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

Introduction & Objectives

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

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 ?

PathNet – Anatomic Pathology 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

Anatomic Pathology Workflow Grossing Transcription Specimen Grossing Tissue Processing Specimen Receiving Physician Request Embedding Specimen Received On Grossing Bench To Get The Characteristics And Prepare Blocks Pathologist Start Exanimate The Slide And Dictate The Diagnosis Transcription Start Enter Grossing Information Tissue Processing Start With Paraffin Wax And Reagents Prepare The Thin Sections That Allow For An Accurate Diagnosis Prepare Blocks For Outstanding Sections Pathology Order Request By Physician\nurse From Ward Through Powerchart Transcription Start Enter Dictated Diagnosis To The Report Laboratory Receive Specimen And Start Identified, Accession , Print Barcode Pathologist Review And Verify The Final Report Prepare Clear Well-defined Stains That Pathologists Need Sectioning Routine Stain Pathology Resulting Report Verification Report Transcription

Tools & Functionality

Accessioning Request and Accessioning Attributes 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

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

Processing Specimen Processing Work lists and slide labels are available Labels include Slide labels, Specimen Labels and Reserve Labels from START

Histology Result Entry The ability to add Textual and coded Responses Diagnostic correlation Diagnostic codes Ability to review and add charges

Histology Result Entry Word Processing Templates Overview and training provided by Cerner enabling Client to build Word Processing templates

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

Reporting Reporting Cytology 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

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

Synoptic Reporting Synoptic Reporting for Pathology Cerner will work with Client to implement AP Synoptic Reporting. Customization of CAP templates is not included.

Method M, WBT’s and Open House

MethodM MethodM MethodM Website. 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

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

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

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.aspx?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

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

Next Step Session Wrap Up and Next Steps DCW’s Weekly Calls and Follow up Next Event

Questions ?