1 / 27

INTEGRATING THE HEALTHCARE ENTERPISE Solving Interoperability Challenges with IHE

INTEGRATING THE HEALTHCARE ENTERPISE Solving Interoperability Challenges with IHE. Elliot Sloane, PhD, CCE, FHIMSS Drexel University. IETF. IHTSDO. Interoperability: Major Cause of Health IT project failures?. Base Standards. We dread “standards” because there are SO many to choose from!.

aerona
Download Presentation

INTEGRATING THE HEALTHCARE ENTERPISE Solving Interoperability Challenges with IHE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INTEGRATING THE HEALTHCARE ENTERPISESolving Interoperability Challenges with IHE Elliot Sloane, PhD, CCE, FHIMSS Drexel University

  2. IETF IHTSDO Interoperability: Major Cause of Health IT project failures? Base Standards We dread “standards” because there are SO many to choose from! eHealth Projects Health Interop. Standards: Ignore & Face Consequences 2

  3. Standards: Necessary…Not Sufficient • Standards are • Foundational - to interoperability and communications • Broad - varying interpretations and implementations • Narrow - may not consider relationships between standards domains • Plentiful - often redundant or disjointed • Focused - standards implementation guides focus only on a single standard IHE provides a standard process for implementing multiple standards

  4. IETF IHTSDO Interoperability: From a problem to a solution Profile Development Base Standards eHealth Projects Project Specific Extensions Profiling: Constraining “optionality” 4

  5. IHE: Connects Standards to Care • Healthcare professionals work with industry • Coordinate implementation of standards to meet clinical and administrative needs • Clinicians and HIT professionals identify the key interoperability problems they face • Providers and industry work together to develop and make available standards-based solutions • Implementers follow common guidelines in purchasing and integrating effective systems IHE: A forum for agreeing on how to implement standards and processes for making it happen

  6. IHE: A Framework for Interoperability A common framework for harmonizing and implementing multiple standards Application-to-application System-to-system Setting-to-setting Enables seamless health information movement within and between enterprises, regions, nations Promotes unbiased selection and coordinated use of established healthcare and IT standards to address specific clinical needs

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

  8. Stakeholder Benefits • Healthcare providers and health authorities • Improved workflows • Information whenever and wherever needed • Reduced implementation costs • Vendors • Align product interoperability with industry consensus • Decreased cost and complexity of interface installation and management • Focus competition on functionality/service not information transport • SDOs • Rapid feedback to adjust standards to real-world • Establishment of critical mass and widespread adoption

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

  10. IHTSDO Use of IHE profiles in eHealth project Key health systems objectives Profiles for Use Case A Content & Terms • Patient summary • Lab Report • Imaging Info Exchange • ECG Report • . . . Use cases Interop-erability Tests Services Health Solution IHE profiles • Patient Demographics • X Document sharing • Health Provider Directory • . . . Standards Security and Privacy • Consent management • Audit Trail • . . .

  11. Robust Interoperability Procurement System B System A 3 1 eHealth Network 2 System C A Profile specifies (by references to standards) what is exchanged “on the wire” between “abstract systems” called actors (e.g. 1,2,3) For each systems procured: 1 - Specify the Profile/Actors to be supported (avoids pages of detailed specs) 2 - Ask for the IHE Integration Statement (declares Profile/Actors supported) 3 – Ask for a declaration that the Actor/Profile implemented has been tested at an IHE Connectathon (check on the IHE Product Registry). 4 – Place contractual commitments to fix non-compliance to IHE Profiles claimed

  12. eHealth and Interoperability: • Profiles for National Regional eHealth • Profiles for Intra Hospital Integration

  13. IHE Profiles Spécifications Go to: www.ihe.net/Technical_framework Examples: • For Sharing and Accessing Health Records • E.g. IT Infrastructure Technical Framework (XDS.b) • For Patient Identification • E.g. IT Infrastructure Technical Framework (PIX, PDQ) • For Patient Care Coordination: medical summary • E.g. Patient Care Coordination Technical framework (XDS-MS) • For Sharing Radiology Reports and Images • E.g. Radiology Technical framework (XDS-I) • For Sharing Laboratory Reports/Tests • E.g. Laboratory Technical framework (XD*-Lab)

  14. Hospital Record 1-Reference to records Clinic Record Specialist Record Index of patients records Clinical IT System Health Info Exchange Clinical Encounter Access to Shared Health Records:IHE-XDS Community Repository ofDocuments Repository ofDocuments

  15. Hospital Record Clinic Record Specialist Record 3-Records Returned 4-Patient data presented to Physician Aggregate Patient Info Index of patients records Clinical IT System HIE 2-Reference to Records for Inquiry Clinical Encounter Access to Shared Records : IHE-XDS Community Repository ofDocuments Repository ofDocuments

  16. Health Information Exchanges Interoperability: Cross-enterprise Document Sharing • Cross-Enterprise Document Sharing simplifies clinical data management by defining interoperable infrastructure. Transparency = Ease of Evolution • Patients have guaranteed portability and providers may share information without concerns of aggregation errors.Digital Documents = Patients and providers empowerment • Supports both centralized and decentralized repository architectures. Ease of federation nationally. Flexible privacy, Flexibility of configurations • Addresses the need for a longitudinal healthcare data (health records). Complements to interactive workflow or dynamic access to data.

