Overcoming Barriers to Interoperability Using IHE

1. Overcoming Barriers to Interoperability Using IHE • Jonathan L. Elion, Co-Chair • Cardiology Planning Committee - IHE • Medical Director & Co-Founder, Heartlab, Inc.

2. ACC 1995: DICOM Images

3. ACC 2001: Data Interchange HIMSS Public Policy Forum

4. ACC 2005: IHE “Connect the Docs”

5. Who is IHE? • IHE is a joint initiative among: • American College of Cardiology (ACC) • Radiological Society of North America (RSNA) • Healthcare Information Management Systems Society (HIMSS) • GMSIH, HPRIM, JAHIS (laboratory), IHE-Europe, IHE-Japan, and many more…. • Began in 1997 in Radiology and IT • Within IHE-Cardiology additional sponsors including ASE, ASNC, HRS, ESC, and more HIMSS Public Policy Forum

6. IHE Participants • Societies Representing Healthcare Segments: RSNA, HIMSS, ACC, ASE, ESC, ASNC, HRS… • Users: Clinicians, Medical Staff, Administrators, CIOs, … • Information and Imaging Systems Vendors • Standards Development Organizations: DICOM, HL7, ASTM, … HIMSS Public Policy Forum

7. Participating & Contributing Vendors (U.S.) GE Healthcare Heartlab Hitachi Medical Corporation Hologic, Inc IDX Systems Corporation IMCO Technologies InSiteOne INFINITT Konica Minolta Marotech, Inc. McKesson Information Solutions Medcon Medical Manager Health Systems Mediface Co., Ltd. Merge eFilm Mortara Procom Philips Medical Systems RASNA Imaging Systems Sectra Sentillion Siemens Medical Solutions Softmedical Stentor, Inc StorCOMM, Inc Swissray International, Inc Tiani Medgraph AG Toshiba America Medical Systems UltraVisual Medical Systems Vital Images, Inc. Voxar Limited WebMD XIMIS Agfa HealthCare Algotec Systems, Ltd. Berdy Camtronics Canon Medical Systems Carefx Cedara Software Corporation Cerner Corporation CSIST Dictaphone DR Systems Dynamic Imaging Eastern Informatics Eastman Kodak Company Emageon Eclipsys Fujifilm Medical Systems In yellow, companies with IHE Committees Chairs (Summer 2004)

8. Participating & Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical Solutions Algotec ARES SA aycan Digitalsysteme ConVis DEDALUS Dianoema Eastman Kodak Company Ebit Sanita EDL ELFIN s.r.l. Engineering Sanità Enti Locali ESAOTE ETIAM Ferrania Fujifilm GE Healthcare GMD GIE Convergence-Profils GWI Research IASI Srl IdeoPass Image Device-Cerner Company INFINITT INOVIT McKesson MED2RAD MEDASYS SA Medavis Medigration GmbH MEDIMON Ltd. MEDOS AG Merge eFilm METAFORA Minolta Europe Omnilab Philips Medical Systems Rasna Imaging Systems RAYPAX INC. Rogan-Delft Sago spa Sectra Imtec AB Siemens Medical Solutions Soluzioni Informatiche srl Stentor Inc. Swissray Medical AG Symphonie On Line Synapsis TELEMIS S.A. TIANI MEDGRAPH AG TOREX GAP Medical Toshiba Medical Systems TSI groupe europMedica VEPRO AG VISUS Technology Transfer WAID XR PARTNER In yellow, companies with IHE Committees Chairs (Summer 2004)

9. What is IHE? • IHE is a systems integration process • Consists of a Planning Committee and a Technical Committee of cardiologists and vendors • Develops a detailed document called the “Technical Framework” • Incorporates and refines existing standards such as DICOM and HL7 • Goal: Quality healthcare delivery HIMSS Public Policy Forum

10. IHE Annual Cycle • Clinicians identify clinical problems to be addressed -“Integration Profiles” • Engineers from vendors collaborate to define technical specification (using existing standards such as DICOM and HL7) • Vendors implement the technical specification and participate in the “Connectathon” • Demonstrations at trade shows (ACC, HIMSS, etc.) • Vendors publish IHE Integration Statements • Customers reference IHE profiles in RFP’s HIMSS Public Policy Forum

11. IHE Cardiology Year 1 • The ability to view an ECG from many locations - quickly and easily • Echo workflow integration of patient, order and procedure information, including mobile echo • Cath Lab workflow integration of patient, order and procedure information, including angiography, hemodynamics, IVUS… HIMSS Public Policy Forum

12. Cath and Echo Workflow

13. IHE Connectathon • Open invitation to vendor community • Advance testing tools (MESA) • Testing organized and supervised by project management team • Thousands of cross-vendor tests performed • Results recorded and published HIMSS Public Policy Forum

14. Connectathon, January 2005 HIMSS Public Policy Forum

15. Connectathon, January 2005 300 participants, 110 systems (31 Cardiology) From palettes to pals in less than 4 hours 43 vendors (14 Cardiology) Cardiac Catheterization Echocardiography EKG’s Anywhere Packing Up 2,800 Tests

16. Computers in Cardiology

17. Total ACC’05 attendance was over 28,000. HIMSS Public Policy Forum

18. Over 1,000 visitors from 47 countries attended theIHE presentations and demonstrations. HIMSS Public Policy Forum

19. Commitment to EHR David J. Brailer, MD, PhD National Coordinator for Health Information Technology, US Department of Health and Human Services (HHS) Directive: Execute the Presidential Order for widespread deployment of Health Information Technology within 10 years. “The capacity to share clinical data is generally not available in the market, and I have placed a high priority on ensuring that it does come to exist before widespread EHR adoption is underway.” “IHE… is becoming the obvious thing to do. It is our goal to make it the inevitable thing to do.” HIMSS Conference, February 2005 HIMSS Public Policy Forum

20. W W W . I H E . N E T Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings HIMSS Public Policy Forum