Interoperability Workshop - E

Report
INTEGRATING THE
HEALTHCARE ENTERPISE
Critical Contribution to
Interoperability Worldwide
International HL7 Interoperability Conference-10
Charles Parisot, IHE IT Infrastructure Co-Chair, GE Healthcare
May, 2010
1
IHE Orientation-Rio de Janeiro
Objective
Present a practical and proven process
to accelerate the adoption of
health information exchange standards
in South America to enable
the development of
National and Regional eHealth
Networks
eHealth and Interoperability:
why is action needed ?
Interoperability:
Major Cause of Health IT project failures
Base Standards
eHealth Projects
IETF
IHTSDO
Health Interop. Standards: Ignore & Face
Consequences
5
Interoperability:
Major Cause of Health IT project failures
Base Standards
eHealth Projects
IETF
IHTSDO
Health Interop. Standards: Chaos with projects choice
6
eHealth and Interoperability:
How should we act ?
Interoperability: From a problem to a solution
Profile
Development
eHealth Projects
IETF
IHTSDO
Project Specific Extensions
Profiling Organizations Have Emerged
8
IHE Message:
Standards are 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
IHE provides a standard process for
implementing multiple standards
9
IHE: Connecting Standards to Care
Healthcare professionals work with industry
Coordinate implementation of standards to
meet clinical and administrative needs
 Clinicians and HIT professionals identify the key
interoperability problems they face
 Providers and industry work together to develop and
make available standards-based solutions
 Implementers follow common guidelines in purchasing
and integrating effective systems
IHE: A forum for agreeing on how to implement
standards and processes for making it happen
10
IHE Standards Adoption Process
Adopted by International Standards Organization: TR 28380
Develop
technical
specifications
Testing at
Connectathons
Identify available
standards (e.g. HL7,
IHE
Demonstrations
Products
with IHE
DICOM, IETF, OASIS)
Improve Safety,
Document Use Case Quality and
Effectiveness
Requirements
Easy to integrate
products
11
The IHE Development Domains
12 Years of Steady Evolution 1998 – 2010
Radiology
since 1998
Pharmacy
NEW 2009
Cardiology
since 2004
Pathology
since 2006
Laboratory
since 2004
Eye Care
since 2006
Quality
Research & Public Health
since 2006
(Healthcare)
IT Infrastructure
since 2003
Patient Care Devices
since 2005
Radiation Oncology
since 2004
Patient Care Coordination
since 2004
13
Is IHE novel, how much adopted ?
IHE adopted by:
The European Commission and eHealth Interop
Mandate 403: endorses IHE process
ISO Health Informatics: TR28380 Global Standards
Adoption – IHE Process and Profiles
Widespread adoption of IHE Profiles by National and
Regional Projects around the world: North America,
Europe, Asia
Tele Health: CONTINUA and IHE work together.
12 Country European epSOS Project (IHE-Europe
hosting Industry Team, performing testing).
14
International Growth of IHE
Switzerland



