ntegrating the ealthcare nterprise seamlessly across entire continuum of care across entire...
TRANSCRIPT
ntegrating thentegrating the
ealthcareealthcare
nterprisenterprise
seamlesslyseamlessly across entirecontinuum of care
across entirecontinuum of care
Exchange and access information
Exchange and access information
SeamlessSeamless
SeamlessSeamless
Quick access to patient
information
Quick access to patient
information
Continuum of CareContinuum of Care
Continuum of CareContinuum of Care
Access to information during patient care process
Access to information during patient care process
across the enterprise
ElectronicHealth Record
ElectronicHealth Record
Requirements definedRequirements defined
Implementation hinderedImplementation hindered
expenseexpensefrustrationfrustrationdelaydelay
Johannes GutenbergUniversity Hospital
Johannes GutenbergUniversity Hospital
HowHowhas IHE succeeded in making this vision REAL?
has IHE succeeded in making this vision REAL?
Support from multiple constituenciesSupport from multiple constituencies
Healthcare ProfessionalsHealthcare
Professionals
1
Support from multiple constituenciesSupport from multiple constituencies1
IndustryIndustryAgfa HealthcareAgfa Healthcare
Algotech Systems, Ltd.Algotech Systems, Ltd.
Canon Medical SystemsCanon Medical Systems
Cedara Software CorporationCedara Software Corporation Cerner CorporationCerner Corporation
CSISTCSIST
Eastman Kodak CompanyEastman Kodak Company
EmageonEmageon
Support from multiple constituenciesSupport from multiple constituencies
IndustryIndustry
Fujifilm Medical Systems USAFujifilm Medical Systems USA
IMCO TechnologiesIMCO Technologies
GE Medical SystemsGE Medical Systems
Instrumentarium ImagingInstrumentarium ImagingKonica Medical Imaging, Inc.Konica Medical Imaging, Inc.
IDX Systems CorporationIDX Systems Corporation
Marotech, Inc.Marotech, Inc. Hitachi Medical CorporationHitachi Medical Corporation
Hologic, Inc.Hologic, Inc.
1
Support from multiple constituenciesSupport from multiple constituencies
IndustryIndustry
Siemens Medical SolutionsSiemens Medical Solutions
Merge eFilmMerge eFilm
Medical Manager Health SystemsMedical Manager Health Systems
Mitra Imaging, Inc.Mitra Imaging, Inc.Philips Medical SystemsPhilips Medical Systems
Mediface Co., Ltd.Mediface Co., Ltd.
McKesson Information SolutionsMcKesson Information Solutions MedconMedcon
RASNA Imaging SystemsRASNA Imaging Systems
1
Support from multiple constituenciesSupport from multiple constituencies
IndustryIndustry
Tiani Medgraph AGTiani Medgraph AGVoxar LimitedVoxar Limited
StorCOMM, Inc.StorCOMM, Inc.
Toshiba America Medical SystemsToshiba America Medical Systems
Ultravisual Medical SystemsUltravisual Medical Systems
Swissray International, Inc.Swissray International, Inc.
SoftmedicalSoftmedical Stentor, Inc.Stentor, Inc.
Vital Images, Inc.Vital Images, Inc.
1
IHE Integration ProfilesIHE Integration Profiles
Scheduled Workflow
Consistent Presentationof Images
Patient InformationReconciliation
Post-ProcessingWorkflow
Charge Posting
Presentation of GroupedProcedures
Key Image NotesSimple Image andNumeric Reports
Access to Radiology Information
Basic Security
2
IHE TechnicalFrameworkIHE TechnicalFramework3
Based on established
standards such as DICOM and HL7
Based on established
standards such as DICOM and HL7
OrderPlacer
Department SystemScheduler/Order Filler
Image Manager
Acquisition Modality
Image Archive
Modality Worklist Provided [5]
Modality ProcedureStep In Progress [6]
Modality ProcedureStep In Progress [6]
Modality Images Stored [8]
Modality Presentation StateStored [9]
Perform Acquisition(PPS Discontinued)
Modality ProcedureStep Completed [7]
Modality ProcedureStep Completed [7]
Reason for Discontinue Reason for Discontinue
Select MWLEntry (SPS)
14: Query Images16: Retrieve Images
8: Modality Image Stored43: Evidence Documents Stored
6: Modality PPS in Progress7: Modality PPS Completed20: Creator PPS in Progress21: Creator PPS Completed
6: Modality PPS in Progress7: Modality PPS Completed
Storage Commitment: 10
5: Modality Worklist Provided
20: Creator PPS in Progress21: Creator PPS Completed
6: Modality PPS in Progress7: Modality PPS Completed20: Creator PPS in Progress21: Creator PPS Completed
2: Placer Order Management3: Filler Order Management
1: Pt registration12: Pt Update
4: Procedure Scheduled11: Image Availability Query12: Patient Update
Storage Commitment: 10 18: Creator Image Stored
Pt registration: 1Pt Update: 12 ADT
Order Filler
Order Placer
Image Creator
ImageManager
Image Archive
PerformedProcedure
Step Manager
ImageDisplay
Acquisition Modality
IHE Integration ProfilesIHE Integration Profiles
Scheduled Workflow
Consistent Presentationof Images
