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

1. DNIT reports and forms
2. Non-physician ordering doctor reports
3. Doctor Update reports
4. Patient Age/Sex reports
5. QA Patient reports
6. Specimens in COLB status
7. Orders placed on unmanaged computers
   1. Which computers?
8. Patient Account in PRE status
9. Bio Data Notification forms
10. GENMIC micro specimens (outstanding)
11. Misdirected lab reports
12. L to L errors
13. OLIS errors
14. Assess, prioritize and track LIS malfunction
15. Assess, prioritize and track LIS change requests
16. 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, (Tracking number in CR... ? 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

1. In TEST print current config of all dictionary entries (that will be changed) from the change request
2. 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
3. Determine how the dictionary entry modifications will affect other entries using their printed Cross Reference list (Calculations will be affected)
4. Document a work plan and testing checklist if not available (examples, see Appendex 1-7)
5. Perform database modifications
6. Perform initial testing using the checklist, which much include:
   1. ordering tests in Lab
   2. verifying collection batches
   3. verifying labels
   4. verification of tests
   5. verifying the reference range
   6. verifying interpretative data
   7. verifying calculations
   8. printing all patient reports (Broadcast, Summary, Final, Specimen)
   9. verifying all affecting management and custom reports
7. Once testing criteria have passed in TEST, print the updated configuration of all dictionary entries that have been changed
8. 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

1. perform validation using testing checklist provided
2. Attach all validation print outs to the request
3. if all passed, sign and date the request, set date for implementation into LIVE / prod, Return the request with documentation to the LIS analyst
4. Approval to LIVE is based on user assessment of desired outcomes and impacts of modifications
5. 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

1. Confirm date to finish the change in Live once all documentation and training is done
2. In LIVE print the current configuration of all dictionary entries (that will be affected/changed)
3. 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
4. Confirm that the dictionary entry modifications will affect other dictionary entries in the same manner that they where in Test
5. Do the same modification as what was done in Test
6. 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 for investigation and correction

If verification passes, sign and date the request and forward to Lab Manager

LIS Issues Escalating-LIS ANALYST-QCH 35651

MIS, Meditech Support Tools website, Meditech Service Request Centre (help line), MIS, Compugen (hardware?)

LIS MIS Location Dictionary Modification-LIS ANALYST-QCH 35656

Adding or changing a location (of what?) impacts multiple dictionaries

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

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?

Editing a Pathology Specimen-LIS PATH-QCH 35738

before powerpath?

Entering a Corrected Report-LIS PATH-QCH 35743

before powerpath?

Troubleshooting Log, Cerner Label Printer- LIS GENERAL-QCH 106222

Abridged document posted, see distribution log

Ordering Pathology in Order Management-LIS PATH-QCH 35795

Does not work in Test environment... got up to Step 6.

TM Flowcharts-LIS TM-QCH 106210

issuing products routines