The Future of IHE
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Transcript of The Future of IHE
The Future of IHEThe Future of IHE
Linking Domains Across the Enterprise
Dr. Nikolaus Wirsz – IHE Planning CommitteeSiemens Medical Solutions
HIMSS/RSNA HIMSS 2003
Introduction The Vision IHE Over Time IHE Success IHE Future Plans IHE Vision for Growth Shaping the Future of IHE IHE Benefits
The Future of IHEThe Future of IHE
HIMSS/RSNA HIMSS 2003
Integration solutions available today - BUT:Proprietary departmental solutions leave many problems unresolved:
• Communicating Medical Data Across Multiple Systems from Different Vendors
• Access to the Complete Information• Consistency of Information
Across Departments and Institutions• No Long-term Guarantee of Viability or
Evolutionary Path
IntroductionIntroduction
HIMSS/RSNA HIMSS 2003
Nov. 1998
HIMSS & RSNA Launch a New Initiative:
Integrating the Healthcare Enterprise (IHE)
An Incremental Multi-Year Project
The VisionThe Vision
HIMSS/RSNA HIMSS 2003
The VisionThe Vision
Speed up the integration in healthcare environments
Foster communication between vendors
Prove that integration is attainable based on standards
HIMSS/RSNA HIMSS 2003
The VisionThe Vision
Participants:
Representatives of Healthcare Providers: HIMSS, RSNA, …
Users: Radiologists, Medical Staff, Administrators, CIOs, …
Information Systems Vendors: RIS & HIS Vendors
Imaging Systems Vendors: Modality & PACS Vendors
Standards Committee Members: HL7, DICOM
HIMSS/RSNA HIMSS 2003
Year 1Initial Functional System Architecture
Integrate Radiology with HIS
• Patient Registration & ADT• Order Entry & Scheduling• Image Communication:
- Image Acquisition- Image Storage- Image Retrieval
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
Year 2Expand Radiology Transactions
Interdepartmental Information Sharing
• Image Availability Information ( Location ) toEnable Subsequent Process Steps ( Reporting )
• Access to Radiology Information ( Reports and Images) within Radiology and within Other Departments
• Patient Information Reconciliation (“John Doe” / Trauma)
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
Year 2Expand Radiology Transactions
Interdepartmental Information Sharing
• Consistent Presentation of Images
• Report Management
• Enable Access to Non-Radiology Information(e.g. Lab data)
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
Year 3Consolidation Year for Radiology
Drive IHE into Market and into Real World• Improvements Based on Year 1 and 2 Experience:
- Order Tracking ( Order Status Updates )- Clinical Data and Alerts Available to Medical Staff- Templates for Structured Reports- Rules to Link Reports to Studies / Images
• Include Other Clinical Specialties
• Advance Integration with Enterprise Information Systems
• Encourage IHE Initiative Worldwide
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
Year 4Radiology Resumes Vertical Growth
• Post-Processing Workflow:Using DICOM General Purpose Worklist
• Initial Security Features:Audit & Authentication Controls
• Charge Posting:Billing / Financial Transactions
• Error Management:Fixing operator errors and other exception cases using DICOM Modality Worklist
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
Year 4
The Vision is REAL
• IHE is no longer just a demonstration
• IHE expands its presence on the exhibit floor
• 13 poster presentations and user success stories are featured
IHE Over TimeIHE Over Time
HIMSS/RSNA HIMSS 2003
RIS
HIS
PACS
imagesstored
Filmimagesprinted
reportRegistration
patientinformation
Orders Placed
examination orders
Orders Filled
imagesretrieved
FilmFolder
ReportRepository
Image Managerand Archive
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
Patient and procedureinformation retrievedby the modality
Modality
DiagnosticWorkstation
report
report
acquisitionin progress /completed
IHE Success – Closing LoopIHE Success – Closing Loop
FilmLightbox
acquisitionin progress /completed
HIMSS/RSNA HIMSS 2003
Access to Radiology InformationRetrieve & view images and reports
Consistent Presentation of Images
Hardcopy and softcopy grayscale presentation state
Key ImageNotes
Flag & search for significant images
Simple Image and Numeric Reports
Simple reports with image links and measurements
Basic SecurityAudit Trail Consolidation & Node Authentication
Presentation of Grouped Procedures
Manage subsets of a single acquisition
Post- Processing Workflow
Schedule, perform, & notify image processing
& CAD steps
Charge Posting
Collection of billable procedure details
Scheduled Workflow
Admit, order, schedule, acquire & store images with notification of
completed steps
Patient Information Reconciliation
Unknown patients and unscheduled orders
IHE Success – Integration ProfilesIHE Success – Integration Profiles
HIMSS/RSNA HIMSS 2003
IHE Future PlansIHE Future PlansYear 5
Boost Evolution and Acceptance of IHEExpansion to other Clinical Specialties
• Support for Interpretation / Reporting Workflow:
- Radiologist’s Worklist:Using DICOM General Purpose Worklist
- Evidence Documents:Measurements, Waveforms, Procedure Documentation,
HIMSS/RSNA HIMSS 2003
IHE Future PlansIHE Future PlansYear 5
Boost Evolution and Acceptance of IHEExpansion to other Clinical Specialties
• Support IHE Efforts Evolving in Other Domains:- Cardiology- Overall Healthcare IT Infrastructure:
MPI, Desktop Integration, …
• Concepts for Extended Archiving:- Centralized / Decentralized Archiving Solutions in
Multi-Institution Environments
HIMSS/RSNA HIMSS 2003
IHE Future PlansIHE Future Plans
Integration Beyond Radiology Boundaries
• Encourage Other Clinical Fields to Attain Internal Vertical Integration:
- Cardiology- Laboratory / Pathology- Pharmacy / Medication Management
• Expand Enterprise IT Infrastructure in Healthcare
• Goals:- Integration of Multiple Clinical Specialties- Incorporate IT Infrastructure Features
HIMSS/RSNA HIMSS 2003
A Multidimensional Expansion of IntegrationIHE Vision for GrowthIHE Vision for Growth
DeptSched.
