Date post: | 24-Dec-2015 |
Category: |
Documents |
Upload: | spencer-strickland |
View: | 217 times |
Download: | 2 times |
Integrating the HealthcareIntegrating the Healthcare EnterpriseEnterprise
Margarita Zuley, M.D.Margarita Zuley, M.D.
Elizabeth Wende Breast ClinicElizabeth Wende Breast Clinic
Rochester, NYRochester, NY
What is IHE?What is IHE?
Integrating the Healthcare Enterprise™Integrating the Healthcare Enterprise™
““A A processprocess that drives the use of existing that drives the use of existing standards to solve complex healthcare standards to solve complex healthcare
information processes that span multiple, information processes that span multiple, heterogeneous information systems.”heterogeneous information systems.”
Goal of IHEGoal of IHE
To ensure that all required information is correctTo ensure that all required information is correct
and available to the medical professional forand available to the medical professional for
optimal patient care.optimal patient care.
IHE Domain SponsorsIHE Domain Sponsors
LaboratoryDomain Sponsors:
GMSIH, JAHIS, SFIL
Cardiology Domain Sponsor: ACC
Assoc. Domain Sponsor: ASE
IT InfrastructureDomain Sponsor: HIMSS
Eye CareDomain Sponsor: AAO
Patient Care CoordinationDomain Sponsor:
HIMSS
Patient Care Devices
Domain Sponsors: IEEE, ACCE
RadiologyDomain Sponsor: RSNA
Associate Domain Sponsors: ASTRO, SNM
How Does IHE Work?How Does IHE Work?
Defines components of the healthcare Defines components of the healthcare enterprise called enterprise called ACTORSACTORS
Describes coordinated, standards based Describes coordinated, standards based transactions that each actor has with all other transactions that each actor has with all other actorsactors
Integration ProfilesIntegration Profiles are functional groups of are functional groups of these transactions that solve specific clinical these transactions that solve specific clinical needsneeds
IHE Radiology Integration ProfilesIHE Radiology Integration Profiles
Patient Info.
Recon-ciliation
Access to Radiology Information
Consistent Presentation
ofImages
Audit Trail & Node Authentication - Radiology Option
EvidenceDocs
KeyImageNotes
Simple Image & Numeric Reports
Presentation of
Grouped Procedures
Post-
Processing Workflow
Reporting Workflow
Charge Posting
XDS for Imaging
NMImage
Scheduled Workflow
Teaching Files &
Clinical Trials Export
Portable Data for Imaging
imagesstored
patientinformation
RIS
examination orders
imagesretrieved
HIS
PACS
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
report
report
Scheduled Workflow ProfileScheduled Workflow Profile
Registration
Orders Placed
Orders Filled
Film
FilmFolder
Image Manager& Archive
FilmLightbox
report ReportRepository
DiagnosticWorkstation
Modality
acquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
How do you use IHE?How do you use IHE?
