1. Overcoming Barriers to Interoperability Using IHE Jonathan L. Elion, Co-Chair Cardiology Planning Committee - IHE Medical Director & Co-Founder, Heartlab, Inc.

2. ACC 1995: DICOM Images

3. October 21, 2005HIMSS Public Policy Forum3 ACC 2001: Data Interchange

4. ACC 2005: IHE Connect the Docs

5. October 21, 2005HIMSS Public Policy Forum5 Who is IHE? IHE is a joint initiative among: American College of Cardiology (ACC) Radiological Society of North America (RSNA) Healthcare Information Management Systems Society (HIMSS) GMSIH, HPRIM, JAHIS (laboratory), IHE-Europe, IHE-Japan, and many more…. Began in 1997 in Radiology and IT Within IHE-Cardiology additional sponsors including ASE, ASNC, HRS, ESC, and more

6. October 21, 2005HIMSS Public Policy Forum6 IHE Participants Societies Representing Healthcare Segments: RSNA, HIMSS, ACC, ASE, ESC, ASNC, HRS… Users: Clinicians, Medical Staff, Administrators, CIOs, … Information and Imaging Systems Vendors Standards Development Organizations: DICOM, HL7, ASTM, …

7. Participating & Contributing Vendors (U.S.) Agfa HealthCare Algotec Systems, Ltd. Berdy Camtronics Canon Medical Systems Carefx Cedara Software Corporation Cerner Corporation CSIST Dictaphone DR Systems Dynamic Imaging Eastern Informatics Eastman Kodak Company Emageon Eclipsys Fujifilm Medical Systems Procom Philips Medical Systems RASNA Imaging Systems Sectra Sentillion Siemens Medical Solutions Softmedical Stentor, Inc StorCOMM, Inc Swissray International, Inc Tiani Medgraph AG Toshiba America Medical Systems UltraVisual Medical Systems Vital Images, Inc. Voxar Limited WebMD XIMIS GE Healthcare Heartlab Hitachi Medical Corporation Hologic, Inc IDX Systems Corporation IMCO Technologies InSiteOne INFINITT Konica Minolta Marotech, Inc. McKesson Information Solutions Medcon Medical Manager Health Systems Mediface Co., Ltd. Merge eFilm Mortara In yellow, companies with IHE Committees Chairs (Summer 2004)

8. Participating & Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical Solutions Algotec ARES SA aycan Digitalsysteme ConVis DEDALUS Dianoema Eastman Kodak Company Ebit Sanita EDL ELFIN s.r.l. Engineering Sanità Enti Locali ESAOTE ETIAM Ferrania Fujifilm GE Healthcare GMD GIE Convergence-Profils GWI Research Rogan-Delft Sago spa Sectra Imtec AB Siemens Medical Solutions Soluzioni Informatiche srl Stentor Inc. Swissray Medical AG Symphonie On Line Synapsis TELEMIS S.A. TIANI MEDGRAPH AG TOREX GAP Medical Toshiba Medical Systems TSI groupe europMedica VEPRO AG VISUS Technology Transfer WAID XR PARTNER IASI Srl IdeoPass Image Device-Cerner Company INFINITT INOVIT McKesson MED2RAD MEDASYS SA Medavis Medigration GmbH MEDIMON Ltd. MEDOS AG Merge eFilm METAFORA Minolta Europe Omnilab Philips Medical Systems Rasna Imaging Systems RAYPAX INC. In yellow, companies with IHE Committees Chairs (Summer 2004)

9. October 21, 2005HIMSS Public Policy Forum9 What is IHE? IHE is a systems integration process Consists of a Planning Committee and a Technical Committee of cardiologists and vendors Develops a detailed document called the Technical Framework Incorporates and refines existing standards such as DICOM and HL7 Goal: Quality healthcare delivery

10. October 21, 2005HIMSS Public Policy Forum10 IHE Annual Cycle 1.Clinicians identify clinical problems to be addressed -Integration Profiles 2.Engineers from vendors collaborate to define technical specification (using existing standards such as DICOM and HL7) 3.Vendors implement the technical specification and participate in the Connectathon 4.Demonstrations at trade shows (ACC, HIMSS, etc.) 5.Vendors publish IHE Integration Statements 6.Customers reference IHE profiles in RFPs

11. October 21, 2005HIMSS Public Policy Forum11 IHE Cardiology Year 1 The ability to view an ECG from many locations - quickly and easily Echo workflow integration of patient, order and procedure information, including mobile echo Cath Lab workflow integration of patient, order and procedure information, including angiography, hemodynamics, IVUS…

12. Cath and Echo Workflow

13. October 21, 2005HIMSS Public Policy Forum13 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

14. October 21, 2005HIMSS Public Policy Forum14 Connectathon, January 2005

15. 43 vendors (14 Cardiology) From palettes to pals in less than 4 hours 300 participants, 110 systems (31 Cardiology) Cardiac Catheterization Connectathon, January 2005 Echocardiography EKGs Anywhere 2,800 Tests Packing Up

16. Computers in Cardiology16

17. October 21, 2005HIMSS Public Policy Forum17 Total ACC05 attendance was over 28,000.

18. October 21, 2005HIMSS Public Policy Forum18 Over 1,000 visitors from 47 countries attended the IHE presentations and demonstrations.

19. October 21, 2005HIMSS Public Policy Forum19 Commitment to EHR David J. Brailer, MD, PhD National Coordinator for Health Information Technology, US Department of Health and Human Services (HHS) Directive: Execute the Presidential Order for widespread deployment of Health Information Technology within 10 years. The capacity to share clinical data is generally not available in the market, and I have placed a high priority on ensuring that it does come to exist before widespread EHR adoption is underway. IHE… is becoming the obvious thing to do. It is our goal to make it the inevitable thing to do. HIMSS Conference, February 2005

20. October 21, 2005HIMSS Public Policy Forum20 W W W. I H E. N E T Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings