User Success Stories

1. User Success Stories HIMSS Interoperability Showcase February 2006 David Piraino, M.D.

2. Standards are critical but alone are not enough • Standards offer generality, ambiguity and alternatives • Standard Implementation Guides are focused on a single standard • Increasing complexity IHE provides a standard process for implementing multiple standards!

3. Connecting standards to care • Care providers work with vendors to coordinate the implementation of standards to meet their needs • Care providers identify the key interoperability problems they face • Drive industry to develop and make available standards-based solutions • Implementers follow common guidelines in purchasing and integrating systems that deliver these solutions What is the effective way to establish those “standards” for how to implement standards ?

4. IHE 2006 – Nine Active Domains Over 100 vendors involved world-wide,5 Technical Frameworks 38 Integration Profiles, Testing at Connectathons Demonstrations at major conferences world-wide

5. IHE User Success Stories • Case studies from sites that have used IHE integration profiles to integrate systems and achieve interoperability • Identify what systems were implemented, describes the integration process and the impacts on clinical care • 22 published online from institutions of all sizes from around the world

6. IHE User Success Stories http://www.rsna.org/IHE/participation/success_stories/index.shtml • Cleveland Clinic Foundation • Detroit Medical Center • Grossman Imaging Centers • Hôpitaux Universitaires de Genèv • IHE McKay-Dee Hospital • Johannes Gutenberg University Hospital • Magic Valley Regional Medical Center • Mayo Clinic Jacksonville • Our Lady Of The Lake Regional Medical Center (OLOL) • VA Puget Sound Health Care System • St. Vincent Hospital and Health Services • Steinberg Diagnostic Medical Imaging • University of Pisa • University of Wisconsin

7. IHE Model • Actors in precisely defined roles • Abstracts a specific function of information system • …Executing precisely defined transactions • Using existing standards • ……To solve real world interoperability problems • Select Integration Profile for implementation

8. An Integration Profile : • A Set of Actors • Exchanging Transactions Use casesProcess Flows Actors Transactions • For each transaction: • Std referenced • Options specified • Mapping required IHE Technical FrameworksImplementation Guide for each Integration Profile

9. IHE Integration Statements IHE Integration Statements document the product IHE capabilities in terms of IHE: Actors and Integration Profiles. • Promote your products with the Integration Statements • Learn from other Vendors Integration Statements the IHE Profiles and Actors supported The RSNA links to IHE Integration Statements published by the companies: - Agfa HealthCare - Philips Medical Systems - Cerner Corporation - Sectra - Eastman Kodak Company - Siemens Medical Solutions - Emageon - Softmedical - Fujifilm Medical Systems USA - Stentor - GE Medical Systems - StorCOMM, Inc - INFINITT Co., Ltd. - Tiani Medgraph AG - McKesson Information Solutions - Toshiba America Medical Systems - Medcon - Voxar Limited

10. Charge Posting Presentation of Grouped Procedures Reporting Workflow KeyImageNotes Simple Image & Numeric Reports NMImage Consistent Present-ation of Images EvidenceDocs Access to Radiology Information Portable Data for Imaging IHE Radiology Integration Profiles Scheduled Workflow - Patient Info. Recon-ciliation Post-Processing Workflow Basic Security

11. report Registration Film Lightbox Image Manager & Archive Orders Filled Film Folder Diagnostic Workstation Film Report Repository Orders Placed AcquisitionModality acquisitioncompleted acquisitionin-progress imagesprinted Modality acquisitioncompleted Scheduled Workflow Profile

12. Consistent Presentation of Images Area Of Interest Area Of Interest Achieving Consistent Presentation Flip Zoom Annotate Original Image Without Consistent Presentation Window Level Referring Physician or Reviewing Radiologist Reporting Radiologist Presentation State Presentation LUT Grayscale Standard

13. Report:CHEST Report:AB/PELVIS Ab/Pelvis View Chest View Chest View MODALITY Performs a single exam Operator groups 2 procedures Ab/Pelvis View Presentation of Grouped Procedures Profile Requested Procedure:CHEST RIS / PACS Requested Procedure:AB/PELVIS

14. IHE Success Stories • Deployment of IHE Profiles – Most Used: - Scheduled Workflow (SWF) - Patient Information Reconciliation (PIR) - Consistent Presentation of Images (CPI) - Reporting Workflow (RWF) - Basic Security for HIPAA regulations (SEC) • Clinical and Economics Accomplishments - Improve the Patient Care– Improved data accuracy and Safety, Image Quality & Consistency and time saving due to optimized Workflows and integrated systems - Improve the clinical practice productivity - reduced manual data entry using the ADT registration in one place and propagate it to all the other systems (PACS, RIS Modality) and reduced errors. - Optimize the Radiological Workflow (SWF) Reduced the incorrectly or lost studies, using DICOM MWL, MPPS

15. Want to know what new integration profiles will be developed in 2006 ? • Attend the IHE Domain specific sessions in these Theaters during HIMSS 2006 (Orange sessions) • Contact the IHE Domain Sponsors • Visit the IHE Web Site

16. What can you do? • Learn about IHE • Insist on IHE compliance in your RFPs and contract documents: • Select Integration Profiles, and Appropriate Actor(s) • Ask vendors for their products “IHE Integration Statements”. • Need more interoperability ? • Contribute to IHE Committees

17. IHE Web site:www.IHE .net • Frequently AskedQuestions • Integration Profiles in Technical Frameworks: See Volume 1 of each TF for Use cases • Cardiology • IT Infrastructure • Laboratory • Patient Care Coordination • Radiology • Connectathon Result: www.ihe.net/Events/connectathon_results.cfm • Vendor Products Integration Statements • Participation in Committees & Connectathons