Integrating the Healthcare Enterprise Integrating the Healthcare Enterprise Using the IHE Framework in the Real World Using the IHE Framework in the Real World What does it mean to What does it mean to me? me?
Integrating the Healthcare Enterprise Using the IHE Framework in the Real World What does it mean to me?
Mar 27, 2015
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Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
Using the IHE Framework in the Real WorldUsing the IHE Framework in the Real World
What does it mean to me?What does it mean to me?
HIMSS / RSNA2
Panel MembersPanel MembersSpeaker:Speaker: Sanjay Jain, Cerner Corp. Sanjay Jain, Cerner Corp.
Panel:Panel:
• Dr. David Channin, ECC of RSNADr. David Channin, ECC of RSNA
• Andrei Leontiev, IDX SystemsAndrei Leontiev, IDX Systems
• Cor Loef, Philips Medical SystemsCor Loef, Philips Medical Systems
• Don Van Syckle, Don Van Syckle, Merge TechnologiesMerge Technologies
• Joe Biegel, Mitra Joe Biegel, Mitra
HIMSS / RSNA3
The Problem ?The Problem ?
• Information Systems Connected By Information Systems Connected By Human Links Human Links – Slows Transfer of InformationSlows Transfer of Information– Prone to Inaccuracy Prone to Inaccuracy – Requires Duplicate EffortRequires Duplicate Effort
HIMSS / RSNA4
The Consequences ?The Consequences ?
• Errors and/or Delays in TreatmentErrors and/or Delays in Treatment
• Incomplete Information Available for Incomplete Information Available for Decision-making Decision-making
• Inefficient Utilization of Staff and Inefficient Utilization of Staff and EquipmentEquipment
• Increased CostIncreased Cost
HIMSS / RSNA5
Who Can Solve It?Who Can Solve It?• A Joint Initiative of:A Joint Initiative of:
– Healthcare ProfessionalsHealthcare Professionals– The Information Technology IndustryThe Information Technology Industry– Departmental System SuppliersDepartmental System Suppliers
• radiology, laboratory, cardiology, ophthalmologyradiology, laboratory, cardiology, ophthalmology
• Current sponsors: HIMSS and RSNACurrent sponsors: HIMSS and RSNA
• Growing Interest From Other Societies, Growing Interest From Other Societies, Specialties and Industry Segments Specialties and Industry Segments – All Invited to JoinAll Invited to Join
HIMSS / RSNA6
The Solution?The Solution?
Connect the systems and flow the Connect the systems and flow the information throughout the information throughout the enterprise enterprise automatically!automatically!
HIMSS / RSNA7
Why Is That Hard?Why Is That Hard?• The Different Systems Don’t Use a The Different Systems Don’t Use a
Common VocabularyCommon Vocabulary
• The Different Systems Don’t Use The Different Systems Don’t Use Common Communication Standards Common Communication Standards ConsistentlyConsistently
• The Flow of Information Through the The Flow of Information Through the Enterprise Changes With the Enterprise Changes With the Circumstances of the CaseCircumstances of the Case
HIMSS / RSNA8
What Does IHE Do?What Does IHE Do?
• IHE Defines a Common Vocabulary for IHE Defines a Common Vocabulary for Patient and Administrative InformationPatient and Administrative Information– Examples:Examples:
• OrderOrder• Requested ProcedureRequested Procedure• Accession NumberAccession Number• Procedure StepProcedure Step
HIMSS / RSNA9
What Does IHE Do?What Does IHE Do?
• IHE Defines the Workflow IHE Defines the Workflow
• Identifies the Transactions Required to Identifies the Transactions Required to Make It WorkMake It Work
HIMSS / RSNA10
What Does IHE Do?What Does IHE Do?
• IHE Selects an Existing Industry IHE Selects an Existing Industry Standard for Each Transaction and Standard for Each Transaction and Specifies the Transaction Specifies the Transaction UnambiguouslyUnambiguously– For Example:For Example:
• DICOM Modality WorklistDICOM Modality Worklist• HL7 ADT MessageHL7 ADT Message
HIMSS / RSNA11
What Does IHE Do?What Does IHE Do?
• IHE Is Working to Ensure That All the IHE Is Working to Ensure That All the Real-world Information Paths Are Real-world Information Paths Are Supported by TransactionsSupported by Transactions– For Example:For Example:
• Patient RegistrationPatient Registration• Order FillingOrder Filling• Modality OperationsModality Operations
updatepatient info
updatepatient info Updated
demographicinformation is sentto the OrderPlacing and OrderFilling systems
updatepatient images
Updated info changesdemographic data storedwith images
Patient lateridentified -enter properdata
Registration
examination ordersfor J Doe
Orders Placed
EmergencyRoomphysicianorders thedesiredradiologyprocedure
HIS
imagesretrieved
acquisitioncompleted
acquisitioncompleted
J Doeimagesstored
IHE Trauma Workflow Eventswww.rsna.org/ihe
J Doe
Enter patientas J Doe
EmergencyRegistration
Break down theentered order intospecific radiologyprocedure steps tobe performed
Orders Filled
Image Managerand Archive
modality worklistfor J Doe
Patient and procedureinformation retrievedby the modality
Modality
Position patientand acquire image
FilmFolder
J Doeimagesprinted
Film
PACS
ReportRepository
Radiology report storedfor network access
At a later time, thepatient name andother demographicsare entered
RIS
DiagnosticWorkstation
FilmLightbox
reportreport
HIMSS / RSNA13
What is the Big Picture?What is the Big Picture?
