September, 2005What IHE Delivers How to purchase eye care systems using IHE IHE Showcase at the AAO...
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Transcript of September, 2005What IHE Delivers How to purchase eye care systems using IHE IHE Showcase at the AAO...
September, 2005 What IHE Delivers
How to purchase eye care How to purchase eye care systems using IHEsystems using IHE
IHEIHE Showcase at the AAO Showcase at the AAO ConferenceConference
November 2006November 2006
Andrew Casertano, Peter Kuzmak, Andrew Casertano, Peter Kuzmak, and Dr. Ruth Dayhoffand Dr. Ruth DayhoffDepartment of Veterans AffairsDepartment of Veterans AffairsVistA ImagingVistA Imaging
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Learning ObjectivesLearning Objectives
How IHE can provide valuable assistance in eye care system acquisition?
What tools and education are available?
How the results of the connectathon can be used and how can they help in finding the right product to solve the integration problem?
Example of writing a Request for Proposal (RFP) using IHE
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What is IHE?What is IHE?
IHE is a specification of transactions between systems.
IHE describes only integration features.
IHE is not a product itself, but…
IHE is very useful in purchasing products that integrate into workflow
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Integration Solutions Available Today fromMedical Systems Vendors – BUT ...
Modern Healthcare Enterprises in All Countries Are Still Confronted with Problems:(In Spite of IT Standards and Advanced Technology)
Lack of Access to Complete Medical Information Inconsistent Medical Information
Across Departments and Institutions Inadequate Communicating of Medical Data
Across Multiple Systems from Different Vendors Risky Investments in Proprietary Solutions
Challenges of IntegrationChallenges of Integration
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Why Is Integration Hard?Why Is Integration Hard?
The Different Eye Care Systems Don’t Use a Common Vocabulary
The Different Eye Care Systems Don’t Use Common Communication Standards Consistently
The Flow of Information Through the Patient Encounter Changes With the Circumstances of Care
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IHE Eye Care Process
IHEIntegrationProfiles B
IHEIntegrationProfile A
Easy toIntegrateProducts
IHEConnectathon
ProductWith IHE
IHEDemonstration
User Site
RFPRFP
Standards
IHETechnical
Framework
Product IHE IntegrationProduct IHE IntegrationStatementStatement
IHE IHE ConnectathonConnectathonResultsResults
IHE Technical Framework – Define Standard Integration Solutions
IHE Connectathon Results – Most implemented and tested IHE Solutions
IHE Integration Statements – Most Comertialized IHE Solutions
IHE Success Story – Most Successful Used IHE Solutions
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Mapping to Real-World ProductsMapping to Real-World Products
The IHE Actors and transactions are abstractions of real products in the real-world eye care information system environment. The order placer may be realized in either the
practice management system or the Electronic Medical Record (EMR) products.
The Performed Procedure Step Manager may be realized in either the Picture Archive and Communications System (PACS) or the Electronic Medical Record (EMR) products.
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IPs are packaged for purchasingIPs are packaged for purchasing
Easy-to-understand, coherent, functional sets and
a convenient way for users and vendors to communicate precisely
about integration requirements and required functionality in products.
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ConnectathonConnectathon
Interoperability testing in a public arena with peers
Results are published by IHE
Vendors publish Integration Statements
Note that IHE is not a certification authority and does not validate product claims
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Connectathon Benefits to UsersConnectathon Benefits to Users
Confidence that vendor software has been tested at both detailed and interoperability levels. Reduce the costs of integration Reduce interoperability issues The end user must verify Connectathon tested
software in an appropriate product release (via RFP)
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What do Connectathon results signify?What do Connectathon results signify?
