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![Page 1: Expansion of Integrating the Healthcare Enterprise (IHE) Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services Healthcare Information and.](https://reader035.fdocuments.us/reader035/viewer/2022062511/55149201550346ea6e8b525a/html5/thumbnails/1.jpg)
Expansion of Integrating the Expansion of Integrating the Healthcare Enterprise (IHE)Healthcare Enterprise (IHE)
Joyce Sensmeier MS, RN, BC, CPHIMSDirector of Professional Services
Healthcare Information and Management Systems Society (HIMSS)
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IHE MissionIHE Mission
Bring together stakeholders to implement
standards for communicating clinical
and operational data safely and
efficiently throughout the healthcare
enterprise
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IHE GoalIHE Goal
To provide relevant patient information at
the point of care to support caregiver
decision-making and optimal patient
care
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Shaping the Future of IHEShaping the Future of IHE
IHE Strategic Development Committee Est. July 2002– Goal: Expansion of IHE process to meet
integration needs of entire enterprise– Engage leading medical professionals and
associations from other key domains – Identify integration needs / barriers and
problems / solutions within and across domains
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IHE Strategic Development IHE Strategic Development CommitteeCommittee
Co-Chairs: Dr. David Piraino, Cleveland Clinic & Dr. Blackford Middleton, Partners Healthcare
Domain specific sub-committees:– IT Infrastructure/Interdepartmental
Information Sharing – Cardiology– Laboratory– Pharmacy / Medication Administration
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DeptSched.
ADT
OrderMgt
ImageMgr
Modality
11stst Dimension: Dimension:Vertical Integration for RadiologyVertical Integration for RadiologyIHE Years 1, 2, 3, 4, ...IHE Years 1, 2, 3, 4, ...
Dimensions for GrowthDimensions for Growth
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22ndnd Dimension: Dimension:Growing the HorizontalGrowing the HorizontalHealthcare Enterprise IntegrationHealthcare Enterprise Integration
Master Patient Index
Clinical Patient Record
Ordering Process
. . .Dept
Sched.
ADT
OrderMgt
ImageMgr
Modality
Patient Registration
Dimensions for GrowthDimensions for Growth
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33rdrd Dimension: Dimension:Increasing the Number ofIncreasing the Number ofVertically IntegratedVertically IntegratedDepartmentsDepartments
Master Patient Index
Clinical Patient Record
Ordering Process
. . .
Patient RegistrationR
a d
i o
l o g
y
C a
r d
i o
l o g
y
Lab
orat
ory
Ad
d’l
Cli
nic
al F
ield
s
Dimensions for GrowthDimensions for Growth
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PartnershipsPartnershipsOrganization
– Sponsored by HIMSS and RSNA, International Societies
– Partnerships with the American College of Cardiology (ACC), American College of Clinical Engineering (ACCE), HL7, and DICOM
– Strategic Development Committee
– Domain specific planning and technical committees Radiology, IT Infrastructure, Cardiology, Medication Management
Membership– Healthcare professionals and industry representatives
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IHE Expansion into New AreasIHE Expansion into New Areas
New IT Infrastructure Committees Formed– (EMPI, Query-Display, Synchronized Patient
Views, and Advanced Security)New collaborations with ACC, HL7 &
ACCEWork progressing in:
– Laboratory– Pharmacy/Medication Management
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Clinical Query/Display ProfilesClinical Query/Display Profiles Query for Existing Reports in Well Known Presentation
Formats – CDA, PDF, RTF, …
Query for Well-Known Key Data – Allergies, Current Medications, Lab Panel Results…
Linked to user authentication and EMPI services Value Proposition
– Simple, rapid access to patient information for better care – Patients win!
– Supports workflow from within current workspace or application – Users win!
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Patient-Synchronized Patient-Synchronized Applications ProfileApplications Profile
Viewing the same patient while moving among applications on a desktop
Linked to user authentication and EMPI services
Value Proposition– Reduce the repetitive tasks of selecting same
patient in multiple applications – Users win!– Reduce likelihood of working with wrong patient –
A patient safety win!
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Advanced Security - Common Advanced Security - Common User Authentication ProfileUser Authentication Profile
Standards based user log-in for workstations and applications
Provisions for emergency accessValue Proposition
– Facilitates centralized user access management – IT win!