  17. eHealth and Interoperability: • Profiles for National Regional eHealth • Profiles for Intra Hospital Integration • Profiles for Home Health

  18. EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology IHE Solutions within the Hospital EMR - HIS Eye Care Pathology HomeHub Therapy Plan Nursing Station First Profilesin 2011 Img Acq Treatment Devices Devices Devices Intensive Care Unit Pharmacy Radiation Therapy

  19. IHE Solutions within the Enterprise Example: Cardiology EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology EMR - HIS Eye Care Pathology Cardiology Integration Profiles Cardiac Catheterization Lab Workflow Echocardiography Lab Workflow Retrieve ECG for Display Displayable Reports Cath and Echo Evidence Documents HomeHub Therapy Plan Nursing Station EstablishedFeb 2009 Img Acq Treatment Devices Devices Devices Intensive Care Unit Pharmacy Radiation Therapy 19

  20. IHE Solutions within the Enterprise Example: IT Infrastructure EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology EMR - HIS IT Infrastructure Integration Profiles Patient Administration Management Patient Demographics Query Patient Identifier Cross-referencing Retrieve Information for Display Enterprise User Authentication Consistent Time Patient Synchronized Applications Audit Trail and Node Authentication Personnel White Pages Shared Value Sets Eye Care Pathology HomeHub Therapy Plan Nursing Station EstablishedFeb 2009 Img Acq Treatment Devices Devices Devices Intensive Care Unit Pharmacy Radiation Therapy 20

  21. IHE Solutions within the EnterpriseExample: Radiology EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology EMR - HIS Radiology Integration Profiles Radiology Scheduled Workflow Patient Information Reconciliation Access to Radiology Information Portable Data for Imaging Consistent Presentation of Images Key Image Note Presentation of Grouped Procedures Evidence Documents Audit trail and Node Authentication (Rad option) Teaching Files and Clinical Trials Export Post-processing Workflow Reporting Workflow Charge Posting Simple Image and Numeric Reports Eye Care Pathology HomeHub Therapy Plan Nursing Station EstablishedFeb 2009 Img Acq Treatment Devices Devices Devices Intensive Care Unit Pharmacy Radiation Therapy 21

  22. IHE Solutions within the Enterprise Example: Laboratory EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology EMR - HIS Eye Care Pathology Laboratory Integration Profiles Laboratory Testing Workflow Laboratory Information Reconciliation Laboratory Point Of Care Testing Laboratory Device Automation Laboratory Code Set Distribution Laboratory BarCode HomeHub Therapy Plan Nursing Station EstablishedFeb 2009 Img Acq Treatment Devices Devices Devices Intensive Care Unit Pharmacy Radiation Therapy 22

  23. Laboratory Testing Workflow (LTW) & Laboratory Device Automation (LDA) Placer order Order Placer Order Filler Filler order Work order Results Results Automation Manager Order Result Tracker Work Order Steps Query & download modes Tests results Pre/post processor Analyzer LTW LDA Profiles based on HL7 V2.5.1 Solid implementation experience

  24. eHealth and Interoperability: • Profiles for National Regional eHealth • Profiles for Intra Hospital Integration Hospital and Home Device Information Connectivity

  25. IHE Solutions within the EnterpriseExample: Patient Care Devices EnterpriseIT Infrastructure eMPI User Auth RIS CIS LIS PACS Img Acq Cath ECG Auto Mgr Analyzer Cardiology Laboratory Radiology EMR - HIS Patient Care Devices Profiles Device Enterprise Communication (DEC) Alarm Communication Mgt (ACM) Subscribe to Patient Data (SPD) Patient Identity Binding (PIB) Rosetta Terminology Mapping (RTM) Eye Care Pathology HomeHub Therapy Plan Nursing Station EstablishedFeb 2009 Img Acq Treatment Devices Devices PersonalDevices Intensive Care Unit Pharmacy Radiation Therapy 25

  26. Implementation Resources Open source implementations are available for XDS, XCA, XCPD, PIX, PDQ, ATNA, CT, and more: Microsoft under codeplexhttp://ihe.codeplex.com/ NIST under Source Forge http://sourceforge.net/projects/iheos/ HIE-OS under Source Forge http://sourceforge.net/projects/hieos/ FHA CONNECT http://www.connectopensource.org OHT – IHE Profiles Charter https://iheprofiles.projects.openhealthtools.org OHT – Open Exchange Forge https://openexchange.projects.openhealthtools.org OHT – Model Driven Health Tools-Charter https://mdht.projects.openhealthtools.org 26

More Related