HIMSS10_Showcase_Theater_Presentation_IHE_in_the_Hospital

8/7/2019 HIMSS10_Showcase_Theater_Presentation_IHE_in_the_Hospital

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IHE Changing the WayIHE Changing the WayHealthcare ConnectsHealthcare Connects

in HOSPITALSin HOSPITALS

HIMSS Interoperability Showcase March 2010HIMSS Interoperability Showcase March 2010


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IHEIHEThe Business Case for HospitalsThe Business Case for Hospitals

System Integration, the hospital nightmare:

An average hospital has 20 to 60 health ITsystems from 8 to 15 vendors.

Systems are pair-wise integrated, through

locally specified solutions based oncustomized standards.

It is expensive, complex and hard to maintain.


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IHEIHEThe Business Case for HospitalsThe Business Case for Hospitals

With IHE Re-engineer System Integration :

Leverage standards-based, robust andinnovative multi-vendor specificationsrefocus customization to value-add

Reduce RFP costs with common guidelines inpurchasing and integrating systems thatdeliver these solutions

It works, demonstrated here by your vendors !Lets look at specific solutions.


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11 Years of Steady Evolution 199811 Years of Steady Evolution 1998 20092009

The IHE Development DomainsThe IHE Development Domains

PharmacyNEW 2009

Pathology

since 2006

Radiation Oncologysince 2004

Radiologysince 1998

Cardiology

since 2004

Patient Care Devicessince 2005

Patient Care Coordinationsince 2004

Eye Caresince 2006

QualityResearch & Public Health

since 2006

Laboratorysince 2004

(Healthcare)IT Infrastructure

since 2003


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IHE Solutions within the EnterpriseIHE Solutions within the Enterprise

eMPIeMPI

User AuthUser Auth

EnterpriseEnterprise

IT InfrastructureIT Infrastructure

LaboratoryLaboratory

LISLIS

Auto MgrAuto Mgr AnalyzerAnalyzer

EMR - HISEMREMR -- HISHIS

CardiologyCardiology

CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS

PACSPACSImg AcqImg Acq

--RadiationRadiation

TherapyTherapy

--Patient CarePatient Care

DevicesDevices--PathologyPathology

--Eye CareEye Care


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Cath Lab WorkflowCath Lab Workflow

1

23 4

567

8 9 10 11

IHE Cath Workflow ProfileIHE Cath Workflow Profileincludes Electrophysiology labincludes Electrophysiology lab

Error prone data entry:

Multiple re-entry of Patient ID

Uncoordinated with Hospital

Information System Unidentified patients (emergency)

Results fragmented across

systems

Inconsistently time-tagged Custom solutions needed for data

sharing

Difficult to manage

Un-ordered cath exams

Change of rooms during procedure

Ad hoc scheduling of cath labs

The Cure for:The Cure for:


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Echo WorkflowEcho Workflow

Need to solve the drive-by echo ?Cardiologist to sonographer in CCU: Whileyoure here, do a TTE on bed 3

Unordered, unscheduled exam

Machine disconnected from network

Stress echo, need more automation ?After exam, sonographer creates new quaddisplays of stages and views

No intrinsic value add

Data is redundantly copied to storage

IHE Echo Workflow ProfileIHE Echo Workflow Profile


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Stress WorkflowStress Workflow

~85% of stress tests are multi-modality (ECG + imaging)

~0% of current architectures manageECG and imaging workflow andresults in an integrated manner

Poor adherence to ACC/ASNCnuclear image display requirements

IHE Stress Testing ProfileIHE Stress Testing Profile

and IHE Nuclear Medicineand IHE Nuclear MedicineImage ProfileImage Profile


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IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseCardiologyCardiology

RadiologyRadiology CardiologyCardiology LaboratoryLaboratory



EMREMR -- HISHIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS



TherapyTherapy



Cardiology Integration ProfilesCardiology Integration Profiles

Cardiac Catheterization Lab Workflow

Echocardiography Lab Workflow

Retrieve ECG for Display

Displayable Reports

Cath and Echo Evidence Documents

Implanted Device Observations

eMPIeMPI

User AuthUser Auth


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eMPIeMPI

User AuthUser Auth




LISLIS




CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS



TherapyTherapy



--Eye CareEye Care


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Laboratory Scheduled WorkflowLaboratory Scheduled Workflow

Value PropositionValue PropositionA comprehensive workflow approach Address specimen linkage most lab specialties: Blood gases, Chemistry, Hematology, Immunology,

Laboratory, Microbiology, Mycobacteriology, Mycology, Serology,

Toxicology, Virology.Provides workflow improvement Increases continuity and integrity of clinical data Decreases user need for manual tasks.

