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![Page 1: Integrating the Healthcare Enterprise and the Patient Care Device Domain Manny Furst and Jack Harrington efurst@imp-tech.com and jack.harrington@philips.com.](https://reader037.fdocuments.us/reader037/viewer/2022110303/551491bf550346d36e8b5286/html5/thumbnails/1.jpg)
Integrating the Healthcare Enterprise and the Patient Care Device Domain
Manny Furst and Jack Harrington
[email protected] and [email protected]
April 5, 2007
© 2007 ACCE, HIMSS, IHE
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Outline
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise• What is the IHE?• What is the PCD?• Why do I care?• What can I do?
– What can my healthcare organization do?– How does my company implement the Year 1 TF?– How does my company get involved in the Year 2 effort?
More slides than time permits for discussionMore slides than time permits for discussion• Some are provided for reference and will not be
discussed
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What is the IHE?
Integrating the Healthcare EnterpriseIntegrating the Healthcare EnterpriseWhat is the IHE?
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Interoperability
The Goal - Interoperability:The Goal - Interoperability:• The ability of two or more systems or
components to exchange and use the information exchanged– Accurately, securely, verifiably– When and where needed
Adapted from HL7, www.hl7.org
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IHE: A Framework for Interoperability
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• A common framework for harmonizing and A common framework for harmonizing and implementing multiple standardsimplementing multiple standards
• Enables seamless health information movement Enables seamless health information movement within and between enterprises, regions, nationswithin and between enterprises, regions, nations
• Promotes unbiased selection and coordinated use Promotes unbiased selection and coordinated use of established healthcare of established healthcare andand IT standards to IT standards to address specific clinical needsaddress specific clinical needs
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IHE: Connecting Standards to Care
• Healthcare professionals working with industryHealthcare professionals working with industry• Coordinate implementation of standards to meet Coordinate implementation of standards to meet
clinical and administrative needsclinical and administrative needs– Clinicians and HIT professionals identify the key Clinicians and HIT professionals identify the key
interoperability problems they faceinteroperability problems they face– Providers and industry work together to develop and Providers and industry work together to develop and
make available standards-based solutionsmake available standards-based solutions– Implementers are able to follow common guidelines in Implementers are able to follow common guidelines in
purchasing and integrating effective systemspurchasing and integrating effective systems
• IHE is IHE is notnot an SDO, but does provide feedback an SDO, but does provide feedback
IHE: A forum for agreeing on how to implement IHE: A forum for agreeing on how to implement standards and processes for making it happenstandards and processes for making it happen
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Why Do I Care About the IHE?
Integrating the Healthcare EnterpriseIntegrating the Healthcare EnterpriseValue PropositionsValue Propositions
• The IHE supports– Patient safety and reduced medical errors– Effective patient care with information when, where needed– Efficient organizations, less tedious and redundant work– Reduced cost, complexity of interface deployment,
management– Best of breed for the organization– National mandate for electronic medical records
• The IHE is changing– Medical records systems – direct data transfers– Patient data systems – various enterprise configurations– Workflow – contributes to revisions– Staffing patterns – more time with patients and/or potentially
helping address shortfall in caregiver numbers
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IHE Patient Care Devices (PCD)
Value Proposition for Value Proposition for Government and Regulatory StakeholdersGovernment and Regulatory Stakeholders
• Value lies in easing regulators’ tasks by industry adoption and implementation of uniform specifications.• For example one Business Case statement for government
and regulatory stakeholders is: “IHE PCD can simplify the approval process for medical devices and related clinical information systems.”
• IHE-PCD accelerates the fulfillment of key clinical requirements for Efficacy, Efficiency, and Safety in the emerging Electronic Health Record programs that have been mandated by President Bush and Health and Human Services leadership.
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IHE Patient Care Devices (PCD)
Manufacturers also benefit• Lower development cost • Better defined requirements• Shorter time to market• Faster regulatory approval• More competitive position
Value Proposition for companiesValue Proposition for companies
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IHE Participants and Relationships
ParticipantsParticipants
• Participants include:Participants include:– Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g. Users - Clinicians, Staff, Administrators, CIOs, Governments (e.g.
