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Integrating the Healthcare Enterprise. IHE Tools for Users and Integrators: Connectathon, Integration Statements and RFP Toolkit. Cor Loef Co-chair IHE Radiology Technical Committee. Content. Benefits for clinicians and administrators IHE Process Connectathon Integration Statements

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Integrating the Healthcare Enterprise


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    1. Integrating the Healthcare Enterprise IHE Tools for Users and Integrators:Connectathon, Integration Statementsand RFP Toolkit Cor Loef Co-chair IHE Radiology Technical Committee IHE Interoperability Workshop

    2. Content • Benefits for clinicians and administrators • IHE Process • Connectathon • Integration Statements • RFP approach IHE Interoperability Workshop

    3. Benefits to IHE Participants • Clinicians • Improved workflow • Information when and where needed • Fewer opportunities for errors • Fewer tedious tasks/repeated work • Administrators • Improved efficiency • Best of breed opportunities • Decreased cost and complexity of interface deployment and management IHE Interoperability Workshop

    4. IHE drives healthcare standards based-integration IHE Interoperability Workshop

    5. IHE process steps IHE Interoperability Workshop

    6. A Proven Standards Adoption Process Product IHE IntegrationStatement IHEConnectathon IHEDemonstration Product With IHE Easy to Integrate Products IHETechnicalFramework Standards IHEIntegration Profiles B IHEIntegration Profile A RFP IHE ConnectathonResults User Site • IHE Integration Profiles at the heart of IHE : • Detailed selection of standards and options each solving a specific integration problem • A growing set of effective provider/vendor agreed solutions • Vendors can implement with ROI • Providers can deploy with stability IHE Interoperability Workshop

    7. The Annual “Connectathon” • Unprecedented Cross-Vendor Testing • Voluntary Participation • Designed End-to-End Scenarios • Advanced Testing Tools • Rich Pool of Technical Talent • Connectathon for IT Infrastructure San Diego - January 26 - 30, 2004 • Connectathon for Radiology Tokyo – February 2004 • Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004 • Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005 IHE Interoperability Workshop

    8. IHE Connectathon Managed by the IHE Sponsors (Users) IHE Interoperability Workshop

    9. IHE Interoperability Workshop

    10. IHE Interoperability Workshop

    11. Vendors publish IHE Integration Statements Product UVW supports the IHE K Actorwiththe IHE X and Y Integration Profiles IHE JActor with the IHE TIntegration Profile IHE Interoperability Workshop

    12. IHE Integration Statement IHE Interoperability Workshop

    13. IHE Interoperability Workshop

    14. Leveraging IHE Integration Statements • Vendors • Claim IHE Compliance in an explicit way • Can rely on an objective and thorough specification (IHE Technical Framework) • Willing to accept contractual commitments • Willing to correct “implementation errors” • Buyers • Can compare product integration capabilities • Simplify and strengthen their RFPs • Can leverage a public and objective commitment • Decreased cost and complexity of interface deployment and management IHE Interoperability Workshop

    15. Information Flow in Hospital Cardio Lab MPI Billing ADT RIS HIS Modality PACS Display IHE Interoperability Workshop

    16. The Product World….. Product XYZfrom Vendor T IHE Interoperability Workshop

    17. The IHE World…. Actor Actor Actor IHETransaction IHETransaction IHE Actor IHE Actor IHETransaction IHE Interoperability Workshop

    18. Mapping IHE to Products Actor Actor Actor Poduct XYZfrom Vendor T IHETransaction IHETransaction IHE Actor IHE Actor IHETransaction IHE Interoperability Workshop

    19. Phase 1: Modalities with RIS Connection IHE Integration Profile: Scheduled Workflow (DICOM Modality Worklist) IHE Interoperability Workshop

    20. Scheduled Workflow (Modality Worklist) Proposed Protocols Loaded and Reviewed Worklist Modality Worklist Patient Name, ID Requested Procedure Examination Type Scheduled Date, Time RIS IHE Interoperability Workshop

    21. Phase 2: Modalities with RIS Connection & PACS • IHE Integration Profiles: • Scheduled Workflow (full) • Patient Information Reconciliation • Presentation of Grouped Procedures • Access to Radiology Information IHE Interoperability Workshop

    22. Scheduled Workflow Patient Registration/UpdateOrder Management Proposed Protocols Loaded and Reviewed Worklist Modality Worklist Pt A, …, SPS=P1, P4 Pt C, …, SPS=P1, P5 Pt B, …, SPS=P2 Pt E, …, SPS=P4 Procedure Scheduled Order Protocol Defined Store Images StorageCommitment Storage Commitment List of Images With Performed Acquisition Protocols Performed Step: Status = Completed Modality Performed Procedure Step Performed Procedure: CT Head Performed Protocol Code=P1 Scheduled Protocol Code=P1, P5 Pat Name/ID, Dose, Accession #, Study UID Complete List of Images RIS PACS &Archive • A Closed Loop • Update Scheduling IS • Match Procedure with Order • Support Billing Based on MPPS • Avoid Reading incomplete Procedures IHE Interoperability Workshop

    23. IHE – Driving Market Adoption • IHE User Success Stories – Submitted since RSNA 2002(IHE Becomes Reality) • Provider Demonstration of their IHE Success – Planned for RSNA 2004. • IHE measures success on: • Compliant products availability • Provider deployed integrated systems IHE Interoperability Workshop

    24. More information…. • IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htm. • Technical Frameworks: • ITI V1.0, RAD V5.5, LAB V1.0 • Technical Framework Supplements - Trial Implementation • May 2004: Radiology • August 2004: Cardiology, IT Infrastructure • Non-Technical Brochures : • Calls for Participation • IHE Fact Sheet and FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connect-a-thon Results • Vendor Products Integration Statements IHE Interoperability Workshop