1. 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?

2. 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

3. 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.”

4. 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

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

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

7. 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.

8. 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