NIST, VA).NIST, VA).– Vendors - Information Systems and EquipmentVendors - Information Systems and Equipment
• e.g., imaging, cardiology, devicese.g., imaging, cardiology, devices– ConsultantsConsultants
• Relationship with Standards Development Organizations (SDOs):Relationship with Standards Development Organizations (SDOs):– HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many HL7, DICOM, ISO, CDISC, ASTM, W3C, IEEE, IETF, and many
othersothers• Approved via ISO/TC 215 allowing for IHE profiles to be published as Approved via ISO/TC 215 allowing for IHE profiles to be published as
ISO deliverablesISO deliverables
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Standards: Necessary…Not Sufficient
• Standards areStandards are– Foundational - to interoperability and communicationsFoundational - to interoperability and communications– Broad - varying interpretations and implementationsBroad - varying interpretations and implementations– Narrow - may not consider relationships between Narrow - may not consider relationships between
standards domainsstandards domains– Plentiful - often redundant or disjointedPlentiful - often redundant or disjointed– Focused - standards implementation guides typically Focused - standards implementation guides typically
focus on a single standardfocus on a single standard
IHE provides a defined process for IHE provides a defined process for implementing standardsimplementing standards
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Profiles Simplify Implementation
ProfilesProfiles
A profile describes the application of a standard(s) to provide specific requirements to accomplish the communication requirements.– Provides an opportunity for users & vendors to define
requirements• Requirements for development • With Conformance Statements, for purchase
• Single Standard – Constrain optionality, choose terminology, define dynamic interactions– HL7 Conformance
• Multiple Standards – Coordinate workflow, define mappings between standards- HL7/DICOM – IHE Radiology- HL7/IEEE 11073 – Patient Care Devices
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Profiles Simplify Implementation
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What is the IHE?
The IHEThe IHE• An umbrella organization
– Sponsored by three professional societies: RSNA, ACC, HIMSS
• Non-profit, operating in public view• Voluntary
– Largely manufacturers, users, regulators
• International
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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 representation)Many professional societies (stakeholder 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….
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IHE Organizational Structure
ACCACPHIMSSRSNA
JAHISJIRAJRS
METI-MLHWMEDIS-DCJAMI
GMSIHSFRSFILACCE
SIRMBIREuroRec
COCIREAR-ECRDRG
ESC
Professional Societies / Sponsors Contributing &Participating
Vendors
IHE (International) Strategic Development Committee
Global Development
Radiology
Cardiology
ITInfrastructure
Patient CareCoordination
Patient CareDevices
Laboratory
Pathology
Pharmacy /Medication Admin
RadiationOncology
IHE Europe
IHE North America
France
USA
Canada
IHE Asia-Oceania
Japan
Korea Taiwan
Netherlands
Spain Sweden UK
ItalyGermany
Norway
Regional Deployment
China
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International Adoption of IHE
FranceUSA
Germany
Italy
JapanUK
Canada
Korea
Taiwan
Norway
Holland
SpainChina
Yea
r 1
(199
9)
Yea
r 2
(200
0)
Yea
r 3
(200
1)
Yea
r 4
(200
2)
Yea
r 5
(200
3)
Yea
r 6
(200
4)
Yea
r 7
(200
5)
Yea
r 8
(200
6)
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Growth in IHE Domains
Radiology (18)
IT Infrastructure for Healthcare (17)
Cardiology (7)
Laboratory (6)
Radiation Oncology (1)
Patient Care Coordination (5)
Patient Care Devices (1)
Quality
Eye Care (3)
VeterinaryEndoscopyPathologyPharmacy
Ye
ar
1
(19
99
)
Ye
ar
2
(20
00
)
Ye
ar
3
(20
01
)
Ye
ar
4
(20
02
)
Ye
ar
5
(20
03
)
Ye
ar
6
(20
04
)
Ye
ar
7
(20
05
)
Ye
ar
8
(20
06
)
Ye
ar
9
(20
07
)
• Over 100 vendors involved world-wideOver 100 vendors involved world-wide• 8 Technical Frameworks8 Technical Frameworks• 48 Integration Profiles48 Integration Profiles
•Testing at “Connectathons” world-wideTesting at “Connectathons” world-wide• Demonstrations at major conferences world-wideDemonstrations at major conferences world-wide
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What is the process?
ProcessProcess• Define needs• Set priorities• Develop “profiles” with use cases• Recruit volunteers for each profile to be
developed• Develop the technical solutions• Demonstrate successful implementation
– Connectathons– Showcases
• Publish for public access, comment at various stages
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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
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What is the PCD?
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• What is IHE?
• What is the PCD?