Vendors implement Actors and Integration Vendors implement Actors and Integration Profiles in their systems and test them at the Profiles in their systems and test them at the annual Connectathonannual Connectathon
Users specify Actors and Integration Profiles Users specify Actors and Integration Profiles in RFPs when acquiring, upgrading or in RFPs when acquiring, upgrading or integrating systemsintegrating systems
IHE ConnectathonIHE Connectathon
Massive Cross-vendor TestingMassive Cross-vendor Testing One week; dozens of vendors; thousands of testsOne week; dozens of vendors; thousands of tests Opportunity to find/resolve issuesOpportunity to find/resolve issues
Participation is VoluntaryParticipation is Voluntary Litmus test not a pre-requisite or certification Litmus test not a pre-requisite or certification
Engineering eventEngineering event Huge Congregation of Engineering TalentHuge Congregation of Engineering Talent Project Management by MallinckrodtProject Management by Mallinckrodt Pre-Validation Tools (MESA)Pre-Validation Tools (MESA) Defined Test Protocols with VerificationDefined Test Protocols with Verification
IHE ConnectathonIHE ConnectathonManaged Managed by the IHE by the IHE SponsorsSponsors
Shortcut to rsna-connectivity2.lnk
Connectathon ResultsConnectathon Results
Published at Published at www.ihe.netwww.ihe.net and and www.ihe-europe.orgwww.ihe-europe.org
NOT Product CertificationNOT Product Certification Demonstration of Engineering CompetenceDemonstration of Engineering Competence
Recent ConnectathonsRecent Connectathons IHE-North America in January 2006 (Chicago, IL)IHE-North America in January 2006 (Chicago, IL)
59 Vendors, 140 Systems, 300+ Engineers59 Vendors, 140 Systems, 300+ Engineers
IHE-Europe in April 2005 (Noordwijkerhout, Netherlands)IHE-Europe in April 2005 (Noordwijkerhout, Netherlands) 62 Vendors, 98 Systems, 230 Engineers62 Vendors, 98 Systems, 230 Engineers
IHE-Japan Connectathon in January 2006 (Tokyo, Japan)IHE-Japan Connectathon in January 2006 (Tokyo, Japan) 28 Vendors, 60 Systems28 Vendors, 60 Systems
Healthcare Sitewith
Complex Problematic Process involving
heterogeneous information system
Vendorexpertise
Integration Profile
Proposed solutionUsing existing standards
IHE Technical Frameworkdetails solution
Vendor implements solutioninto
REAL product
Vendor tests solutionat
Connect-a-thon
Professional SocietiesDemonstrate/EducateThat solution exists
Healthcare SiteIncludes IHE
in RFP
IHE Web site: IHE Web site:
www.IHE .netwww.IHE .net Frequently Asked QuestionsFrequently Asked QuestionsIntegration Profiles in Technical Integration Profiles in Technical
Frameworks:Frameworks: CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination RadiologyRadiology
Connectathon ResultsConnectathon ResultsVendor Products Integration Vendor Products Integration
StatementsStatementsParticipation in Committees & Participation in Committees &
ConnectathonsConnectathons
Vendor AFFDM
Vendor AFFDM
Breast MRI
U/S
Multi Modality
DiagnosticWorkstation
Vendor ADiagnostic
Workstation
Vendor ADiagnostic
Workstation
Vendor BDiagnostic
Workstation
Vendor BDiagnostic
Workstation
Vendor CDiagnostic
Workstation
Vendor CDiagnostic
Workstation
Vendor CFFDM
Vendor CFFDM
Vendor BFFDM
Vendor BFFDM
System wide PACS
System wide PACS
Vendor AMini PACS
Vendor AMini PACS
Vendor BMini PACS
Vendor BMini PACS
Vendor CMini PACS
Vendor CMini PACS
Ideal Configuration: Maintain IntegrityIdeal Configuration: Maintain Integrity
Vendor AFFDM
Vendor AFFDM
Breast MRIBreast MRI
Anymulti modality
workstation
Anymulti modality
workstationAny
multi modality workstation
Anymulti modality
workstation
Anymulti modality
workstation
Anymulti modality
workstation
U/SU/S
Vendor CFFDM
Vendor CFFDMVendor B
FFDM
Vendor BFFDM
Any PACS
Any PACS
FFDM ProblemsFFDM Problems
Content/Display IncompatibilitiesContent/Display Incompatibilities Workflow ConstraintsWorkflow Constraints
Content/Display IssuesContent/Display Issues
Image SizeImage Size Image Orientation and JustificationImage Orientation and Justification Image Contrast Adjustment Image Contrast Adjustment Background Blackness MaintenanceBackground Blackness Maintenance Annotation of Identification and Technical Annotation of Identification and Technical
Factor InformationFactor Information Display of CAD MarksDisplay of CAD Marks
