1. IHE’s Educational Webinar Series Thank you for attending the 2010 Educational Webinar Series. Dates: Tuesday & Thursday’s beginning June 8, 2010 through September 2, 2010 Questions: Visit our website at www.ihe.net or contact us at secretary@ihe.net.www.ihe.net secretary@ihe.net View the full schedule and download the audio & visual recordings at: www.ihe.net/Events/webinars2010.cfmwww.ihe.net/Events/webinars2010.cfm

2. Benefits of IHE Participation August 19, 2010 _____________________________________ Celina Roth HIMSS- Manager, Informatics IHE International Domain Secretariat

3. Featuring IHE Members: Anupriyo Chakravarti Director, Systems Architecture Surgical Information Systems www.sisfirst.com Scott Zaffrin, RN, ET Manager, Connectivity Marketing & Operations B. Braun Medical Inc. www.bbraun.com Erin Sparnon, MEng Senior Project Engineer ECRI Institute Headquarters www.ecri.org Featuring IHE Members:

4. Presentation Overview Brief IHE Overview Benefits of IHE Participation – For clinicians – For enterprise organizations – For non-profit, agencies/health ministries, consultants, educators and others Get Involved! Success Stories Q&A & Wrap

5. IHE Overview In operation since 1997 (Radiology domain), consistent growth in clinical disciplines and geographic dispersion Members from 300+ healthcare-related organizations worldwide IHE membership spans clinical, IT, standards development, education, research and government stakeholders

6. Benefits to Enterprise Users, including Hospitals, HIEs and others Demonstrating Organizational Leadership Organizations that encourage and support their staff members to participate in IHE enjoy a competitive advantage by being involved on the cutting edge of HIT solutions – Your organization will be known to be a leader in HIT interoperability – Staff volunteers learn from other IHE members and return that knowledge to your organization

7. Benefits to Enterprise Users, including Hospitals, HIEs and others, continued… Improved Outcomes Use of IHE-based products reduces the need to create costly interfaces – it’s not unusual for a 100 bed hospital to have dozens to hundreds of interfaces – Use of IHE can help Products developed using IHE can help end users more easily meet Meaningful Use mandates

8. Benefits for Vendors Provides vendors with a competitive edge By helping to develop and build IHE into your products, your company will enjoy a unique advantage in today’s competitive HIT environment By implementing IHE, vendors can improve their product development cycles because development teams can focus more attention to creating new product features and functions and worry less about integration and infrastructure By participating in IHE, vendor staff will also learn from industry’s top professionals

9. Benefits for others including agencies, health ministries, consultants, educators and others IHE participation benefits organizations, agencies/ministries, consultants, educators and their stakeholders By participating in and supporting IHE, IHE member organizations are able to provide valuable education and support to their members & stakeholders, thereby creating value to their stakeholders as well as contributing to the broader improvement of healthcare Active IHE members help drive and lead – thereby advancing and improving use of IT in healthcare

10. Summary of Benefits Overall Benefits of IHE Membership Leadership in HIT industry Direct work of IHE Committees Learn from industry’s top professionals Participation in IHE Domains First companies to implement new IHE Profiles Apply for IHE International Membership here: www.ihe.net/apply. www.ihe.net/apply

11. Testimonials from IHE Members & Committee Participants B. Braun Medical Inc – Medical device, Pain Control and Pharma company – IHE-PCD interoperability with Space and Outlook ES infusion pumps Surgical Information Systems – Surgery EHR - perioperative software solutions developed specifically for the complex surgical environment – All systems, including Anesthesia, on a single database

12. B. Braun Medical

13. Original IHE-PCD member in 2005 Planning & Technical committees Enable 2-way interoperability between infusion pumps and BPOC/EMR

14. B. Braun Medical Goals – Communication standards supported by pump and HIS Vendors – Open architecture – Methodology for testing – Reduce costs for; Implementation & Support Demonstrate with Multiple Vendor BCMA systems

15. B. Braun Medical Outcomes – Engineers with expertise in HL7 – Commercialize and release interfaces to market – Promotes market leadership in connectivity and interoperability – Lowers entry barrier for the customer – Allows us to focus on our core competency

