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Integrating the Healthcare Enterprise. Achievements and Lessons Learned from Six Years of IHE Radiology. Cor Loef Philips Medical Systems Co-chair IHE-Radiology Technical Committee. Content. Expectations of stakeholders Essence of the IHE process Achievements in Radiology Lessons learned.

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Integrating the Healthcare Enterprise


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    1. Integrating the Healthcare Enterprise Achievements and Lessons Learned from Six Years of IHE Radiology Cor Loef Philips Medical Systems Co-chair IHE-Radiology Technical Committee Year 1 of IHE Cardiology @ ESC

    2. Content • Expectations of stakeholders • Essence of the IHE process • Achievements in Radiology • Lessons learned Year 1 of IHE Cardiology @ ESC

    3. IHE Stakeholders • Societies Representing Healthcare Segments • ( RSNA, HIMSS, ACC, ESC, Other Professional Societies… ) • Users • ( Clinicians, Medical Staff, Administrators, CIOs, … ) • Information Systems Vendors • Imaging Systems Vendors • Consultants • Standards Development Organizations (SDOs) • DICOM • HL7, others … Year 1 of IHE Cardiology @ ESC

    4. Benefits to IHE Stakeholders • 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 Year 1 of IHE Cardiology @ ESC

    5. Benefits to IHE Stakeholders • Vendors • Decreased cost and complexity of interface installation and management • Validation of integration at Connectathon • Lower the threshold and establish an infrastructure for new markets • Focus competition on functionality/service space,not information transport space • SDOs • Rapid feedback to adjust standards to real-world • Establishment of critical mass and widespread adoption Year 1 of IHE Cardiology @ ESC

    6. Essence of IHE process: IHE drives healthcare standards based-integration Year 1 of IHE Cardiology @ ESC

    7. The IHE process steps Year 1 of IHE Cardiology @ ESC

    8. 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 focus • Providers can deploy with stability and incremental growth Year 1 of IHE Cardiology @ ESC

    9. Achievements in IHE Radiology 1997/98 — The Foundation of IHE, Integrating the Healthcare Enterprise 1999/2000 — First IHE demonstration at RSNA/HIMSS Scheduled Workflow: Modality Worklist, Procedure Step, Storage Commit • 2000/1 • 2002 • 2003 • 2004 • Consistent Presentation, Slice Lines • Grouped Procedures, Reporting, Templates • Security, CAD Workflow, Exception Mgt, Charge Posting, Key Image Note • Reporting Workflow, Evidence Documents, • Multiple-source option • Portable Data for Imaging, NM Image Year 1 of IHE Cardiology @ ESC

    10. IHE Radiology Integration Profiles Charge Posting Presentation of Grouped Procedures Reporting Workflow KeyImageNotes Simple Image & Numeric Reports NMImage Consistent Present-ation of Images EvidenceDocs Access to Radiology Information Portable Data for Imaging Scheduled Workflow - Patient Info. Recon-ciliation Post-Processing Workflow Basic Security Year 1 of IHE Cardiology @ ESC

    11. IHE Radiology Scheduled Workflow Year 1 of IHE Cardiology @ ESC

    12. The Annual “Connectathon” • Unprecedented Cross-Vendor Testing • 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 Year 1 of IHE Cardiology @ ESC

    13. Connectathon impression Year 1 of IHE Cardiology @ ESC

    14. Participatingvendorsin the medicalimaging industry Year 1 of IHE Cardiology @ ESC

    15. Year 1 of IHE Cardiology @ ESC

    16. Participation in the demonstrations Live Integration of 47 HIS, RIS, PACS, and Modalities from 24 vendors Year 1 of IHE Cardiology @ ESC

    17. IHE Integration Statements published by vendors Product UVW supports the IHE K Actorwiththe IHE X and Y Integration Profiles IHE JActor with the IHE TIntegration Profile Year 1 of IHE Cardiology @ ESC

    18. IHE Integration Statement Year 1 of IHE Cardiology @ ESC

    19. Year 1 of IHE Cardiology @ ESC

    20. 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 at clinical sites Year 1 of IHE Cardiology @ ESC

    21. IHE process expansion to new domains Year 1 of IHE Cardiology @ ESC

    22. IHE geographic expansion IHE Strategic Development Committee IHE Europe Committee IHE USA Committee IHE Japan Committee RadiologyPlanning Committee IT Infrastructure Planning Committee IT Infrastructure Technical Committee Radiology Technical Committee IHE Korea Committee IHE France Planning Committee IHE Germany Planning Committee CardiologyPlanning Committee IHE Italy Planning Committee Laboratory Sub-Committee IHE UK Planning Committee Pharmacy Sub-Committee IHE Norway Planning Committee Cardiology Technical Committee IHE NL IHE Spain JAPAN Global Development KOREA EUROPE USA JIRA COCIR EAR ECR HIMSS JRS SFR DRG SIRM RSNA … GMSIG ZVEI BIR ACC ESC ..... ... Professional Societies / Sponsors Year 1 of IHE Cardiology @ ESC

    23. IHE (International) Strategic Development Committee SponsorCo-Chairs Global reports supervises IHE North America IHE Europe IHE Asia/Oceania Interoperability Regional &NationalDeployment Delegates National Extensions IHE Organizational Structure Multi-Domain & Multi-National IHE Domain-related Planning and Technical Committees Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc. contribute Participants Year 1 of IHE Cardiology @ ESC

    24. In Summary: IHE Radiology • Now entering Year 7 (of the initial foreseen 5 year ) • 50+ vendors worldwide • 100+ systems in annual Connectathons • Geographic spread • U.S., France, Germany, Japan, Italy, U.K, Netherlands, Spain, etc. • Well over 100 commercial products available • Countless sites integrated with IHE enabled products Year 1 of IHE Cardiology @ ESC

    25. Lessons Learned IHE Radiology • Essential role of sponsor societies and individual leaders to drive the process with a vision, ambition and energy, and facilitate the voluntary collaboration of the industry participants • Marketing of the IHE initiative and benefits is not easy, because the first interest of the vendors is on the unique features of their products • Demonstrations are needed to get initial momentum in an IHE domain, but subsequently the focus needs to shift to Success Stories to keep the process going • Carefully monitor the real deployment in products of the IHE Integration Profiles, otherwise danger of creating IHE Utopia • Domains with larger scope, more industry players, more societies, government involvement, will be more difficult to organize than “simple” Radiology Year 1 of IHE Cardiology @ ESC