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IHE Patient Care Devices (PCD)
““Providers and vendors working Providers and vendors working together to deliver interoperable together to deliver interoperable health information systems within and health information systems within and between enterprises and settings”between enterprises and settings”
The PCD, helping to fulfill the general IHE Vision:
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IHE Patient Care Devices (PCD)
IHE-PCD CharterIHE-PCD Charter
The Patient Care Devices Domain is The Patient Care Devices Domain is concerned with Use Cases in which at concerned with Use Cases in which at least one actor is a regulated patient care least one actor is a regulated patient care device. The PCD coordinates with other device. The PCD coordinates with other IHE clinical specialty based domains IHE clinical specialty based domains such as medical imaging.such as medical imaging.
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IHE Patient Care Devices (PCD)
IHE-PCD MissionIHE-PCD Mission
The IHE Patient Care Devices Domain will apply the proven, Use Case driven IHE processes to:
• Deliver the technical framework for the IHE-PCD domain profiles;
• Validate IHE-PCD profile implementations via Connectathons; and
• Demonstrate marketable solutions at public trade shows.
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IHE Patient Care Devices (PCD)
IHE-PCD Domain Vision StatementIHE-PCD Domain Vision StatementThe IHE Patient Care Devices Domain (IHE PCD) is the
nexus for vendors and providers to jointly define and demonstrate unambiguous interoperability specifications, called profiles, which are based on industry standards, and which can be brought to market.
IHE-PCD profiles:• improve patient safety and clinical efficacy,• reduce healthcare delivery cost by improving efficiency,
reliability, and operational flexibility for healthcare providers,
• enable innovative patient care capabilities, and• expand the international marketplace for patient care
device vendors.
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IHE Patient Care Devices (PCD)
Why Patient Care Devices?Why Patient Care Devices?
• There are over 1500 Patient Care Device manufacturers and There are over 1500 Patient Care Device manufacturers and over 3500 Make-Model combinationsover 3500 Make-Model combinations
• The typical 200 bed hospital contains 1,000’s of Patient Care The typical 200 bed hospital contains 1,000’s of Patient Care Devices Devices
• ……that are constantly changing with updated/upgraded that are constantly changing with updated/upgraded technology … and interoperability too?!technology … and interoperability too?!
• For every connected IT Device in the hospital, there are 4 For every connected IT Device in the hospital, there are 4 Patient Care Devices that are Patient Care Devices that are notnot connected connected
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IHE Patient Care Devices (PCD)
Patient Care Devices are unique …Patient Care Devices are unique …• Many devices are used in multiple clinical contexts, with
acquired data having different implications depending upon the clinical setting.
• Many devices provide signals or critical alarms that have direct significance to patient safety and well being in real-time, and should be accorded appropriate priority in the system.
• Many devices are portable, meaning that connectivity must include wireless portions, direct network connections, and Internet links, all with “hacker and virus” risks, too.
• Many devices provide data that should be automatically and accurately incorporated directly into the information stream that feeds the emerging Electronic Health Record (EHR).
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The Patient Care Device Domain
The PCDThe PCD
• Established in 2005 when the “charter” was awarded to the ACCE
• Jointly sponsored by ACCE and HIMSS as of July 1, 2006
• Technical Framework 2006-7 developed to communicate patient data (asynchronous)
• Successful demonstration at the 2007 Connectathon and HIMSS 2007 Interoperability Showcase
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IHE Patient Care Devices (PCD)
HIMSS Survey IHE pre-2005 Annual Conference results:HIMSS Survey IHE pre-2005 Annual Conference results:
• Further, Further, 56%56% said they’d pay more for IHE-compliant said they’d pay more for IHE-compliant products!products!
• Survey of all IHE Users
• Over 50% of those surveyed said patient care devices should be the next area developed for IHE *
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IHE Patient Care Devices (PCD)
Key Benefits of PCD InteroperabilityKey Benefits of PCD Interoperability
• Heterogeneity – Multiple manufacturers + multiple device modalities coexisting over a shared infrastructure
• Semantic Interoperability ( comparability) – shared terminology and data models permit users to interpret data based on the clinical context, compare information from different healthcare facilities, and interrogate systems across enterprises and regions.
• Real-Time Availability – ability to provide data in a time frame appropriate to the physiologic function being measured, displayed or affected (controlled).
