GE Healthcare Interoperability Initiatives Interoperability Showcase 2008 HIMSS Annual Conference

Transcription

1 Ma 11 th, 2006 Interoperabilit Initiatives Interoperabilit Showcase 2008 HIMSS Annual Conference Barr Blumenfeld, MD, MS GM, Solutions Architecture GEHC Integrated IT Solutions 1 Healthcare is a challenging industr Consumer Challenges Greater financial responsibilit Greater need for empowerment Greater demand for information Global Healthcare Challenges Improve Qualit Reduce Cost Transparenc Access Information Standards-based data exchange is at the core Customer Competitive Challenges leapfrog Intellectual safet & satisfaction propert rights ECIS commercial product Business performance IHC-in-a-box / communit hospital offering Clinical outcomes Staffing & rising costs Leverage IT for better outcomes GE ECIS IT roalt Challenges Compelling ECIS competitive content positioning fee Intellectual propert rights Connect -wide our products license & install Support the vision Support future acquisitions Ma 11 th, Statement of Belief: Each customer is unique and has differing IT needs. The healthcare sstem will alwas be comprised of heterogeneous IT sstems. In the future, HCIT sstems must share data and connect at advanced levels never before seen in this industr. Ma 11 th,

2 4 Collaborative Industr Leader Active contributor to standards development in HL7, DICOM, ISO, X12, IEEE. Solid and stable base standards are critical. From custom to built-in interoperabilit b fostering adoption of globall consistent interoperabilit specifications (e.g. IHE based national projects) to increase speed and reduce costs of implementation. Supports national initiatives standards harmonization (e.g. HITSP) maximizing alignment of standards and of interoperabilit specifications (e.g. IHE profiles in US, Canada, France, Austria, Ital, Japan, China, South Africa, etc. or European Large Scale Project). Simplif interoperabilit certification b sharing common testing tools (e.g. IHE Gazelle with NIST-IHE cooperation, CCHIT Laika) and cross-national conformance testing processes (e.g. IHE Connectathon). s Ongoing Commitment to Standards-Based Interoperabilit NA Connectathon GEHC products; IITS, Clinical Sstems, Diagnostic Imaging, Interventional IHE International Connectathon Participation in Europe, China and Japan 3 GE Domain co-chairs HIMSS IHE Showcase 8 GEHC Products GE Booth HIE Interoperabilit Demo IHE Showcase distributed participation 5 GEHC Products Interoperabilit requires collaboration Consistent input to an arra of supporting initiatives (HITSP, CCHIT, HL7, IHE) VA Interoperabilit Roadmap Phased approach Leverages IHE; Aligns w/ HITSP GE leadership: VA Vice-chair Standards and Interoperabilit Chair 5 IITS Deliver a comprehensive, high-growth portfolio of IT Solutions to digitize & connect the global healthcare communit. Ma 11 th,

3 Ma 11 th, 2006 Each Customer is Different GE has developed a Connectivit Framework designed to meet the broad and varied interoperabilit requirements of our customers Different Portfolios of GE and Non GE applications Different Implementation timelines Inpatient Different Provider models, Phsician affiliations Different Sizes, with Ambulator different budgets and IT staff Different levels of IT and Process Sophistication Scope includes both internal and external to GE interoperabilit 7 The Connectivit Framework Enables the Multiple Approaches Necessar to Serve Our Customers Workflow Presentation Framework Product A Product B Product A Product B Interfaces (GUI) Shell Integration IHE XDS Doc Framework Product B Product A Services /repositor & Doc Exch. w/ Import Framework Product A Services /repositor Information () Product B Ma 11 th, IHE Integration Profile Demonstrations HIMSS Interoperabilit Showcase GEHC HIE (HITSP & IHE) XDS XDS PIX Mgr /PDQ PD-Supplier BPPC & ATNA (HITSP & IHE) DRPT Report XDS-MS Source (CDA Referral) XDS-MS Consumer (CDA Discharge Summar) XDS-Lab Source XDS-I Consumer (PDF reports & WADO images) (HITSP & IHE) SWF Order Placer DRPT Report XDS-MS Source (Discharge Summar) XDS- Consumer (Referral) (HITSP & IHE) SWF Image Manager XDS-I Source (reports & images) (IHE) XDS-SD Source Periop Anesthesia (IHE) DEC DOC Aware Gatewa (IHE) GE Booth - HIE Demonstration GEHC HIE XDS XDS PIX Mgr/PDQ PD-Supplier NAV, BPPC & ATNA XDS-MS Source (Referral) XDS-MS Consumer (Discharge) XDS-I Consumer (PDF Reports & WADO Images) XDS-SD Consumer BPPC & ATNA XDS-MS Source (CDA Discharge Summar) XDS-MS Consumer (CDA Referral) BPPC XDS-I Source (reports & images) XDS-SD Source (PDF Deliver Summar) 9

