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What’s the problem?

Introduction to Integrating the Healthcare Enterprise (IHE) Making Interoperability and Health Information Exchange Real - Today. What’s the problem?. The problem of interoperability requires implemented standards for cost effectiveness There are plenty of standards, but

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What’s the problem?

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  1. Introduction to Integrating the Healthcare Enterprise (IHE)Making Interoperability and Health Information Exchange Real - Today

  2. What’s the problem? • The problem of interoperability requires implemented standards for cost effectiveness • There are plenty of standards, but • They are overlapping, disjointed or conflicting • They are not consistently applied • Real world uses require multiple standards in a coordinated manner • Lack of a consistent end-to-end approach leads to implementation paralysis!

  3. What is Needed • Engage all the stakeholders • Develop a consistent end-to-end workflow based on real world problems • Select appropriate interoperability standards, and provide explicit guidance for use • Establish a mechanism for testing and validating implementations • Promote standards-based integration in the marketplace That’s “the IHE way!”

  4. What is Integrating the Healthcare Enterprise? • A 12-year old worldwide public-private collaboration • Improves patient care and provider efficiency by harmonizing electronic health information exchange • Creates implementable standards-based specifications for interoperability use cases • Provides an implementation testing pathway to bring IHE-compliant products to market

  5. Who is IHE? • ~ 370 members: • 55 healthcare professional organizations • 15 government agencies; 7 standards organizations • 45 provider, research and education organizations • 250 HIT and consulting companies • 12 technical domains • Sponsored by professional organizations • 15 national, regional, and international deployment organizations • Ensure IHE is aligned with local interoperability projects

  6. How does IHE work? • Clinicians and HIT professionals work together to identify key clinical interoperability issues • Jointly they define solutions called IHE profiles that harmonize the way standards are implemented in HIT products • HIT vendors implement IHE profiles in their systems and test them at annual Connectathon • HIT users specify IHE profiles in purchase tenders to achieve interoperability

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

  8. IHE International Board Regional Deployment IHE North America IHE Asia-Oceania China Japan Canada USA Korea Taiwan IHE Europe Netherlands France Germany Italy Spain Norway Sweden United Kingdom Professional Societies / Sponsors ACC ACP HIMSSRSNA Contributing & ParticipatingVendors GMSIH SFRSFIL ACCE COCIR EAR-ECR DRG SIRM BIR EuroRec ESC JAHISJIRAJRS METI-MLHW MEDIS-DCJAMI IHE Organizational Structure Global Development Radiology IT Infrastructure Laboratory Cardiology Patient Care Coordination Anatomic Pathology Radiation Oncology Patient Care Device Pharmacy Dental Endoscopy Eye Care Switzerland Turkey

  9. National and Regional Projects Using IHE Profiles Lower Austria Austria Netherland Amsterdam Italy (Conto Corrente Salute) UK CfH (Radiology WF) Denmark (Funen) Italy (Veneto) Spain (Aragon) FranceDMP Quebec, Ontario,Alberta, British ColumbiaCanada Health Infoway VITL-Vermont Boston Medical Center - MA Philadelphia HIE CPHIC – Pennsylvania CareSpark – TN & VA South Africa THINC- New York NCHICA – N. Carolina Malaysia CHINA-MoH Lab results sharing JAPAN-Nagoya Imaging Info Sharing CHINA-Shanghai Imaging Info Sharing 9

  10. IHE and “Meaningful Use” • IHE is a formal partner in the “Standards and Interoperability Framework” Harmonization Project of the HHS Office of the National Coordinator for Health IT • IHE Cross-Enterprise Document Sharing (XDS) profiles are the basis for Health Information Exchanges, and for the DIRECT Project (secure healthcare email) • IHE Patient Care Coordination Profiles are key parts of the forthcoming 2013 and 2015 requirements • IHE Request Form for Data Capture supports a standard approach to public health and quality reporting

  11. Who benefits from IHE’s work? • Patients • Enhance care’s quality, safety, efficiency & effectiveness • Clinicians • Improve workflow & information reporting • Fewer error opportunities; less repeated work • Vendors and Consultants • Satisfy customers’ interoperability demands • Decreased cost & complexity of installation & management • Standards Organizations • Rapid feedback to address real-world issues • Establishment of critical mass and widespread adoption • Government • Reduced costs of implementing HIEs • Facilitates public health and quality measures

  12. How to Participate As a User or Vendor Committee Member • Become a member of a Domain’s Planning or Technical Committees As a User, Consultant or Vendor Interested Observer • Provide Public Comments on Technical Framework Supplements • Attend Demonstrations, Educational Events and Workshops

  13. www.ihe.net Resources • Technical Frameworks • Connectathon Results • Product Registry • Domain Information • Member Organizations • and more . . .

  14. Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings http://www.ihe.net

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