ADT
Order Mgt
ImageMgr
Modality
11stst Dimension: Dimension:Vertical Integration for RadiologyVertical Integration for RadiologyIHE Years 1, 2, 3, 4, ...IHE Years 1, 2, 3, 4, ...
HIMSS/RSNA HIMSS 2003
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
A Multidimensional Expansion of IntegrationIHE Vision for GrowthIHE Vision for Growth
HIMSS/RSNA HIMSS 2003
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
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i o
l o g
y
Lab
orat
ory
/ Pat
hol
ogy
Ad
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Cli
nic
al F
ield
s
Ph
arm
acy
/ Med
. Ad
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A Multidimensional Expansion of IntegrationIHE Vision for GrowthIHE Vision for Growth
HIMSS/RSNA HIMSS 2003
IHE Vision for GrowthIHE Vision for Growth
ADT/Reg.
Lab/Path. Radiology
Cardiology
Int. Med.
Endoscopy
Ophthalm Dental
ER
HIMSS/RSNA HIMSS 2003
IHE Strategic Development Committee Est. August 2001
• Expansion of IHE process to meetintegration needs of entire enterprise
• Engage leading medical professionals and associations from other key domains to helpmove IHE beyond Radiology
Shaping the Future of IHEShaping the Future of IHE
HIMSS/RSNA HIMSS 2003
Objectives:
• Identify and recommend clinical and operational domains
• Identify steps in the typical patient care workflow
• Identify integration needs and barriers within and across domains
• Populate domain specific planning and technical committees
Shaping the Future of IHEShaping the Future of IHE
HIMSS/RSNA HIMSS 2003
IT Infrastructure Issues
• Enterprise Master Patient Index ( EMPI )
• Advanced Security & Access Privileges
• Single Sign-On &Desktop Applications Synchronization
• Liaison & Coordination with the HL7 Organization
Shaping the Future of IHEShaping the Future of IHE
HIMSS/RSNA HIMSS 2003
Strategic DevelopmentCommittee
RadiologyPlanning Committee
RadiologyTechnical Committee
IHE EuropePlanning Committee
IT InfrastructurePlanning Committee
IT InfrastructureTechnical Committee
IHE JapanPlanning Committee
……
Sub-CommitteePharmacy
Sub-CommitteeLaboratory
CardiologyCommittee
IHE FrancePlanning Committee
IHE GermanyPlanning CommitteeIHE Italy
Planning CommitteeIHE UKPlanning CommitteeIHE …
Planning Committee
IHE Steering Committee
JAPAN EUROPE North America
JIRA COCIR EAR ECR HIMSSJRS SFR DRG SIRM RSNA… GMSIG ZVEI BIR … …
Professional Societies / Sponsors
IHE Organizational StructureIHE Organizational Structure
HIMSS/RSNA HIMSS 2003
IHE Expands ScopeIHE Expands Scope Recruiting Participants in New Committees
Enterprise Master Patient Index Advanced Security Query/Display/Synchronized Patient View
Special Panel Session in IHE Theatre Overview of new IHE enterprise initiatives Learn how to participate
– Tuesday, February 11, 9:15 – 10:00 a.m.– Wednesday, February 12, 12:15 – 1:00 p.m
HIMSS/RSNA HIMSS 2003
Special IHE Panel SessionSpecial IHE Panel Session IHE - IT Infrastructure: The Value Proposition
– Find out how you can benefit from participating in IHE committees and Connectathons
– Learn how IHE fills the interoperability gap – Hear the status of new enterprise initiatives
Software vendors, developers and interested parties invited to attend special panel session
HIMSS/RSNA HIMSS 2003
• Continuity and Integrity of Patient Information
• Clinical Workflow Optimization
• Fostering Communication Among Diverse Information Systems
• Avoid Repeating Tasks
• Eliminating Gaps and Redundancies in Data Access
• Driving the Use and Evolution ofHealthcare Communication Standards
Benefits of IHEBenefits of IHE
Improving the Patient Care ProcessImproving the Patient Care Process
HIMSS/RSNA HIMSS 2003
Questions?Questions? Information Available On the Web at:
http://www.rsna.org/IHEhttp://www.rsna.org/IHE
Home Page of IHE Europe:
http://www.IHE-Europe.orghttp://www.IHE-Europe.org
Home Page of IHE Japan:
http://www.jira-net.or.jp/ihe-j/en/index.htmlhttp://www.jira-net.or.jp/ihe-j/en/index.html