Lab Results

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Lab Results

• Bill Martin
• Dr MacAlister Partners
• Uddingston

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History
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Why?

• Practices manually entering results
• Clinical Governance
• New Contract

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Our Practice

• List size 9,700
• How many tests 2003-4?
• How many tests 2004-5?
• Which was the most common test?

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• UEs
• FBC
• TFTs
• Cholesterol
• Glucose
• ESR
• CXR

• 4,290
• 3,018
• 2,526
• 2,157
• 1,974
• 1,407
• 297

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How many tests?

• 9,700 patients
• 500,000 patients?
• 5,00,000 patients?

• 27,635 Tests
• 1,425,000 Tests
• 14,250,000 Tests

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• Which results need recorded?
• 1 hour staff time / GP/ day
• How many transcription errors?
• Staff costs?

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Download

• Results downloaded overnight
• Click on Download tab in Tools
• Takes under 2 minutes to access results

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Positive Patient Identification

• Matches by surname, first name, DOB, CHI number
  GP
• If any mismatch, put into Invalid Results
• Ie Mary Anne v MaryAnne invalid
• USE LABELS!
• ? Use 2D barcodes with GP, Practice etc

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Normal values

• Reference ranges imported from Labs via SCI Store
• Age / sex etc
• What is normal for Blood film, Monospot,
  Pregnancy Test etc ?
• Unexpected textual results

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What is abnormal?

• Any abnormal result in list makes the result
  abnormal.

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What is abnormal for that patient?

• ESR of 60 in Rheumatoid patient.
• Creatinine of 200 in Chronic Renal Failure
• Glucose of 12 in known diabetic
• Abnormal but improving LFTs in alcoholic
• Still need the diagnosis a quick link to the
  patients record so that can decide on action.

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• c 4-5 seconds
• 2 seconds for a normal result
• Results Read Coded automatically.
• Searchable

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Actions

• Normal
• Speak to Doctor etc
• Practice Configurable

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Patient phones for result
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Values into SPICE Screens

• Separate file
• Run whenever the practice wants.
• Imports values required for Contract.
• Others possible

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Advantages

• Speed
• Same day results
• Accurate
• Searchable NEW CONTRACT
• No phone calls to the lab
• Increased points
• Fewer call ups for patients

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Staff

• Sorting out mail
• Less time typing
• ? Filing
• Easier to give patients results.
• Staffing requirement / designation?

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Questions

• Results transferred to New Practice?
• System failure
• Speed to Branch Surgeries
• Rollout
• Support
• New Client PCs

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Training

• 55 practices in Lanarkshire using it
• 81 have it installed
• Who does the training?
• Effect on other training projects?

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Joined up thinking

• Change of test name at lab
• Effect on practice.
• How is tests.dat file changed in 85 practices if
  a test is changed?

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Wish list?

• Xrays
• Patient told / not told results
• Reason for test
• ? Vaccinations via PIMS
• Diabetes
• Non GPASS practices

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Questions

• When will it work on a Central Managed Server?
• Who will support the program sited on a Central
  Server

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Important message for Staff

• DO NOT TOUCH

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Phase 2
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Staff Questions

• Do we go back to the old system?
• No way!
• When are we getting the Xrays sent to us?