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Geneva, Switzerland, 26-27 April 2012
Brief Presentation (More information at end, after slide 10)
Integrating the Healthcare Enterprise (IHE) - eHealth Initiatives
Elliot B. Sloane, PhD, CCE, FHIMSSPresident, Center for Healthcare Information Research and Policy
(CHIRP) & Co-Chair, IHE International
Joint ITU-WHO Workshop on e-Health Standards and Interoperability
(Geneva, Switzerland, 26-27 April 2012)
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IHE International - www.IHE.net
Created in 1997 to assure electronic health data interoperability
Triggered by inability of products to reliably exchange DICOM images
Worldwide initiative in > 24 countriesNon-profit, volunteer driven, user-centric
No cost for membership or documentsJoin or download at www.IHE.net
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Main results to date
Many hundreds of software and hardware products tested around the world using the “IHE Profiles”
See http://connectathon-results.ihe.net/2012 product testing in North America, Asia-Oceania and Europe
Embedded in national/state standards in CanadaGradually emerging in US and China
Some products are “IHE Natives”Successful collaboration with Continua™
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KoreaKorea
International Growth of IHE
FranceFrance
Local Deployment, National Extensions Promotional & Live Demonstration Events Over 400 Organizational Members (all
stakeholders)
USAUSA
GermanyGermany
ItalyItaly
JapanJapanUKUK
CanadaCanadaTaiwanTaiwan
NetherlandsNetherlandsSpainSpain
AustriaAustria
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Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing
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AustraliaAustralia
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ChinaChina
TurkeyTurkey
MalaysiaMalaysia
SwitzerlandSwitzerland
Early programs in Brazil, Dubai, Israel, and Saudi Arabia, too
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12 Years of Steady Evolution 1997 – 2010
The IHE Development Domains
PharmacySince 2009
Pathologysince 2006
Radiation Oncologysince 2004
Radiologysince 1998
Cardiologysince 2004
Patient Care Devicessince 2005
Patient Care Coordinationsince 2004
Eye Caresince 2006
QualityResearch & Public Health
since 2006
Laboratorysince 2004
(Healthcare)IT Infrastructure
since 2003
since 2008
IHE has eHealth initiatives in many/most key clinical areas
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Future activities
Expanding to more products & nationsExploring “smart phone” tools, appsSee also:
www.CEITCollaboration.orgwww.ACCEnet.orgwww.IHE.net and www.IHE.net/PCDLarge number of device, state, and national examples at http://www.iheusa.org/IHEUSA-Resources-Education-Conference-Archives2012.aspx
See additional slides at end of this set!
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Challenges, lessons learned
Every new entrant wants to start with a fresh sheet of paper!
Waste of great talent and precious time
Never, ever really “done”Tomorrow’s innovations will require new adaptations
Mobile technologies are coming quickHow to share disciplines like security, standards with that enthusiastic crowd?
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Conclusions and Recommendations
Make standards, tools and toolsets visible to mHealth developersSponsor Mobile Technology “Connectathons” that demonstrate IHE, IEEE, HL7, Rosetta use
Grand prizes?Chronic disease smart phone apps that use IHE!
Education needed on value of “at rest” and “in-motion” data encryption
Free tools available!Personal health data MUST be protected!
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Questions and enthusiastic ideas are WELCOME!
Please feel free to contact me directly at [email protected] or [email protected]
Elliot B. Sloane, PhD, CCE, FHIMSSSwww.ebsloane.org
Remember: it is all free:www.IHE.net
www.IHE.net/PCD
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Geneva, Switzerland, 26-27 April 2012
Elliot B. Sloane, PhD, CCE, FHIMSSPresident, Center for Healthcare Information Research and Policy
(CHIRP) & Co-Chair, IHE International
Joint ITU-WHO Workshop on e-Health Standards and Interoperability
(Geneva, Switzerland, 26-27 April 2012)
FULL PRESENTATION & DETAILSIntegrating the Healthcare Enterprise
(IHE) - eHealth Initiatives
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Some of the current FAQs:
Elliot B. Sloane, PhD, CCE, FHIMSSPresident, Center for Healthcare Information Research and Policy
HIMSS roles:
Board of Directors, Delaware Valley HIMSS HIMSS Annual Conference Education Committee Past Chair, HIMSS Security and Privacy Steering Committee IHE roles:
Co-Chair, IHE International Board of DirectorsCo-Founder IHE Patient Care Device Domain
Board of Directors, IHE-USA
Other professional roles:
Sponsor, IEEE 11073 Medical Informatics Standards Past President, American College of Clinical Engineering Past Board of Directors, IEEE EMBS Past Board of Directors, ANSI/HITSP project
www.ebsloane.org &www.ebsloane.org/HealthSystemsEngineering/
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KoreaKorea
International Growth of IHE
FranceFrance
Local Deployment, National Extensions Promotional & Live Demonstration Events Over 400 Organizational Members (all
stakeholders)
USAUSA
GermanyGermany
ItalyItaly
JapanJapanUKUK
CanadaCanadaTaiwanTaiwan
NetherlandsNetherlandsSpainSpain
AustriaAustria
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
09
Pragmatic global standards harmonization + best practices sharing Pragmatic global standards harmonization + best practices sharing
20
08