Spans ordering, conformity of specimens, labautomation, results delivery.

Externally placed order with identified specimens

Externally placed order with specimens unidentified or to be

collected by the laboratory Internally placed order with specimens identified by third party or

collected by the laboratory


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IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseLaboratoryLaboratory




EMREMR -- HISHIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS



TherapyTherapy



--Eye CareEye Care

Laboratory Integration ProfilesLaboratory Integration ProfilesLaboratory Testing Workflow

Laboratory Barcode Labeling

Laboratory Point Of Care Testing

Laboratory Device AutomationLaboratory Code Set Distribution

eMPIeMPI

User AuthUser Auth


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eMPIeMPI

User AuthUser Auth




LISLIS




CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS



TherapyTherapy



--Eye CareEye Care


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Scheduled WorkflowScheduled Workflow

& patient Info reconciliation& patient Info reconciliation

Backbone of IHE Radiology:

Integrates Registration, Scheduling, Acquisition

Workflow and Image ContentPreserve Order Continuity, improve DemographicIntegrity, synchronized Worklists

Reliable Storage, Improve Order TrackingReduce Integration Effort at Site

Combines use of HL7 and DICOM standards


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IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseRadiologyRadiology




EMREMR -- HISHIS

RISRIS


CISCIS

CathCath ECGECG

LISLIS



TherapyTherapy



--Eye CareEye Care

eMPIeMPI

User AuthUser Auth

Radiology Integration ProfilesRadiology Integration Profiles

Radiology Scheduled Workflow

Patient Information Reconciliation

Access to Radiology Information

Portable Data for Imaging

Consistent Presentation of ImagesKey Image Note

Presentation of Grouped Procedures

Evidence Documents

Audit trail and Node Authentication (Radoption)

Simple Image and Numeric Reports

Media Import Reconciliation Workflow

Radiation Exposure Monitoring

How to use IHE ?How to use IHE ?

IHEIHERadiologyRadiology

HandbookHandbook


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eMPIeMPI

User AuthUser Auth




LISLIS




CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS



TherapyTherapy



--Eye CareEye Care


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Patient Administration Mgt (PAM)Patient Administration Mgt (PAM)

Coordinates exchange of patient registrations,updates, and movements for all clinical areas

Information may be received and processed byconsuming applications in any clinical domain

Optionally allows unambiguous updating of

historic patient movement eventsDemographic and encounter tracking works inboth inpatient and ambulatory care settings

Standardizes on HL7 V2.5 and its conformancestructures


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Patient Administration ManagementPatient Administration Management

Actor & Transaction: flexibility and compatibilityActor & Transaction: flexibility and compatibility

OR

Patient DemographicsSource

Patient Demographics

Consumer

Patient Encounter

Source

Patient Encounter

ConsumerPatient Identity Feed

[ITI-030]

Patient Encounter

Management [ITI-031]

PatientDemographics

Consumer

Patient EncounterSource

Patient Encounter

Consumer

PatientDemographics

Source

Patient Identity

Feed [ITI-030]

Patient Encounter

Management [ITI-031]

FlexibleFlexible

Actor groupingActor grouping


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Patient Demographics QueryPatient Demographics Query HL7 V2.5HL7 V2.5

Adopted by HITSPAdopted by HITSP


Supplier


Consumer

Patient

Demographics

Query

Patient

Demographics

and Visit Query

Registration system orRegistration system or

departmental system that isdepartmental system that is

connected on demand to it.connected on demand to it.

Diverse systems includingDiverse systems including

bedside monitors, physicianbedside monitors, physician

office systems, lab applications,office systems, lab applications,

mobile blood bank registries;mobile blood bank registries;might be any system at the pointmight be any system at the point

of care.of care.


