IHE - Collaboration A framework for Success

1. IHE - Collaboration A framework for Success • Christopher Lindop, MSEE • GE Healthcare • Interoperability & Standards • IHE Radiology Co-Chair • IHE Australia Board Member

2. Standards: Necessary…Not Sufficient • Standards are • Foundational - to interoperability and communications • Broad - varying interpretations and implementations • Narrow - may not consider relationships between standards domains • Plentiful - often redundant or disjointed • Focused - standards implementation guides focus only on a single standard

3. Integrating the Healthcare Enterprise Promotes standards-based integration and interoperability - accelerate the rate & quality of integration Focused on practical solutions to key user-identified integration problems Integration Profiles Connectathons Demonstrations Cooperative effort involving clinicians and professional societies, vendors and industrial associations, governments and health care organizations

4. IHE - 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 • A forum for agreeing on how to implement standards and processes for making it happen

5. GMSIH SFRSFIL MSIA COCIR EAR-ECR DRG HISA SIRM BIR EuroRec RANZCR ESC JAHISJIRAJRS ADIA METI-MLHW MEDIS-DCJAMI HIMAA IHE Organizational Structure IHE (International) Board Global Development Regional Deployment IHE North America IHE Asia-Oceania China Japan Radiology IT Infrastructure Laboratory Canada USA Korea Taiwan Cardiology Patient Care Coordination Pathology Australia IHE Europe Radiation Oncology Patient Care Devices Pharmacy / Medication Admin Netherlands France Germany Italy Spain UK Norway Sweden Professional Societies / Sponsors Contributing & ParticipatingVendors ACC ACP HIMSSRSNA

6. Leveraging the IHE Standards Adoption Process Document Use Case Requirements Public Interoperability Demonstrations Identify available standards Develop technical specifications Testing at Connectathons Deploy multi-vendor Integrated Solutions Develop Easy to integrate products

8. An integration profile … • Describes actors and transactions allowing exchange to occur

9. Department System Department System Image Image Order Order Acquisition Acquisition ADT ADT Scheduler/ Scheduler/ Manager/ Manager/ Placer Placer Modality Modality Order Filler Order Filler PPS Manager PPS Manager Register Register J.Doe J.Doe Patient Patient Registration [RAD Registration [RAD - - 1] 1] Placer Order Placer Order Management Management – – One or the One or the New [RAD New [RAD - - 2] 2] other methods other methods of creating an of creating an Filler Order Filler Order order is used order is used Management Management - - Schedule Schedule New [RAD New [RAD - - 3] 3] Procedure Procedure Procedure Procedure Scheduled [RAD Scheduled [RAD - - 4] 4] Query Modality Worklist [RAD Query Modality Worklist [RAD - - 5] 5] Perform Perform Modality Procedure Modality Procedure Modality Procedure Modality Procedure Filler Order Filler Order Acquisition Acquisition Step In Progress Step In Progress Step In Progress Step In Progress Mgmt Mgmt - - Status Status [CARD [CARD - - 1] 1] [CARD [CARD - - 1] 1] Update [RAD Update [RAD - - 3] 3] Modality Procedure Modality Procedure Modality Procedure Modality Procedure Patient Reconciliation Patient Reconciliation Filler Order Filler Order Step Completed Step Completed Step Completed Step Completed Mgmt Mgmt - - Status Status [RAD [RAD - - 7] 7] [RAD [RAD - - 7] 7] J.Doe J.Doe - - > > Update [RAD Update [RAD - - 3] 3] J.Smith J.Smith Patient Update/ Patient Update/ Patient Update/ Patient Update/ Merge [RAD Merge [RAD - - 12] 12] Merge [RAD Merge [RAD - - 12] 12] IHE Profiles Actor/Transaction Diagrams Sequence Diagrams Detailed standards implementation guides Textual Description

10. A content profile … • A sharable information component that can be exchanged… • within a Health Information Community (XDS) • via Media or USB Device (XDM) • via Reliable Messages (XDR) • Document content using standards • HL7 CDA Release 2.0 • HL7 Care Record Summary • ASTM/HL7 Continuity of Care Document • Library of Reusable Parts

11. Integration Statements

12. Connectathon

13. 2009 Connectathon Status • North American Connectathon • February 23-27 • 77 companies, 126 systems • Chicago, Ill • European Connectathon • April 23-27 • 73 companies, 94 systems • Vienna, Austria • Japan Connectathon • October 26-30 • 40 vendors, 86 systems • Tokyo, Japan • Australia Connectathon • Sydney, AU • July 27 – 31 • China Connectathon • Shanghai, China • Beijing, China May 25- May 29 • Malaysia Connectathon • Kuala Lumpur 12-14 January

14. IHE in Australia Australian IHE Member Organizations • Clinicians & Professional Societies • Health Informatics Society of Australia • Royal Australian and New Zealand College of Radiologists • Health Information Management Association of Australia • 42 Organizations worldwide • Trade Associations • Medical Software Industry Australia • Australian Diagnostic Imaging Association 6 organizations worldwide • Government Agencies and Public-Private Partnerships 12 Organizations worldwide • Standards Development Orgs (SDOs) • HL7 (including HL7 Australia) 6 Organizations worldwide • Vendors & consultants Over 177 vendors and consultant firms worldwide Australian IHE Supporters • Government Agencies and Public-Private Partnerships NICTA DOHA • Standards Development Orgs (SDOs) AHML

15. IHE (International) Board Contributing & ParticipatingVendors IHE Organizational Structure Global Development Regional Deployment IHE North America IHE Asia-Oceania China Japan Radiology IT Infrastructure Laboratory Canada Patient Care Coordination USA Korea Taiwan Australia Cardiology Patient Care Coordination Pathology IHE Europe Radiation Oncology Patient Care Devices Pharmacy / Medication Admin Netherlands France Germany Italy Spain UK Norway Sweden Australia Professional Societies / Sponsors MSIA HISA HL7 Australia RANZCR ADIA HIMAA

16. IHE Profile Development : Chronic Care Coordination • Problem to be solved • To provide efficient support for planned care and follow-up in Chronic Disease Management (CDM) • In CDM, guidelines are typically embodied in a simple care plan that specifies referrals to a care team. Tracking of referral with reporting by exception on clinical issues is an efficient way to support care management. • Existing care planning and management systems are already implementing this functionality and would benefit from a standardised approach