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Integrating the Healthcare Enterprise

Learn how the IHE process improves clinical care by integrating healthcare information resources. This workshop focuses on cardiology and provides detailed frameworks for implementing data standards. Sponsored by RSNA, HIMSS, and ACC.

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise Applying the IHE Process to Cardiology Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services, HIMSS Christopher Carr Director of Informatics, RSNA

  2. IHE Process:Organizational Overview • Goal: • Stimulate integration of healthcare information resources to improve clinical care • Develop and publish detailed frameworks for implementing established data standards • Support testing, demonstration and education to promote deployment IHE Cardiology Workshop

  3. Sponsor: RSNA Sponsor: HIMSS Sponsor: ACC Sponsors: GMSIH, SFIL, JAHIS IHE-North America IHE-Asia Oceania IHE-Europe Radiology Planning Cmte IT Infrastructure Planning Cmte Cardiology Plan Cmte Lab Plan Cmte Local/Domain Review Committees Local/Domain Review Committees Local/Domain Review Committees Radiology Technical Cmte IT Infrastructure Tech Cmte Cardiology Tech Cmte Lab Tech Cmte IHE-USA IHE-Canada IHE-Japan IHE-Korea IHE-China IHE-France IHE-Denmark IHE- Italy IHE -UK Organization Overview Development International, Domain Specific Deployment Regional and National Strategic Development Committee Domain Committees/Domain Sponsors and Cooperating Organizations National/Regional Deployment Initiatives/SponsoringOrganizations IHE Cardiology Workshop

  4. Two principal activities • Development • The work process that leads to publication of the IHE Technical Framework • Deployment • Testing and demonstrations • Promotional and educational efforts IHE Cardiology Workshop

  5. Development Activities • Domain specific and Global in scope • Defines and documents standards-based solutions to address specific clinical and operational integration needs  Integration Profiles • Detailed in the Technical Framework IHE Cardiology Workshop

  6. IHE Technical Framework • Based on a consensus selection of established standards • Carefully constrains implementation of these standards • Makes the attainment of functional systems integration more efficient and less expensive IHE Cardiology Workshop

  7. IHE Technical Framework IHE Cardiology Workshop

  8. Strategic Development Committee • Evolving to international in scope • Broadest oversight body • Define and publish the goals of IHE and guidelines for activities • Oversee adherence to goals/guidelines • Communication and coordination among domain committees and regional/national initiatives IHE Cardiology Workshop

  9. Strategic Development Committee • Domain expansion activities • Recruitment and liaison with related industry organizations • Composition • Selected members/staff of sponsoring organizations • Current/past co-chairs of Domain Planning/Technical Committees • Invited reps of national/regional initiatives • Invited domain experts and reps of targeted expansion domains IHE Cardiology Workshop

  10. Review Committee • Executive staff and senior membership of sponsors • Mediate issues that may have implications for commercial competition • Final authority on planning and execution of deployment activities in their nation or region IHE Cardiology Workshop

  11. Domain-specific Planning and Technical Committees • International in scope • Perform the work of selecting appropriate standards to address identified integration issues • Define constrained implementations of these standards • Document these implementations in the IHE Technical Framework IHE Cardiology Workshop

  12. Annual Cycle • Scope planning • Technical Framework publication and review • Coordination with deployment activities IHE Cardiology Workshop

  13. Date Event July Planning and Technical Committees: Initial annual organizational meeting Planning Committee: Initial Integration Profile development proposals August - September Planning Cmte: Development and review of Integration Profile proposals October Planning Cmte: Selection of Integration Profiles for development as sections of Technical Framework November - January Technical Committee: Development of Technical Framework Supplements to support new Integration Profiles and other changes February Tech Cmte: Publication of Expanded Technical Framework for public review March Public Review period for expanded Technical Framework April Tech Cmte: Resolve public comments on extensions to Technical Framework and publish draft for Trial Implementation. November Tech Cmte: Resolve comments on Technical Framework and publish final stable version. IHE Radiology Timeline IHE Cardiology Workshop

