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IHE Sponsors and Committee MembersIHE Sponsors and Committee Members

Welcome to theWelcome to theInteroperability ShowcaseInteroperability Showcase

What is “Integrating the Healthcare Enterprise”?

• A 9-year public-private initiative • Driven by end-users, IHE improves patient care by

harmonizing electronic health information exchange • Enables approved standards to seamlessly pass

health information among care providers on a local, regional and national level

• IHE Frameworks are freely available to all• The IHE Global Standards Adoption process as

approved by the International Standards Organization (ISO) as a Technical Report 28380 in August 2007

How does IHE work?

• Clinicians and IT professionals identify key Clinicians and IT professionals identify key clinical and business workflow problemsclinical and business workflow problems

• Clinicians, IT professionals, consultants, and Clinicians, IT professionals, consultants, and vendors jointly solve those problems by vendors jointly solve those problems by standardizing the way existing standards are standardizing the way existing standards are implemented in HIT productsimplemented in HIT products

• IT professionals follow the IHE guidelines in IT professionals follow the IHE guidelines in purchasing and integrating effective systemspurchasing and integrating effective systems

Who’s involved in IHE?

• Users - Clinicians, Staff, Administrators, CIOs, Users - Clinicians, Staff, Administrators, CIOs, Gov’t agencies (e.g. NIST, VA, DoD, CDC, CMS)Gov’t agencies (e.g. NIST, VA, DoD, CDC, CMS)

• Professional Societies representing 270,000 Professional Societies representing 270,000 individual members:individual members:– HIMSS, RSNA, ACC, ACP, AAO, ACCE, ASTRO, etcHIMSS, RSNA, ACC, ACP, AAO, ACCE, ASTRO, etc

• Standards Development Orgs (SDOs):Standards Development Orgs (SDOs):– HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE,

IETF, etcIETF, etc

• Vendors & consultants (e.g., imaging, EHRs, Vendors & consultants (e.g., imaging, EHRs, cardiology, medical devices)cardiology, medical devices)

Who benefits from IHE’s work?

• Patients– Enhance care’s quality, safety, efficiency & effectiveness

• Clinicians– Improve workflow & information reporting– Fewer error opportunities; Less repeated work

• Vendors & Consultants– Satisfy customers’ interoperability demands– Decreased cost & complexity of installation & mgt

• SDOs– Rapid feedback to address real-world issues– Establishment of critical mass and widespread adoption

• Government– Reduced costs of implementing EHR systems– Increased patient information interoperability

IHE = ONLY set of harmonized global standards adopted by several national & regional projects

Quebec, Toronto,Alberta, British Columbia

Canada Infoway

Denmark (Funen)Italy (Veneto)Spain (Aragon)

Austria

THINC- New YorkNCHICA – N. Carolina

Italy (Conto Corrente

Salute)

MA-Share – MA

FranceDMP

UK CfH(Radiology WF)

Philadelphia HIE

CHINA-MoHLab results sharing

State Project – NY

CHINA-ShangaiImaging Info Sharing

JAPAN-NogayaImaging Info Sharing

Integrating the Healthcare Enterprise

““Achieving Interoperability through Implementation of Standards”Achieving Interoperability through Implementation of Standards”

1997: Founded in Radiology (RSNA) and IT (HIMSS)1997: Founded in Radiology (RSNA) and IT (HIMSS)• Many professional societies (stakeholder Many professional societies (stakeholder

representation)representation)– American Academy of Ophthalmology (AAO)American Academy of Ophthalmology (AAO)– American College of Cardiology (ACC)American College of Cardiology (ACC)– American College of Physicians (ACP)American College of Physicians (ACP)– American College of Clinical Engineering (ACCE) American College of Clinical Engineering (ACCE) – American College of Emergency Physicians (ACEP) American College of Emergency Physicians (ACEP) – American Society for Therapeutic Radiation Oncology (ASTRO)American Society for Therapeutic Radiation Oncology (ASTRO)– GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)GMSIH (IT France), JAHIS (IT Japan), SFIL (laboratory)– Healthcare Information Management Systems Society (HIMSS)Healthcare Information Management Systems Society (HIMSS)– Radiological Society of North America (RSNA)Radiological Society of North America (RSNA)– And many more….And many more….

IHE Organizational Structure

ACCACPHIMSSRSNA

JAHISJIRAJRS

METI-MLHWMEDIS-DCJAMI

GMSIHSFRSFILACCE

SIRMBIREuroRec

COCIREAR-ECRDRG

ESC

Professional Societies / Sponsors Contributing &Participating

Vendors

IHE (International) Board

Global Development

Radiology

Cardiology

ITInfrastructure

Patient CareCoordination

Patient CareDevices

Laboratory

Pathology

QualityRadiationOncology

IHE Europe

IHE North America

France

USA

Canada

IHE Asia-Oceania

Japan

Korea Taiwan

Netherlands

Spain

UKItalyGermany

Norway

Regional Deployment

China

Denmark Israel

Proven Standards Adoption Process

Document Use Case RequirementsDocument Use Case Requirements

Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Identify available Identify available standards (standards (e.g. HL7, e.g. HL7, DICOM, IETF, OASIS)DICOM, IETF, OASIS)

Develop technical specifications

Develop technical specifications

Testing at ConnectathonsTesting at Connectathons

IHEDemonstrationsIHEDemonstrations

Products with IHEProducts with IHE

Timely access to informationTimely access to information

Easy to integrate productsEasy to integrate products

How to Use IHE

As a Vendor ImplementerAs a Vendor Implementer• Participate and Implement IHE Integration ProfilesParticipate and Implement IHE Integration Profiles• Test systems through Connectathon processTest systems through Connectathon process• Publish an IHE Integration Statement for productsPublish an IHE Integration Statement for products

As a User Implementer or ConsultantAs a User Implementer or Consultant• Use IHE Integration Profiles to develop Use IHE Integration Profiles to develop

interoperability strategyinteroperability strategy• Use Connectathon Results and Integration Use Connectathon Results and Integration

Statements to evaluate vendorsStatements to evaluate vendors• Require IHE Integration Profile compliance in RFPsRequire IHE Integration Profile compliance in RFPs

Brought toBrought toyou by…you by…

supported by: Infrastructure

• Patient Identity ManagementPatient Identity Management

• Cross Enterprise Document Sharing Cross Enterprise Document Sharing RegistriesRegistries

• Cross Enterprise Document Sharing Cross Enterprise Document Sharing RepositoriesRepositories

• Audit RepositoryAudit Repository

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