4 10 Department,, Regional and National information sharing using IHE Health Information GE HIE GE GE Health Information Demonstration HIMSS Registration Services Health GE HIE Information GE XDS-SD ( Source) Deliver Notes (PDF) PIX ( Identit Consumer) (EMPI client) XDS-SD ( Consumer):,,, 3 rd Part 11 Health GE HIE Information GE XDS-MS ( Source) Referral (CDA R2) PDQ ( Demographics Consumer) (EMPI client) XDS-MS ( Consumer):,,, 3 rd Part 12

5 13 ENTERPRISE Health GE HIE Information GE XDS-MS ( Source) Discharge Summar (CDA R2) PIX ( Identit Consumer) (EMPI client) XDS-MS ( Consumer):,,, 3 rd Part Health GE HIE Information GE XDS-I ( Source) Images(DICOM) and Reports(PDF) PIX ( Identit Consumer) (EMPI client) XDS-I ( Consumer):,,, 3 rd Part 14 GE HIE Services: IHE Features and Functions IHE XDS DOCUMENT REGISTRY AND REPOSITORY ( and Locator Service) A document sharing infrastructure that connects clinical sstems to share information. Includes a document registr and a document repositor (central repositor is optional). IHE PIX/PDQ (EMPI) Provides linkage between local patient identifiers so that patient information can be aggregated across sstems, and allows external sstem to find patients b using demographic information. IHE BPPC (Privac & Consent) Manages patient privac and consent policies. Registers consumers with elected consent and checks for patient consent in order to enforce privac policies established b HIE and patient. IHE ATNA (Securit) The Securit and Consistent Time services are embedded in the IHE XDS service described above. IHE NAV (Notification) Uses to notif users of new document availabilit in XDS registr. Allows for automation of use cases within document sharing environments such as referral processing, records retrieval and patient access. IHE XDS Web Viewer 15

6 16 Boston Medical Center & MA-Share IHE XDS Implementation Boston Demonstrated at NHIN meeting in Washington, DC (01/2007) Integrates 9 separate s in BMC communit using IHE-XDS Includes XDS,, and Viewer Onl to show document sharing integrated into workflow Production version to go live mid-2008 Vermont Information Technolog Leaders (VT RHIO) IHE XDS Implementation GOAL: Provide HIE infrastructure to manage chronic disease and offset the cost of state subsidized health insurance. Allows for creation and sharing of clinical documents to coordinate patient care b providers. Live 12/2007. VT DOH Labs GE-BVT #6:FAHC #2:StJ #5:CVMC GE Deliverables: IHE PIX Manager IHE XDS IHE XDS Consent (BPPC) Auditing (ATNA) Consistent Time (CT) Center for Hosting Qualit Reporting #3:Ben #1:MtA #4:Spring 17 Informed Clinical Care = Interoperabilit Interoperabilit enables collaboration across the entire healthcare enterprise, infusing the network with evidence, reliabilit and efficienc, turning information into insight IHE enabling Informed Clinical Care 18

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