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eLabDr Karen Wood
Pathologist, CEO Aotea PathologyFebruary 2012
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Aotea Pathology
•
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Aotea Pathology
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Aotea Pathology
• Serves all community laboratory referrals for HVH and CCH DHBs
• Established in 2006 for 5 year fixed term contract
• 3 year extension to November 2014
• In house LIS – Lab Solutions
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Electronic ordering• July 07 electronic ordering proposal to
investigate signed off• MOU with Healthlink• Focus group meetings with referrers• Specifications developed• 2008 – Danish system – DMDD• 2009 Development• 2010 Two pilots• 2011 Launch and implementation
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Aotea Pathology September 2011
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Aotea Pathology
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Roll out• Roll out by region
• To date ~ 30% of GP referrers
• Team visit with presentation and hands on training, food supplied
• 17% of referrals are by eLab
• Laboratory front end processing under review
• Collection services facility changes
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Creating an eLab Order
3
Pathology lab adds to eLab:• Test specific clinical advice• Specimen and patient
requirements
Request Form printed advises patient:• Nearest collection rooms to GP’s
Practice• When to have the test• Fasting or other instruction• Unique barcode order number
4
eLab copies the request to MedTech:• Time, date, tests ordered• Image copied into Patient Advanced Forms and
Daily record
Patient presents at Collection Rooms• All information is available• Specific advice to collectors for unusual
Tests• Sample collected and barcoded
5
1
MedTech populates the eLab order screen
GP loads selected tests and required clinical information
2
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eLab Form View Screen
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eLab Normal View Screen
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eLab Page Two Screen
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Collection cubicle fit out
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Advantages
• Data entry error reduction• Better demographic information: patient, referrer, copy to• Better quality clinical information from referrers• Improved laboratory reporting• Relevant clinical advice available• Less specimen error• Better patient preparation• Online reflex testing and house call requests• Service efficiency• Based on industry standards
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User acceptance
• Positive from referrers
• Fully supported by laboratory
• Speed is paramount
• Reliability essential – no going back
• Closing the loop on a referral – copy back into “Tasks” in PMS
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The NZ Environment
• Internet access and speed variable
• Not compulsory – no contractual obligation
• No national ID card
• No national request form
• Larger volumes of laboratory collected samples
• Greater imperative to follow up on critical tests
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Future developments
• MedTech tasks generated (early 2012)
• Enhanced clinical advice – demand management
• Barcode within the practice
• Interlab transfer of specimens
• Search for previous results
• Implement within DHBs
• Enhanced internal processing eg tracking
• Patient and test billing