Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, 26 -27 April 2012) Brief Presentation (More information at end, after slide 10) Integrating the Healthcare Enterprise (IHE) - e. Health Initiatives Elliot B. Sloane, Ph. D, CCE, FHIMSS President, Center for Healthcare Information Research and Policy (CHIRP) & Co-Chair, IHE International Geneva, Switzerland, 26 -27 April 2012
IHE International - www. IHE. net Created in 1997 to assure electronic health data interoperability Triggered by inability of products to reliably exchange DICOM images Worldwide initiative in > 24 countries Non-profit, volunteer driven, usercentric No cost for membership or documents Join or download at www. IHE. net Geneva, Switzerland, 26 -27 April 2012 2
Main results to date Many hundreds of software and hardware products tested around the world using the “IHE Profiles” See http: //connectathon-results. ihe. net/ 2012 product testing in North America, Asia-Oceania and Europe Embedded in national/state standards in Canada Gradually emerging in US and China Some products are “IHE Natives” Successful collaboration with Continua™ Geneva, Switzerland, 26 -27 April 2012 3
International Growth of IHE q q q Switzerland Local Deployment, National Extensions Promotional & Live Demonstration Events Over 400 Organizational Members (all stakeholders) Malaysia Korea Turkey China Australia Austria Spain Netherlands UK Canada Taiwan Japan Italy 2010 2009 2008 2007 2006 2004 2003 2002 2001 2000 1999 USA 2005 France Early programs in Brazil, Dubai, Israel, and Saudi Arabia, too Germany Pragmatic global standards harmonization + best practices sharing 4
The IHE Development Domains 12 Years of Steady Evolution 1997 – 2010 Radiology since 1998 Pharmacy Since 2009 Cardiology since 2004 Pathology since 2006 Laboratory since 2004 Eye Care since 2006 (Healthcare) IT Infrastructure since 2003 Quality Research & Public Health since 2006 since 2008 Patient Care Devices since 2005 Radiation Oncology since 2004 Patient Care Coordination since 2004 IHE has e. Health initiatives in many/most key clinical areas
Future activities Expanding to more products & nations Exploring “smart phone” tools, apps See also: www. CEITCollaboration. org www. ACCEnet. org www. IHE. net and www. IHE. net/PCD Large number of device, state, and national examples at http: //www. iheusa. org/IHEUSAResources-Education-Conference. Archives 2012. aspx See additional slides at end of this set! Geneva, Switzerland, 26 -27 April 2012 6
Challenges, lessons learned Every new entrant wants to start with a fresh sheet of paper! Waste of great talent and precious time Never, ever really “done” Tomorrow’s innovations will require new adaptations Mobile technologies are coming quick How to share disciplines like security, standards with that enthusiastic crowd? Geneva, Switzerland, 26 -27 April 2012 7
Conclusions and Recommendations Make standards, tools and toolsets visible to m. Health developers Sponsor Mobile Technology “Connectathons” that demonstrate IHE, IEEE, HL 7, Rosetta use Geneva, Switzerland, 26 -27 April 2012 Grand prizes? Chronic disease smart phone apps that use IHE! Education needed on value of “at rest” and “in-motion” data encryption Free tools available! Personal health data MUST be protected! 8
Questions and enthusiastic ideas are WELCOME! Please feel free to contact me directly at ebsloane@gmail. com or ebsloane@chirp. us. org Elliot B. Sloane, Ph. D, CCE, FHIMSSS www. ebsloane. org Remember: it is all free: www. IHE. net/PCD
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Joint ITU-WHO Workshop on e-Health Standards and Interoperability (Geneva, Switzerland, 26 -27 April 2012) FULL PRESENTATION & DETAILS Integrating the Healthcare Enterprise (IHE) - e. Health Initiatives Elliot B. Sloane, Ph. D, CCE, FHIMSS President, Center for Healthcare Information Research and Policy (CHIRP) & Co-Chair, IHE International Geneva, Switzerland, 26 -27 April 2012
Some of the current FAQs: Elliot B. Sloane, Ph. D, CCE, FHIMSS President, Center for Healthcare Information Research and Policy HIMSS roles: Board of Directors, Delaware Valley HIMSS Annual Conference Education Committee Past Chair, HIMSS Security and Privacy Steering Committee IHE roles: Co-Chair, IHE International Board of Directors Co-Founder IHE Patient Care Device Domain Board of Directors, IHE-USA Other professional roles: Sponsor, IEEE 11073 Medical Informatics Standards Past President, American College of Clinical Engineering Past Board of Directors, IEEE EMBS Past Board of Directors, ANSI/HITSP project www. ebsloane. org & www. ebsloane. org/Health. Systems. Engineering/
International Growth of IHE q q q Switzerland Local Deployment, National Extensions Promotional & Live Demonstration Events Over 400 Organizational Members (all stakeholders) Malaysia Korea Turkey China Australia Austria Spain Netherlands UK Canada Taiwan Japan Italy 2010 2009 2008 2007 2006 2004 2003 2002 2001 2000 1999 USA 2005 France Early programs and projects in Brazil, Dubai, Israel, Mexico, and Saudi Arabia, too Germany 13 Pragmatic global standards harmonization + best practices sharing
