1. September, 2005What IHE Delivers 1 An Overview of the IHE IT Infrastructure IHE Vendors Workshop 2006 IHE IT Infrastructure Education Glen F. Marshall

2. 2 What You Will Learn What is the IHE IT Infrastructure? Of what value is the IHE IT Infrastructure? How do you get the IHE IT Infrastructure? How do you add to IHE IT Infrastructure? What comes next?

3. 3 What is the IHE IT Infrastructure? IT Infrastructure is...  IT that enables computer applications Operating platforms Operating platforms Computer languages Computer languages Computing hardware Computing hardware Networks Networks  IT that serves multiple applications Security Security Databases Databases Interfaces Interfaces Infrastructure applicationapplicationapplicationapplication

4. 4 What is the IHE IT Infrastructure? IHE IT Infrastructure is...  Standards-based IT infrastructure implementation guides, a/k/a the Technical Framework  A domain committee Planning – approve the year’s work and future roadmap Planning – approve the year’s work and future roadmap Technical – author/maintain the Technical Framework Technical – author/maintain the Technical Framework  A service resource Provides stakeholder education Provides stakeholder education Collaborates with SDOs and consortia Collaborates with SDOs and consortia Collaborates within IHE clinical domain committees Collaborates within IHE clinical domain committees

5. 5 What is the IHE IT Infrastructure? IHE IT Infrastructure domain produces...  Profiles that serve the purposes of clinical workflows, regardless of IHE clinical domain Examples: Security, Records Storage, Patient Identifiers Examples: Security, Records Storage, Patient Identifiers  Basic implementation-specification foundations to be extended by specific IHE clinical domains Examples: Retrieve Forms for Data Input, Basic document content specifications Examples: Retrieve Forms for Data Input, Basic document content specifications  White papers for current work items Examples: Cross-enterprise user authentication, Web Services, Risk Management Examples: Cross-enterprise user authentication, Web Services, Risk Management

6. 6 What is the IHE IT Infrastructure? Profiles - Medical Information  Document Sharing XDS – Cross-Enterprise Document Sharing XDS – Cross-Enterprise Document Sharing  XDS Stored Query  XDS-SD – XDS Scanned Documents  XDP – Cross-Enterprise Document Interchange NAV – Notification of Document Availability NAV – Notification of Document Availability RID – Retrieve Information for Display RID – Retrieve Information for Display  Patient Management PAM – Patient Administration Management PAM – Patient Administration Management PDQ – Patient Demographics Query PDQ – Patient Demographics Query PIX – Patient Identifier Cross-referencing PIX – Patient Identifier Cross-referencing PSA – Patient Synchronized Applications PSA – Patient Synchronized Applications  RFD – Retrieve Form for Data Capture

7. 7 What is the IHE IT Infrastructure? Profiles - Security  ATNA – Audit Trial and Node Authentication  CT – Consistent Time  DSG – Document Digital Signature  EUA – Enterprise Use Authentication  PWP – Personnel White Pages

8. 8 What is the IHE IT Infrastructure? Next-step Work  XDS Federation  PIX and PDQ using HL7 v3  Web Services Transport for IHE Transactions  XUA – Cross-Enterprise User Authentication  Risk Management Planning White Paper

9. 9 What is the IHE IT Infrastructure? Consistent Time Coordinate time across networked systems Audit Trail & Node Authentication Centralized privacy audit trail and node to node authentication to create a secured domain. Patient Demographics Query Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Patient Identifier Cross-referencing Map patient identifiers across independent identification domains Emergency Referrals Format of the Document Content and associated coded vocabulary Patient Created Summaries Format of the Document Content and associated coded vocabulary ECG Report Document Format of the Document Content and associated coded vocabulary Lab Results Document Content Format of the Document Content and associated coded vocabulary Scanned Documents Format of the Document Content Cross-enterprise Document Point-to-Point Interchange Media-CD/USB & e-mail push Imaging Information Format of the Document Content and associated coded vocabulary Medical Summary ( Meds, Allergies, Pbs) Format of the Document Content and associated coded vocabulary Document Digital Signature Attesting “true-copy and origin Notice of Document Availability Know about new information Support for RHIOs Patient Consent

10. 10 What is the IHE IT Infrastructure?

