Radiology Planning Committee

Sept 16, 17, 2004

Agenda Thursday 8:30 – 5:30

Agenda review (.5 hour) Feedback from IHE workshop (.5 hour) Year 7 Planning, including marketing (2.5 hours) Working lunch Radiotherapy – ASTRO (2 hours) Handbook Development (2 hours)

Friday 8:00 – 3:00 IHE web sites (0.5 hour) RSNA 2004 planning (1.5 hours) Business Cases (1.5 hour) Handbook Development (2 hours) Next steps and t-con schedule until RSNA (.5 hr)

Agenda PDI Marketing Material Business Case – Handbook

Success story authors and contributors have a t-con to review 2-3 weeks before the user’s meeting we review the draft

RSNA Presentations Abstract Sept 30, close of comments Oct 8. Educational Sessions Draft Oct 22, Nov 5 Template Effort – Next Steps, closing slide – Oct 8 Review the presentations – Rad Plan t-con, Oct 29.

Technical Cmte Feedback on Year 7 – RSNA Meeting Radiology Vendor Workshop, web conf – Oct 26 Need to get on an Agenda for SCAR

Need to get a focused message in a General Session in SCAR-University Chris to take the lead

Integration Handbook – March 15, 05 Meeting with the user’s group – Friday, Dec 3, 8:30-10:30

Year 7 Planning

Discussion of Activity ProposalsDeployment HandbookTeaching FilesStrategic PresentationsEtc.

Proposal of SlatesVoting on SlatesAddress Roadmap

Radiology Year 7 Focus

Activity Areas% of PC Bandwidth

% of TC Bandwidth

Develop New Profiles 0

Consolidate Domains 3

Promote Vendor Implementation 20

Promote User Understanding 17

Support User Deployment 26

Total: 100% 100%

Marketing Requests

Value/Pain Item DocumentToolkit for ChampionsSuccess StoriesFeedback from Deployers to IHE

meeting of success story sites/champions at RSNA?

also allows cross-pollination

1. Support User Deployment

Motivation: Users Understand IHE and Want IHE but have problems

implementing into their current architecture They need deployment models and case studies

Activities: 1. Practical Deployment case studies2. Business Case for key Profiles3. Strategies for Legacy Integration4. Review Case Studies/Success Stories (what is IHE helping, what is

IHE missing) 5. Site Evaluation Tools6. Engage consultants7. X Availability of of Productized Mesa 2.0 for Elective use by Sites

Acceptance Testing8. Publish Connectathon Test Plan to inform user site testing9. Database of Integ. Statements & CThon Results

2. Promote Vendor Implementation

Motivation: Customers are finding few vendors; few products; few profiles and

perceive IHE as risky/not ready yet Vendors need more motivation on the marketing side and more

support on the engineering side Activities:

1. Understand and Resolve Issues with Vendor Products Why they can’t implement IHE actor(s) for profile(s)

2. Collect/Collate Market Data (#prod. implementations, #field deployment)

3. XUse Plan & Tech Face-to-Face Meetings to Kick-start Vendors (Q: Do we need more vendors or more profiles?)

4. Get Vendor Product Decision Makers to Attend Have Luminaries Speak to the Value

5. X“Generate more user demand”, “help them understand value”6. Next-Gen Connectathon Tools – MESA 2.07. Document Intrinsic Benefits to Vendors of IHE

1. Cost/Benefits of Connectathon, New Capabilities drive upgrade cycle, etc.

Promote User Understanding

Motivation: It’s Still Too Hard for Users to Understand It’s Still Not on the Radar of Most Users

Activities: Refine Profile Structure so it’s easier to Understand Continue work on Departmental Workflow Improve Materials for Educating Customers – likely falls out of

other activities Broader outreach to users who haven’t heard of IHE, e.g.

more direct contact materials such as bulk mailing Work on IHE Web Site Development (IHE.net) Find ways to make and publish many more success stories

Focus on getting some mid-tier sites, getting quantitiative

Develop New Profiles

Motivation: There are still Profiles worth addressing

Activities: Continue Addressing Radiology Issues such as Dept. WF, Federated

PACS, Teaching Files, Clinical Trials, (Anonymization), New CT/MR Content, Dose Recording, CT/PET Fusion, etc.

Teaching File Explore DICOM – Next Gen Reporting – Multimedia, CDA-SR, etc. Explore Multi-site Patient Sneakernet Flow Cross-Enterprise Image Sharing Follow the usual proposals/tech review/selection process Tech Cmte work might be reduced to advice/review/finalization if text

is written by “side-committees” Consider a large profile takes 40-60% of TC Bandwidth, a small

profile 20-40%

Consolidate Domains

Motivation: The Domains aren’t very well integrated We need to promote convergence and interaction amongst the Domain

groups Activities:

Concerted Review of IT, Card, Lab Profiles to spotdivergences Maintain/cleanup Technical Framework(s) Document some general models (e.g. Dept. WF, content flow) Replace/Cleanup Basic Security Apply/Configure Profiles from other Domains to Radiology (Audit Trails,

XDS, RID, PIX, Config. Mgt., etc) Document Cross-Domain Profile Use Cases/Synergies Work on Multi-Domain Connectathon/Demo Synergies Organize Multi-Domain Documentation (i.e. Tech Framework) Improve Cross-Domain communications Further document IHE processes, guidelines, criteria, etc. Address overlap areas, HL7 Versioning, etc.