Mammo IHE TimelineMammo IHE Timeline
June ’05 June ’05 (SCAR) forum to discuss problems(SCAR) forum to discuss problems July ‘05 July ‘05 IHE mammo group formedIHE mammo group formed Oct ‘05 Oct ‘05 11stst Draft of profile Draft of profile RSNA ’05 RSNA ’05 Discuss time frame and most critical Discuss time frame and most critical
limitations limitations Jan ’06 Jan ’06 Prelim testing at connect-a-thonPrelim testing at connect-a-thon Jan ’06 Jan ’06 Mammo Image Profile completedMammo Image Profile completed Today Today 11stst display of components of the display of components of the
profileprofile
Planned TimetablePlanned Timetable
Spring 06-Jan ’07Spring 06-Jan ’07Vendors implement Mammography Image profileVendors implement Mammography Image profile
Jan ’07 Jan ’07 Official testing at connect-a-thonOfficial testing at connect-a-thon
April ’07 (SBI)April ’07 (SBI)Public display of implementationPublic display of implementation
Mammography Workflow ProfileMammography Workflow Profile
Spring ’06 Spring ’06 White paper draftedWhite paper drafted June ’06 –Jan ’07 June ’06 –Jan ’07 Integration Profile writtenIntegration Profile written Spring ’07 Spring ’07 Profile finalizedProfile finalized Spring’07-Jan ’08 Spring’07-Jan ’08 Vendors implement Vendors implement
ProfileProfile Jan ’08 Jan ’08 Testing at connect-a-thonTesting at connect-a-thon Spring ’08 Spring ’08 Public display Public display
Why Does this take so Long?Why Does this take so Long?
Problems must be clearly definedProblems must be clearly defined Many vendors must be willing to participateMany vendors must be willing to participate Solutions can be complicatedSolutions can be complicated Solutions need to work for everyoneSolutions need to work for everyone The implementation is very labor intensive, The implementation is very labor intensive,
time consuming, and costly for the vendorstime consuming, and costly for the vendors
RFPsRFPs Be Brief?Be Brief?
““The system must support DICOM”The system must support DICOM” Be Effective?Be Effective?
““The system must support the following DICOM services The system must support the following DICOM services according to the following 100 pages of specifications: …”according to the following 100 pages of specifications: …”
Be Both:Be Both: ““The system must support the IHE Echocardiography The system must support the IHE Echocardiography
Workflow Profile as the Acquisition Modality actor.”Workflow Profile as the Acquisition Modality actor.”
Request IHE Integration StatementsRequest IHE Integration Statements Version 2.1 of the SuperSono XT supports IHE Version 2.1 of the SuperSono XT supports IHE
Echocardiography Workflow as an Acquisition ModalityEchocardiography Workflow as an Acquisition Modality
RFPRFP
Itemize which options in each profile that you Itemize which options in each profile that you specifically want, or wish to excludespecifically want, or wish to exclude
Ask your vendor to commit to all of the IHE Ask your vendor to commit to all of the IHE requirements agreed uponrequirements agreed upon
RFPRFP
Look at the user’s handbook prior to purchasesLook at the user’s handbook prior to purchases Do your homework and understand what each Do your homework and understand what each
profile is giving youprofile is giving you Specify for each piece of equipment (actor) Specify for each piece of equipment (actor)
that you purchase, all IHE profiles you requirethat you purchase, all IHE profiles you require If the profiles are not yet implemented by the If the profiles are not yet implemented by the
vendor, get a date of conformance vendor, get a date of conformance
IHE Integration StatementsIHE Integration Statements
Explicit claim by the vendor,Explicit claim by the vendor, for a specific product version for a specific product version
Lists profiles, actors, optionsLists profiles, actors, options
Short & SweetShort & Sweet
User’s HandbookUser’s Handbook
Information to help in purchasing of digital Information to help in purchasing of digital equipmentequipment
Diagnostic WorkstationDiagnostic Workstation ModalityModality Understanding the IHE profiles and Understanding the IHE profiles and
specifically what each offers for each piece of specifically what each offers for each piece of equipmentequipment
RFP templateRFP template