Local Deployment, National Extensions
Promotional & Live Demonstration Events
Over 300 Organizational Members (all stakeholders)
Malaysia
Turkey
China
Australia
Austria
Spain
Netherlands
Taiwan
Canada
UK
Japan
Italy
France
Germany
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
USA
15
Pragmatic global standards harmonization + best practices sharing
IHE Implementation Strategy
Leverage established standards to allow rapid deployment and
plan for future
Pragmatic, Ease of Evolution
Enable architectural freedom (patient vs. provider centric,
centralized vs. decentralized, scalable (from office to
enterprise to IDN to Regional and National Networks)
Configuration flexibility
Support breakthrough use cases: variety of care settings, care
coordination, public health, PHR, EHR
Interoperability for broad constituencies
IHE: Offers consistent, standards-based record
sharing for EHRs and other information systems
16
Implementing IHE today in Regional and
National Health Networks: Key Services
Sharing of
Patient
Summaries
Sharing of
Laboratory
Results
Sharing of
Radiology
Info
Sharing of
Cardiology
Info
Sharing of
Scanned
Docs
DICOM/HL7
HL7/PDF
DICOM
HL7PDF
(Incl Prescriptions)
HL7
HL7
W3C/OASIS/HL7
Audit Trail
and
Secured
Sharing of Records/Documents
Digital
Signature
Privacy
and
Consent
Patient
Provider
Identification
Mgt
Directory
HL7
HL7
IETF/HL7
Connection
HL7
Content
W3C/ITU
Terminology
Infrastructure
Services
HL7
17
Example: Patient Id Mgt Interoperability
3 IHE Profiles:
Patient Identity
Mgr
PDQ: Patient
Demographics
Query
XCPD: Cross-Community
Patient Discovery
Patient Identity
Mgr
PIX: Patient
Identifiers
Cross-referencing
Based on HL7 V2 and
HLV3+Web Services
Widely used world-wide.
e.g. Point of care, Insurance
18
IHE, Global Standards-Based Profiles
Adopted in National & Regional Projects
NETHERLANDS
Friesland
Natn’l Mamography
Wales
Imaging
Lower
Austria
France
DMP
France
Imaging
IDF
Austria
Italy
Conto Corrente
Venetto - Friuli
Suisse
St Gallen
Lausane
Quebec, Toronto,
Alberta, British Columbia
Canada Infoway
VITL-Vermont
Boston Medical
Center - MA
Philadelphia HIE
Belgium
Flemish-Leuven
KeyHIE
Pennsylvania
CareSpark
– TN & VA
SHARP
CA
South Africa
CHINA-Shanghai
Imaging Info Sharing
CHINA-MoH
Lab results sharing
JAPAN-Nagoya
Imaging Info Sharing,
Nationwide PDI guideline
Providence
Health System OR
THINC- New York
NCHICA – N. Carolina
119
eHealth and Interoperability:
How to act in South America
Role of IHE for the a Country
I. Identify Interoperability Problems.
Collect requirements and promote them at the global level
II. Specify Integration Profiles.
Select existing IHE profiles that match own State requirements
and/or engage Country experts in the development of new IHE profiles.
Organize technical training for implementers.
III. Test Systems at the Connectathon.
Recruit implementers from own State to present systems to be tested at an existing
Connectathon.
Contribute to IHE test tools development.
Evaluate possible organization of a South American Connectathon.
IV. Publish Integration Statements
Drive vendors to publish their product IHE integration statements.
Organize support for national projects interoperability testing.
21
Interoperability: From a problem to a policy
Recognized:
Base
Standards
Profile
Development
& Testing
IHE in the SA Countries
IETF
Profile A
Profile B
Profile C
…..
eHealth Projects
Interoperability
Specifications
Simple and
Effective
Profile
Recognition
Process &
Policy
Countries/Regions with such a process:
Leverage Synergies of
Global Standards and Profiles
Austria (ELGA)
France (ASIP)
Canada (Infoway), USA (HITSP)
Italy (Veneto)
22
Addressing the challenge
IETF
Tasks to accomplish :
•
•
•
Selection of specific standards
Development of detailed interoperability
specifications
Test systems compliance.
Standards
Countries to consider:
•
•
•
Join IHE international to contribute and benefit
from existing standards
Ground IHE expertise in South America
Leverage the market synergies across South
America
 Accelerate development of national
technical interoperability strategies
IHE in SA Countries
Profiles &
Tests
National Agencies &
Competence Centers
Interop Specs
eHealth
Projects
eHealth and Interoperability
Organized as a collaborative framework
Leverages IHE International
Involves all key stakeholders in own Country
•
•
•
•
Ministry of Health
Healthcare Providers
Health IT professionals
Industry, etc.
 Establishes foundation for a larger market by reducing cost
and accelerating procurement of interoperable Clinical IT
products
24
Creation of National IHE
Step 1: Decision on principle.




Two/three sponsors. Agreement on governance.
Create Steering Committee. Designate Secretariat.
Chair sends application to IHE International
Application approved by IHE International Board. Seat on IHE Board.
Step 2: Accept members. Approve work program and work groups.
Step 3: For first use case (s), propose initial set of IHE Profiles for
country adoption and agree on national extensions.
Step 4:Approve initial set of IHE Profiles adopted with national
extensions.
Repeat steps 3 and step 4 to broaden scope of interoperability
25
Thank You!
26

similar documents