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

1. Introduction & Objectives

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

3. 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

4. What is PathNet – Anatomic Pathology ?

5. 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

6. 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

7. Tools & Functionality

8. 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

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

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

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

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

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

14. 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

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

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

17. Method M, WBT’s and Open House

18. 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.

19. WBT’s WBTs – Web Based Training
A computer guided demo that covers limited functionality of the system
Register with Ulearn
Cerner Millennium: PathNet Anatomic pathology WBT

20. 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
Open House Domain Link

21. Design Decision Matrix - DDM

22. Design Decision Matrix - DDM
MethodM webpage
DDM – Design Topics about certain aspects of the workflow.
Project Home-> Design Decisions
High level decisions that will drive functionality within PathNet
Each topic provides Cerner recommendation, rationale, other considerations, and how it will impact the system.

23. Data Collection Workbook - DCW

24. Data Collection Workbook - DCW
MethodM webpage
DCW – Data collection that will be used to build the system.
Project Deliverables -> Advanced Filter View
Cerner Start Content
Cerner recommended build elements based on Cerner and Client collaboration.

25. Next Step

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

27. Questions ?