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Year 1 Accomplishments
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
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Device Enterprise Communication (DEC) Profile - Year 1
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IHE PCD Connectathon 2007 Systems
LiveDataLiveDataOR MgrOR Mgr
GEGECentricity Centricity Periop CISPeriop CIS
PhilipsPhilipsCareVueCareVue
CISCIS
DOR
DOC
ADTA04 Feed MWB
DraegerDraegerInnovianInnovian
CISCIS
GEGEAwareAware
GWGW
PhilipsPhilipsIICIICGWGW
B. BraunB. BraunDoseTracDoseTrac
GWGW
Welch AllynWelch AllynConnexConnex
CISCIS
Validated VS, Vent, Anesth & Med Export, max
every 3 minutes
Validated Vitals export, Batch
Unvalidated VS, Vent, Anesth. Data export
every 1 minute
Unvalidated VS, Vent, Anesth. Data export
every 1 minute
VS MonPt Mon, Vent,Anesthesia
Pt Mon, Vent,Anesthesia
Pt Mon, Vent,Anesthesia
InfusionDevices
CT (Time)Feed
PhilipsPhilipsCareVueCareVue
CISCIS
Pt Mon, Vent,Anesthesia
Validated VS, Vent, Anesth & Med Export, max every 5 minutes
Unvalidated Med (Infusion System)
exported every 1 minute
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Where Are The Technical Details?
The Technical Framework (TF) can be found on the PCD FTP site.
Test Tools, Test Cases are also available on the FTP site.
ftp://ftp.ihe.net/Patient_Care_Devices/
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PCD HIMSS Showcase Scenario
Welch AllynWelch AllynConnexConnexTMTM
DataDataManagementManagement
SystemSystem
Vital Signs Monitor
GEGE
AwareAwareGatewayGateway
Patient Monitor, Ventilator
PhilipsPhilips
IntellivueIntellivueInformationInformation
CenterCenter
Patient Monitor, Ventilator
Emergency Care Intensive Care
LiveDataLiveData
OR-DashBoardOR-DashBoard
GE GE
CentricityCentricity®®
PeriopPeriopAnesthesiaAnesthesia
DraegerDraeger
InnovianInnovian®®
Solution SuiteSolution Suite
Patient Monitor, Anesthesia Sys
B. BraunB. BraunDoseTracDoseTracTMTM
InfusionInfusionManagementManagement
SoftwareSoftware
InfusionDevices
Perioperative Care
PhilipsPhilips
Intellivue ClinicalIntellivue ClinicalInformationInformation
PortfolioPortfolio
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IHE PCD in the HIMSS 2007 Interoperability Showcase
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Process for Year 2
Year 2Year 2
• 2006 Survey (to be discussed)
• Call for Short Proposals• “Vetting” by Planning and Technical
Committees• Setting of Priorities• Development of the Technical Framework• Design and testing of new profiles• Demonstration at HIMSS 2008
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IHE-PCD Survey Summer-Fall 2006
The SurveyThe Survey
• To set priorities, direction• Survey Managed by HIMSS Analytics• Open Solicitation to HIMSS, ACCE,
AdvaMed, Anesthesia Patient Safety Foundation, ECRI
• 171 Responses, (103 Users, 68 Vendors)• Please return and review at leisure
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Respondent Demographics 171 Individual Responses
0 10 20 30 40 50 60 70 80
Vendor
Hospital based Clinical Engineer
Other
Other Hospital Based I.T. Professional
User of Medical Devices / Caregiver
Hospital Department Head
Hospital CIO
Regulator - Government or Other
Purchaser / Materials Mgr.
= Hospital Based
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Vendor Position on IHE and Interoperability
68 Vendor Responses (Checking all that apply)
0 10 20 30 40 50
We do not currently provide connectivityoptions outside of our own
products/systems
We have proprietary connectivitysolutions
We would use IHE based solutions if theywere available
We are designing IHE compliance intoour products as they emerge
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Vendor Demographics: Vendor Products68 Vendor Responses
0 5 10 15 20 25 30
Monitors - Vital Signs
Other
Home Care
Anesthesia
Infusion Devices
POC Lab Devices
Ventillators
Dialysis
0 1 2 3 4 5 6
ECG
Imaging - PACS
Defibrillators
Laboratory
Ultrasound
Bone Density Scanner
Pharmacy
Women's Health
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Demographics: User Organization Types
77 Hospital Based Respondents*
*26 of the 103 Non-Vendor Respondents do not work in hospitals
0 5 10 15 20 25 30 35 40
University / Tertiary Care
300+ Bed Non Profit
Smaller Non Profit
Municipal or State Instiution
100-299 Bed Non Profit
For Profit Chain
Other
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Relationship of Clinical Engineering and IT at Respondents’ Hospitals
77 Hospital Based Respondents*
*26 of the 103 Non-Vendor Respondents do not work in hospitals
0 10 20 30 40 50
Do not know
CE is Outsourced
Do not cross paths
CE and IT are separate - work closely
CE is Part of IT
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Importance of Interoperability to
Hospital Based Respondents
0 10 20 30 40
Not a Priority
Prefer interoperable devicesbut not required
Moving to compliance - willingto pay a premium for
interoperability
IHE compliance is a requirementfor purchase if it is available
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Survey Question: With respect to Medical Devices, how important is it for the following devices to
become integrated under the IHE?