That the vendor successfully performed all the particular transactions required by an actor in a IHE Integration Profile
IHE is not a certification authority
Connectathon testing does not certify product compliance
Vendors who do not pass are not made public
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IHE Integration StatementIHE Integration StatementIHE Integration Statement
Vendor Product Name Version Date
An Eye Care Company Product V2.3 12 Oct 2006
This product implements all transactions required in the IHE Technical Framework to support the IHE Integration Profiles, Actors and Options stated below:
Integration Profiles Implemented
Actors Implemented Options Implemented
Eye Care Scheduled Workflow Image Manager/Image Archive none
Image Display none
Image Creator Performed Procedure Step
Order Filler PPS Exception Management
Simple Image and Numeric Report Report Creator none
Link to the vendor IHE page www.eyecarecompany.com/ihe
Links to Standards Conformance Statements for the Implementation
HL7 www.amedicalsystemsco.com/hl7
DICOM www.amedicalsystemsco.com/dicom/integrateRAD.pdf
For general Information on IHE In America: www.rsna.com/iheIn Europe: www.ihe-europe.orgIn Asia:
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Survey of Integration StatementsSurvey of Integration Statements
http://www.dclunie.com/iheintegration-survey/IntegrationStatements.htmlhttp://www.dclunie.com/iheintegration-survey/IntegrationStatements.html
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IHE Connectathon Resultshttp://www.rsna.org/IHE/connectathon.shtml http://www.rsna.org/IHE/connectathon.shtml
http://www.ihe-europe.org/con_result/http://www.ihe-europe.org/con_result/
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MESA ToolsMESA Tools
http://www.erl.wustl.edu/mesa/index.htmlhttp://www.erl.wustl.edu/mesa/index.html
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User’s HandbookUser’s Handbook
Integration rarely starts from scratch and usually, RFPs have to take into account the existing context.
Integration is usually performed step wise, future steps have to be considered.
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User Success StoriesUser Success Stories
Describes how IHE was used and the challenges and benefits in the real world.
Identifies how to use specific IHE features and names products.
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Writing an RFPWriting an RFP
Simplify and strengthen what you ask for
The system shall support DICOM. (too general! – thousands of pages of specs!)
The system shall support the DICOM services related to eye care (still hundreds of pages!)
The PACS shall support the IHE Eye Care Scheduled Workflow Integration Profile Image Manager/Image Archive actor.
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IHE in RFPsIHE in RFPs
IHE Integration Profiles “unambiguously” specifies integration
We have access to published information on IHE connectathon results and vendors integration statements
A RFP can require IHE Integration Profiles
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Sample RequirementsSample Requirements
The vendor shall provide DICOM Conformance Statements for the DICOM components of the system.
The vendor shall provide IHE Integration Statements for the system, and identify which actors and options the system implements.
The vendor shall provide a timeline for the implementation of IHE Integration Profiles required but are not yet available in the proposed solution.
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Profiles Benefits Profiles Benefits
IHE defines Integration Profiles to group related use cases and transactions and connects them with Real-World functions
Integration Profiles allow the customer to focus on High-level Integration while IHE handles the details
Profiles are used to write requirements, design a product, and purchase a system
Proprietary Solutions create instant legacies
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We care!We care!
The AAO, the VA, and participating vendors have made fixing the Eye Care data integration problem a priority
Use the IHE Technical Framework to purchase and deploy your eye care solution
OurOur success is measured success is measured by by youryour success success
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More information….More information….IHEIHE Showcase here at the AAO ConferenceShowcase here at the AAO Conference
IHE Web siteIHE Web site: : www.ihe.net
Technical FrameworksTechnical Frameworks
ihe_eyecare_tf_TI_vol1_2006_06_01 (Trial ihe_eyecare_tf_TI_vol1_2006_06_01 (Trial Implementation version)Implementation version)
ihe_eyecare_tf_TI_vol2_2006_06_01 (Trial ihe_eyecare_tf_TI_vol2_2006_06_01 (Trial Implementation version)Implementation version)
Standards used by IHE Eye CareStandards used by IHE Eye Care DICOM StandardDICOM Standard www.nema.medical.org HL7 StandardHL7 Standard www.hl7.org
Vendor Products Integration StatementsVendor Products Integration Statements
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