IHE and US National Health IT Initiatives

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IHE and US National Health IT Initiatives
Charles Parisot, GE Healthcare IHE IT
Infrastructure Planning Committee Co-chair
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US Federal Initiative for Health IT and National
Health Information Network

• The US health system is managed both at the
  federal level and the state-level.
• Over 200 implementation initiatives in the USA
  exist at the state level or communities within
  the states.
• At the federal level, HHS (Ministry of Health)
  has set-up a policy-level setting board (AHIC), a
  coordination office (ONC) and 4 supporting
  initiatives for standards selection,
  certification, privacy and prototyping (See next
  slide).
• IHE-USA has been engaged in the organization of
  these supporting initiatives. IHE and IHE
  sponsors (e.g. HIMSS, RSNA, ACC, etc.) and
  participants contribute to those initiatives.

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The Community is the hub that drives
opportunities for increasing nation wide health
information interoperability

• AHIC, chaired by HHS Secretary is strategic
  coordination.
• CCHIT focuses on developing a mechanism for
  certification of health care IT products
• HITSP brings together all relevant stakeholders
  to identify appropriate IT standards
• HISPC addresses variations in business policy and
  state law that affect privacy and security
• NHIN is focused on interoperability pilots

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HITSP delivers interop specs to AHIC

• The Health Information Technology Standards Panel
  (HITSP) has addressed 3 business use cases for
  interoperability Access to lab results,
  Consumers registration medication history,
  biosurveillance.
• HITSP has over 200 members representing all US
  stakeholders in healthcare and Standards
  Development Organizations (incl. DICOM, HL7,
  etc.).
• HITSP in its standards-based specifications, has
  decided to leverage private sector initiatives
  such as Integrating the Healthcare Enterprise
  (IHE).
• The IHE Connectathon (Jan 2007) and HIMSS
  Interoperability Showcase (Feb 2007) will play a
  visible role demonstrating the HITSP/IHE synergy.

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The three HITSP Technical Committees have
published Interoperability Specifications in
October 2006
Biosurveillance 63 members Transmit essential ambulatory care and emergency department visit, utilization, and lab result data from electronically enabled health care delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time. Floyd P. Eisenberg, MD MPH, SIEMENS Medical Solutions Health Services - Presenter Peter L. Elkin MD FACP, Mayo Clinic College of Medicine Shaun Grannis, MD, The Regenstrief Institute, Indiana University School of Medicine
Consumer Empowerment 61 members Allow consumers to establish and manage permissions access rights and informed consent for authorized and secure exchange, viewing, and querying of their linked patient registration summaries and medication histories between designated caregivers and other health professionals.  Charles Parisot, EHR Vendor Association Elaine A. Blechman PhD, Professor, Univ. of Colorado-Boulder
Electronic Health Record 77 members Allow ordering clinicians to electronically access laboratory results, and allow non-ordering authorized clinicians to electronically access historical and other laboratory results for clinical care. Jamie Ferguson, Kaiser-Permanente - Presenter John Madden, MD, PhD, SNOMED Intl Steve Wagner, Department of Veterans Affairs
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IHE and HITSP Interop Specficiations

• HITSP has specified interoperability standards
  for three use cases - 8 IHE profiles used.
• EHR-Access to Lab results
• Historical Results XDS NAV XDS-Lab PIX
  PDQ
• Lab to Ordering Provider HL7 V2.5 msg with some
  differences with Lab-3 transaction from LSWF.
• Consumer Empowerment
• Doc Sharing XDS PIX PDQ
• Reg/Med History Not finalized but will be
  CDA/CCD. XPHR-TI version to be aligned on CCD
  when final is on the HITSP path.
• BIO Surveillance
• Doc Sharing track XDS, XDS-Lab, XDS-I, XDS-MS
• Anonimization PIX PDQ (with extensions)
• Capture RFD
• Messaging track, no use of IHE profiles

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HITSP GOALS and IHE

• HITSP goals with respect to testing activities
• Ensure 'fitness for use' of HITSP
  Interoperability Specifications
• Has relationship with IHE that developed/maintain
  stds/profiles used in HITSP ISs to help overall
  collaborative testing activities
• HITSP collaboration with IHE
• 8 IHE Profiles are contained in HITSP ISs
• IHE Connectathon/HIMSS Showcase provide
  opportunity for collaboration to meet mutual
  goals
• To access HITSP Interoperability Specifications
• http//www.ansi.org/standards_activities/standards
  _boards_panels/hisb/hitsp.aspx?menuid3