raymond peter zambuto, cce, fashe, fhimss, facce president, technology in medicine, inc. co-chair...
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Raymond Peter Zambuto, CCE, FASHE, FHIMSS, FACCE President, Technology in Medicine, Inc.Co-Chair IHE Patient Care Devices DomainEmanuel Furst, PhD, CCEPresident, Improvement Technologies, LLCTechnical Project Manager, IHE Patient Care Devices Domain
IHE Patient Care Devices DomainIHE Patient Care Devices DomainA Roadmap to InteroperabilityA Roadmap to Interoperability
• History– 1998 – HIMSS and RSNA form IHE Initiative
– 2001 – HIMSS IHE Road Show
– 2003 – ACCE and IHE begin Task Force for IHE Education to CE Community
– 2005 – IHE-PCD Launched
– 2007 – First Public Demonstration of Medical Device Interoperability
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IHE-PCD is a Collaborative Effort
• Survey of all IHE Users Survey of all IHE Users
• Over 50% of those Over 50% of those surveyed said patient surveyed said patient care devices should be care devices should be the next area developed the next area developed for IHE for IHE
HIMSS 2005 Annual Survey Results
IHE PCD Formed in September 2005
• IHE Charter - The Patient Care Devices Domain is concerned with Use Cases in which at least one actor is a regulated patient care device. The PCD coordinates with other IHE clinical specialty based domains such as medical imaging.
• Current membership is approximately 200 and growing.
Device Enterprise Communication Profile – 2006-7
Provides the ability of a device to send physiological data directly, or through a gateway. Sampled data from continuous parameters (heart rate, blood pressure, SpO2) or intermittent parameters such as NIBP are included.
HIMSS Showcase Feb. 2007
The PCD display generated a great deal of interest as six companies demonstrated the ability to transfer physiologic data.
IHE PCD 2007 Interoperability Showcase Demonstration
IHE PCD 2007 Interoperability Showcase Demonstration
IHE PCD 2007 Interoperability Showcase Demonstration
IHE PCD 2007 Interoperability Showcase Demonstration
Connectathon
Recruit
Resources
Set Priorities
Develop Technical Framework
Process for Current Cycle (2007-8)
2006 Survey Call for Short Proposals
“Vetting” by Planning and Technical Committees
Interoperability Showcase Demonstration
Respondent Demographics171 Individual Responses
0 10 20 30 40 50 60 70 80
Vendor
Hospital based Clinical Engineer
Other
Other Hospital Based I.T. Professional
User of Medical Devices / Caregiver
Hospital Department Head
Hospital CIO
Regulator - Government or Other
Purchaser / Materials Mgr.
= Hospital Based
Relationship of Clinical Engineering and IT
*26 of the 103 Non-Vendor Respondents do not work in hospitals
0 5 10 15 20 25 30 35 40 45
Do not know
C E i s Outsour ced
Do not cr oss paths
C E and I T ar e separ ate -
wor k c l osel y
C E i s P ar t of I T
Importance of Interoperability - Hospital Respondents
0 5 10 15 20 25 30 35 40
Not a P r i or i ty
P r ef er i nter oper abl e devi ces but not
r equi r ed
Movi ng to compl i ance - wi l l i ng to pay a
pr emi um f or i nter oper abi l i ty
I HE compl i ance i s a r equi r ement f or
pur chase i f i t i s avai l abl e
What are the priority devices for interoperability?
= Users= Vendors
0 10 20 30 40 50 60 70 80
Dialysis (acute / chronic)
Intra-Aortic Balloon Pumps
Infusion Pumps
Anesthesia Systems
Ventilators
Physiological Waveform Monitors
Vital Signs Reporting Devices
Percent of respondents that consider it important
Short Proposals Submitted for 2007
Version Author/ Champion
Profile File Name No. Name
Patient ID 4.11 Ray Zambuto
RealTimeClinicalDataManagementStorageAndRetrieval 1.0 Jack Harrington
CrossEnterpriseSharingofPatientCareDeviceData-Synchronous 1.0 Jack Harrington
IHE-ECG-Workflow 1.0 Jack Harrington
InfusionPumpIntegrationToBPOC 1.0 Scott Zaffrin
PoCRealTimePnPDeviceIntegration 1.0 Todd Cooper
SmallDataElementExchange 1.1Karen Witten, Beth
Hurter
HomeTelehealth 1.1Vern Williams, Jim
McCain
Alarm Interoperability 1.0Elliot Sloane, Tobey
Clark
PCAInfusionSafety 1.0Julian M. Goldman,
MD
PCD-02Query 1.0 Paul Schluter
Proposals Adopted for 2007*
Author/ Champion
Profile File Name Name
Patient ID Ray Zambuto
PCD-02Query Paul Schluter
PoCRealTimePnPDeviceIntegration Todd Cooper
HomeTelehealthVern Williams, Jim
McCain
* Based on resource limitations. Additional work can be added if author/champion demonstrates sufficient additional resources
Subscribe to Patient Data 2007
An optional publish/ subscribe mechanism for applications to negotiate which PCD messages are communicated to a given application based on negotiated predicates (i.e., filter by patient, parameter or certain other characteristics)
Patient Identity Binding 2007
Automates the entry of patient identification to Patient Care Device systems, providing the potential for improving throughput, reducing errors, and increasing safety and increasing device and drug effectiveness.
Point of Care Plug and Play 2007
This profile should be available for public comment by the end of July.
Roadmap for 2008 and Beyond
Profile Family Year 1 Year 2 Year 3 Year 4 Year 5
Patient Identification Binding
Cross Enterprise Sharing of Synchronous Patient Data
Device control paramaters, interlocks, alarm controls, authentication
PCD-02 Patient Data Publish and Subscribe Query
Real Time Clinical Data Management, Storage and Retrieval
Point of Care Real Time PnP Device Integration
Device Interrogation, Identification, Location
Device-Device interaction Device-Device Control
Transport - pre hospital, waveforms, AED, telephonic
Wellness, smart home dataOutside the home - e.g. fitness
Alarm Interoperability - Alarm Information
Alarm Control
PCA Infusion Safety Smart Alarm Applications Smart Alarm Applications
IHE ECG WorkflowSmall Data Element Exchange
Infrastructure Export of PCD Data (DEC)
Inter-Device
Home Telehealth
Cross Domain
Work Flows
Applications
• The ability to influence the Technical Framework (public comment period just beginning for the Supplements)
• A year’s marketing advantage over those who don’t participate
• Participation in the Jan. 2007 Connectathon and the Feb. 2007 HIMSS Showcase with other PCD systems
Participation in 2007 Provides
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