integrating the healthcare enterprise
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Integrating the Healthcare Enterprise. Stephen G Davies Royal Glamorgan Hospital. What is IHE?. It is an initiative promoting and supporting the integration of IT systems in the healthcare enterprise. Integration Goal: Improve the efficiency and effectiveness of clinical practice by: - PowerPoint PPT PresentationTRANSCRIPT
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Integrating the Integrating the Healthcare EnterpriseHealthcare Enterprise
Stephen G DaviesStephen G DaviesRoyal Glamorgan HospitalRoyal Glamorgan Hospital
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What is IHE?What is IHE? It is an initiative promoting and supporting the It is an initiative promoting and supporting the
integration of IT systems in the healthcare integration of IT systems in the healthcare enterprise.enterprise.
Integration Goal: Improve the efficiency and Integration Goal: Improve the efficiency and effectiveness of clinical practice by:effectiveness of clinical practice by:● Improved Improved Information FlowInformation Flow● Advanced Advanced Multi-System FunctionsMulti-System Functions
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Is IHE another term for EPR?Is IHE another term for EPR? It provides a framework for systems It provides a framework for systems
integration which will assist the development integration which will assist the development of the EPRof the EPR
Currently limited to radiologyCurrently limited to radiology
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What is IHE?What is IHE? Currently we have:Currently we have:
DICOM to exchange imaging dataDICOM to exchange imaging data HL7 to exchange order and lab results dataHL7 to exchange order and lab results data
IHE aims to facilitate the integration of data IHE aims to facilitate the integration of data between systemsbetween systems
IHE defines the use of subsets of DICOM IHE defines the use of subsets of DICOM and HL7 standards – it is not a standard itselfand HL7 standards – it is not a standard itself
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How does this help?How does this help? Improves integration and interoperabilityImproves integration and interoperability
Integration – disparate systems share info. Integration – disparate systems share info. reducing multiple data entryreducing multiple data entry
Interoperability – two systems can carry out a task Interoperability – two systems can carry out a task effectively e.g. both systems have two fields for effectively e.g. both systems have two fields for first and second namefirst and second name
Simplifies workflowSimplifies workflow Purchasers and vendors have confidence that Purchasers and vendors have confidence that
systems will work togethersystems will work together
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Presentation ofGrouped Procedures
Subset a single acquisition
IHE Integration ProfilesIHE Integration Profiles
Integration profile = integrated work flow processIntegration profile = integrated work flow process
Patient Information
Reconciliation
Unknown patients and unscheduled
orders
ConsistentPresentation of
ImagesHardcopy and
softcopy grayscale and
presentation state
Access toRadiology
InformationConsistentaccess to
images andreports
Key ImageNotes
Exchange flaggingsignificant images
Simple Image andNumeric Reports
Exchange simplereports with image
links and, optionally,measurements
Scheduled WorkflowAdmit, order, schedule, acquire images, notify of completed steps
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imagesstored
patientinformation
RIS
examination orders
imagesretrieved
HIS
PACS
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
reportreport
Scheduled Workflow ProfileScheduled Workflow Profile
Registration
Orders Placed
Orders Filled
Film
FilmFolderImage Manager
& Archive
FilmLightbox
report ReportRepository
DiagnosticWorkstation
Modalityacquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
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IHE DocumentationIHE Documentation IHE Technical frameworkIHE Technical framework IHE ScenariosIHE Scenarios IHE Technical implementation guideIHE Technical implementation guide
Provides a guide to buyers and implementers of IT Provides a guide to buyers and implementers of IT systems to explain the IHE documentssystems to explain the IHE documents
Facilitates specification in the procurement processFacilitates specification in the procurement process ResourcesResources
www.rsna/IHEwww.rsna/IHE www.IHE-uk.orgwww.IHE-uk.org
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The structure of IHEThe structure of IHE Joint initiative RSNA and HIMMS based on Joint initiative RSNA and HIMMS based on
success of DICOM and recognising the need success of DICOM and recognising the need to look wider than radiologyto look wider than radiology
Year 4: national profiles for IHEYear 4: national profiles for IHE IHE in the UK IHE in the UK
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IHE Scenarios and IHE Scenarios and UK Clinical RadiologyUK Clinical Radiology
Working party including practising Working party including practising radiologists and radiographersradiologists and radiographers RCR guidanceRCR guidance IRMERIRMER
Generic approach rather than reflecting every Generic approach rather than reflecting every local variationlocal variation
Terminology still in IHE speakTerminology still in IHE speak
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IHE the futureIHE the future UK initiative consolidatedUK initiative consolidated
UK-IHE UK-IHE UK IHE Demonstration at UKRC 2003 plannedUK IHE Demonstration at UKRC 2003 planned
More integration profilesMore integration profiles More countries involvedMore countries involved Outside radiology Outside radiology Framework for EPRFramework for EPR
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Thank youThank you
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