Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed...
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![Page 1: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/1.jpg)
Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed
Laboratory Environment
Pathology Informatics 2010
Kavous Roumina, Ph.D.
Walter H. Henricks, M.D.
Cleveland Clinic
![Page 2: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/2.jpg)
Walter H. Henricks, M.D.
Background
• Diverse user groups require data obtained from queries of laboratory information systems (LISs) for purposes including research, operations management, and QA.
• Managing data searches is challenging when:
– search requests originate from diverse locations in a health system
– laboratories at multiple locations are supported by a single LIS
– personnel that perform searches are at sites remote from the laboratory
![Page 3: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/3.jpg)
Walter H. Henricks, M.D.
Objectives of Project
• Develop a Web-based system to improve the request and delivery of LIS data searches across multiple hospital laboratory locations in a health care system running a centralized LIS
• Build an effective communication process around data search requests, beyond just creation of an online request form
![Page 4: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/4.jpg)
Walter H. Henricks, M.D.
Technology - Laboratory Data Search Request (DSR) system
• Web-based application (ASP.NET, Microsoft Corp.), handles Web forms for submission, assignment, and tracking requests
• Database management system (SQL Server, Microsoft Corp.) manages all information provided by the requestors and assigned analysts
![Page 5: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/5.jpg)
Walter H. Henricks, M.D.
![Page 6: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/6.jpg)
Walter H. Henricks, M.D.
• Data Search Request (DSR) system access page
![Page 7: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/7.jpg)
Walter H. Henricks, M.D.
• Web-based form for TPO (Treatment, Payment, Operations) request
• Users enter contact information and search criteria
![Page 8: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/8.jpg)
Walter H. Henricks, M.D.
• Web form for non-TPO request (research) form
• Users enter contact information, search criteria, HIPAA/IRB compliance
![Page 9: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/9.jpg)
Walter H. Henricks, M.D.
• Upon submission, each request is assigned a unique number in the database and routed to an analyst for the appropriate information system (CP, AP).
![Page 10: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/10.jpg)
Walter H. Henricks, M.D.
• Web form for lead analysts/managers to assign search requests to performing analysts
![Page 11: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/11.jpg)
Walter H. Henricks, M.D.
• Assigned performing analyst gets a notification e-mail
![Page 12: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/12.jpg)
Walter H. Henricks, M.D.
• The requestor receives a confirmatory e-mail including contact information for the assigned analyst.
![Page 13: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/13.jpg)
Walter H. Henricks, M.D.
Final Step in Fulfilling Search Requests with DSR
• Upon completion of the search, the analyst marks the request as complete in the database, and the requestor receives an email with the search output data file.
![Page 14: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/14.jpg)
Walter H. Henricks, M.D.
Data Search Request System (DSR): Results and Impact
• Complete, successful replacement of previous paper-based search request and fulfillment process.
• 400 requests processed since go-live (6 months).
• Confirmation to requestors that their request is in process - NEW
• Elimination of delays due to incomplete request information (required fields on form) – NEW
• Improved management and process metrics for available from database – e.g. request volumes, search types, requestor volumes, turnaround time - NEW
![Page 15: Development of a Web-based System For Managing Requests For LIS Data Searches in a Distributed Laboratory Environment Pathology Informatics 2010 Kavous.](https://reader030.fdocuments.us/reader030/viewer/2022032606/56649eb25503460f94bb82ab/html5/thumbnails/15.jpg)
Walter H. Henricks, M.D.
Conclusions
• Development of an on-line Laboratory Data Search Request system facilitates fulfillment of LIS data search requests in a geographically and operationally distributed environment.
• Linkage to a back-end database improves management of the search fulfillment process.