  14. Date Event July Planning and Technical Committees: Initial annual organizational meeting Planning Committee: Initial Integration Profile development proposals August - September Planning Cmte: Development and review of Integration Profile proposals December Planning Cmte: Selection of Integration Profiles for development as sections of Technical Framework January-May Technical Committee: Development of Technical Framework Supplements to support new Integration Profiles and other changes June Tech Cmte: Publication of Expanded Technical Framework for public review July Public Review period for expanded Technical Framework August Tech Cmte: Resolve public comments on Technical Framework and publish draft for Trial Implementation February Tech Cmte: Resolve comments on Technical Framework and publish stable yearly version. IHE IT Infrastructure Timeline IHE Cardiology Workshop

  15. Planning Committee • Develop and review Integration Profile proposals • Determine scope development priorities within their domain • Communicate and coordinate development activities across domains IHE Cardiology Workshop

  16. Technical Committee • Assess feasibility of scope development priorities • Develop detailed documentation of approved Integration Profiles for inclusion of IHE Technical Framework IHE Cardiology Workshop

  17. Committee Representation • Includes representatives from organizations whose systems and software are used within the given domain • Domain experts provide guidance and oversight to development activities • Identify key clinical integration priorities • Review the work product to ensure that it addresses these priorities. • Staff liaison(s) from sponsoring organization IHE Cardiology Workshop

  18. Committee Responsibility • Participation is open and voluntary • General invitation at start of annual cycle • Responsibilities • Attendance at committee meetings • Attendance in teleconferences • Performing committee assignments IHE Cardiology Workshop

  19. Committee Sponsors • Professional societies and trade associations representing relevant domains • Share responsibility for logistics and expenses of committee activities • Recruitment and organization of committee participants IHE Cardiology Workshop

  20. Committee Sponsors • Scheduling and hosting meetings • Secretarial duties • Communication and publication of materials • Coordinate educational/promotional efforts • Designate staff and allocate resources IHE Cardiology Workshop

  21. Committee Sponsors • Maintain and publish rosters and schedules of domain activities • Document meeting minutes • Maintain committee documents/work products • Communicate with national IHE initiatives and others IHE Cardiology Workshop

  22. Committee Sponsors • Designate individual members to provide advisory input, oversee and participate in domain-specific planning committees • These representatives work through their organizations to gather the broadest domain expertise to determine strategic and scope development priorities IHE Cardiology Workshop

  23. Domain Organizational Sponsor IT Infrastructure Healthcare Information and Management Systems Society (HIMSS) Radiology Radiological Society of North America (RSNA) Laboratory Groupement pour la Modernisation du Système d'Information Hospitalier (GMSIH); Association Harmoniser et Promouvoir les Informatiques Medicales (H.PR.I.M) Japan Association of Healthcare Information Systems Industry (JAHIS) Cardiology American College of Cardiology (ACC) IHE Development Domain Sponsors IHE Cardiology Workshop

  24. Cooperating Organizations • Do not undertake the financial and resource commitments • Agree to be listed on IHE publications • May designate a liaison to the appropriate domain planning committee • Communicate their strategic and scope priorities • Receive reports of committee activities • Example: American College of Clinical Engineering (ACCE) IHE Cardiology Workshop

  25. Deployment Activities • Domain specific and national or regional in scope • Foster implementation of IHE Integration Profiles • Process: • Interoperability testing • Demonstration • Education • Promotion IHE Cardiology Workshop

  26. National - Regional Initiatives • Coordinate the deployment of the IHE Technical Framework and Integration Profiles • Give input to their development relevant to local needs • May rely on funding from other organizations (e.g. governmental bodies or foundations) IHE Cardiology Workshop

  27. National - Regional Initiatives • Sponsored and overseen by relevant professional associations and local vendor representatives • Responsible for • Organizing testing/implementation efforts • Public presentations • Education IHE Cardiology Workshop

