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Purchasing & Integrating Radiology Systems Using IHE: A Tutorial & A Real-world Case

Purchasing & Integrating Radiology Systems Using IHE: A Tutorial & A Real-world Case. Kevin O’Donnell, Cor Loef, John Paganini, Chris Lindop, Ellie Avraham, Christoph Dickmann. I ntegrating the H ealthcare E nterprise. IHE facilitates integrating systems for efficient, accurate patient care

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Purchasing & Integrating Radiology Systems Using IHE: A Tutorial & A Real-world Case

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  1. Purchasing & IntegratingRadiology SystemsUsing IHE: A Tutorial & A Real-world Case Kevin O’Donnell, Cor Loef, John Paganini,Chris Lindop, Ellie Avraham, Christoph Dickmann

  2. Integrating the Healthcare Enterprise • IHE facilitates integrating systems for efficient, accuratepatient care • Systems that support IHE Integration Profiles: • communicate better & integrate more easily • provide more complete and accurate information • better support care providers workflow • Each IHE Profile • describes a clinical information need or workflow scenario • documents how to use standards (e.g. HL7, DICOM, ...) to accomplish it • Systems that implement the same Profile address a need in a mutually compatible way • Hundreds of products support one or more IHE Profiles.

  3. Your Three Step Program • Select Specific IHE Profiles • List those Profiles in your RFP • Check Vendors IHE Integration Statements

  4. Selecting IHE Profiles Review the Profiles : • What they do • Benefits for your situation Some Helpful Resources: • IHE User’s Handbook - Radiology • RSNA Demonstrations • Educational Material (e.g. Workshop Presentations) • IHE Technical Framework – Radiology • Connectathon Results www.ihe.net

  5. RFPs • Be Brief? • “The system must support DICOM” • Be Effective? • “The system must support the following DICOM services according to the following 100 pages of specifications: …” • Be Both: • “The system must support the IHE Scheduled Workflow Profile as the Acquisition Modality actor.” • Vendor IHE Integration Statements • Version 2.1 of the CardioCT 5000 supports IHE Scheduled Workflow as an Acquisition Modality

  6. IHE Integration Statements • Explicit claim by the vendor, for a specific product version • Lists profiles, actors, options • Short & Sweet

  7. Lets look at an Example • Excerpt from Handbook • Look at a goal, e.g. Increase Throughput • Look at benefits, pick a profile • Touch on a few workflow change details and legacy handling details from Part II • <add two slides, three max> • An example is combined with progressive implementation • Three Slides Added to show an example of progressive, phased implementation from RIS+Modality to RIS+Modality+PACS – the classic integration • Diagram of a profile, • Scheduled Workflow. In this case, it is the fourth slide which continues and completes the phased implementation storyline – 3+1 slides total

  8. IHE Evidence Documents[Would PDI be better?]

  9. Modalities with RIS Connection, and PACS I think we may keep this diagram, but it should be animated (to show integration steps as described before) and include relevant acronyms like MWL, MPPS IHE Integration Profile: • Scheduled Workflow (full) • Patient Information Reconciliation • Presentation of Grouped Procedures • Access to Radiology Information

  10. Dealing with Legacy • Understand that you may have to deal with non-compliant devices and systems • Make best effort to bring them “up-to-date” • Initial implementations may provide partial support • Incremental usage of IHE is fine • It’s DICOM and HL7 anyway • Follow IHE’s yellow brick road...

  11. Communicate Your Plans to Vendors • Present IHE as integration priority to Vendors. A Business goal ! • Ensure you specify Actors, Profiles, Options • Ask for Integration Statements in RFP • Ensure Project Manager and team are knowledgeable at implementing IHE

  12. Getting Started • Visit the IHE Profile Demonstrations • Cross-Enterprise Document Sharing of Imaging [XDS-I] • Teaching File & Clinical Trial Export [TCE] • Here in Inforad and in participating Vendor Booths • Talk about an IHE strategy with your CIO / IT staff, and with your vendors • Get further information at www.ihe.net • And Keep listening . . .

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