Enhancing Patient Outcomes and ... - Lab Quality Confab

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Enhancing Patient Outcomes and Gaining Control of the Total Testing Process with New Innovations in ‘Open’ Laboratory Automation

October 15, 2019

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Diagnostic Errors in Healthcare

Diagnostic Errors*

§ Largest component of medical errors

1 in 7 Times*

§ Frequency of diagnostic errors§ Results in ineffective

treatment of patients§ Promotes severe consquences

*National Academies of Sciences, Engineering, and Medicine; Institute of Medicine; Board on Health Care Services; Committee on Diagnostic Error in Health Care; Erin P. Balogh, Bryan T. Miller, and John R. Ball, Editors

Any step, any specialty. All connected!

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Open TLA is the Innovation

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Introducing an Open TLA Project

Ludovico Donegani, PMP® – Customer Solutions Manager

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Open TLA system: What is it?

Connects multiple disciplines and specialties1Adapts to many different specimen types2

Easy to upgrade and expand3Adaptive to current and future lab operations4

Integrates to multiple informatics systems5

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Improve Turn-Around-Time

Increase workload and expand services

Under utilization of skilled resourced

Improve quality standardize processes

Increase safety for the technicianIncrease quality of the work environment

Implement cost-effective lean processes

Keep HR costs under control

Reduction of errors

Customer Objectives

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Building the business caseImprove patient

experience

Consolidation

Optimal utilization of

human resources

Reduce consumables

costsImprove

delivery of care

Organizational growth

Improve outcomes of

the care

Cost-effective care

Defining the Business Goals

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Reduce costs?

Improve patient

experience

Consolidation

Optimal utilization of

human resources

Reduce consumables

costsImprove

delivery of care

Organizational growth

Improve outcomes of

the care

Cost-effective care

Defining the Business Goals

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Building the business caseValue based care?Reduce costs?

Improve patient

experience

Consolidation

Optimal utilization of

human resources

Reduce consumables

costsImprove

delivery of care

Organizational growth

Improve outcomes of

the care

Cost-effective care

Defining the Business Goals

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Building the business caseValue based care?Reduce costs?

Business growing?Intention to expand it?

Improve patient

experience

Consolidation

Optimal utilization of

human resources

Reduce consumables

costsImprove

delivery of care

Organizational growth

Improve outcomes of

the care

Cost-effective care

Defining the Business Goals

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Building the business case

Example of analysis tool

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What’s next? Data gathering

Executive Team

Providers

Lab DirectorSupervisor

IT dept.

Quality dept Operators Phlebotomist

Risk Management

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PAIN POINTS

BEST

EXECUTED

TASK

The Primary Stakeholder: Holistic Workflow

ANALYZERS

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PAIN POINTS

BEST

EXECUTED

TASK

The Primary Stakeholder: Holistic Workflow

MAIN LAB

OBJECTIVES

ROUTINE ANALYSISANALYZERS

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PAIN POINTS

BEST

EXECUTED

TASK

The Primary Stakeholder: Holistic Workflow

MAIN LAB

OBJECTIVES

ROUTINE ANALYSIS

BEST

PRACTICESPAIN POINTS

IT

SPAC

E

ANALYZERS

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PAIN POINTS

BEST

EXECUTED

TASK

The Primary Stakeholder: Holistic Workflow

MAIN LAB

OBJECTIVES

ROUTINE ANALYSIS

BEST

PRACTICESPAIN POINTS

IT

SPAC

E

ANALYZERS

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Preparing for the Automation RFP

40%25%

20%15%

Tech focused RFP

Thecnology IT Budget Operations

15%

15% 30%

40%

Operation focused RFP

Technology IT Budget Operations

10%

20%50%

20%

Budget focused RFP

Thecnology IT Budget Operations

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Pre-analytical

Analyzer

Post-analytical

Analyzer

Anal

yzer

Analyzer

Accessioning

Analyzer

Anal

yzer

Pre-analytical Pre-analytical

Analyzer

Post-analytical

AnalyzerAnal

yzer

Analyzer

Accessioning

Analyzer

Anal

yzer

Pre-analytical

Ex. Operations RFP

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TRACK

CM

TRACK

IOM

BIM/RIM

DCM

Analyzer

SM

IOM

Analyzer

Anal

yzer

Analyzer

DCM

CMBIM/RIM

Analyzer

SM

CM CMBIM/RIM

SRM

DCM

SM

Analyzer

Anal

yzer

Analyzer

DCM

CMBIM/RIM

SM

Anal

yzer

AQM

ACCESSIONING

TRACK

SRM

SRMSRM

Possible relocation of operators

IOM

Analyzer

CM AQM

Analyzer

Anal

yzerIOM

Possible saving of equipment

Ex. Operations RFP

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Summary Project Plan

• RFI• Product

Presentations• Coordination of

Stakeholders• Business Case

Development• RFP

• Agreements & Contracts

• Shipment and Delivery Planning

• Kick-Off Meetings• Site Preparation

• Hardware Delivery and Installation

• Coordinate 3rd

Party Vendors• IT Integration &

Testing

Open Automation Project

Post-Go Live Support

Project Initialization

Data Gathering

Vendor Selection

Installation

Legal-to-legal discussions

Go-Live

• Product Search

• Conferences• Vendor Meet

Logistic constrainsSite readiness

Communications

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Establish the KPI’s

FinancialGrow 6% with same

Labor

TAT

HILIns, Vol

6%

OperationalReduce TAT Outliers

by 50%

QualityReduce Specimen Rejections by 80%

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Automating the Total Testing Process

Reducing Specimen Rejection Rates to Zero*

*result demonstrated by a study made at “Center for Laboratory Medicine Germano De Sousa (CML GS)” using Inpeco ProTubeTM

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Automating the Total Testing Process

Impacting the Total Patient Experience*

*result demonstrated by a study made at “Center for Laboratory Medicine Germano De Sousa (CML GS)” using Inpeco FlexLabTM

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Our innovations in Open Automation enable you to create a workflow using yourchoice in best of breed analyzers to fully maximize your process improvementefforts and build a world class care delivery system to maximize your patientsexperience.

OPEN is the Innovation

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