Integrating the Healthcare Enterprise IHE Purpose and Progress Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services Healthcare Information and Management Systems Society (HIMSS)

12/08/03IHE Cardiology Workshop What is IHE? A joint initiative to improve systems integration – Process for coordinated adoption of standards – Clinicians define needs – Vendors develop solutions—Technical Framework – HIMSS/RSNA supervise documentation, testing and demonstration/promotion

12/08/03IHE Cardiology Workshop Goals of IHE Speed up the rate and quality of integration in healthcare environments Foster communication among vendors Prove that integration is attainable based on standards Improve the efficiency and effectiveness of clinical practice

12/08/03IHE Cardiology Workshop What IHE is NOT! A standards development organization – Uses established standards (HL7, DICOM, others) to address specific clinical needs – Activity complementary to SDOs Simply a demonstration project – Demos only one means to the end— adoption – Backed up by documentation, tools, testing, and publication of information

12/08/03IHE Cardiology Workshop IHE Resources Proven process with strong participation – Five years of documentation, testing, demos Technical Framework MESA Tools and Connectathon 2003: 41 vendors (>90% of radiology market) – Strong recognition and credibility of concept – Promotional opportunities at major professional venues

12/08/03IHE Cardiology Workshop IHE Participants Societies Representing Healthcare Segments – ( RSNA, HIMSS, ACC, GMSIH, HPRIM, JAHIS… ) Users – ( Clinicians, Medical Staff, Administrators, CIOs, … ) Information Systems Vendors Imaging Systems Vendors Standards Development Organizations (SDOs) – DICOM – HL7 – Others …

12/08/03IHE Cardiology Workshop IHE Process Users and vendors work together to identify and design solutions for integration problems Intensive process with annual cycles: – Identify key healthcare workflows and integration problems – Research & select standards to specify a solution – Write, review and publish IHE Technical Framework – Perform cross-testing at “Connectathon” – Demonstrations at tradeshows (HIMSS/RSNA…)

12/08/03IHE Cardiology Workshop IHE Expansion Radiology – Sponsored by RSNA 12 Integration Profiles IT Infrastructure – sponsored by HIMSS 5 Integration Profiles Laboratory – sponsored by GMSIH, HPRIM, and JAHIS 1 Integration Profile Cardiology – sponsored by ACC

12/08/03IHE Cardiology Workshop IHE Progress Now entering Year 6!! 50+ vendors worldwide 100+ systems in annual Connectathons Geographic spread – U.S., Canada, France, Germany, Italy, Japan, Canada, Spain, Sweden, and U.K. HL7-IHE Interoperability Demonstration – 2004 HIMSS Annual Conference & Exhibition

12/08/03IHE Cardiology Workshop IHE Deliverables 1. Venues for discussion between users and vendors 2. Common vocabulary/ view of the world based on: – HL7 and DICOM Model of the real world – Pieces of information and their meaning 3. Technical Framework - INTEGRATION PROFILES – ACTORS in Roles performing TRANSACTIONS to accomplish Specific Processes 4. Connect-a-thon 5. Public Demonstrations / Education/ Publications

12/08/03IHE Cardiology Workshop More information…. Web sites:

12/08/03IHE Cardiology Workshop More information…. Technical Information: – IHE Rad Technical framework for yr 5 – v. 5.5 – IHE IT Technical framework for yr 1 – v. 1.0 – IHE Lab Technical framework for yr 1 – v.1.0 General Information : – Fact Sheet and FAQ – Integration Profiles: Guidelines for Buyers – Connectathon Results – Integration Statements – User Success Stories – White Papers