Workshop 11:30 – 12:10 FIRST WORKSHOP SESSION  WORKSHOP 2 Enabling New Models of Business in Pathology Services Owen Johnson, X-Lab Kirkmichael Suite   Question – If you had digital links to every other lab in the UK, what would you do differently?

Suggestion 1 – Eliminate Paper? Sample Arrives Specimen Barcoded Locate External Lab Details Locate External Lab Details Paper Based Results Returned Paper Based Results Returned Re-Enter Specimen Details Re-Enter Specimen Details Package & Send to External Lab Package & Send to External Lab Results Reported Results Manually Re-Entered Results Manually Re-Entered

Where there is paper there is… Paper handling costs (post room, labour, storage) Transcription costs – labour (reading and typing) Lack of validation Transcription error – 1 – 6% (clinical risk, investigations, rework) Process delay – waiting for transcription, batching Barrier to digital integration of healthcare High cost + slow + clinical risk Paperless NHS by 2018 “The NHS cannot be the last man standing as the rest of the economy embraces the technology revolution…. It is crazy that paramedics cannot access a full medical history of someone they are picking up in an emergency - and that GPs and hospitals still struggle to share digital records.” ”measures such as more use of text messages for negative test results… could improve care, allow health professionals to spend more time with patients and save billions.”

NPEx – National Pathology Exchange for the UK NHS [translation] In the UK: 800 million diagnostic tests per year, 160 large laboratories , 50% are connected to X-Lab’s NPEx system. [translation] NLMC Secure Connection Laboratory B Network UK NHS Standards UK NHS Network Laboratories Blood sciences Microbiology Histopathology Genetics. Secure Connection NPEx Exchange Laboratory A Network Web Server Electronic Health Record Systems

Stakeholder Analysis Laboratory Management and Staff Commissioners Doctors and Health Care Professionals Patients

Benefits Network IS/ IT Enabler Changes Benefits NHS Drivers NPEx Uses (Do New, Do Different, Stop Doing)

NPEx – Futures Buying and selling of diagnostic capacity across the UK – Stock Exchange for Lab Managers Harmonisation of diagnostic test codes, units of measure, reference ranges and calibration. All diagnostic results from all laboratories can be reviewed on the patient’s e-health record. All diagnostic results from all personal devices and Point of Care Testing (POCT) devices can be reviewed on the patients e-health record. Wellness testing to build personalised diagnostic profiles. Personalised medicine based on an integrated diagnostic infrastructure.

X-Lab Vision – Integrated Diagnostics [translation] Internet of Things UK NHS Network NPEx Exchange Secure Connection All POCT and Laboratory Diagnostic results consolidated as a single patient view