1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. IHE Connectathons Massive yearly events : 60-70 vendors
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

13. Integration Statements
June 2006
IHE Eye Care Webinar

14. 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

15. 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

16. 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,
June 2006
IHE Eye Care Webinar

17. 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 or
June 2006
IHE Eye Care Webinar