Point of Care

Testing
Integration, Connectivity
< single image >
3 MAY 2012
4.3cm x 5.5cm
Ng Wai Yoong, PhD CSci
Snr Principal Scientific Officer
Pathology
outline
connectivity issues
post-connectivity measures
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accreditation
Records
IQCs, EQAs
PMs, service records
Competency
Results
transcription records
user IDs
Electronic
Capture/Record
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user IDs
Billing
manual forms
correct records
Archives
All these steps will benefit with connectivity
Capture/Record
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integrate to monitor effectively
POCT devices
many Sites QCs, EQAs
PMs, service records
Competency
audits
EQAs
user IDs
Electronic
Capture/Record
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user IDs
other benefits manual input
record trail
All these issues will benefit with connectivity
Capture/Record
connectivity
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Connectivity
workplan
Why connect? control assured, integration to HIS
How to connect? with clever equipment
What to connect? relevant ones have priority
System benefits able to capture QC compliance
able to ensure access control
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able to ensure access control
able to detect deviations (QC)
able to eliminate transcription error
able to ensure patient safety compliance
able to link-up different instruments
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Blood Glucose Test Results
Date & Time
Record, store and transfer information:
Blood Glucose Test Results
Connectivity
workplan
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Blood Glucose Test Results
Date & Time
QC Results
Operator ID
Patient ID
Test Strip information
Glucose control solution information
Comments
Glucose Proficiency sample ID
Linearity Test Information
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Connectivity
workplan
Benefits
Simplifies processes
less paperwork / records to keep
increases nurses time for patient care
Manages processes from a centralized interface
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Manages processes from a centralized interface
increase labour efficiency
productivity gains / document entire process
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Connectivity
workplan
Benefits.
Relevant info at a glance
real-time results
alerts can be rectified
Audit trail enabled
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Audit trail enabled
quality assurance / certified operators
enhance regulatory compliance
reduce errors
data integrity
>> the ROCHE cobasIT1000 for POCT connectivity
will be used for illustrations <<
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Connectivity
workplan / customization
> ADT and Result flow <
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Connectivity
benefits and features
complete QC status / configurable for QC lockout
QC at-a-glance
1-location
or
all-locations
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Connectivity
benefits and features
operator access control / current and localised
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Connectivity
benefits and features
tests results traceable
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Connectivity
benefits and features
seamless flow to EMR / permanent record
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post-connectivity
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Post-Connectivity
monitor to improve
QC trends at a glance
QC charts
EQA performance
Materials management
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Materials management
Linearity checks
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Post-Connectivity
monitor to improve
At a glance QC levels / site selectable
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Post-Connectivity
monitor to improve
cumulative records
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Post-Connectivity
monitor to improve
annual linearity verification
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Post-Connectivity
monitor to improve
blood glucose performance split-sampling
feedback to users
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Post-Connectivity
monitor to improve
other indicators (enabled by electronic data capture)
workload
timeliness of result flow to EMR
testing patterns (blood glucose) over 24hr
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Post-Connectivity
monitor to improve
test (glucose) count
no major seasonal changes
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Post-Connectivity
monitor to improve
workflow 24hrs
1 month
all locations
4 major periods
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Post-Connectivity
monitor to improve
3:21:36
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SICU
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differences in sending out results (performed-send)
critical care / general ward
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Mon Tues Wed Thur Fri SAT SUN Mon Tues
2010 February (mon 1 - tues 9)
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Post-Connectivity
monitor to improve
other literature
trends in Point-of-Care diagnostics
guidelines
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Post-Connectivity
monitor to improve
RECENT CHALLENGES
Singapore General Hospital
. re-location of wards to off-site / connected blood glucose meters to follow
. new wards on campus / increasing manpower needs
. new IT innovations to link up real-time glucose monitoring
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National Heart Centre Singapore
. blood gas instrument connectivity implemented
. outpatient INR as point-of-care
. new clinics needing blood glucose meters
likely entire connectivity in its new building 2013
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Post-Connectivity
monitor to improve
When used appropriately, POCT can improve patient
outcome by providing a faster result and a shorter
time frame to therapeutic intervention.*
When over utilized or incorrectly performed, POCT
presents a patient risk.*
POCT should benefit the patient through the provision of results
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POCT should benefit the patient through the provision of results
that have the same quality and fitness-for-purpose as those
coming from the central laboratory
*
National Academy of Clinical Biochemistry(NACB) Laboratory Medicine Practice Guideline on Evidence-based Practice for Point-of-
Care Testing
http://www.arc.org/AACC/members/nacb/LMPG/OnlineGuide/PublishedGuidelines/poct/poctpdf.htm
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Connectivity
a piece in the jigsaw
governance
compliance
buy-in
policy
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testing cycle testing cycle
quality
practices
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connectivity
instruments
Acknowledgements
Emergency / Nursing Administration
Magdalene Chow RN, BHSN
Ng Siew Keng RN, BSc
< single image >
4.3cm x 5.5cm
This presentation contains information which is confidential and/or legally privileged. No part of this presentation may be disseminated, distributed, copied, reproduced or relied upon without the expressed authorisation of SingHealth.
Ng Siew Keng RN, BSc
Dr Png Hong Hock RN, PhD
Pathology
Jayme Wong BSc, MSc, MACB
Dr Edward Jacob PhD, FRACP
Dr Yeo Chin Pin, MBBS, FAMS
Thank you
< single image >
4.3cm x 5.5cm
This presentation contains information which is confidential and/or legally privileged. No part of this presentation may be disseminated, distributed, copied, reproduced or relied upon without the expressed authorisation of SingHealth.