1September, 2005 What IHE Delivers
Lloyd Hildebrand, M.D., American Lloyd Hildebrand, M.D., American Academy of Ophthalmology, Medical Academy of Ophthalmology, Medical Information Technology Committee ChairInformation Technology Committee Chair
IHE Eye Care WebinarIHE Eye Care WebinarWhy IHE Eye Care?Why IHE Eye Care?
From a Business Point of View From a Business Point of ViewJune 6, 2006June 6, 2006
2
AAO SupportAAO Support
Collaboration WG9
• Bringing users and vendors together
Standards DICOM
• Ophthalmic Photography• Ophthalmic Tomography
SNOMED• Convergent Ophthalmic Terminology Project
Interoperability Integrating the Healthcare Enterprise
3
Integrating the Healthcare Enterprise (IHE) Eye Care Stimulates the integration of eye care information
resources Uses standards to communicate images and
patient data, i.e., DICOM Is part of a larger initiative across medicine,
Integrating the Healthcare Enterprise (IHE)
4
Premise of IHE Eye CarePremise of IHE Eye Care
Standards Pre-requisite for multi-vendor interoperability Basis for fully electronic offices
Interoperability Seamless and secure exchange of patient information
electronically Fueled by federal government programs and funding
Market demand Requirements for interoperability because purchasers want
efficiency and quality
5
Electronic Health RecordsElectronic Health Records
Electronic health records (EHR) vs. paper records Scheduled workflow Automatic demographics Automatic billing
Emphasis on electronic workflow between different office functions
Front office functions Patient registration / patient scheduling / order placing
Clinical functions Procedure scheduling Acquisition / Analysis Professional reporting
Back office functions Charge processing
6
Modality WorkflowModality Workflow
Digital instrument records vs. film or paper
Emphasis on electronic workflow for storage and review of modality data
Clinical function of acquisition & analysis
Classic example: digital photography vs. film
Includes future multi-modality clinical management systems
7
Vision of Office of the FutureVision of Office of the Future
Networking will use industry standards (IHE / DICOM / HL7)
Will look like offices of the present in other medical specialties
Radiology Cardiology Patient Care (adopting IHE now)
Customers will expect plug-and-play
If it doesn’t work, will want to return it
The future is here
Concept demonstrated at AAO 2005 IHE Eye Care Showcase Full electronic workflow at AAO 2006 IHE Eye Care Showcase
8
Electronic WorkflowElectronic Workflow
The vision is full electronic workflow, eliminating the need for paper, film, or removable media to transfer information, and having patient care data anytime, anywhere.
This is made possible through implementation of industry-wide standards.
9
President BushPresident Bush
Executive Order April 27, 2004 Incentives for use of health information
technology and establishing position of the National Health Information Technology Coordinator
Overall goal is the widespread adoption of interoperable electronic health records within 10 years
10
Vision of National Interoperable HITVision of National Interoperable HIT
Information available at the time and place of care
Improves quality, reduces errors, and advances evidence-based medical care
Reduces costs resulting from inefficiency, errors, incomplete information
Improves coordination of care and information among providers
Ensures that patients' individually identifiable health information is secure
11
US Government PolicyUS Government Policy
Goal to increase efficiency of healthcare administration
Policy to encourage development of nationwide electronic healthcare records
Funding for government healthcare facilities to implement EHR
Strong participation by government agencies in industry standards efforts
Government healthcare facilities require networking solutions
VistA Office project funded by US government
12
US Government FundingUS Government Funding
$3,300,000 awarded to American National Standards Institute (ANSI) to convene the Health Information Technology Standards Panel (HITSP).
HITSP will develop, prototype, and evaluate a harmonization process for achieving a widely accepted and useful set of health IT standards that will support interoperability among health care software applications
13
StandardsStandards
Standards are fundamental to success of widespread interoperability
Many standards for health information exchange exist, but variations and gaps hinder interoperability and the widespread adoption of health IT
IHE provides a common framework for passing health information seamlessly through developing solutions for integration problems
14
imagesstored
imagesretrieved
report
Scheduled Workflow ProfileScheduled Workflow Profile
Orders Filled
report
Workstation
Modality
acquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
EMR
PMS
procedurescheduled
Image Manager& Archive
StorageServer
Orders Placed
ReportRepository
Registration
AcquisitionModality
15
Benefits to IHE ParticipantsBenefits to IHE Participants
Manufacturers/Vendors Align product interoperability with industry
consensus Decreased cost and complexity of interface
installation and management Focus competition on functionality/service space,
not information transport space, thus reducing costs in the long run
Produce devices that meet customers’ demands for interoperability and connectivity
16
Benefits to IHE ParticipantsBenefits to IHE Participants
Clinicians Improved workflow Information when and where needed Fewer opportunities for errors Fewer tedious tasks/repeated work Improved report turn around time Increased efficiency overall Increased quality of care
17
**HIMSS web-based survey in data collection in November 2004 – 163 participants
6%
14%
18%
28%
35%
Fewer Point-to-PointInterfaces
Improved Use of Data
Enhanced PatientSafety
Improved Access toData
Improved ClincalWorkflow
2005 IHE Survey Results2005 IHE Survey Results
Potential benefits of IHE Improved clinical workflow + access of data = 63%
18
**HIMSS web-based survey in data collection in November 2004 – 163 participants
22%
30%
52%
56%
Other
Increased Sales
Technical Framework ProvidesInformation to Marketing Staff
Reduced Deployment Costs
2005 IHE Survey Results2005 IHE Survey Results
Benefits of IHE in products Reduce deployment costs
= 56%
19
Success depends on interoperabilitySuccess depends on interoperability
Clinicians and providers need confidence that the EHR will consistently support clinical information
Patients need confidence that the most current information is available and reusable
Vendors need confidence that providers will be satisfied
Healthcare policy and payers need confidence that quality and efficiency will improve
IHE is a foundational component of the Healthcare Information Technology Standards Panel (HITSP) standards harmonization activities
20
Effective bridge between information exchange standards
and their practical usein eye care
21
SummarySummary
Standards are a pre-requisite for multi-vendor interoperability
Standards will fuel the transition to fully electronic offices within the next 5 years
IHE Eye Care is the vehicle to implement standards and enable interoperability in the ophthalmic marketplace Derive savings to the manufacturers Produces desired results for the purchasers Propels eye care into the electronic age