1. IHE IT Infrastructure: The Value Proposition HIMSS 2003 Joining the IHE in its New Enterprise Initiatives

2. HIMSS/RSNAHIMSS 2003 Objectives of Panel Session Overview of new Integrating the Healthcare Enterprise (IHE) initiatives Learn how to participate Discussion

3. HIMSS/RSNAHIMSS 2003 Vision Bring together stakeholders to implement standards for communicating clinical and operational data safely and efficiently throughout the healthcare enterprise

4. HIMSS/RSNAHIMSS 2003 How? Build an interoperability framework for implementation of an EMR

5. HIMSS/RSNAHIMSS 2003 Why Is IHE Needed? Standards are necessary but not sufficient for seamless implementations – Do not establish application roles and processes – Not plug and play – Each interface requires site specific analysis and configuration – Costly to implement and to maintain

6. HIMSS/RSNAHIMSS 2003 Why Is IHE Needed? IHE delivers integration profiles built on top of existing standards – Packages sets of messages to support common inter-application processes – Fully specifies content and triggers in multi- vendor supported integration profile

7. HIMSS/RSNAHIMSS 2003 Relation to Other Standards Initiatives IHE implements current standards – It does not develop standards Coordinated with future developments – Agreement with HL7 IHE to submit integration profiles as HL7 Conformance Profiles Joint demonstrations in 2004 – Ongoing cooperation with DICOM Contribute to long term interoperability strategy – IHE implementation experience fed back to standards developers

8. HIMSS/RSNAHIMSS 2003 Integrating the Healthcare Enterprise Organization – Sponsored by HIMSS and RSNA – Partnerships with HL7 and ACC – Strategic development committee – Domain specific planning and technical committees IT Infrastructure, Cardiology, Medication Management Membership – Healthcare professionals and industry representatives

9. HIMSS/RSNAHIMSS 2003 Building on Prior Success Multi-year initiative – now planning for Year 5 – Proven methodology in radiology – Technical Framework and Integration profiles – Connectathons User success stories Expanding scope to EMR in the healthcare enterprise

10. HIMSS/RSNAHIMSS 2003 Users Benefits

11. HIMSS/RSNAHIMSS 2003 Vendor Benefits

12. HIMSS/RSNAHIMSS 2003 Value Proposition Addresses common integration problems faced by all users and vendors worldwide – Based on user need and industry cooperation – Uses existing standards – payback now User gets integrated processes Vendor increases market opportunity while reducing costs of sales, implementation and support

13. HIMSS/RSNAHIMSS 2003 New Enterprise Initiatives EMPI Advanced Security Query/Display Synchronized Patient View Cardiology Medication Management

14. HIMSS/RSNAHIMSS 2003 Standard Patient Query Reporting Services Profiles – Query for Reports (CDA, PDF, RTF, …) – Query for Well-Known Key Data (Allergies, …) Value Proposition – Rapid access to patient information from within current workspace or application – Users win! – Patients win!

15. HIMSS/RSNAHIMSS 2003 Synchronized Display Multiple application synchrony – User and patient context – Linked to user authentication and EMPI services Value Proposition – Reduce repetitive tasks of logging on and picking patients in multiple application workstations – Users win! – Reduce likelihood of working with wrong patient – Patient safety win!

16. HIMSS/RSNAHIMSS 2003 Advanced Security Common User Authentication – Kerberos based Operating System Level Application Level through Context Manager – Emergency Access Value Proposition – Centralized or federated user access control – IT win! – Single sign-on convenience for users – Users win!

17. HIMSS/RSNAHIMSS 2003 EMPI Service Cross referencing service – Within a patient identification domain with multiple patient ID systems – Query/response services Value Proposition – Can find find patient data easily across different systems – Clinicians win! Patients win!

18. HIMSS/RSNAHIMSS 2003 Invitation to New Participants Join Committees – Work on integration profiles Participate in Connectathons Support IHE Integration Profile in your products Gain worldwide promotion and acceptance

19. IHE IT Infrastructure Timeline February 5-7 2003First face to face meeting-Oakbrook February 27IT- Planning t-con Select 2003/Year 5 IT profiles April 22-25 2003Face to face meeting to close all tech issues. June 2-6 2003:Face to face meeting to produce Public Comment TF (IT) July 14th 2003: Comments due on IT Profiles for Public Comment July 28-August 1, 2003 : Face to face comments consolidation meeting August 10th, 2003:IHE IT Integration Profiles (approved-final) September 4-5 th Vendor workshop, Registration due October 1 st. January 2004: IHE IT Connectathon February 2004:HIMSS IHE Demo

20. HIMSS/RSNAHIMSS 2003 Next Steps Sign-up Meetings/Conference calls Contacts – Joyce Sensmeier, Director of Professional Services, HIMSS at jsensmeier@himss.orgjsensmeier@himss.org – Chris Carr, Director of Informatics, RSNA at carr@rsna.orgcarr@rsna.org

21. HIMSS/RSNAHIMSS 2003 Questions? Information Available On the Web at: http://www.rsna.org/IHE Home Page of IHE Europe: http://www.IHE-Europe.org Home Page of IHE Japan: http://www.jira-net.or.jp/ihe-j/en/index.html

22. HIMSS/RSNAHIMSS 2003