MEDITECH
To Do list:
Meditech 6.1 Laboratory Modules, Application User Manuals
Shortcuts/Tricks
Methods to Identify a Specimen-LIS PATH-QCH 35787
Policies
Cancellation of Referral Specimens-LIS GENERAL-QCH 35375
Tests already sent to TOH but it needs to be canceled (why? examples?) Can't result it in Meditech because this prevents the TOH 'cancellation comments' from resulting. If they've already resulted it then it cannot be canceled (by them, but does the result still transfer and get resulted in Meditech?)
Cancelling or Uncancelling a Pathology Requisition-LIS PATH-QCH 35707
step 8 "Enter reason for cancelling pathology requisition", examples?
Canned Comment and Marker List Updates-LIS ANALYST-QCH 35615
Monthly, update the list that lab staff view in Excel on the T: network drive
Computer Sign on Request 35621
Request form (Username/Sign-on Request Form For Access To Computer System Network)
MIS staff performs the request first, after that the manager informs LIS.
Assign appropriate 'Meditech Access Group' (how?)
DNIT Doctor Copy-LIS ANALYST-QCH 35625
lab staff use DNIT when the doctor on the req isn't 'in the table'. Health records adds it then they contact LIS when it's added... a report is printed and DNIT is replaced by the mnemonic provided by Health Records.
Remove DNIT from Doctor tab and replace with proper mnemonic and repeat for all requisitions.
Step 9. "If eligible specimens have not printed this updated doctor" What is an eligible specimen?
Print Reports, ORD (Ordering Doc), OP (Other Doc)
Submitting Doctor DNIT Distribute to LIS Analyst report is printed daily (by the analyst?), supposed to follow up to make sure a form has been sent to Health Records
Delta Check Settings-LIS CORE-QCH 35315
some (if not all) tests have their checks defined here in the policy. The flag is transmitted to the EMR. Are these all of the defined delta checks?
LIS Daily Weekly Monthly Tasks-LIS ANALYST-QCH 35635
Daily
- DNIT reports and forms
- Non-physician ordering doctor reports
- Doctor Update reports
- Patient Age/Sex reports
- QA Patient reports
- Specimens in COLB status
- Orders placed on unmanaged computers
- Which computers?
- Patient Account in PRE status
- Bio Data Notification forms
- GENMIC micro specimens (outstanding)
- Misdirected lab reports
- L to L errors
- OLIS errors
- Assess, prioritize and track LIS malfunction
- Assess, prioritize and track LIS change requests
- Investigate L to L interface errors
Monthly
Update Canned Comment and Marker lists
LIS Database Modification Request-LIS ANALYST-QCH 35640
Form is completed by the 'authorized requestor', who is authorized?
Assigned tracking number, what generates the number?
Urgent, Important, Routine (time examples?)
Live production (is there test environment?)
memo to affected staff, if required (how do i know if it's required?)
