Introductions. DynaLIFE Dx Symposium /17/2013. Jared Teare, Manager of Patient Care Services Eric Janzen, Manager, IT Development

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1 DynaLIFE Dx Symposium 2013 Technology solutions & patient care Introductions Jared Teare, Manager of Patient Care Services Eric Janzen, Manager, IT Development 1

2 Agenda Existing use of Technology at DL Home Collections Overview of HCIS Solution Challenges Past, Present and Future for HCIS Other Solutions in use at DL The DL Application Vision What are we doing today? Where are we going tomorrow? Home Collections Information System (HCIS) Overview Collections services provided to medically home bound patients at patient s home residence. Eligibility is Critical. Home collections is a significantly greater cost to the system than PCC based collections. (infrastructure, logistics) 2

Home Collections Information System (HCIS) Overview Collections services provided to medically home bound patients at patient s

3 Coverage Team spread among 7 depot (home base) locations. ~ 4 5 collectors per team share Collectors routes that are limited to 2 hours per run in order to ensure specimen integrity. Challenges Weather / Safety Robust / secure Information transfer Comprehensive buy in to technology / new processes 3

hours per run in order to ensure specimen integrity.

4 Home Collections Past Past: Paper based very manual risk of information loss / damage / breach Home Collections Present Present: DL In house generated software system connected to portable laptop in collectors hands Advantages information security, on the fly changes to orders, routes, information, turnaround time Data entry occurs at time of collection, not when specimens hit lab. Continuing challenges advance ordering requires buy in from facilities / ordering physicians. Need orders 1 day in advance in order to get them into system. 4

orders, routes, information, turnaround time Data entry occurs at time of collection, not when specimens hit lab.

5 Home Collections Future Future: DL In house generated software system connected to touchscreen smartphone Additional Advantages Increased portability, integrated safety / GPS software. Other Technologies in use at DL Online Booking Contains basic patient Demographics and service volumes SPECTRE (Specimen Tracking) Used to track transportation For each container we answer: What, Where, Who and When Test Directory Stores Test information Searchable, updateable and accessible to PCCs Requisition Search Auditable process to view actual image of requisition 5

Other Technologies in use at DL Online Booking Contains basic patient Demographics and service volumes SPECTRE (Specimen Tracking) Used to

6 The DynaLIFE Dx Application Vision Current Challenge Sharing of Information across systems Accurate Data (Physician Info, Copy To Physicians) Appropriate Test Ordering Sustainability through the right test at the right time concept 6

(Physician Info, Copy To Physicians) Appropriate Test

7 Electronic Online Ordering ELECTRONIC ORDERING Can be used for: HCIS Facility Orders Physicians Internal Data Entry Validation Data Required POSP DATA PATIENT DEMO TEST DIRECTORY To truly be effective an electronic order entry system has to have visibility into some supporting data 7

Required POSP DATA PATIENT DEMO TEST DIRECTORY To truly be effective

8 Decision Support System DSS For the Physicians doing the ordering Help to Order the right test at the right time Walk you through Care Paths to order appropriate tests Provide Past Test Results for more informed decision making Data Required for Decision Support RESULTS REPOSITORY PHYSICIAN INFO For past results and how it impacts the tests ordered, we would require a results repository For Restricted tests, we need physician info such as specialities 8

Data Required for Decision Support RESULTS REPOSITORY PHYSICIAN INFO For past results and how it impacts the tests

9 POSP DATA DSS PATIENT DEMO GRAPHICS APPOINTMENT INFORMATION RESULTS REPOSITORY ELECTRONIC ORDERING PHYSICIAN PROFILE MOBILE INTERFACE REPORTING TEST DIRECTORY SPECIMEN INFORMATION ROUTE MANAGE MENT Home Collections PATIENT DEMO ELECTRONIC ORDERING PHYSICIAN INFO ROUTE MANAGE MENT 9

REPORTING TEST DIRECTORY SPECIMEN INFORMATION ROUTE MANAGE MENT Home

10 SPECTRE PHYSICIAN INFO SPECIMEN INFO ROUTE MANAGE MENT Physician Portal POSP DATA DSS PATIENT DEMO APPOINTMENT INFO ELECTRONIC ORDERING PHYSICIAN INFO TEST DIRECTORY 10

11 What are we doing today? Building the Electronic Ordering interface roughing in the DSS and POSP Integration while those items are under discussion Modularizing the Test Directory Centralizing the Physician Information Bringing Route Management in house Where are we going tomorrow? Expanding our Mobile Strategy Home Collections SPECTRE Physician Portal Patient Portal? Integrating Care Paths and Decision Support Adding interfaces to POSPs Adding interfaces to different LIS s 11

discussion Modularizing the Test Directory Centralizing the Physician Information Bringing Route Management in house

12 Questions? 12

Ross Cantor Director of Sales and Client Relations Lifepoint Informatics

Lifepoint User Conference 2014 Leveraging CPOE Connect for Clean Orders: Embedding Lifepoint s Best of Breed Order Entry Functionality into Disparate EMR Systems Ross Cantor Director of Sales and Client