A mTuitive Quality Suite v4

mTuitive Quality Improvement Suite

**mTuitive Confidential Information**

mTuitive Quality Suite• Peer Review • Quality Assurance and Quality Control • CAP Checklist for Policies & Procedures• Document Management• Equipment Management & Monitoring• Specimen Labeling & Tracking

• Site/Hospital• System/Area• Physical and Virtual (WSI) specimens

• Specimen Identification & Description Solutions• Batch Read Cassettes• Batch Read Slides• Small Gross Image Analysis and Reporting


mTuitive CAP Readiness & Document Management • Download your site’s CAP Checklist from the CAP website directly into the solution

• This is the same checklist your CAP inspectors will bring on site to ensure compliance with policies and procedures

• Ability to assign document review & update tasks to staff

• Ability to track status of all tasks assigned, pending, overdue and completed

• Configurable by document to require minor or major changes to be reviewed by specific staff

• Complete version history and audit trail – Structure documents by department, area, section, etc.

• Meets or exceeds CAP, Joint Commission and ISO 15189 document regulations

• All documents labeled with specific CAP Requirement ID and can be sorted by CAP ID number

• Easy to read pie chart that shows all policies and procedures and status in one view

• Pie Chart statuses include; Incomplete, Expired/Needs Update, Ready for Approval, and Completed

• Charts per person with all tasks complete or incomplete

• Ability to send e-mail reminders to staff for task that are overdue

• Easy to use task dashboard view per user – They only see specific tasks assigned to them.

• CAP Readiness Dashboard that shows all policies and procedures and status one click to see details

**mTuitiveConfidential Information**

mTuitive CAP Readiness


mTuitive CAP Readiness & Document Management


Pull your site’s check list directly from the CAP website as often as you like. All information is then stored in the mTuitive CAP Readiness & Doc Management system.

mTuitive CAP Readiness & Document Management


• Reduce time and effort managing policies and procedures• Automate CAP and ISO 15189 compliance for policies and procedures• Task automation for directors, lab managers and other key staff• Policy and procedure status dashboards/alerts to easily view the status of all policies and

procedures, next steps ( renew, edit, review, confirm, etc ) and who is responsible.• Easily send an email reminder from inside the dashboard for overdue tasks

mTuitive xPert Peer Review & QA• Provides accurate structured reports for on going

departmental process improvement• Provides easy to produce/read reports for CAP and/or Joint

Commission inspections• Monitors pre-analytic, analytic and post-analytic variables that

contribute to potential diagnostic errors and quality issues• Central QA repository for all QA reporting/documenting,

dashboards and alerts• Easily pull ALL quality metrics and QA data for on going

performance improvement• Quality Task dashboards that are user/role specific• Easily see all daily QA issues at a glance• Record, view and act on configurable NCE forms• No performance hit on your existing APLIS pulling data


mTuitive xPert Peer Review & QA


mTuitive xPert Peer Review & QA Easy to use daily QA dashboards. Shows all scheduled and non-

conforming events in one place. See all quality issues and daily QA tasks on one screen and one

click to details. CAP / Joint Commission reporting on all QA Categories: Intra-Operative/ Frozen Section Correlations Frozen Section – Permanent Concordance Frozen Section Turn Around Times – with weighting and/or

exclusion criteria Intra-Mural and Extra-Mural case correlations Cyto/Surgical & Pap/’Surgical Correlations Amended Reports Technical Quality reports ( Slide, Cassettes, stains, other ) TAT for Surgical/Cytology & Autopsy Daily Stain Analysis



mTuitive xPert Peer Review & QA – Easy to view and record QA issues and NCEs



• Easy to use dashboards show performance/issues at department and staff level• Easy to select specific staff and see concordance/correlation issues



• Automated OPPE process leveraging site defined exclusions, vetted and weighted data points

• Perform clinical & soft skill evaluations for Pathologists, HistoTechs, Path Assistants and CytoTechs

• Perform evaluations quarterly, semi annually and annually and by year

• Deficiencies are automatically identified based on calculated technical skills and weighted soft skills

• Case discrepancies can trigger notifications for director review


mTuitive xPert Peer Review & QAEasy to use charts and graphs to visualize department & staff performance on many indicators and by year, quarter, semi annual, annual or a customized date range


mTuitive Equipment Management & Monitoring • Show all daily, weekly, monthly and annual maintenance tasks and status in one place

• Staff specific task lists – configurable and can mandate override if task missed• Sort on overdue, pending, completed tasks• Real time monitoring of temp/humidity with integrated probes• Track non conforming events • Easy to produce and read annual reports for CAP or Joint Commission inspection


mTuitive AccuTrack Suite• A full suite of solutions for labeling

and tracking specimens from the point & time of collection to the AP lab, through the lab and offsite for 2 opinion through slide library and/or offsite storage

