health Information Exchanges, and for are the basis for Health Information Exchanges, and for the DIRECT Project (secure healthcare email)the DIRECT Project (secure healthcare email)

• IHE Patient Care Coordination Profiles are key parts of IHE Patient Care Coordination Profiles are key parts of the forthcoming 2013 and 2015 requirementsthe forthcoming 2013 and 2015 requirements

• IHE Request Form for Data Capture supports a IHE Request Form for Data Capture supports a standard approach to public health and quality standard approach to public health and quality reportingreporting

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Who benefits from IHE’s work?

• PatientsPatients– Enhance care’s quality, safety, efficiency & effectivenessEnhance care’s quality, safety, efficiency & effectiveness

• CliniciansClinicians– Improve workflow & information reportingImprove workflow & information reporting– Fewer error opportunities; less repeated workFewer error opportunities; less repeated work

• Vendors and ConsultantsVendors and Consultants– Satisfy customers’ interoperability demandsSatisfy customers’ interoperability demands– Decreased cost & complexity of installation & managementDecreased cost & complexity of installation & management

• Standards OrganizationsStandards Organizations– Rapid feedback to address real-world issuesRapid feedback to address real-world issues– Establishment of critical mass and widespread adoptionEstablishment of critical mass and widespread adoption

• GovernmentGovernment– Reduced costs of implementing HIEsReduced costs of implementing HIEs– Facilitates public health and quality measuresFacilitates public health and quality measures

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How to Participate

As a User or Vendor Committee MemberAs a User or Vendor Committee Member• Become a member of a Domain’s Planning or Become a member of a Domain’s Planning or

Technical CommitteesTechnical Committees

As a User, Consultant or Vendor Interested As a User, Consultant or Vendor Interested ObserverObserver

• Provide Public Comments on Technical Provide Public Comments on Technical Framework SupplementsFramework Supplements

• Attend Demonstrations, Educational Events and Attend Demonstrations, Educational Events and WorkshopsWorkshops

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www.ihe.net Resources

• Technical FrameworksTechnical Frameworks

• Connectathon ResultsConnectathon Results

• Product RegistryProduct Registry

• Domain InformationDomain Information

• Member OrganizationsMember Organizations

• and more . . .and more . . .

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Providers and VendorsProviders and Vendors

Working Together to DeliverWorking Together to Deliver

Interoperable Health Information SystemsInteroperable Health Information Systems

in the Enterprisein the Enterprise

and Across Care Settingsand Across Care Settings

http://www.ihe.net