Patient InformationReconciliation
Post-ProcessingWorkflow
Charge Posting
Presentation of GroupedProcedures
Key Image NotesSimple Image andNumeric Reports
Access to Radiology Information
Basic Security
Sunday 12-01 Monday 12-02 Tuesday 12-03 Wednesday 12-04 Thursday 12-05 Friday 12-06
8:30-9:00
IHE 101: Fundamentals of Systems Integration
IHE for Admins: Integration and Operational Efficiency
IHE 101: Fundamentals of Systems Integration
IHE for Admins: Integration and Operational Efficiency
IHE 101: Fundamentals of Systems Integration
IHE for Admins: Integration and Operational Efficiency
9:15-10:00
What's New in IHE: Charge Posting, Security and Post-Processing
The Future of IHE: Linking Domains Across the Enterprise
What's New in IHE: Charge Posting, Security and Post-Processing
The Future of IHE: Linking Domains Across the Enterprise
What's New in IHE: Charge Posting, Security and Post-Processing
Understanding and Optimizing Workflow with IHE
10:15-11:00
Improving Clinical Care: IHE Integration Profiles in Detail
DICOM Update DICOM MR Multiframe
HL7 Update and Future Plans
Improving Clinical Care: IHE Integration Profiles in Detail
Improving Clinical Care: IHE Integration Profiles in Detail
11:15-12:00
Using IHE to Acquire Integrated Systems
Using IHE to Acquire Integrated Systems
Using IHE to Acquire Integrated Systems
Using IHE to Acquire Integrated Systems
Using IHE to Acquire Integrated Systems
Using IHE to Acquire Integrated Systems
12:15-1:00
Internet Based Remote Servicing of Medical Equipment under HIPAA
Organizing Security and Privacy Enforcement in Medical Imaging
Internet Based Remote Servicing of Medical Equipment under HIPAA
Organizing Security and Privacy Enforcement in Medical Imaging
DICOM Strategy
1:15-2:15
IHE: User Success Stories
IHE: User Success Stories
IHE: User Success Stories
IHE: User Success Stories
IHE: User Success Stories
2:30-3:30
Improving Clinical Care: IHE Integration Profiles in Detail
Improving Clinical Care: IHE Integration Profiles in Detail
Improving Clinical Care: IHE Integration Profiles in Detail
Improving Clinical Care: IHE Integration Profiles in Detail
Improving Clinical Care: IHE Integration Profiles in Detail
3:45-4:30
Understanding and Optimizing Workflow with IHE
IHE Worldwide IHE for Consultants and Systems Integrators
Understanding and Optimizing Workflow with IHE
IHE for Consultants and Systems Integrators
IHE Sessions, RSNA 2002 - IHE Classroom, Lakeside Center, Hall D, McCormick Place
(Scroll questions as they are read)
Registration DiagnosticWorkstation Film Lightbox
ReportRepository
EmergencyRegistration
report
report
report
Update patient info
Update patient images
Images stored
Images printed
Images retrieved
Modalityworklist
Acquisitioncompleted
What the Radiologist Displays What the Reviewing Physician Sees
Original Image
Window Level
Flip
Zoom
Area ofInterest
Annotate
With Presentation StateThe Radiologist’s Transformations
Are Saved
Area ofInterest
ConsistentPresentationOf Images on aCalibratedDisplay
Without Presentation StateThe Radiologist’s Transformations
Are Lost InconsistentPresentationOn an UncalibratedDisplayX
ReportRepository
Report Verification
PreliminaryReport
ImagesRetrieved
Image Manager& Archive
ReportRepository
Report & ImagesRetrieved
HL7 ReportExport
SignedReport
BENEFITSRedundancy Eliminated
Maximum Data Integrity
Billing Available ASAP
All Systems Updated
Redundancy Eliminated
Maximum Data Integrity
Billing Available ASAP
All Systems Updated
ProcedureInformation
Modality Worklist
Initial capture ofpatient demographics
AcquisitionCompleted
Referring physicianorders desiredradiology procedure
Patient and procedureinformation retrievedby the modality
PatientInformation
AccountComplete
Unique process for implementationUnique process for implementation
• IHE Technical Framework
• Software testing tools
• “The Connectathon”
• IHE Technical Framework
• Software testing tools
• “The Connectathon”
For Vendors:For Vendors:
4
Unique process for implementationUnique process for implementation
• IHE Technical Framework
• Software testing tools
• “The Connectathon”
• IHE Technical Framework
• Software testing tools
• “The Connectathon”
For Vendors:For Vendors:
4
• Guide to components and capabilities required to achieve desired goal
• Links to vendor-published information on integration capabilities via RSNA and HIMSS websites
• Guide to components and capabilities required to achieve desired goal
• Links to vendor-published information on integration capabilities via RSNA and HIMSS websites
For Users:For Users:
Unique process for implementationUnique process for implementation4
For Users:For Users:
Unique process for implementationUnique process for implementation4
