Re: LIS integration with pathology test tracking

From:Rebecca Barnhart

	Our hospital recently changed computer system and now the entire
hospital has the same system, Meditech.  I was on the team to bring the
pathology module up. 

			I have set up that when certain pathology
specimen are ordered that certain lab test will be seen (the lab test
were determined by the pathologist.)  For an example when a liver biopsy
is done all hepatitis, hepatic function and some other test are seen on
the pathology case. Also some of our pathology orders are placed through
the lab side.  Our semen analysis, post vas and synovial fluids get lab
test along with pathology so the orders are placed in the lab side, and
everything flows over.

			For each case there is a section to enter
procedures.  In here we place all level charges, special stains and any
other procedure being done.  I have also set up that if it is a
procedure that we send out (special stains, consults etc) it is not
automatically complete.  We have to go into another section to mark it
complete once it is back.  This way I can tell at any time what is
hanging out and I know how long to wait until I call to check on it. =20

			I can print out reports by many different means.
 Each month I run reports to show how many procedures are done, how many
of each case type we did, how many of each pap diagnosis there was and
many more.  There is a committee that reviews anything we send out as a
consult (even if it was not at the request of our pathologist) I
generate a report each month that show which cases where sent, why, to
where, our diagnosis, the other facility diagnosis and if they agreed or
disagreed.  I can also run a report showing what procedure where done on
which case.

			I have done a lot with our system and I am still
working on ways to better it.  One of my biggest things is that in our
system anyone can tell at anytime what is being done to the case.  We
scan our requisition so that will forever be associated with that case
number.  Anything that gets sent out is put into the system what
material were sent, what we are to get back and it is tracked, we use
priority or Fed Ex so we can track the mailing of the specimen.  Any
report we get back (special stain or consult) we scan in so this will
always and forever be attached to the case number. 

I hope this all helps.  Let me know if I can be of any help.


>>> "Morken, Tim"  02/13 11:32 AM >>>

I would like to know at what level your LIS integrates with your
Do your pathologists request tests through the LIS?
Do you enter tests performed and results obtained on each slide?
Can you print out reports by case, test-type (special stain, antibody,
or other parameters?
Can you print out a report per case showing all test requests, all
performed and all results?
Can you use the LIS to produce test-use reports (ie, how many tests of
type done per time period)?

Thanks for your time!

Tim Morken

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