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PathNet – Anatomic PathologyKickoff and System Review
Moataz Seddik
King Saud University Hospitals
Introduction & Objectives
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3
Introduction
Name
Position
What improvement you would like to have in your current system?
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4
Objectives
• Review client specific Outcomes
• Provide initial application education
• Provide an understanding of workflow using the Cerner system
• Establish context for Data Collection Materials
• Deliver and discuss Data Collection Materials
• Identify and discuss integration topics
• Review the Design Confirmation and Sign-off process
• Organize assignments and discuss next steps
What is PathNet – Anatomic Pathology ?
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6
PathNet – Anatomic Pathology
PathNet• Name of the Laboratory solutions that Cerner Provides• Cerner first started out with Laboratory 1984
PathNet Anatomic Pathology• An automated online system for reporting upon samples within
such disciplines as Histology, Cytology and Autopsy .• Some of many benefits.
• Automates the workflow within the pathology department, improving efficiency, accuracy and quality of service
• Improved resulting and reporting (Synoptic Reporting)• Cytology follow-up tracking• ‘Hot Key’ resulting in cytology• Images within reports• Improved storage tracking of tissue
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7
Anatomic Pathology Workflow
Physician Request
Specimen Receiving
Specimen Grossing
Sectioning
Grossing Transcription
Pathology Resulting
Report Transcription
Tissue Processing
Embedding
Routine Stain
Report Verification
Pathology Order Request By Physician\nurse From Ward Through Powerchart
Laboratory Receive Specimen And Start Identified, Accession , Print Barcode
Specimen Received On Grossing Bench To Get The Characteristics And Prepare Blocks
Transcription Start Enter Grossing Information Tissue Processing Start With Paraffin Wax And ReagentsPrepare Blocks For Outstanding SectionsPrepare The Thin Sections That Allow For An Accurate DiagnosisPrepare Clear Well-defined Stains That Pathologists NeedPathologist Start Exanimate The Slide And Dictate The Diagnosis Transcription Start Enter Dictated Diagnosis To The ReportPathologist Review And Verify The Final Report
Tools & Functionality
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9
Accessioning
Request and AccessioningAttributes regarding the specimen are documented (e.g. the specimen description, collected date and time, received date and time, and specimen ID) and a pathology case number is assigned
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10
Processing
Specimen ProcessingAssigning processing tasks (e.g. blocks, slides, special stains) and billing tasks with a specific case, specimen, block, or slide.
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11
Processing
Specimen ProcessingWork lists and slide labels are availableLabels include Slide labels, Specimen Labels and Reserve Labels from START
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 12
Histology Result Entry
Result Entry
The ability to add
• Textual and coded
Responses
• Diagnostic correlation
• Diagnostic codes
• Ability to review and add
charges
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 13
Histology Result Entry
Result Entry
Word Processing Templates • Overview and training provided by Cerner enabling Client to build Word Processing templates
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 14
Cytology Result Entry
Result Entry
Cytology Alpha Responses based on Bethesda standards• Allows quality assurance reviews and follow-up tracking
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 15
Reporting
ReportingCytology QA Reports:• Cytology report verification summary• Cases by user• Sample quality by physician• Proficiency review by user• Statistics by group• Statistics by physician• Statistics by user
Pathology QA Reports:• Specimen adequacy by physician• Diagnostic correlation• Diagnostic code assignment review
Miscellaneous Reports:• Case Log• Follow-up Tracking Notification • Pathology Case Retrieval
Personalized Reports (Discern Analytics) – Cerner will educate Client on use of tools to create appropriate reports
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 16
SNOMED
CAP SnoMed® International (III) for PathologyCerner will work with Client to implement CAP SNOMED content
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 17
Synoptic Reporting
Synoptic Reporting for PathologyCerner will work with Client to implement AP Synoptic Reporting.
Customization of CAP templates is not included.
Method M, WBT’s and Open House
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 19
MethodM
MethodM • Cerner’s approach to working with clients to deliver value through our Millennium solutions. This
modular methodology draws upon proven practices from a host of past client experiences. With it, a project team is able to deliver the intended outcomes with discipline, predictability, and efficiency.
MethodM Website.• https://methodm.cerner.com/client/79039/KSUH_CIS_Project/default.aspx
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 20
WBT’s
WBTs – Web Based Training
• A computer guided demo that covers limited functionality of the system• https://ulearn.cerner.com/index• Register with Ulearn• Cerner Millennium: PathNet Anatomic pathology 2010.02 WBT
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 21
Open House
Open House• Is a self guided demo script gives a general overview/introduction to some of the
system’s functionalities• Project Deliverables ->Advanced Filter View
Open House Script Link • https://
methodm.cerner.com/client/79039/KSUH_CIS_Project/ProjectDeliverables/Forms/AllItemsDefault.aspx
Open House Domain Link• http://train.vccerner.com/Citrix/SCOH/auth/login.aspx
Design Decision Matrix - DDM
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 23
Design Decision Matrix - DDM
MethodM webpage
• DDM – Design Topics about certain aspects of the workflow.• Project Home-> Design Decisions• https://methodm.cerner.com/client/79039/KSUH_CIS_Project/DDM/Lists/DDM/FlatViewAll.asp
x?FilterField1=MillenniumSolution&FilterValue1=PathNet%c2%ae+Anatomic+Pathology• High level decisions that will drive functionality within PathNet
• Each topic provides Cerner recommendation, rationale, other considerations, and how it will impact the system.
Data Collection Workbook - DCW
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 25
Data Collection Workbook - DCW
MethodM webpage
• DCW – Data collection that will be used to build the system.• Project Deliverables -> Advanced Filter View• https://
methodm.cerner.com/client/79039/KSUH_CIS_Project/CustomPages/DeliverablesLibrary.aspx
• Cerner Start Content• Cerner recommended build elements based on Cerner and Client collaboration.
Next Step
© 2012 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 27
Next Step
Session Wrap Up and Next Steps DCW’sWeekly Calls and Follow upNext Event
Questions ?Questions ?