  28. Deployment Activities • Recruit national IHE initiative participants, sponsors and contributors • Participate in regional IHE initiative planning activities & coordinate with national activities • Communicate with other IHE regional and national initiatives • Plan and support interoperability testing process, Connectathons, demonstrations and educational and promotional events IHE Cardiology Workshop

  29. Deployment Activities • Retain a technical project manager/team to coordinate testing, Connectathons, and demonstrations • Publish and disseminate educational/promotional materials • Develop and proposed national extensions to the Technical Framework to address national policies/traditions of care IHE Cardiology Workshop

  30. Date Event April RSNA: Invitation to vendors to participate in testing and demonstration process; hold vendor workshop April Submission of titles, abstracts and learning objectives for educational sessions at RSNA annual meeting June Vendor applications due for participation in testing and demonstration process July Participant meeting or Web conference August Development and review of promotional materials September Participant submission of MESA tools test results October Connectathon testing event; results published in promotional materials December Educational and promotional activities at RSNA annual meeting Domain Deployment Timeline: Radiology/North America IHE Cardiology Workshop

  31. Domain Deployment Timeline: IT Infrastructure/North America Date Event May 28 HL7-IHE Interoperability Demonstration Planning Committee June 15 Call for participation announced August 15 Final call for participation in HL7-IHE Interoperability Demonstration September 11-12 HL7-IHE Interoperability Demonstration - Vendor workshop, Memphis, TN October 15 Application due for HL7-IHE Interoperability Demonstration and Connectathon October 31, Nov. 30 Interim vendor progress reports due January 26-30, 2004 HL7-IHE Interoperability Demonstration - IT Infrastructure Connectathon – San Diego, CA February 22-26, 2004 HIMSS 2004 – HL7-IHE Interoperability Demonstration – Orlando, FL IHE Cardiology Workshop

  32. IHE National and Regional Sponsors: North America • Healthcare Information and Management Systems Society • Radiological Society of North America • American College of Cardiology (ACC) IHE Cardiology Workshop

  33. European Association of Radiology (EAR) European Congress of Radiologists (ECR) Coordination Committee of the Radiological and Electromedical Industries (COCIR) Deutsche Röntgengesellschaft (DRG) EuroPACS Association Groupement pour la Modernisation du Système d'Information Hospitalier (GMSIH) Société Francaise de Radiologie (SFR) Società Italiana di Radiologia Medica (SIRM) British Institute of Radiology (BIR) College of Radiographers Institute of Physics and Engineering in Medicine NHS Information Authority Royal College of Radiologists (RCR) IHE National and Regional Sponsors: Europe IHE Cardiology Workshop

  34. IHE National and Regional Sponsors: Japan • Ministry of Economy, Trade, and Industry (METI) • Ministry of Health, Labor, and Welfare • MEDIS-DC • Japan Industries Association of Radiological Systems (JIRA) • Japan Association of Healthcare Information Systems Industry (JAHIS) • Japan Radiological Society (JRS) • Japan Society of Radiological Technology (JSRT) • Japan Association of Medical Informatics (JAMI) IHE Cardiology Workshop

  35. Sponsor: RSNA Sponsor: HIMSS Sponsor: ACC Sponsors: GMSIH, SFIL, JAHIS IHE-North America IHE-Asia Oceania IHE-Europe Radiology Planning Cmte IT Infrastructure Planning Cmte Cardiology Plan Cmte Lab Plan Cmte Local/Domain Review Committees Local/Domain Review Committees Local/Domain Review Committees Radiology Technical Cmte IT Infrastructure Tech Cmte Cardiology Tech Cmte Lab Tech Cmte IHE-USA IHE-Canada IHE-Japan IHE-Korea IHE-China IHE-France IHE-Denmark IHE- Italy IHE -UK Organization Overview Development International, Domain Specific Deployment Regional and National Strategic Development Committee Domain Committees/Domain Sponsors and Cooperating Organizations National/Regional Deployment Initiatives/SponsoringOrganizations IHE Cardiology Workshop

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