= Users= Vendors
0 10 20 30 40 50 60 70 80
Dialysis (acute / chronic)
Intra-Aortic Balloon Pumps
Infusion Pumps
Anesthesia Systems
Ventilators
Physiological Waveform Monitors
Vital Signs Reporting Devices
Percent of respondents that consider it important
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Survey Question: Rate the importance to each department in terms of the benefit from
implementing IHE
= Users= Vendors
0 20 40 60 80 100
Home Health
Oncology
OB/GYN
Infusion Therapy
General Med/Surg
Anesthesia
Pharmacy
ED
Surgery
ICU
Percent of respondents that consider it important
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Survey Question: Which clinical applications should IHE target?
= Users= Vendors
0 10 20 30 40 50 60 70 80
Wellness Monitoring (Such as non-clinical fitness activities)
Home Health monitoring (Such as remote monitoring of key indicators, smarthealthcare appliances, etc.)
Remote Consultation
Image Guided Surgery
Asset Utilization Management (Such as asset tracking, self-diagnosis / reportingsystems)
Remote viewing of waveforms
Integration of live waveform information into Clinical Systems
Clinical Decision Support
Alarm Notification Management
Remote Viewing of patient information on PDA or Tablet devices
Drug Administration
Medication Management
Real-time medical error detection / mitigation
Communicating physiologic measures to the EHR
Percent of respondents that consider it important
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Survey Question: Which technological areas are the most important for Patient Care Device integration?
= Users= Vendors
0 10 20 30 40 50 60 70 80 90
Quality of Service Management
RF Wireless
Security
Cross-enterprise information sharing
Common Terminology / Data Structures / Protocols
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IHE Patient Care Devices (PCD)
Examples of emerging IHE-PCD Work flows
Enterprise sharing of Patient Care Data* Patient & Device ID Binding* Point of Care Plug and Play* (multiyear effort) Home Telehealth* (multiyear effort) Real-time data archiving and communication PCD Alarm Management Drug Administration Hospital Bed–Blood Pressure Coordination Mobile, enterprise-wide, reliable vital signs monitoring … many more!Initial device classes – vital sign monitors, bedside monitors,
infusion pumps and ventilators
* Key Objectives for 2006/2007
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Device Enterprise Communication Profile – Year 2
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Why do I care?
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• What is IHE?
• What is the PCD?
• Why do I care?
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Why Do I Care About the IHE PCD?
Significance for Users/PurchasersSignificance for Users/Purchasers
• Clinical implications– Patient safety– Enterprise wide access to the patient’s data– Quality of care– Ability to implement “best of breed” for your
applications– Workflow improvements
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Why Do I Care About the IHE PCD?
Significance for Users/PurchasersSignificance for Users/Purchasers
• My job (CE and IT)– CE and IT must collaborate on
selection, specification, support of these systems
– New knowledge and skills are required
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Examples of Purchaser and User “Value Propositions” (i.e, ROI and other motivations)
• Automatic population of all information systems – reducing medical errors - integrity of data
• Automated systems - saves time for clinicians• Defined and easily accessible - audit trails• Eases integration of multiple modalities into a single system;
provides one consistent view of patient data• Facilitates intelligent systems to support clinical reasoning• International standardization of systems so that international
outcomes research can be accomplished• Common and safe user authentication• Access to patient data across devices and systems so
custom communication interfaces can be eliminated. Allows best of breed selection for your application
• Efficiency of care, testing and training - Reduces redundancy
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User/Provider/Purchaser Benefit Examples
SignificanceSignificance
• Improves agility of enterprises to meet varied patient loads
• Improved life-cycle cost of ownership
– Facilitates heterogeneous brand and model deployment
– May allow use of technologies over longer periods of
time, reducing the “obsolescence effect”
• Vendor-provided IHE-PCD conformance statements will
ease selection decisions and reduce risks
• Automates clinical data capture for EHR
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Why Do I Care About the IHE PCD?
