International HL7 Interoperability Conference Orlando, May 2011

1. INTEGRATING THE HEALTHCARE ENTERPISEContribution to the Meaningful Use of Interoperability World-wide International HL7 Interoperability ConferenceOrlando, May 2011 John Moehrke, IHE IT Infrastructure, GE Healthcare

2. IETF IHTSDO The Health IT Interoperability Challenge eHealth Projects Base Standards How can we realize the promise of HIT Standards?

3. Interoperability: From a problem to a solution Profiling Organizations Have Emerged IETF IHTSDO eHealth Projects Base Standards Profile Development Specific Extensions 3

4. IHE: A Framework for Interoperability A common technical framework for harmonizing and implementing multiple standards Application-to-application System-to-system Setting-to-setting Enables seamless health information movement within and between enterprises, regions, nations Promotes unbiased selection and coordinated use of established healthcare and IT standards to address specific clinical needs

5. How much is IHE adopted ? ISO Health Informatics: TR28380 Global Standards Adoption – IHE Process and Profiles Worldwide IHE Adoption by National and Regional Projects 23 Country European epSOS Project US Nationwide Health Information Network Exchange Over 60 regional communities operational worldwide Large scale (5-30 Million) national projects (Austria, France) on-line & ramping up Products broadly available US: over 40 EHRs More than 10 HIE infrastructure products in clinical use Multiple Open Source Offerings http://tinyurl.com/wwxds Home Health CONTINUA and IHE are work together 5

6. Testing at Connectathons IHE Demonstrations Develop technical specifications Products with IHE Identify available standards (e.g. HL7, DICOM, IETF, OASIS) Timely access to information Document Use Case Requirements Easy to integrate products IHE Standards Adoption ProcessAdopted by International Standards Organization: TR 28380 6

7. The IHE Development Domains Radiologysince 1998 Cardiologysince 2004 Pathologysince 2006 Laboratorysince 2004 Eye Caresince 2006 (Healthcare)IT Infrastructuresince 2003 Radiation Oncologysince 2004 QualityResearch & Public Healthsince 2006 Patient Care Coordinationsince 2004 Patient Care Devicessince 2005 13 Years of Steady Evolution 1998 – 2011 PharmacySince 2009 since 2008

8. International Growth of IHE Switzerland Netherlands Germany Turkey Canada Austria Taiwan France Japan China USA Italy UK Spain 2005 2006 2000 2007 1999 2001 2002 2003 2004 2009 2008 2010 • Local Deployment, National Extensions • Promotional & Live Demonstration Events • Over 400 Organizational Members Malaysia Australia Pragmatic global standards harmonization + best practices sharing 8

9. Vendors do not pass… until attested by an independent IHE Monitor IHE Connectathons Massive events : 70-80 vendors, 120-150 products 250-300 engineers 100-120 systems ….integrated in 5 days NorthAmerica: January 17-21, 2011 EU Connectathon: April 10-14, 2011 Korea: July2011 China: September 2011 Japan: October 2011

10. Interoperability Showcases Recent Demonstrations HIMSS, Orlando - February 2011 WoHIT – Budapest – May 2011 Coming: Medica, Germany, November 2011 Japan, Korea, Australia, etc. 10

11. Leveraging IHE for a Meaningful Use of Interoperability

12. MU Stage 1 – Clinical Content

13. MU Stage 1 – Public Health & Quality

14. MU Stage 1 – Security & Privacy

15. Health Information Exchange Mechanisms Source EHRA

16. MU Stage 1 – Transport Gaps (2)

17. Transport

18. To learn about IHE, what can you do? Go to: www.ihe.net Insist on relevant IHE profiles compliance in your RFPs and contract documents: Select Integration and Content Profiles, and Appropriate Actor(s) Ask vendors for their products “IHE Integration Statements”. Need more interoperability ? Contribute to IHE Committees Support or create your national IHE (IHE International and IHE- Europe will help) 18

19. Providers and Vendors Working Together to Deliver Interoperable Health Information Systems in the Enterprise and Across Care Settings http://www.ihe.net www.iheusa.net