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Patient Identifier CrossPatient Identifier Cross--referencingreferencing--HL7 V2.5HL7 V2.5

Adopted by HITSPAdopted by HITSP

Patient Identity Feed [ITI-8] PIX Query [ITI-9]

PIX Update Notification [ITI-10]

Patient Identity Source

Patient Identity Cross-

reference Manager

Patient Identity

Consumer

Registration system or eMPIRegistration system or eMPI

Registration systemRegistration systemDepartmentalDepartmental

or Outpatient systemor Outpatient system


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IHE Solutions within the EnterpriseIHE Solutions within the EnterpriseIT Infrastructure (Enterprise)IT Infrastructure (Enterprise)


RISRIS


CISCIS

CathCath ECGECG

LISLIS



TherapyTherapy


DevicesDevices

--PathologyPathology

--Eye CareEye Care

eMPIeMPI

User AuthUser Auth

EMREMR -- HISHIS

IT Infrastructure Integration ProfilesIT Infrastructure Integration Profiles

Patient Administration Management

Patient Demographics Query

Patient Identifier Cross-referencing

Retrieve Information for Display

Enterprise User Authentication

Consistent Time

Patient Synchronized Applications

Audit Trail and Node Authentication

Personnel White Pages




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IHE Solutions for extending the EnterpriseIHE Solutions for extending the Enterprise

eMPIeMPI

User AuthUser Auth




LISLIS




CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS



TherapyTherapy


DevicesDevices


--Eye CareEye Care

Outpatient ClinicOutpatient Clinic

EMREMR

Pactice MgtPactice Mgt

Partner ClinicPartner Clinic

EMREMR


PracticePractice

EMREMR



EMREMR


Partner ClinicPartner ClinicEMREMR


PracticePractice

EMREMR


Partner PracticesPartner Practices

EMREMR


Index of sharedIndex of shared

patients recordspatients records Accessing:Accessing: Patient ChartsPatient Charts

Laboratory,Laboratory,

Radiology resultsRadiology results


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IHE Solutions for Extending the EnterpriseIHE Solutions for Extending the EnterpriseIntegrated Delivery NetworksIntegrated Delivery Networks

eMPIeMPI

User AuthUser Auth




LISLIS




CISCIS

CathCath ECGECG

RadiologyRadiology

RISRIS



TherapyTherapy


DevicesDevices


--Eye CareEye Care

Outpatient ClinicOutpatient Clinic

EMREMR



EMREMR


PracticePractice

EMREMR



EMREMR



EMREMR


PracticePractice

EMREMR


Partner PracticesPartner Practices

EMREMR


Index of sharedIndex of shared

patients recordspatients records

Integration Profiles for an IDNIntegration Profiles for an IDN

Cross-Enterprise Document Sharing

Patient Id Cross-Referencing

Patient Demographics Query

Audit Trail and Node Authentication

Consistent Time

Sharing of Medical Summaries

Sharing of Lab Reports

Sharing of Imaging Information

Sharing of Scanned Documents

See presentation: IHE ForCommunities


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Leverage IHELeverage IHE

Information publicly available for the good of theindustry

As a Vendor

Implement Integration Profiles in your software

Validate your implementations through Connectathon process

Publish Integration Statement for your products

Access expertise via group distribution listsAs a User or Consultant

Use IHE Integration Profiles to develop interoperability strategy

Use Connectathon Results and Integration Statements to evaluate

vendors Demand IHE Integration Profile compliance in RFPs


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Participate in IHEParticipate in IHE

Join IHE via a member organization

Various levels of commitment to choose from

Attend Interoperability Showcase Demonstrations,Educational Events, Conferences and Webinars

Provide Public Comments on Technical Framework,Supplements and Whitepapers

Users, Vendors, Consultants can participate

Domain Observer

Domain Planning Committee Member

Domain Technical Committee Member

http://www.ihe.net/participation/http://www.ihe.net/participation/


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IHE Web site:IHE Web site: www.IHE .netwww.IHE .netFrequently AskedFrequently Asked QuestionsQuestions

Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks:See Volume 1 of each TF for Use casesSee Volume 1 of each TF for Use cases

Cardiology Eye Care

IT Infrastructure

Laboratory

Patient Care Coordination Patient Care Devices

Pathology

Quality

Radiation Oncology

Radiology

Connectathon Result:Connectathon Result: www.ihe.net/connectathonwww.ihe.net/connectathon

Vendor Products Integration StatementsVendor Products Integration Statements


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