The IHE Development Domains 12 Years of Steady Evolution 1997 – 2010 Radiology since 1998 Pharmacy Since 2009 Cardiology since 2004 Pathology since 2006 Laboratory since 2004 Eye Care since 2006 (Healthcare) IT Infrastructure since 2003 Quality Research & Public Health since 2006 since 2008 Patient Care Devices since 2005 Radiation Oncology since 2004 Patient Care Coordination since 2004 IHE has e. Health initiatives in many/most key clinical areas
“e. Health” Broad umbrella Health data needs to be in electronic form so it can be liberated/visible/usable by MANY stakeholders Patients Caregivers/family/supporting persons/agencies Physicians, nurses, hospitals, clinics, public health Must be affordable, portable, & durable GIGO: Garbage In = Garbage Out Health data must be correct, complete, timely, coordinated, AND, of course, secure Geneva, Switzerland, 26 -27 April 2012 15
Technology convergence Mobile technologies like cell phones, smart phones, tablets, etc offer low cost mobile access to data (text, numbers, and images) On the one hand “it’s all the same, ” in that all computers manage the same binary coded data Mobile devices can do Geneva, Switzerland, 26 -27 April 2012 16
There is a new breed of crossover products “smart phone” devices … (many/most w/FDA 510 k clearance) that show what is possible! Here is a quick tour…
From: http: //www. imedicalapps. com
FREE!
Well, those are “secondary use” devices for radiologists or other physicians. How about “real” devices used for diagnosis or treatment?
Coming soon? ? ? An entire large and growing conference has emerged, called the m. Health Summit, and a community has formed at m. HIMSS. org WHO led sessions there last December More and more relevant products and services seem to emerge each week. Some examples follow…
Wide spectrum, from “Personal Health Devices” to regulated Medical Devices Only the Continua™ WAN devices offer IHE interoperabiity!
IHE can handle all of these types of devices: clinical measurements of all sorts! In a real sense, IHE does not care if the device is a smartphone or not! i. e. , systolic blood pressure is still the same! Geneva, Switzerland, 26 -27 April 2012 31
IHE is vendor and “modality” neutral. e. g. , Rosetta Project maps ALL vendor clinical coding to each other via IEEE 11073 Extensible: IHE’s Rosetta Project harmonizes vendors to ISO/IEEE 11073 to SNOMED to ? ? ?
IHE’s Steady Growth! Partners from software, hardware, pharmaceuticals, telecom, and more 25% of HIMSS ’ 11 Interoperability Showcase vendors featured medical devices!
IHE PCD facilitates -- and is inspiring -- innovation and competition! One vendor from China has designed, built, and is selling “IHE-PCD-native” anesthesia and monitoring products to US and global markets already!
Results are public and profile specific www. ihe. net/Connectathon 35
The IHE-PCD, Continua-WAN, and IHE EMR interfaces were shown in the HIMSS Interoperability Showcase for the past couple of years. (c) 2011, Elliot B. Sloane, All
Implementation Tools Open source implementations are available for XDS, XCA, XCPD, PIX, PDQ, ATNA, CT, and more: Microsoft under codeplex http: //ihe. codeplex. com/ NIST under Source Forge http: //sourceforge. net/projects/iheos/ HIE-OS under Source Forge http: //sourceforge. net/projects/hieos/ FHA CONNECT http: //www. connectopensource. org OHT – IHE Profiles Charter https: //iheprofiles. projects. openhealthtools. org OHT – Open Exchange Forge https: //openexchange. projects. openhealthtools. org OHT – Model Driven Health Tools-Charter https: //mdht. projects. openhealthtools. org 37
Barriers to successful e. Health innovation? 13 -20, 000 new medical apps expected in the coming year Apple, Droid, Window phones& tablets NO apparent standardization, even though it would be so, so easy Frankly, no awareness of a larger picture to share health data with each other and/or various providers Follow/leverage the Continua™ example? Geneva, Switzerland, 26 -27 April 2012 38
Conclusions and Recommendations Make standards, tools and toolsets visible to m. Health developers Sponsor Mobile Technology “Connectathons” that demonstrate IHE, IEEE, HL 7, Rosetta use Geneva, Switzerland, 26 -27 April 2012 Grand prizes? Chronic disease smart phone apps that use IHE! Education needed on value of “at rest” and “in-motion” data encryption Free tools available! Personal health data MUST be protected! 39
Questions and enthusiastic ideas are WELCOME! Please feel free to contact me directly at ebsloane@gmail. com or ebsloane@chirp. us. org Elliot B. Sloane, Ph. D, CCE, FHIMSSS www. ebsloane. org Remember: it is all free: www. IHE. net/PCD
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