1. Sept 13-15, 2004IHE Interoperability Workshop 1 Integrating the Healthcare Enterprise IHE Tools for Users and Integrators: Connectathon, Integration Statements and RFP Toolkit Cor Loef Co-chair IHE Radiology Technical Committee

2. Sept 13-15, 2004IHE Interoperability Workshop 2 Content Benefits for clinicians and administrators IHE Process Connectathon Integration Statements RFP approach

3. Sept 13-15, 2004IHE 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

4. Sept 13-15, 2004IHE Interoperability Workshop 4 IHE drives healthcare standards based-integration

5. Sept 13-15, 2004IHE Interoperability Workshop 5 IHE process steps

6. Sept 13-15, 2004IHE Interoperability Workshop 6 A Proven Standards Adoption Process Easy to Integrate Products IHE Connectathon Product With IHE IHE Demonstration User Site RFP Standards IHE Integration Profiles B IHE Integration Profile A IHE Technical Framework Product IHE Integration Statement IHE Connectathon Results 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

7. Sept 13-15, 2004IHE 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 IT Infrastructure San Diego - January 26 - 30, 2004 Connectathon for Radiology Tokyo – February 2004 Connectathon for Radiology Tokyo – February 2004 Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004 Connectathon for IT Infrastructure, Laboratory & Radiology - Padova (Italy) March 29 - April 2, 2004 Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005 Connectathon for IT Infra, Lab, Cardiology, Radiology - January 2005

8. Sept 13-15, 2004IHE Interoperability Workshop 8 IHE Connectathon Managed by the IHE Sponsors (Users)

9. Sept 13-15, 2004IHE Interoperability Workshop 9

10. Sept 13-15, 2004IHE Interoperability Workshop 10

11. Sept 13-15, 2004IHE Interoperability Workshop 11 Vendors publish IHE Integration Statements Product UVW supports the IHE K Actor with the IHE X and Y Integration Profiles IHE J Actor with the IHE T Integration Profile

12. Sept 13-15, 2004IHE Interoperability Workshop 12 IHE Integration Statement

13. Sept 13-15, 2004IHE Interoperability Workshop 13

14. Sept 13-15, 2004IHE 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

15. Sept 13-15, 2004IHE Interoperability Workshop 15 Information Flow in Hospital MPI ADT RIS PACSModalityDisplay HIS Billing Lab Cardio

16. Sept 13-15, 2004IHE Interoperability Workshop 16 The Product World….. Product XYZ from Vendor T

17. Sept 13-15, 2004IHE Interoperability Workshop 17 The IHE World…. IHE Actor Actor Actor Actor IHE Transaction IHE Actor

18. Sept 13-15, 2004IHE Interoperability Workshop 18 Mapping IHE to Products Poduct XYZ from Vendor T IHE Actor Actor Actor Actor IHE Transaction IHE Actor

19. Sept 13-15, 2004IHE Interoperability Workshop 19 Phase 1: Modalities with RIS Connection Phase 1: Modalities with RIS Connection IHE Integration Profile: Scheduled Workflow (DICOM Modality Worklist)

20. Sept 13-15, 2004IHE Interoperability Workshop 20 RIS Scheduled Workflow (Modality Worklist) Modality Worklist Proposed Protocols Loaded and ReviewedWorklist Patient Name, ID Requested Procedure Examination Type Scheduled Date, Time

21. Sept 13-15, 2004IHE Interoperability Workshop 21 Phase 2: Modalities with RIS Connection & PACS Phase 2: Modalities with RIS Connection & PACS IHE Integration Profiles: Scheduled Workflow (full) Patient Information Reconciliation Presentation of Grouped Procedures Access to Radiology Information

22. Sept 13-15, 2004IHE Interoperability Workshop 22 Patient Registration/Update Order Management Order Protocol Defined Store Images Storage Commitment List of Images PACS & Archive RIS A Closed Loop Update Scheduling ISUpdate Scheduling IS Match Procedure with OrderMatch Procedure with Order Support Billing Based on MPPSSupport Billing Based on MPPS Avoid Reading incomplete ProceduresAvoid Reading incomplete Procedures Scheduled Workflow Modality Worklist Procedure Scheduled Proposed Protocols Loaded and ReviewedWorklist Pt A, …, SPS=P1, P4 Pt C, …, SPS=P1, P5 Pt B, …, SPS=P2 Pt E, …, SPS=P4 ModalityPerformed Procedure Step With Performed Acquisition Protocols Performed Step: Status = Completed Performed Procedure: CT Head Performed Protocol Code=P1 Performed Protocol Code=P1 Pat Name/ID, Dose, Accession #, Study UID Complete List of Images Scheduled Protocol Code=P1, P5

23. Sept 13-15, 2004IHE 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

24. Sept 13-15, 2004IHE Interoperability Workshop 24 More information…. IHE Web sites: http://www.himss.org/IHE http://www.rsna.org/IHE http://www.acc.org/quality/ihe.htmhttp://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