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The Benefits of Using NPEX & The Vision for Sending and Receiving Pathology Tests Nationally

The Benefits of Using NPEX & The Vision for Sending and Receiving Pathology Tests Nationally. Keith Burrill Pathology IT Systems Manager University Hospital Southampton. Background – possible options. UHS major teaching hospital on the South Coast

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The Benefits of Using NPEX & The Vision for Sending and Receiving Pathology Tests Nationally

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  1. The Benefits of Using NPEX & The Vision for Sending and Receiving Pathology Tests Nationally Keith BurrillPathology IT Systems ManagerUniversity Hospital Southampton

  2. Background – possible options • UHS major teaching hospital on the South Coast • UHS variety of work processed for numerous organisations, includes channel islands and some private and foreign, as well as local ‘networks’. UHS also refers some work for testing • Options appraisal: • Paper reporting / courier delivery – general move away from this • Fax ~ VIOP, Governance arrangements – only option for someclients • Email – Advanced Encryption Standard (AES) 256 bit / PDF reporting – or NHS mail within the NHS • Client collection reporting system, PDF, NBTS, Cardiff • NPEx lab to lab links

  3. NPEx Option • Only option to provide electronic referral and reporting (incl. HL7) • Eliminates transcription errors, reduces turnaround • Initial primer funding from Pathology Modernisation monies (OJEU) • Required investment and User Acceptance Test (UAT) across LIMSvendors, sites and NPEx • Project delivery • Data Share / IG requirement • Virtual Private Network (VPN) & SSL certificate over N3 • National Laboratory Medicines Catalogue (NLMC) • UAT – test NPEx and test LIMS accounts • Test pack & test scenarios e.g. unsolicited results, comment reporting • Referral and reporting function • UAT again post changeover to live

  4. Web Server Benefits of automation NPEx LAB B Receipt sample Analyse sampleReport result(s) LAB A Create referral order Refer sample and form. Receive result(s)

  5. Design elements • Problem 1 - Sample and test codes not standardised between labs • Solution • NPExprovides facility to map investigations between labs to SNOMED CT/NLMC • Investigation constituent test s are further mapped to SNOMED CT/NLMC • All above without impacting local LIMS coding • Problem 2 – Laboratory sample numbers may not be unique across laboratories • Local sample numbers despatched to NPEx on creation of request - triggered by request item/ test being booked in, then despatched • The received sample number is used as Order Number, the solution is to make the Order ID unique to Trust by employing National Administrative Code (NAC) • On reporting both numbers stored in same message to ensure pairing and can betracked in NPEx Quick Search window by either party

  6. Shipment example

  7. Southampton Lab system receipt

  8. NPEx clients and Case Study • Southampton (Clinisys Labcentre) • Swindon (Clinisys Winpath) Live switchover March 2013 • Paper, fax, LIMS access, migrated to NPEx Currently Immunology and Clinical Chemistry • Salisbury (iLabTP) Live Switchover March 2013 • Implemented Immunology, UAT Clinical Chemistry • Hampshire Hospitals (Clinisys Winpath) – Basingstoke and Winchester • UAT both Trusts operating both functions, referral, processing • Triggered Oxford joining NPEx?

  9. NPEx and Non-NPEx referrals

  10. Stats March 2013 – Jan 2014 • NPEx specimens (from previous slide) Salisbury 7,813 Swindon 14,993 • NPEx investigationsSalisbury 12,697 Swindon 25,887 • Unique investigations traded Immunology 130 Chemistry 80

  11. Clinical Biochemistry, examples

  12. Next steps • National System – Link to Manchester Network referral to Southampton, specialist tests e.g. Cobalt • Poole are interested… • Complete Clinical Chemistry implementation with Salisbury • Labcentre upgrades enabling Microbiology and Cell Path UAT with NPEx • Connect to other Labs Via NPEx?

  13. Summary: NPEx Benefits and Vision • NPEx Implemented, operational and supported. Has been well received by our clients • Justified by local network volume & benefits delivered which enables… • Further connectivity as is a Single National System. Does not require re-registration on local servers – as current for likes of PMIP, or local GP requesting & reporting deployed solutions. • Thank you for listening, and thanks in particular to all parties whom have worked with us during these NPEx implementations

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