HIMSS Standards Activities

1
HIMSS Standards Activities
Integrating the Healthcare Enterprise (IHE)
2
HIMSS Strategic Direction

• Vision
• Advancing the best use of information and
  management systems for the betterment of human
  health.
•  
• Mission
• To be the trusted source for knowledge, advocacy,
  leadership, collaboration and community
  affiliation.

3
Goal 2 Industry Affairs

• The expertise and knowledge of healthcare
  information professionals frame and lead
  healthcare legislation, regulations, policies,
  standards, and practices

4
Focus on Industry Affairs

• Industry Issues
• White papers and analyses (bar-coding, patient
  safety, CPOE, system integration, clinical
  informatics)
• Public Policy
• Influencing direction of regulation legislation
• Standards
• Educating members, promoting initiatives

5
Strategic Objectives Industry Affairs

• Lead and direct the industry and government on
  issues and policy related to healthcare
  information
• HIMSS is the recognized organization of expertise
  in healthcare information legislation,
  regulations, policies, standards, and practices

6
Strategic Objectives Industry Affairs

• Industry and government embrace and incorporate
  the best use of information and management
  systems to improve the efficiency and quality of
  healthcare delivery

7
IHE Mission

• Bring together stakeholders to implement
  standards for communicating clinical and
  operational data safely and efficiently
  throughout the healthcare enterprise

8
IHE Goal

• To provide relevant patient information at the
  point of care to support caregiver
  decision-making and optimal patient care

9
What is IHE?

• IHE is a multi-year, standards based, vendor
  neutral project that creates a framework to
  seamlessly pass vital information from
  application to application, system to system and
  setting to setting

10
What is IHE?

• A joint initiative between HIMSS and RSNAto
  improve systems integration
• Process for coordinated adoption of standards
• Clinicians define needs
• Vendors develop solutionsTechnical Framework
• HIMSS/RSNA supervise documentation, testing and
  demonstration/promotion

11
What isnt IHE?

• A standards development organization
• Uses established standards (HL7, DICOM, others)
  to address specific clinical needs
• Activity complementary to SDOs
• Simply a demonstration project
• Demos only one means to the endadoption
• Backed up by documentation, tools, testing, and
  publication of information

12
Why is IHE Needed?

• Standards are necessary but not sufficient for
  seamless implementations
• Not plug and play
• Each interface requires site specific analysis
  and configuration
• Costly to implement and to maintain
• IHE delivers integration profiles built on
  existing standards
• Packages sets of messages to support common
  inter-application processes
• Serves as an implementation guide for information
  sharing
• Provides interoperability of systems, modalities
  and devices

13
A Proven Standards Adoption Process
IHEDemonstration
IHEConnectathon
IHETechnicalFramework
Product With IHE
Easy to Integrate Products
Standards
IHEIntegration Profiles B
IHEIntegration Profile A
User Site
RFP

• IHE Integration Profiles
• Detailed selection of standards and options each
  solving a specific integration problem
• A growing set of effective provider/vendor agreed
  solutions
• Vendors can implement with ROI
• Providers can deploy with stability

14
Partnerships

• Organization
• Sponsored by HIMSS and RSNA, International
  Societies
• Partnerships with the American College of
  Cardiology (ACC), American College of Clinical
  Engineering (ACCE), HL7, and DICOM
• Strategic Development Committee
• Domain specific planning and technical committees
• Radiology, IT Infrastructure, Cardiology,
  Medication Management
• Membership
• Healthcare professionals and industry
  representatives

15
Value Proposition

• Addresses common integration problems faced by
  all users and vendors worldwide
• Based on user need and industry cooperation
• Uses existing standards payback now
• User gets integrated processes
• Vendor increases market opportunity while
  reducing costs of sales, implementation and
  support

16
IOM Survey results - October 2002
Data Standards Currently Utilized
17
IOM Survey results - October 2002
Standards Initiatives Offering Greatest
Opportunity to Improve Applications Integration
18
IHE Deliverables

• Proven process with strong participation
• Five years of documentation, testing, demos
• Radiology Technical Framework
• IT Infrastructure Technical Framework
• MESA Tools and Connectathon
• 2003 38 vendors (gt90 of radiology market)
• Strong recognition and credibility of concept
• Promotional opportunities at major professional
  venues

19
IHE Resources

• Commitment of Professional Societies
• HIMSS/RSNA, ACC, ACCE
• Professional expertise of Society membership
• Growing interest in adoption by other
  disciplines Cardiology, Lab, Pharmacy
• Liaison relationship with HL7
• International adoption
• IHE-Europe France, Germany, Italy, UK,
  Scandinavia
• IHE-Asia Pacific Japan, Korea, Taiwan and China

20
Building on Prior Success

• Multi-year global initiative now planning for
  Year 6
• Proven methodology in radiology
• implemented by 90 of vendors
• Applying same methodology to IT Infrastructure
  and Cardiology
• Technical Framework and Integration profiles
• available in the public domain
• Annual Connectathons
• User success stories
• Expanding scope to EHR in the healthcare
  enterprise

21
IHE Expansion

• IT Infrastructure
• Retrieve Information for Display
• Patient Synchronized Applications
• Enterprise User Authentication
• Patient ID Cross-referencing for MPI
• Cardiology
• Medication Management
• Combined HL7-IHE Interoperability demo 2004

22
IHE Resources

• HIMSS web site at www.himss.org/ihe
• HL7-IHE Interoperability Demonstration at HIMSS
  2004 Annual Conference and Exhibition at
  www.hl7ihejointdemo.org
• RSNA web site at www.rsna.org/ihe
• Staff contact ihe_at_himss.org