Expanding in Radiotherapy

Thu, Sept 16, 1-2:30 pmAmerican Society for Therapeutic

Radiology & Oncology (ASTRO)Jennifer J. Padberg, MPH, Director of

Research, ASTRODr. Jatinder Palta, UFLDr. Bruce Curran, UMDr. TripuneniDr. David Murray, Chairman, DICOM

Working Group 7 (RT)

ASTRO

Radiotherapy Domain – 30 min Expectations of ASTRO – 15 min Explain the IHE process – 15 min Identify next steps – 30 min

Create a new domain, Sponsor organizations Recruit vendors Need to create committees Collaboration with Radiology Seed with existing committee members International aspect (US and Europe) Kick-off meeting, Goal for demo at a show

ASTRO (Discussion) Scope out the problem Involve AAPM, ASTRO Had a Conf call for next steps Current approved structure:

President has invited AAPM, RSNA, ACR to suggest the names of committees

Tech Cmte headed by Bruce Curran Clinical Cmte headed by Prabhakar Tri…

Corporate meeting at ASTRO. Tentative times available to them Meeting in Altanta, Oct 3rd – 7th

Corporate Advisory Group (11 Elected individuals by vendors) Corp Breakfast meeting (a representative from each exhibitor) Follow with a meeting of the ASTRO leadership RSNA will appoint some people to these committees?

ASTRO (How we came about)

Deal with DICOM domain Need clinical committee Facilitate early discussion – What type of

profiles to be developed Identified those who have the incentive to solve

the integration problem Working Group 7 generally holds a meeting at

NEMA meeting, early in the year in Washington Planning meeting at RSNA – Someone at IHE

provide an overview and guidance Kick-Off meeting at the tail of NEMA in

Washington

RSNA 2004 – Chris Carr Overview Educational Sessions

Timeline for development Reviews and Final Text

Vendor PDI activity/communications Communication to the Radiologists, Physician

User Success Stories: 14, hands-on from 4 sites bringing equipment, etc. for roughly IHE workflow. Bringham and Women’s Hospital – ADT, OP Wisconsin – OF, PACS, Modality, PGP, non-radiology modality Cleveland Clinic – Post Processing Workflow, 3D Univ. of Maryland – Diagnostic Workstation, Reading room, some

structured reporting functions Need to get a clear list of IHE profiles being demonstrated Past stories to be updated for those who did not submit new ones

RSNA 2004 – Chris Carr PDI Messaging

Reliable CD Creator Benefits Receiver Benefits

IHE-PDI: “CDs that work” IHE-CD: “One that works” – Try for yourself 3 lines of instructions of what to do on the CD CD contents – medical, disclaimer and instructions to use the CD.

22 vendors participating: 18 importers, 21 creator Pre-mailing to target audience On-site: Kiosks on entrance to North and South hall. Showcase exhibit booth, will have a station All attendees will have a coupon to get CD-Wallet with PDI-CD,

once they complete the tour.

RSNA 2004 – Chris Carr

PDI Mailer: To go out in mid-October5000 attendees will get a mailing

describing PDI demo and a CD. Flyer that describes the demo, participating companies, what to do with the CD

IHE Demo Participant: SignageChris to finalize PDI materials and review

it with planning committee on a t-conInforad Showcase Exhibit

Integration Handbook

Review by SectionAuthors present their work according to

the sections in outline (2, 3, 4)Discussion and commentsAssign authors for Introduction (section 1)

Integration Handbook

Section 2 – 2 hours (9 sections)Section 3 – 2 hoursSection 4 – 2 hours

? Questions from Workshop ? Make the Test plans available to implementors? Should it be public

information? Sanjay: Yes. Make them public.

Nogah, developed acceptance testing plan based on TF – can there be a forum to share them?

Sanjay: IHE Users forum. If the creators agree to share them. There could be many product implementations which may be limited in

IHE capabilities. Can a reference to particular version be added to Integration Statement.

Sanjay: This has been discussed before. We can recommend add to comments Include in the Integration Statement, where tested – Connectathon, Beta

test on-site, etc. Sanjay: We can recommend add to comments. This is good information. Only

issue is parts may be Connectathon only, others on-site. Optional functionality to become required in a profile after lapse of a

certain time period (1-2 years) Sanjay: For later discussion in the committees.