All forms and and attached forms are filed in the LIS Analyst filing cabinet
Finish request is forwarded to lab manager and lab director for signature
LIS Database Modification Testing Validation-LIS ANALYST-QCH 35645
Modification and Initial Testing
- In TEST print current config of all dictionary entries (that will be changed) from the change request
- For each entry that will be modified, temporarily change their Active field to N and print their Cross Reference list (if exists, example?). But press Esc to leave the entry Active as Y
- Determine how the dictionary entry modifications will affect other entries using their printed Cross Reference list (Calculations will be affected)
- Document a work plan and testing checklist if not available (examples, see Appendex 1-7)
- Perform database modifications
- Perform initial testing using the checklist, which much include:
- ordering tests in Lab
- verifying collection batches
- verifying labels
- verification of tests
- verifying the reference range
- verifying interpretative data
- verifying calculations
- printing all patient reports (Broadcast, Summary, Final, Specimen)
- verifying all affecting management and custom reports
- Once testing criteria have passed in TEST, print the updated configuration of all dictionary entries that have been changed
- After initial testing is completed all documentation is attached the request form. Sign and date the request and give it back to the user for validation (? in test)
Requesting User Validation in TEST
- perform validation using testing checklist provided
- Attach all validation print outs to the request
- if all passed, sign and date the request, set date for implementation into LIVE / prod, Return the request with documentation to the LIS analyst
- Approval to LIVE is based on user assessment of desired outcomes and impacts of modifications
- If failed, notify analyst who will then restart modification and initial testing
QA analyst
Review the request and ensure that all impacts of modifications have been considered, all appropriate documentation has been reviewed/revised, all training has been reviewed and received
Live/Production
- Confirm date to finish the change in Live once all documentation and training is done
- In LIVE print the current configuration of all dictionary entries (that will be affected/changed)
- For each dictionary entry that will be modified, temporarily change their Active field to N and print their Cross Reverence list (if it exists), then press Esc to leave the entry Active
- Confirm that the dictionary entry modifications will affect other dictionary entries in the same manner that they where in Test
- Do the same modification as what was done in Test
- Tell the requesting user that the change has been completed
Requesting User Validation in LIVE
in Live, verify that the modifications have the desired outcome
If verification fails, notify the analyst
Reports
Auto Activity Log Auto Release Crossmatch-LIS TM-QCH 36509
track the automatic release of crossmatched red cell units
Red Cell units are set to auto release 3 days post cross match at 2359H
Coll Date By Patient Summary By Patient-LIS GENERAL-QCH
Despite the name, provides a summary of TEST RESULTS by collection date. use for all labs. path reports only before 2015, now use PowerPath, refer to Error! reference source not found" ??
Hematologists STATS-LIS ANALYST-QCH 35631
provide stats for manager for hematologist's workload, print and put in manager's box. Number of cases, Number of slides
Policies possibly not relevant
Analyzer Batch Desktop-LIS GENERAL-QCH 35366
Lab and BB analyzer batches are closed daily
Antibody Antigen ID Report-LIS TM-QCH 36515
report to print patient antibodies previously ID'd
BBK MANAGEMENT > ANTIGEN-ANTIBODY REPORT
Assign Units-LIS TM-QCH 36512
Bone Bank Inventory and Issuing-LIS TM-QCH 36506
How to enter BB samples into the inventory, Bones
Half of femoral heads are received from TOH to QCH
Change Users Lab Site-LIS GENERAL-QCH 35378
Change 'Lab' Site so that the proper footnote appears when resulting
Documenting Slides Blocks Sent Out-LIS PATH-QCH 35735
Data Section CASE REVIEW, record 'RECEPIENT', 'SENT DATE', 'RETURN DATE', 'REQUESTOR', # blocks, slides, any comments
Create Site Batch-LIS GENERAL-QCH 35393
Create a list of specimens to be shipped to another site for testing. Use for Valley Lab Program and referral labs
Compare STAT batch (TOH only?) vs regular batch
Creating a Pathology Cytology Requisition-LIS CORE-QCH 35310
Before powerpath?
Data Entered in OM to Re-Enter in Pathology-LIS PATH-QCH 35712
before powerpath?
Data Section Types-LIS PATH-QCH 35717
before powerpath?
Data Sections by Access Based Findings Entry Screens-LIS PATH-QCH 35725
before powerpath? if not, then should go under 'shortcuts'. looks like canned texts?
Data Sections-LIS PATH-QCH 35728
as above. Data sections seem to be like canned texts but actually pull data. so, shortcuts to pull data. Possibly also dictation templates?
Edit Specimen Collection Date-LIS GENERAL-QCH 35399
Edited or Corrected Results-LIS CORE-QCH 35320
Editing a Pathology Specimen-LIS PATH-QCH 35738
before powerpath?
Enter Edit Requisition-LIS GENERAL-QCH 35402
Enter Manual Test Results-LIS CORE-QCH 35325
Entering a Corrected Report-LIS PATH-QCH 35743
before powerpath?