integrating the healthcare enterprise stephen g davies royal glamorgan hospital
TRANSCRIPT
Integrating the Integrating the Healthcare EnterpriseHealthcare Enterprise
Stephen G DaviesStephen G Davies
Royal Glamorgan HospitalRoyal Glamorgan Hospital
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
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
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
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
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
Images
Hardcopy and softcopy
grayscale and presentation state
Access toRadiology
Information
Consistentaccess 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
imagesstored
patientinformation
RIS
examination orders
imagesretrieved
HIS
PACS
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
report
report
Scheduled Workflow ProfileScheduled Workflow Profile
Registration
Orders Placed
Orders Filled
Film
FilmFolder
Image Manager& Archive
FilmLightbox
report ReportRepository
DiagnosticWorkstation
Modality
acquisitionacquisitionin-progressin-progressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
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
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
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
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
Thank youThank you