Significance for AllSignificance for All
• Financial implications– Rapid changes in technology
increase risk
– Interoperability reduces risk
– Interoperability improves efficiency
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Vendor Benefit Examples
SignificanceSignificance
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What can I do?
• Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• What is IHE?• What is the PCD?• Why do I care?• What can I do?
– What can my healthcare organization do?– How does my company implement the Year 1
TF?– How does my company get involved in the Year
2 effort?
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What Can I Do? - PurchasersPlan, Evaluate, Purchase Conforming DevicesPlan, Evaluate, Purchase Conforming Devices
• In continuing discussions with vendors – at all levels– Push IHE, Interoperability
• Refer to lower deployment, maintenance costs– Encourage vendors’ active IHE participation
• Lower development, installation, support costs– Refer to profiles
• Leverage public and objective commitments
• In RFPs– Refer to profiles, Conformance Statements– Use Conformance Statements to “nail down” vendor’s
representations– Adopt very specific language
Raise the bar
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What can I do?
• Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• What is IHE?• What is the PCD?• Why do I care?• What can I do?
– What can my healthcare organization do?– How does my company implement PCD-01, the
Year 1 TF?– How does my company get involved in the Year
2 effort?
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What Do We Do To Catch Up?
Bring PCD-01 to MarketBring PCD-01 to Market
• Study the Year 1 Technical Framework (TF)
• Implement the TF
• Participate in the Connectathon
• Utilize conformance statements
• Participate in tradeshow, Showcases
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What can I do?
• Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
• What is IHE?
• What is the PCD?
• Why do I care?
• What can I do?
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The Planning and Technical Committees
The CommitteesThe Committees
The Planning Committee (PC):• Set member based priorities• Develop Use Cases• Recruit members• Manage Connectathon, ShowcaseThe Technical Committee (TC):• Determine technical feasibility• Research standards• Develop Technical Framework• Establish conformance tests
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What Can I Do?
To Define the FutureTo Define the Future• Become a member of a Domain’s Planning or
Technical Committees– Help establish priorities – what the domain will work on– Help define profiles – clinical, IT requirements– Provide the “business case” to encourage developments
• Provide Public Comments on Technical Framework Supplements
• Attend Demonstrations, Educational Events and Workshops
Raise the bar – to join send me an email:[email protected]
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PCD Contacts
PCD CoChairs:– Todd Cooper - [email protected] – Jack Harrington - [email protected]– Ray Zambuto - [email protected]
• PCD Technical Project Manager:– Manny Furst - [email protected]
• IHE Strategic Development Committee CoChair– Elliot Sloane - [email protected]
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Sources of Slides
Most slides were copied from the following presentations,and some have been modified for this presentation:• IHE 2007 Theater welcome -V8
– Introductory presentation at HIMSS Interoperability Showcase Theatre
• 20070227-IHE-PCD-Overview -HIMSS-C– Jack Harrington’s presentation at HIMSS
• HIMSS2006-IHEShowcase– Todd Cooper’s presentation at HIMSS
• IHE-PCD2006Survey– ACCE/HIMSS Survey
Used with permission
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References
Internet and Other ResourcesInternet and Other Resources
• http://www.ihe.net/About/ihe_faq.cfm• http://www.ihe.net/Resources/ihe_integration_profiles.cfm#acquiring
– Includes useful definitions, links to additional information• http://www.rsna.org, http://www.acc.org, • Parisot, Charles. What IHE Delivers for Vendors, Purchasers, Users and
Patients. IHE Interoperability Workshop Sept. 2004. http://www.ihe.net/Participation/upload/2_What%20IHE%20Delivers_final.ppt#319,1,Integrating the Healthcare Enterprise
• Gauvin, Alain. How to Purchase IHE Functionality. IHE Canada Workshop 2006. http://www.ihe-canada.com/Events/2006/06SepHaramati-Goodhew.pdf
• Haramati, Nogah and Goodhew, Beth. Purchasing IHE Functionality. IHE Canada Workshop 2006. http://www.ihe-canada.com/Events/2006/06SepGauvin2.pdf
• Bak, Peter. Achieving Interoperability Across Canada. IHE Workshop, June 2006. http://www.ihe.net/Events/upload/IHE%20Workshop%20June%202006%20Bak%20Infoway%20v2.ppt#724,1,Slide 1
• Braithwaite, William. IT at the Core of Healthcare Transformation. Proceedings, HIMSS 2007.