PathNet – Anatomic Pathology

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

2. Introduction & Objectives

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

4. 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

5. What is PathNet – Anatomic Pathology ?

6. PathNet – Anatomic Pathology • PathNet • 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

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

8. Tools & Functionality

9. 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

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

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

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

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

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

15. 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

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

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

18. Method M, WBT’s and Open House

19. MethodM • MethodM • 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

20. 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

21. 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

22. Design Decision Matrix - DDM

23. 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.

24. Data Collection Workbook - DCW

25. 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.

26. Next Step

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

28. Questions ?