PathNet – Anatomic Pathology Kickoff and System Review Moataz Seddik King Saud University HospitalsKing Saud University Hospitals.

PathNet – Anatomic PathologyKickoff and System Review

Moataz Seddik

King Saud University Hospitals

Introduction & Objectives

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Introduction

Name

Position

What improvement you would like to have in your current system?

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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 ?

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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

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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

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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

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Processing

Specimen ProcessingAssigning processing tasks (e.g. blocks, slides, special stains) and billing tasks with a specific case, specimen, block, or slide.

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Processing

Specimen ProcessingWork lists and slide labels are availableLabels include Slide labels, Specimen Labels and Reserve Labels from START

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Histology Result Entry

Result Entry

The ability to add

• Textual and coded

Responses

• Diagnostic correlation

• Diagnostic codes

• Ability to review and add

charges

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Histology Result Entry

Result Entry

Word Processing Templates • Overview and training provided by Cerner enabling Client to build Word Processing templates

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Cytology Result Entry

Result Entry

Cytology Alpha Responses based on Bethesda standards• Allows quality assurance reviews and follow-up tracking

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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

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SNOMED

CAP SnoMed® International (III) for PathologyCerner will work with Client to implement CAP SNOMED content

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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

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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

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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

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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

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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

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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

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Next Step

Session Wrap Up and Next Steps DCW’sWeekly Calls and Follow upNext Event

Questions ?Questions ?