• Cutting edge technology for scanning an entire batch of cassette barcodes while in rack

• Cutting edge technology for scanning all slide barcodes while in in the slide folder

• Small Gross image capture & gross report automation

• Frozen Section workstation• Pathologist workstation• Lean/Six Sigma case build solution• And much, much more…

Collection Receiving

Cassette Labels Embedding

Accession

SpecimenLabels Grossing Processing

HIS(Epic, Cerner,

Meditech)

SlideCut & Label

StainingH&E

SpecialCase Build Case

Delivery

PathologistStation

CAP eFRM

Slide Library

ArchiveExtra MuralReview

Intra MuralReview

APLIS – (CoPath, PowerPath, PathNet)

QA

Cytology

CAP eFRM?

QA

Peer Peer

Peer CAP eFRM?

CAP eFRM?

Track Track

Track Track Track

TrackTrack

Track

Track

Track

Track

QA QA QA

PeerQAQAQA

Track

AccuTrack AP – Printing and Tracking from the point of collection through to slide library and/or archive

AccuTrack Intra-Site • Easy to use web portal to manage outreach, second opinion

and peer review cases within a healthcare system

• Track cases and specimens to other sites via web portal connected to internal or external courier service

• Automatically print batch labels & schedule pick up

• Receive in and manage foreign cases and specimens via web

• Know cases are coming to your site before they arrive & track

• Specimens can be known & tracked via tracking modules


AccuTrack Collect


• Specimen information entered into HIS or AT Collect module• If entered into HIS then HL7 interface no workflow change• If entered into AT collect then web client used at POC

• AT Collect prints unique barcode labels at point of collection

• Specimens are tracked to AP window and scanned/dropped off

• If specimens are overdue or missing (surg. case closed ) then alert

• AP Staff receive into AT Collect and enter Part Type, Protocol and Pathologist.

• Pathologist/Resident data entry may not be required if using AT Assign module.

• AP HL7 Order now flows to APLIS – Part Labels print from APLIS

• Follow current process/workflow for AP

AccuTrack Collect • Barcode Label Pathology specimens at the point and time of collection with/without HIS Orders.• Without an HIS Orders Interface – Easy to use web

enabled client to enter AP specimen data. Barcoded labels print at point and time of collection.• With an HIS Orders Interface –AccuTrack Collect

integrates with existing HIS. No change to clinician collection workflow. HL7 messages flow from HIS to mTuitive Collect• AccuTrack Collect eliminates the need for a paper

requisition. Collect valuable AP data at the source.• Track AP Specimens from the point of Collection to the AP window & alert if overdue and/or missing.


AccuTrack Collect (receiving)• Track AP Specimens from the point of Collection to

the AP window & alert if overdue and/or missing. • Track staff who are dropping off• Capture print label time vs delivery to AP

department for all specimens• Simple to use

1 - scan ID 2 - scan specimen

• System will show all specimen parts for the case and their status real time


AccuTrack Collect - Accession

• Scan as received into AT Collect in AP department, AT Collect will integrate with your existing APLIS via an HL7 orders interface.• Simply select part type, protocol & Pathologist and

you’re done. • APLIS assigns case and/or prints part labels as

needed.• Part type & protocol can be selected via drop down

list pulled from APLIS. • Pathologist can be automatically assigned using

mTuitive Assign.• Next slide shows AT Accession Screen


MRN 303-78-14 HIS Order ID = 4560101NAME Garniss, Lyman T.DOB 02/22/1964Collected Loc OR45Procedure MD Murphy, John W.Procedure Status COMPLETED/OVER @16:35:10

ACCESSIONING STATION ALogged in Peter MelloCurrent Date/Time 08/01/2016 17:55:10

Liver Resection Part 2MGH1 3037814 4560101 2

Label Printed 08/01/2016 16:30:10Recv’d at AP 08/01/2016 16:55:09

Liver Resection Part 1MGH1 3037814 4560101 1

Label Printed 08/01/2016 16:15:10 OVER DUE and/or NOT RECV’D in Order

Part Type:

Protocol:

Resident:

Pathologist:

Specimen QA Issues: Click Here

AccuTrack Case Assign ( proposed )


• Easy to use web enabled pathologist/specialty assignment calendar

• Full calendar functionality

• Access via mobile device to change

• Assign resident and/or pathologist to specialty and/or subspecialty

• Alerts if too many cases assigned (ex. Frozen Sections) based on site rules

• Use stand alone or integrate with AccuTrack Collect

• No more white boards or chalk board schedules

• ( Potential to use a 3rd party existing system here – (Q-Genda)

AccuTrack AP


AccuTrack AP


• Barcode label and track parts, cassettes, slides and molecular specimens through entire pathology workflow using LEAN principles