AustraliaAustralia
20
10
ChinaChina
TurkeyTurkey
MalaysiaMalaysia
SwitzerlandSwitzerland
Early programs and projects in Brazil, Dubai, Israel, Mexico, and Saudi Arabia, too
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12 Years of Steady Evolution 1997 – 2010
The IHE Development Domains
PharmacySince 2009
Pathologysince 2006
Radiation Oncologysince 2004
Radiologysince 1998
Cardiologysince 2004
Patient Care Devicessince 2005
Patient Care Coordinationsince 2004
Eye Caresince 2006
QualityResearch & Public Health
since 2006
Laboratorysince 2004
(Healthcare)IT Infrastructure
since 2003
since 2008
IHE has eHealth initiatives in many/most key clinical areas
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“eHealth”Broad umbrella
Health data needs to be in electronic form so it can be liberated/visible/usable by MANY stakeholders
PatientsCaregivers/family/supporting persons/agenciesPhysicians, nurses, hospitals, clinics, public health
Must be affordable, portable, & durableGIGO: Garbage In = Garbage Out
Health data must be correct, complete, timely, coordinated, AND, of course, secure
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Technology convergence
Mobile technologies like cell phones, smart phones, tablets, etc offer low cost mobile access to data (text, numbers, and images)
On the one hand “it’s all the same,” in that all computers manage the same binary coded dataMobile devices can do
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There is a new breed of crossover products
“smart phone” devices … (many/most w/FDA 510k
clearance) that show what is possible!
Here is a quick tour…
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From: http://www.imedicalapps.com
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FREE!
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Well, those are “secondary use” devices for
radiologists or other physicians.
How about “real” devices used for diagnosis or
treatment?
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Coming soon???
An entire large and growing conference has emerged, called the mHealth Summit, and a community has formed at mHIMSS.org
WHO led sessions there last December
More and more relevant products and services seem to emerge each week.
Some examples follow…
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Only the Continua™ WAN devices offer IHE interoperabiity!
Wide spectrum, from “Personal Health Devices” to regulated
Medical Devices
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IHE can handle all of these types of devices: clinical measurements of all sorts!
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In a real sense, IHE does not care if the device is a smartphone or not! i.e., systolic blood pressure is still the same!
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IHE is vendor and “modality” neutral. e.g., Rosetta Project maps ALL vendor clinical
coding to each other via IEEE 11073
Extensible: IHE’s Rosetta Project harmonizes vendors to ISO/IEEE 11073 to SNOMED to ???
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25% of HIMSS ’11 Interoperability Showcase vendors featured medical devices!
IHE’s Steady Growth!Partners from software, hardware, pharmaceuticals,
telecom, and more
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IHE PCD facilitates -- and is inspiring -- innovation and
competition!
One vendor from China has designed, built, and is selling “IHE-PCD-native” anesthesia and monitoring products to US and global markets already!
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Results are public and profile specificResults are public and profile specific
www.ihe.net/Connectathonwww.ihe.net/Connectathon
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(c) 2011, Elliot B. Sloane, All
rights reserved.
The IHE-PCD, Continua-WAN, and IHE EMR interfaces were shown in the
HIMSS Interoperability Showcase for the past couple of years.
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Implementation Tools
Open source implementations are available for XDS, XCA, XCPD, PIX, PDQ, ATNA, CT, and more:
Microsoft under codeplex http://ihe.codeplex.com/
NIST under Source Forge http://sourceforge.net/projects/iheos/ HIE-OS under Source Forge http://sourceforge.net/projects/hieos/
FHA CONNECT http://www.connectopensource.org
OHT – IHE Profiles Charter https://iheprofiles.projects.openhealthtools.org
OHT – Open Exchange Forge https://openexchange.projects.openhealthtools.org
OHT – Model Driven Health Tools-Charter https://mdht.projects.openhealthtools.org
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Barriers to successful eHealth innovation?
13-20,000 new medical apps expected in the coming year
Apple, Droid, Window phones& tablets
NO apparent standardization, even though it would be so, so easy
Frankly, no awareness of a larger picture to share health data with each other and/or various providersFollow/leverage the Continua™ example?
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Conclusions and Recommendations
Make standards, tools and toolsets visible to mHealth developersSponsor Mobile Technology “Connectathons” that demonstrate IHE, IEEE, HL7, Rosetta use
Grand prizes?Chronic disease smart phone apps that use IHE!
Education needed on value of “at rest” and “in-motion” data encryption
Free tools available!Personal health data MUST be protected!
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Questions and enthusiastic ideas are WELCOME!
Please feel free to contact me directly at [email protected] or [email protected]
Elliot B. Sloane, PhD, CCE, FHIMSSSwww.ebsloane.org
Remember: it is all free:www.IHE.net
www.IHE.net/PCD