IHE Eye Care Process and Timeline June 6, 2006 Flora Lum, M.D. Director, Quality of Care and Knowledge Base Development American Academy of Ophthalmology

Standards are critical but alone are not enough Standards offer generality, ambiguity and alternatives Standard Implementation Guides are focused on a single standard Increasing complexity IHE provides a standard process for implementing multiple standards! June 2006 IHE Eye Care Webinar

Connecting standards to care Care providers work with vendors to coordinate the implementation of standards to meet their needs Care providers identify the key interoperability problems they face Drive industry to develop and make available standards-based solutions Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions What is the effective way to establish those “standards” for how to implement standards ? June 2006 IHE Eye Care Webinar

What is Integrating the Healthcare Enterprise ? IHE provides a common framework for passing health information seamlessly: within the healthcare enterprise across multiple healthcare enterprises for local, regional & national health information networks. IHE is sponsored by healthcare professional associations. IHE drives standards adoption to address specific clinical needs. June 2006 IHE Eye Care Webinar

Standards Adoption Process Testing at Connectathons IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Timely access to information Easy to integrate products Document Use Case Requirements June 2006 IHE Eye Care Webinar

Driving healthcare standards-based integration IHE Integration Profile: A well-defined and tested solution to a specific information exchange problem June 2006 IHE Eye Care Webinar

IHE (International) Strategic Development Committee IHE Organizational Structure Multi-Domain & Multi-National supervises reports IHE (International) Strategic Development Committee Sponsors Co-Chairs Global Interoperability Delegates IHE Europe IHE North America IHE Asia/Oceania Regional & National Deployment National Extensions IHE Domain-related Planning Committee and Technical Committee Global Development: Radiology, IT Infrastructure, Cardiology, Lab, etc. contribute Participants June 2006 IHE Eye Care Webinar

IHE Contributors & Participants Societies Representing Healthcare Segments RSNA, HIMSS, ACC, ACCE, Other Professional Societies… Any Healthcare Stakeholder Organization Users Clinicians, Medical Staff, Administrators, CIOs, … Information Systems & Equipment (e.g. imaging) Vendors Consultants In addition, active liaison with Standards Development Organizations (SDOs) HL7, DICOM, NCCLS, ASTM, ISO, others June 2006 IHE Eye Care Webinar

Achievements and expanding scope 15 Active national chapters on 4 continents, 4 Technical Frameworks 27 Integration Profiles, Testing at yearly Connectathons, Demonstrations at major exhibitions world-wide Vendors claim compliance to IHE Integration Profiles by publishing an IHE Integration Statement for each product. June 2006 IHE Eye Care Webinar

A Proven Standards Adoption Process Product IHE Integration Statement IHE Connect-a-thon Results Requirements IHE Connect-a-thon Product With IHE IHE Demonstration Easy to Integrate Products Standards (e.g. ASTM-CCR HL7 CDA) IHE Integration Profiles B Profile A User Site RFP 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 Process started in1998 with continuous improvements June 2006 IHE Eye Care Webinar

IHE Connectathon Open invitation to vendor community Advance testing tools (MESA) Testing organized and supervised by project management team Thousands of cross-vendor tests performed Results recorded and published June 2006 IHE Eye Care Webinar

IHE Connectathons Massive yearly events : 60-70 vendors 120-160 engineers Over 100 systems ….integrated in 5 days Vendors do not pass… until IHE Technical Project Manager attests it ! June 2006 IHE Eye Care Webinar

Integration Statements June 2006 IHE Eye Care Webinar

IHE Eye Care Process Open invitation to vendor community to participate in process – October 2005 Open process to create the Technical Framework – January – May 2006 Open public comment period - April 2006 Comments reviewed and suggestions incorporated – April – May 2006 Profile for trial implementation released – June 2006 June 2006 IHE Eye Care Webinar

IHE Eye Care Process Development of MESA testing tools – June - August Vendors implement profiles – July-Sept Organizational meeting for Connectathon and MESA tools made available – August 10 Vendors submit MESA test results – September 15 Test results and issues provided to each vendor – September 27 June 2006 IHE Eye Care Webinar

IHE Eye Care Connectathon Open invitation to vendor community Week of October 9 RSNA headquarters, Chicago Prerequisite to participate in the AAO Annual Meeting Interoperability Showcase Cost to participate: $6,000 (costs for faciltiies, IT network, project manager) Application: Contact Flora Lum, flum@aao.org, 415 561-8592 June 2006 IHE Eye Care Webinar

IHE Eye Care Showcase 50x50 booth space on show floor for vendors to demonstrate interoperability Marketing and publicity to members through AAO website, mailed brochures, on-site advertising, Eyenet magazine, on-site brochure, booth signage Presentations at the Technology Pavilion Costs to participants to cover furniture, IT/electrical, equipment, etc. Application: Contact Flora Lum at flum@aao.org or 415 561-8592 June 2006 IHE Eye Care Webinar