11. 11 What is the IHE IT Infrastructure? Discussion... Any new profiles that we need?

12. 12 Of what value is the IHE IT Infrastructure? Stakeholders  Vendors  Healthcare Providers – Institutions and Clinicians  Healthcare Consumers – People and Employers  Healthcare payers  Public health agencies  Safety net providers  Clinical and health-services researchers

13. 13 Of what value is the IHE IT Infrastructure? Benefits for vendors  Free shared expert intellectual property  Reduced development effort  Quicker time-to-market  Reduced implementation effort and negotiation  Greater collaboration among all stakeholders  Exposure in HIMSS Interoperability Showcase  Simplified RFP responses  Better sales results when standards are important  Satisfied customers

14. 14 Of what value is the IHE IT Infrastructure? Benefits for Purchasers  Quicker realization of IT benefits  Fewer implementation fumbles  Fewer multi-vendor coordination headaches  Lower implementation cost Benefits for Consumers  Less user time spent fumbling with infrastructure  More time for clinical IT use  Better outcomes  Potentially more funding for care-specific IT

15. 15 Of what value is the IHE IT Infrastructure? Benefits for Payers  Less overhead in care-provision and interfaces Benefits for Public Health  Better data collection  better population health Benefits for Safety Net Providers  E asier access to patient data  less expense Benefits for Researchers  Simpler data collection  less expense

16. 16 Of what value is the IHE IT Infrastructure? Discussion... What other values do you see?

17. 17 How do you get the IHE IT Infrastructure? Study: Technical Framework  www.ihe.net/Technical_Framework/index.cfm Volume 1 – Profiles Volume 1 – Profiles Volume 2 – Transaction Volume 2 – Transaction  www.ihe.net – New profiles and transactions Practice: Connectathon Testing  www.ihe.net and www.connectathon.net Buy it:  Healthcare IT vendors’ infrastructure-specialists  Partnership with other healthcare IT vendors

18. 18 How do you add to IHE IT Infrastructure? Implement the profiles  Your experience adds to the shared knowledge.  Based on experience, you can make Change Proposals to update the framework.  Your participation in the Connectathon adds to the collective IHE experience.

19. 19 How do you add to IHE IT Infrastructure? Comment on the new profiles  Your knowledge and perceptions adds to the quality of the Technical Framework.  It is better to discover and correct problems in the design phase than in the coding phase.  Your good ideas will be folded-into the final work.

20. 20 How do you add to IHE IT Infrastructure? Help author the profiles (Technical Committee)  Your technical expertise contributes to – and is honed by – the collaborative experience  Your ideas will be consolidated and improved- upon by working with expert peers.  “Many hands make light work.”

21. 21 How do you add to IHE IT Infrastructure? Help plan the profiles (Planning Committee)  Your market expertise contributes to – and is honed by – the collaborative experience  Your ideas will be consolidated and improved- upon by working with expert peers.  “Many hands make light work.”

22. 22 How do you add to IHE IT Infrastructure? Discussion... How else can you add to the IT Infrastructure?

23. 23 What comes next? Education at this conference Comments for the new IT Infrastructure profiles – due by July 5 Publication of the new IT Infrastructure profiles for trial implementation – early August Publication of IHE IT Infrastructure Roadmap update – early August Sign-up for the 2007 Connectathon and HIMSS Interoperability Showcase – September 15 Implement and test for 2007 Connectathon, per schedule Connectathon - January 15-19, 2007 HIMSS Interoperability Showcase - February 28 – March 1, 2007

24. 24 IHE Web Site - http://www.ihe.net  Technical Frameworks  Technical Framework Supplements – Trial Implementation  Calls for Participation  IHE Fact Sheet and FAQ  IHE Integration Profiles: Guidelines for Buyers  IHE Connectathon Results  Vendors’ Product Integration Statements Sponsors’ IHE sites  http://www.himss.org/IHE  http://www.rsna.org/IHE  http://www.acc.org/quality/ihe.htm More Information

25. September, 2005What IHE Delivers 25 Questions?

26. September, 2005What IHE Delivers 26 Thank You.