16. B. Braun Medical PCD offers collaboration with; – Other infusion pump vendors – HIS and Critical Care information systems – End users for workflow, evaluation & feedback – Other experts in the IT industry through IHE

17. Surgical Information Systems

18. IHE Member since 2008 IHE PCD Technical and Planning Committees Participate in IHE IT and PCC domains as well 18

19. Surgical Information Systems Easy interoperability with all hospital systems is key – 50% of medical errors occur in the OR – The most severe medical errors occur in the OR – OR primary source of admissions – OR contributes 60% of a hospital’s revenue – OR accounts for 35%-40% of the hospital’s expense 19

20. Surgical Information Systems Goals – Automatic capture of data from devices into the surgical, anesthesia and PACU records – Out-of-box ADT integration with standard profiles – Discreet clinical data exchange with other hospital systems – Drive down implementation costs – Improved quality of integration by reducing variability

21. Surgical Information Systems Benefits from IHE – Faster time to market with integration products – Independent testing of interfaces results in higher quality and lower costs – Jumpstart to ARRA Certification due to IHE profiles being selected by HHS Leadership in interoperability in the surgery and perioperative domain 21

22. How can we Participate in IHE? Apply to become an IHE International Organizational Member

23. IHE Members Include… American College of Physicians (ACP), American College of Emergency Physicians (ACEP) American College of Obstetricians and Gynecologists (ACOG) Healthcare Information Management Systems Society (HIMSS) Radiological Society of North America (RSNA) Many other American Professional Societies (ACCE), (AAO), (ASTRO), etc. British Institute of Radiology (BIR), British Computer Society (BCS) German Radiology Society (DRG) …ASIP (IT France), SFIL (laboratory), French National Project (DMP), European Society of Cardiology JAHIS (IT Japan), JIRA, JRS,… and many more French National Project (ASIP-Santé) Dutch National Project (NICTIZ) Austrian National Project (ELGA) Canada Health Infoway (CHI) Regional projects (Italy, USA, Japan) …. and many more Baystate Health Diagnostic Maxillofacial Imaging University Associates (DMFIUA) Intermountain Healthcare, Inc. Montefiore Medical Center…. and many more Professional Associations Government Agencies Healthcare Providers View the full list of IHE International Organizational members here: www.ihe.net/governance/member_organizations.cfm

24. IHE Membership Application Process How to Apply? IHE Membership is Free Complete on-line application at www.ihe.net/apply Submit declaration page to IHE International Secretariat at secretary@ihe.net Applications reviewed monthly by IHE International Board Join IHE Clinical or Operational Domains and sub-committees Apply for IHE International Membership here: www.ihe.net/apply. www.ihe.net/apply

25. IHE Committees IHE Domains- Areas of expertise within Healthcare IT. Responsible for the development & maintenance of IHE Technical Frameworks. IHE has Eleven (11) Clinical or Operational Domains: Anatomic Pathology Cardiology Eye Care IT Infrastructure* Each Domain has a planning and technical committee to manage and implement the work. Laboratory Patient Care Coordination* Patient Care Devices* Pharmacy Quality, Research and Public Health* Radiation Oncology Radiology View the full listing and contacts for the IHE Committees here: http://wiki.ihe.net/index.php?title=Committeeshttp://wiki.ihe.net/index.php?title=Committees * HIMSS Sponsored Domains

26. IHE Development Process Technical Committees Recruitment Develops IHE Integration Profiles Maintains IHE Technical Frameworks Planning Committees Recruitment Education Reviews IHE Profile proposals Identifies committee problems/ priorities All IHE Domains have two committees:

27. IHE Development Cycle IHE Improves Safety, Quality and Efficiency in Clinical Settings Install Interoperable products in Clinical Settings worldwide Adopted by ISO: TR 28380 Test at IHE Connectathons IHE Call for Proposals Opens (Months 1-2) Profile Selection by Committees (3-5) Demonstrate at a IHE Profile Drafted & Revised (Months 6- 13) Final Results