• IHE Defines Integration Profiles to IHE Defines Integration Profiles to Group Related Transactions and Group Related Transactions and Connects Them With Real-world Connects Them With Real-world FunctionsFunctions
• Integration Profiles Allow the Customer Integration Profiles Allow the Customer to Focus on High-level Integration While to Focus on High-level Integration While IHE Handles the DetailsIHE Handles the Details
HIMSS / RSNA14
Presentation ofGrouped Procedures
Subset a single acquisition
IHE Integration ProfilesIHE Integration Profiles
Patient Information
Reconciliation
Unknown patients and unscheduled
orders
ConsistentPresentation of
Images
Hardcopy and softcopy
grayscale and presentation state
Access toRadiology
Information
Consistentaccess to
images andreports
Key ImageNotes
Exchange flaggingsignificant images
Simple Image andNumeric Reports
Exchange simplereports with image
links and, optionally,measurements
Scheduled WorkflowAdmit, order, schedule, acquire images, notify of completed steps
HIMSS / RSNA15
What has IHE Accomplished?What has IHE Accomplished?
• IHE Demonstrates the Feasibility of IHE Demonstrates the Feasibility of Integrating the Information Flow in a Integrating the Information Flow in a Healthcare EnterpriseHealthcare Enterprise
• IHE Provides a Common Solution IHE Provides a Common Solution Implemented by Many Vendors That Implemented by Many Vendors That Reduces Cost and Complexity of Reduces Cost and Complexity of Integrating Information Systems and Integrating Information Systems and ModalitiesModalities
HIMSS / RSNA16
How Do You Use IHE?How Do You Use IHE?• IHE Is Not a Product; It’s Something Vendors IHE Is Not a Product; It’s Something Vendors
Add to or Build Into Systems to Facilitate Add to or Build Into Systems to Facilitate IntegrationIntegration
• Use IHE Integration Profiles for Integration of Use IHE Integration Profiles for Integration of Radiology Department Information, and ImagesRadiology Department Information, and Images
• IHE Profiles Will Help You Deal With Integrating IHE Profiles Will Help You Deal With Integrating Existing Equipment or in Planning for the FutureExisting Equipment or in Planning for the Future
HIMSS / RSNA17
Isn’t the Scope of IHE Isn’t the Scope of IHE Radiology Specific?Radiology Specific?
• IHE Started With Radiology Because IHE Started With Radiology Because Radiology Departments Are Radiology Departments Are Transitioning to a Digital EnvironmentTransitioning to a Digital Environment
• Strategic Opportunity -- Information Strategic Opportunity -- Information Benefits for Everyone, Everywhere Benefits for Everyone, Everywhere Today and in the FutureToday and in the Future
HIMSS / RSNA18
What’s the Future?What’s the Future?
• The IHE Concept of Actor/transaction The IHE Concept of Actor/transaction Based Integration Profiles Is Proven Based Integration Profiles Is Proven and Powerfuland Powerful
• IHE Is Rapidly Expanding to Other IHE Is Rapidly Expanding to Other Departmental Systems Including Departmental Systems Including Laboratory, Cardiology, OphthalmologyLaboratory, Cardiology, Ophthalmology
• Societies, Users and Vendors Support Societies, Users and Vendors Support These Efforts.These Efforts.
HIMSS / RSNA19
What Should You Do Now?What Should You Do Now?
• Plan to Integrate Your Information Plan to Integrate Your Information Systems Now or in the Very Near Systems Now or in the Very Near FutureFuture
• Use IHE Integration Profiles When Use IHE Integration Profiles When Writing RFPs and Purchasing Writing RFPs and Purchasing SpecificationsSpecifications
HIMSS / RSNA20
Where is More Information Where is More Information Available?Available?
• www.rsna.org/IHEwww.rsna.org/IHE– IHE Technical FrameworkIHE Technical Framework
• Brochures Here at the Conference:Brochures Here at the Conference:– IHE Demonstration BrochureIHE Demonstration Brochure– IHE Connect-a-thon Results DocumentIHE Connect-a-thon Results Document– IHE Integration Profiles: Guidelines for BuyersIHE Integration Profiles: Guidelines for Buyers
HIMSS / RSNA21
Presentation ofGrouped Procedures
Subset a single acquisition
IHE Integration ProfilesIHE Integration Profiles
Patient Information
Reconciliation
Unknown patients and unscheduled
orders
ConsistentPresentation of
Images
Hardcopy and softcopy
grayscale and presentation state
Access toRadiology
Information
Consistentaccess to
images andreports
Key ImageNotes
Exchange flaggingsignificant images
Simple Image andNumeric Reports
Exchange simplereports with image
links and, optionally,measurements
Scheduled WorkflowAdmit, order, schedule, acquire images, notify of completed steps
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