• Label and Track all parts, blocks & slides through the entire lab workflow

• Minimal entry at AccuTrack AP stations – in most cases a barcode scan

• Scan part label and the correct color and number of cassettes print• Scan cassette and correct number of slides print• Special stain codes/ barcodes print on slides• Track to/from any location and view throughput/utilization reports

• Easy to use – single scan - special stain and studies on line worklists• Real time on line worklists for special stain devices and studies

• Maintains & Tracks the parent-child relationships for all assets including source(s) for molecular

AccuTrack AP


Scan Part at Cassette Station& Create Unique

Cassette barcode #(Case, part,

cassette)

Scan Cassette at cutting station &

create unique slide barcode #

(Case, part, cassette, slide

Order stains based on part

type and protocol from

APLIS and rules built in xPert

Trac

Track slides to Cyto or

Pathologist station/location

Track slides to Slide library

Track case to other facilities defined as a station/location

• Display overdue/late specimens/assets as they move from station to station as defined in Tracking user maintenance.

• Ability to create additional scanning stations/locations• Ability to track into specific processor and/or stainer• Ability to add more tracking stations/spots• Ability to track staff workload

Accession Process

AccuTrack AP• Dashboards – real time• Overdue specimens• Missing / not scanned with siblings• Special stain TAT – status• Processing TAT – status• Workflow Bottle necks – visual queues • Workload per employee• Decal station• Special stain worklists• Reports for all of the above


AccuTrack AP• Dashboards – real time• Dashboards run real time in the lab and show

delays between stations; Workflow back up display• Dashboards show any specimens missing or

delayed between location/stations real time.• Dashboards display priority cases moving through

the system ( proposed Q2/2016 )

• Dashboards display any parts/assets that come in significantly behind the original case specimens. This is important for case build/delivery.


AccuTrack Site


• Track specimens & cases between sites within the same health care system

• Shared Pathologists/Resident – Specialty/Sub-Specialty Calendar

• Over due logs and real time monitors

• Track batches/coolers/shipping boxes between sites

• Specimens and specimen data known to all sites using the same APLIS and AccuTrack Site

• AccuTrack AP functionality will continue to work between sites

AccuTrack Molecular


*Caffeine

AccuTrack Molecular


• Label & track molecular specimens derived from single or multiple sources• Track relationship of sources to derived specimen• Track to onsite/offsite storage or offsite for analysis• Print micro-container labels or print barcode directly to container• Record QA/QC, notes related to molecular specimens• Future plans for Flow Cytometry instrument integration• The logic we are using and recommending to customer is:• Case number - this comes from the APLIS - Always • Example S16-12345 S=Surgical, 16 is the year, 12345 is next case assigned

Part one would be labeled: S16-12345-1 ; 2nd slide part 1 =S16-12345-1-2• So a slide labeled S16-12345-2-5 = surg case in 2016 - case 12345 - 2nd

part and 5th slide.• Molecular ... start with the case number and then an M for molecular and

then the cassette and/or slide designation where the cells came from....• If the molecular specimen came from cassette 2 AND from slide 3 from

cassette 1 then the specimen would be labeled:• S16-12345M-2+1-3

AccuTrack Batch ( prototype testing )


AccuTrack Batch ( prototype testing )


• Scan an entire rack of cassette barcodes in one second

• Move all blocks to next tracking station, processor or to offsite storage

• Check to ensure all specimens are in batch

• Save time on individual specimen scanning

• No need to save gross bio hazard waste for several days

• Better patient safety

• Saves time

• Ensures all specimens in a case are together during processing

AccuTrack Case ( prototype testing )


AccuTrack Case Folder


• Read all barcodes on slides in a folder in one second• Ensure all are together• Print a barcode label for this folder and associate

with all barcoded slides• Scan one barcode on the folder to track into a

Pathologist’s mailbox• Read all barcodes on slides in a folder into the slide

storage room. Note if any missing and order WSI for them if appropriate.• Time savings over single scan. • Ensures all slides are in folder before delivery.

AccuTrack Small Gross


• Scan a small gross specimen and in a fraction of second calculate:• Exact color percentiles scientifically calculated• Size – width & length – to 4 decimal places• Size – Circumfrence – to 4 decimal places• Size – Total Area – to 4 decimal places• Identify any “spots “ and measure to nearest margin and report color• Option Ultra Violet for screening or research purposes ( Derm )

• Station creates report with information above and defaults for received in Formalin and Container discarded. One click to change to fresh / storage

• No transcription required• No Dragon or VR license• No need for Voice Brook• No Transcription errors• Patient Safety – Saves Time – Better Data – No Delays in gross report

AccuTrack Small Gross


AccuTrack Small Gross - Tray



Next Steps

Lyman [email protected]

mailto:[email protected]

A mTuitive Quality Suite v4

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Transcript of A mTuitive Quality Suite v4