HIS Module 4 Unit 7 Flashcards
Used to manage a modern clinical laboratory, not the patient
Laboratory Information Management System
it is the ultimate product of the laboratory
information
ultimate goal of the laboratory
provide accurate information promptly to clinicians
it has become the foundation in virtually all health care environments.
LIMS
it has become the foundation in virtually all health care environments.
LIMS
it represents a more frequently used way of managing a modern clinical laboratory.
LIMS
these are used because of their ability to routinely integrate automation and data handling, provide uniform methodology with complete visibility, and lead to increased productivity and process integrity.
LIMS
The essential requirements of a LIMS include:
secure login,
flexibility to add-ons,
software upgrades,
most importantly, data management
it is the tool for the delivery of this data.
Laboratory information system
it is the integration of computers through a common database via various communication networks.
LIS
When automated instruments are interfaced or pointof-care equipment connected to an —–, productivity improves, and the risk of errors decreases because the data are delivered directly to a patient’s record for physician review, as well as to other departments such as medical records and billing.
LIS
Systems can be applied to many laboratory-related preanalytical, analytical, and post-analytical functions:
specimen processing,
inventory control,
quality control (QC),
online monitoring,
data entry on patients’ charts,
and data interpretation.
Technology-driven enhancements include:
• QC storage and functionality
• Support of comprehensive analyzer interface, including calculations
• Tools to aid in compliance with regulations for laboratory procedures
• Capability to share data with third-party vendors
• Automated result report dissemination to support workflow models
• Rules-based logic for decision-making support
Technology-driven enhancements include:
• QC storage and functionality
• Support of comprehensive analyzer interface, including calculations
• Tools to aid in compliance with regulations for laboratory procedures
• Capability to share data with third-party vendors
• Automated result report dissemination to support workflow models
• Rules-based logic for decision-making support
LIS Sustainability Components
LIS Application Software
Consumables
User Training
Business Continuity
Supporting Infrastructure
Networking
User Communities
it is a computer network of hardware and
software for receiving, processing, and storing laboratory data and information
LIS
It can interface with laboratory instruments to transfer data into patient records, evaluate quality control data, and store preventive maintenance records.
LIS
it can interface with an HIS, pathology information system, and other information systems.
LIS
it is also a computer-based information management system created specifically for laboratories.
Laboratory IS
it is used to support workflows in the laboratory — as well as the repository to store laboratory data — while supporting the laboratory mission.
LIS
its goal is to deliver correct and complete information to laboratory staff, managers, and customers as efficiently as possible by following four main processes.
LIS
four main processes of LIS.
1) Track laboratory information during the testing process (from sample login to reporting);
2) Collect, store, archive and analyze laboratory data;
3) Report test results for patient care; and
4) Report data to administration and other agencies.
traditionally
used to refer to systems that support clinical settings and patient-specific specimens.
LIS
systems designed to promote public health, national reference laboratories, research laboratories, or other non-clinical settings and are sample centric, with a focus on data analysis and workflow and features to meet regulatory requirement
LIMS
will track who accesses patient sample data, which can verify privacy compliance. Many LIMS, however, will now do the same.
LIS
will track who accesses patient sample data, which can verify privacy compliance. Many LIMS, however, will now do the same.
LIS
when did health organizations developed their LIS to make data management and to report more efficiently.
before 1970
it take considerable time and resources to implement.
LIS
Data Recording: Pen and Paper
1970-1980, 1980-1990
Data Recording:PC
1990-2000
Data Recording: Bar coding
2000+
Data Analysis: Slide Rule and Calculator
1970-1980
Data Anaysis: Calculator and first LIS software
1980-1990
Data Analysis: LIS Software
1990-2000
Data Analysis: LIS Software (PC- or Web- based)
2000+
Data Storage: Paper-based logs
1970-1980
Data Storage: Books
1980-1990
Data Storage: Electronic Database
1990-2000, 2000+
Report Generation: Typewriter
1970-1980
Report Generation: typewriter and word processor
1980-1990
Report Generation: Stand-alone computers
1990-2000
Report Generation: Electronic
2000+
Report Sharing: Postal mail
1970-1980
Report Sharing: Fax and E-mail
1990-2000
REport Sharing: Electronic
2000+
Two Common Tyes of LIS:
(1) a module within a hospital information system (HIS) and
(2) a stand-alone LIS.
it serves mostly as a means to capture results and a few key elements of data.
LIS within an HIS
it shares most of the components listed above and can support all the business processes within a laboratory.
second system
Focus: Diagnostic focus
Supports physicians’ diagnostic workflow with little surveillance or epidemiological testing support
HIS LIS Model
Focus: Laboratory Focus
Supports laboratory processes including modules for diagnostic and epidemiological workflows
Dedicated LIS
Center: Patient-centric
Requires specific identification of patients related to specimen. Expects users to report one result per patient per care incident.
HIS LIS
center: Specimen centric
Handles varying levels of patient identification. Able to report results grouped by incident, patient, or submitter, depending on need.
Dedicated LIS
License: License fee per individual user, per concurrent user, or sitewide
commercial-Off-The-Shelf
License:
No Fees
No fees typically
custom
open source
Implementation: May be per year or perpetual
Commercial-Off-The-Shelf
Implementation: Can be very costly
custom
Implementation: Fee for services and other cost
Opne source
Support: Varies, but usually managed through a service level agreement (SLA) by the vendor
Commercial-Off- The-Shelf
Support: Requiresongoing internal support
custom
support: Support often provided through a combination of online community and internally
Open Source
