IHE (Integrating the Healthcare Enterprise): Ein neuer Ansatz zur Verbesserung der digitalen Kommunikation im Gesundheitswesen

Abstract

Parallel to the introduction of diagnosis related groups (DRGs) for the reimbursement of hospitals, a marked reduction of financial means within the healthcare system is taking place. Healthcare enterprise information systems will play an increasing role to accommodate the new working conditions by developing reliable and efficient workflow solutions. Interfacing the systems currently in use can meet considerable obstacles. By offering high connectivity, IHE (Integrating the Healthcare Enterprise), which was initiated by concerted actions of users and vendors, ensures improved health care delivery and, furthermore, assists in acquiring new information systems in the future. IHE is not a standard but makes extensive use of existing international standards, such as HL7 and DICOM. National IHE demonstrations confirmed the power of this approach and presented its mission to large groups of users and vendors. The concept continues to grow and for the first time provides groups of various interests cooperative solutions to the problems encountered in collecting and distributing information.

Ambient Assisted Living Healthcare Frameworks, Platforms, Standards, and Quality Attributes

“…Recent work by Thelen et al has proposed a telemedicine system for pre-hospital emergency medical services used by the German Emergency Medical Services (EMS) departments [24]. They rely on Health Level 7 (HL7) [90], Integrating the Healthcare Enterprise (IHE) [91] and IEEE11073 [111] standards for data-interchange and device integration. Another AAL system by Hein et al addresses tele-rehabilitation after heart surgery, support to hearing impaired people, and monitoring of daily living activities in a generic Service-oriented Architecture (SOA) using the Open Service Gateway Initiative (OSGi) platform [19].…”

Radiologie unter Managed-Care-Bedingungen. Einsparpotenziale aus Sicht einer Krankenversicherung in den USA

“…EDV-Probleme im Bereich der Kodierlogik sind bei HMOs in den USA bekannt [26]. EDV-¾nderungen der Vergütungssysteme sind jedoch auf deutsche Verhältnisse nicht übertragbar, da das DRG-Vergütungssystem auf der Vorgabe einer pauschalen leistungsbezogenen Patientenversorgung ohne Berücksichtigung radiologischer Einzelleistungen basiert [27]. Die Entwicklung der Abrechnung im ambulanten Bereich ist dagegen offen, wobei hier auch Pauschalisierungen zu erwarten sind [28].…”