Didi Davis, Director of IHE, HIMSS

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IHE Testimony

• Didi Davis, Director of IHE, HIMSS
• National Committee on Vital and Health Statistics
  (NCVHS)
• July 27, 2006

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Connecting standards to healthcare delivery

• Care providers work with vendors to coordinate
  the implementation of standards to meet their
  needs
• Care providers identify the key interoperability
  problems they face
• Drive industry to develop and make available
  standards-based solutions
• Implementers follow common guidelines in
  purchasing and integrating systems that deliver
  these solutions

IHE, effective way to establish those
standards for how to implement standards
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What is Integrating the Healthcare Enterprise?

• IHE provides a common framework for passing
  health information seamlessly
• within the healthcare enterprise
• across multiple healthcare enterprises
• for local, regional national health information
  networks
• IHE is sponsored by healthcare professional
  associations HIMSS, RSNA, ACC, ACP, ACCE, ESC,
  SFR, BIR, GMSIH, etc.
• IHE drives standards adoption to address specific
  clinical or administrative needs

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IHE Organizational Structure Multi-Domain
Multi-National
IHE Domain-related Planning and Technical
Committees
Global DevelopmentRadiology,IT
Infrastructure,Cardiology,Lab, etc.
contribute
Participants
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Proven Standards Adoption Process
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IHE 2006 Nine Active Domains
Close to 200 vendors involved world-wide, 5
Technical Frameworks 51 Integration Profiles,
Testing at Connectathons Demonstrations at major
conferences world-wide
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NCVHS Discussion Template of NHIN
Confidentiality and Security
Edge System Examples
Public health systems
Other edge systems
Other edge systems
Confidentiality and Security
Personal health records
E-prescribing systems
Immunization Registries
Electronic health records
Draft NCVHS - 071406
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Requirement 1 Allow edge systems to retain
functionality and autonomy
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Requirement 2 Allow Flexibility to support
multiple architectures

• A broad range of architectures are supported
  (centralized, distributed, federated).

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Requirement 3 Provide Incremental Phases
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Some of the Benefits
Healthcare Information Transparency
Data-driven Clinical Decision Making
Improve information access (?duplicate
procedures, ?safety, ? collaboration)
Recognize simple hard costs savings paper, fax,
admin labor
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Introduced at HIMSS in 2006 IHE-XDS
Community or sub-network
Repository ofDocuments
Repository ofDocuments
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2006 Interoperability Showcase

• More than 3,000 attendees visited the Showcase
• 37 vendors demonstrated 48 health information
  technology (IT) systems in a RHIO format
• 700 attendees created and tracked their own
  electronic health record (EHR)
• 63 educational sessions presented
• 5 international delegations visited the Showcase
• Three HIMSS 2006 keynote speakers toured the
  Showcase
• 16 clinical scenarios - EHR and personal health
  record (PHR) systems, and multiple care delivery
  settings

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General Impressions

• I was impressed with the progress I saw in the
  Interoperability Showcase over the past year. I
  am encouraged by the vendor industrys
  demonstration of the real potential for
  interoperability. This type of collaboration is
  required for us to realize the potential for
  information technology in healthcare.
• Dr. David Brailer, Vice Chairman, American Health
  Information Community and former National
  Coordinator, Health Information Technology

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Whats Missing or Needs Clarity?
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Nation-Wide coordination of policies, resources
and priorities ONC Initiatives and Contracts
for unifying regions
The National Health IT Effort
Health Information Technology Standards Panel
(HITSP)
The Certification Commission for Health
Information Technology (CCHIT)

• The AHIC Community serves as hub for identifying
  breakthrough opportunities
• CCHIT focuses on developing a mechanism for
  certification of health care IT products
• HITSP bringing together all relevant stakeholders
  to identify appropriate IT standards
• HISPC is a partnership focused on addressing
  variations in business policy and state law that
  affect privacy and security
• NHIN focuses on interoperability pilots starting
  in 2006

American Health Information Community
Nation-Wide Health Information Network
Architecture Projects (NHIN)
The Health Information Security and Privacy
Collaboration (HISPC)

• Chaired by HHS Secretary Leavitt
• Seven federal agency representatives
• Six health industry members
• One IT industry member (Intel)
• One employer (Pepsi)
• One state health department member (IN)

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HITSP Harmonization Process
ReceiveRequest
II RequirementsAnalysis
III Standards Identification
V Standards Selection
VII InspectionTest
VIII InteroperabilitySpecificationDisseminat
ion
IV Gaps/ Overlaps Resolution
VI InteroperabilitySpecification
Construction
I Harmonization Request
BeginSupport
IXHarmonization Process Management
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The Role of IHE

• Models for Harmonization
• Mapping of standards which have different levels
  of granularity
• Preferred standards and evolution over time
• Unification
• Building Blocks
• Implementation Guides/Interoperability
  Specifications
• Architecture and Context
• Process Expertise
• Standard v. Implementation Guide
• Testing
• Pilots such as those in Massachusetts

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More information.

• IHE Web site http//www.ihe.net
• http//www.himss.org/IHE
• http//www.rsna.org/IHE
• http//www.acc.org/quality/ihe.htm
• Technical Frameworks
• Technical Framework Supplements Trial
  Implementation
• Non-Technical Brochures
• Calls for Participation
• IHE Fact Sheet and FAQ
• IHE Integration Profiles Guidelines for Buyers
• IHE Connect-a-thon Results
• Vendor Products Integration Statements

Questions?
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(No Transcript)