Overcoming Barriers to Interoperability Using IHE Jonathan L

Overcoming Barriers to Interoperability Using IHE Jonathan L. Elion, Co-Chair Cardiology Planning Committee - IHE Medical October 21, 2005 Director & Co-Founder, Heartlab, Inc. Public Policy Forum HIMSS

ACC 1995: DICOM Images

ACC 2001: Data Interchange October 21, 2005 3 HIMSS Public Policy Forum

ACC 2005: IHE “Connect the Docs”

Who is IHE? • IHE is a joint initiative among: Ø American College of Cardiology (ACC) Ø Radiological Society of North America (RSNA) Ø Healthcare Information Management Systems Society (HIMSS) Ø GMSIH, HPRIM, JAHIS (laboratory), IHE-Europe, IHE-Japan, and many more…. • Began in 1997 in Radiology and IT • Within IHE-Cardiology additional sponsors including ASE, ASNC, HRS, ESC, and more October 21, 2005 5 HIMSS Public Policy Forum

IHE Participants • Societies Representing Healthcare Segments: RSNA, HIMSS, ACC, ASE, ESC, ASNC, HRS… • Users: Clinicians, Medical Staff, Administrators, CIOs, … • Information and Imaging Systems Vendors • Standards Development Organizations: DICOM, HL 7, ASTM, … October 21, 2005 6 HIMSS Public Policy Forum

Participating & Contributing Vendors (U. S. ) Agfa Health. Care Algotec Systems, Ltd. Berdy Camtronics Canon Medical Systems Carefx Cedara Software Corporation Cerner Corporation CSIST Dictaphone DR Systems Dynamic Imaging Eastern Informatics Eastman Kodak Company Emageon Eclipsys Fujifilm Medical Systems GE Healthcare Heartlab Hitachi Medical Corporation Hologic, Inc IDX Systems Corporation IMCO Technologies In. Site. One INFINITT Konica Minolta Marotech, Inc. Mc. Kesson Information Solutions Medcon Medical Manager Health Systems Mediface Co. , Ltd. Merge e. Film Mortara Procom Philips Medical Systems RASNA Imaging Systems Sectra Sentillion Siemens Medical Solutions Softmedical Stentor, Inc Stor. COMM, Inc Swissray International, Inc Tiani Medgraph AG Toshiba America Medical Systems Ultra. Visual Medical Systems Vital Images, Inc. Voxar Limited Web. MD XIMIS In yellow, companies with IHE Committees Chairs (Summer 2004)

Participating & Contributing Vendors (Europe) AGFA Healthcare AISoftw@re Medical Solutions Algotec ARES SA aycan Digitalsysteme Con. Vis DEDALUS Dianoema Eastman Kodak Company Ebit Sanita EDL ELFIN s. r. l. Engineering Sanità Enti Locali ESAOTE ETIAM Ferrania Fujifilm GE Healthcare GMD GIE Convergence-Profils GWI Research IASI Srl Ideo. Pass Image Device-Cerner Company INFINITT INOVIT Mc. Kesson MED 2 RAD MEDASYS SA Medavis Medigration Gmb. H MEDIMON Ltd. MEDOS AG Merge e. Film METAFORA Minolta Europe Omnilab Philips Medical Systems Rasna Imaging Systems RAYPAX INC. Rogan-Delft Sago spa Sectra Imtec AB Siemens Medical Solutions Soluzioni Informatiche srl Stentor Inc. Swissray Medical AG Symphonie On Line Synapsis TELEMIS S. A. TIANI MEDGRAPH AG TOREX GAP Medical Toshiba Medical Systems TSI groupe europ. Medica VEPRO AG VISUS Technology Transfer WAID XR PARTNER In yellow, companies with IHE Committees Chairs (Summer 2004)

What is IHE? • IHE is a systems integration process • Consists of a Planning Committee and a Technical Committee of cardiologists and vendors • Develops a detailed document called the “Technical Framework” • Incorporates and refines existing standards such as DICOM and HL 7 • Goal: Quality healthcare delivery October 21, 2005 9 HIMSS Public Policy Forum

IHE Annual Cycle 1. Clinicians identify clinical problems to be addressed -“Integration Profiles” 2. Engineers from vendors collaborate to define technical specification (using existing standards such as DICOM and HL 7) 3. Vendors implement the technical specification and participate in the “Connectathon” 4. Demonstrations at trade shows (ACC, HIMSS, etc. ) 5. Vendors publish IHE Integration Statements 6. Customers reference IHE profiles in RFP’s October 21, 2005 10 HIMSS Public Policy Forum

IHE Cardiology Year 1 • The ability to view an ECG from many locations - quickly and easily • Echo workflow integration of patient, order and procedure information, including mobile echo • Cath Lab workflow integration of patient, order and procedure information, including angiography, hemodynamics, IVUS… October 21, 2005 11 HIMSS Public Policy Forum

Cath and Echo Workflow

IHE Connectathon • Open invitation to vendor community • Advance testing tools (MESA) • Testing organized and supervised by project management team • Thousands of cross-vendor tests performed • Results recorded and published October 21, 2005 13 HIMSS Public Policy Forum

Connectathon, January 2005 October 21, 2005 14 HIMSS Public Policy Forum

Connectathon, January 2005 300 participants, to pals. Tests (31 Cardiology) From palettes Packing. Cardiology)4 hours 43 vendors (14 in. Up than Cardiac Catheterization Echocardiography EKG’s Anywhere 2, 800 110 systems less

16 Computers in Cardiology

Total ACC’ 05 attendance was over 28, 000. October 21, 2005 17 HIMSS Public Policy Forum

Over 1, 000 visitors from 47 countries attended the IHE presentations and demonstrations. October 21, 2005 18 HIMSS Public Policy Forum

Commitment to EHR David J. Brailer, share clinical data is generally “The capacity to. MD, Ph. D National Coordinator for Health Information Technology, US Department of not available in the (HHS) market, and I have placed a Health and Human Services high priority on ensuring that it does come to exist before widespread EHR adoption is Directive: Execute the Presidential Order for underway. ” deployment of Health Information widespread Technology within 10 years. “IHE… is becoming the obvious thing to do. It is our goal to make it the inevitable thing to do. ” HIMSS Conference, February 2005 October 21, 2005 19 HIMSS Public Policy Forum

Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings WWW. IHE. NET October 21, 2005 20 HIMSS Public Policy Forum