28. Development Process Continued… Adopted by ISO: TR 28380 IHE Call for Proposals Opens (Months 1-2) Profile Selection by Committees (3-5) Step One Participate in Profile Selection Process (Members only) Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal (Open to all)

29. Open Call for Proposals Chosen Profile Proposals must provide: 1.Author to work with Committee to write IHE Technical Framework 2.Regularly attend IHE Face-to-Face meetings and webinars discussing profile. Timeline for development: 8+ months IHE Profile Proposals Submission form: 1.Problem & Use case – How it looks in practice? 2.Ideal practice 3.Identify standards available to solve problem Timeline: July – August* Non-IHE Members can submit profiles *HIMSS Sponsored Domains Only

30. IHE Documents for Public Comment are posted on-line here: www.ihe.net/Technical_Framework/public_comment.cfm www.ihe.net/Technical_Framework/public_comment.cfm How can we Participate? How can we Participate? IHE Profile Drafted & Revised (Months 6-13) Step Two Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal Participate in Profile Selection Process Participate in the development of the IHE Profile (Members only) Read and post your comments during Public Comment Periods * (Open to all)

31. Test at IHE Connectathons How can we Participate? Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal Participate in Profile Selection Process Participate in the development of the IHE Profile Read and post your comments during Public Comment Periods Test at Global IHE Connectathons U.S., China, Korea, Europe, Australia Plus others! Visit: www.ihe.net/Connectathon/index.cfm Submit your results in the IHE Product Registry IHE Documents for Public Comment are posted on-line here: http://gazelle.ihe.net/index.html http://gazelle.ihe.net/index.html IHE Development Process

32. IHE Development Process Continued Demonstrate at a How can we Participate? Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal Participate in Profile Selection Process Participate in the development of the IHE Profile Read and post your comments during Public Comment Periods Test at Global IHE Connectathons U.S., China, Korea, Europe, Australia Submit your results in the IHE Product Registry Demonstrate Interoperability at Global HIMSS Interoperability Showcases TM - HIMSS11 Annual Conference & Expo - RSNA Annual Conference - World of Health IT [WoHIT] - AsiaPac Conference & Expo To learn more about HIMSS Showcases Join our Educational Webinar on August 12, 2010. Register here.Register here.

33. IHE Development Process Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal Participate in Profile Selection Process Participate in the development of the IHE Profile Read and post your comments during Public Comment Periods Test at Global IHE Connectathons U.S., China, Korea, Europe, Australia Submit your results in the IHE Product Registry Demonstrate Interoperability at Global HIMSS Interoperability Showcases TM Install Interoperable products in Clinical Settings Worldwide IHE Improves Safety, Quality and Efficiency in Clinical Settings How can we Participate? Install product with IHE Technical Frameworks into global clinical settings and hospitals Non-IHE members can access IHE Technical Frameworks for Free! To learn access IHE 100 Profiles and Technical Frameworks click on the links above.ProfilesTechnical Frameworks

34. Additional Opportunities Join our International Board Task Force Committees IHE Marketing Communications Committee IHE Educational Task Force IHE Domain Sponsorship Assist in the production of IHE Technical Frameworks by serving as an Technical Editor

35. Summary- How can we Participate? Apply to become an IHE International Organizational Member Submit a Use-Case or Call for Proposal Participate in Profile Selection Process Participate in the development of the IHE Profile Read and post your comments during Public Comment Periods Test at Global IHE Connectathons Submit your results in the IHE Product Registry Demonstrate Interoperability at Global HIMSS Interoperability Showcases TM Join our International Board Task Force Committees: IHE MarComm Committee or IHE Educational Task Force IHE Domain Sponsorship Assist in the production of IHE Technical Frameworks by serving as an Technical Editor

36. Questions?

37. Want to Learn More About IHE? Visit our website at www.ihe.net or contact us at secretary@ihe.net.www.ihe.net secretary@ihe.net If you are interested in receiving our monthly newsletter please send an email to secretary@ihe.net secretary@ihe.net View our full schedule of presentations during the IHE 2010 Educational Webinar Series here: www.ihe.net/Events/webinars2010.cfm

38. Thank you Changing the Way Healthcare Connects