– Single sign-on speed and convenience – Users win!
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EMPI - Patient Identity Cross-EMPI - Patient Identity Cross-Referencing ProfileReferencing Profile
Mapping a patient’s multiple identities across registration domains
Enable access to data and information across independent domain boundaries
Value Proposition– Broader access to needed patient data wherever it
is – Users win!– Lower costs to use data in existing systems
anywhere in the enterprise – IT wins!
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Current ParticipantsCurrent Participants
Agfa Berdy Medical CareFX Cerner Fuji GE Medical HX Technologies IDX IntePro Kodak Madison Info Tech
Montefiore Med Center Mitra Micros Per-Se Philips Practical Healthcare
Management QuadraMed SAIC Sentillion Siemens
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Invitation to New ParticipantsInvitation to New Participants
Join Committees– Work on integration profiles – Teleconference, meetings and homework
Participate in connectathons and HIMSS 2004
Support IHE Integration Profiles in your products
Gain worldwide promotion and acceptance of your product
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IHE IT Infrastructure TimelineIHE IT Infrastructure TimelineFebruary 5-7 2003 First face to face meeting - Oakbrook, IL
February 27 IT Planning t-con Select 2003/Year 5 IT profiles
April 22-25 Face to face meeting to close all tech issues
June 2-6 Face to face meeting to produce Public Comment TF
July 14 Comments due on IT Profiles for Public Comment
July 28-August 1 Face to face comments consolidation meeting
August 10 IHE IT Integration Profiles (approved-final)
September 10-11 Vendor workshop - Memphis, Reg. due October 1st.
January 12-16 2004 IHE IT Connectathon - San Diego, CA
February 22-26 2004 HIMSS HL7- IHE Demo – Orlando, FL
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Other expansion areasOther expansion areasCardiology
– Chair – Dr. David Thiemann Johns Hopkins
– Kick-off meeting March 28, Chicago– Sponsored by the American College of
Cardiology (ACC)– 45 participants– ACC board reviewing proposal for launch of
IHE Cardiology activities– White paper
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Other expansion areasOther expansion areas
Laboratory– Chair – Dr. David Chou
University of Washington
– International meeting May 23, 2003– Perugia, Italy– Sponsored by IHE Europe– Laboratory proposal document open for
comments
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Other expansion areasOther expansion areas
Pharmacy/Medication Management– Chair - Dr. Thomas Abendroth
Penn State - Hershey
– Sub committee clinician meeting
held February 17– Identified problems and refined use cases– White paper being reviewed/finalized
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Other expansion areasOther expansion areas
American College of Clinical Engineeriing– Collaboration meeting at HIMSS Feb. 12
ACCE proposed formal relationship w/ IHE– Establish IHE task force in ACCE– Provide clinical engineering resource– Educate clinical engineering community
– Promote IHE initiative to hospitals & manufacturers
– Presentation to ACCE Symposium June 14
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Other collaborationsOther collaborations
Standards drive Healthcare SolutionsHL7-IHE Interoperability DemonstrationHIMSS – February 22-26, 2004Combined demo proposal being
reviewed by HL7 and IHEPresent demonstration adjacent to HL7
& IHE booth on main aisle of exhibit floor with joint theater area
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HL7-IHE Interoperability demoHL7-IHE Interoperability demo
Demo scenario integrates 3 components: - IHE IT Integration Profiles, and selected
domain specific Profiles (e.g. Radiology). - HL7 standard functions - HL7 draft standard functions Demo highlights how each component feeds
into other and contributes to successful driving of standards in healthcare solutions.
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ConclusionConclusion
Year 5 key expansion evolving into other domains
Work in Radiology will continue – led by RSNA
Work in IT Infrastructure will continue – led by HIMSS
Support and involvement building across other societies, disciplines and internationally
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Next StepsNext Steps
Consider new areas of involvementSign-upContacts
– Joyce Sensmeier, Director of Professional Services, HIMSS at [email protected]
– Chris Carr, Director of Informatics, RSNA at [email protected]
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Questions?Questions?
www.www.himsshimss.org/IHE.org/IHEwww.www.himsshimss.org/IHE.org/IHE