Streams Workshop Content

Pre-Analytical Delphic registration module

Eclair - progress in clinician order entry

Clinical decision support: The lab’s role and integration within Eclair

Specimen collection management

Specimen logistics and the Delphic Test Referral Manager

The Single Piece Workflow (Delphic AP)

Analytical Advances in automation and the role of the LIS.

Delphic Microbiology - update on the rules engine

Post-Analytical Data mining and analytics

Dashboards – what do lab managers need ?

Intelligent reporting – patient-interpretive/ clinician interpretive and decision support

Case Studies Customer case studies

Emerging Areas Genomics and next gen sequencing

Multi-disciplinary meetings and cancer care

Customer Services Customer portal – documentation, forums, support, self-help

Customer support system updates

Sysmex software solutionsAutumn 2014

Newsletter

We Believe the Possibilities.

We are pleased to announce the dates and venue for the 10th Biennial User Group Meeting. This will be held on October the 13th and 14th, at the stunning Trinity Wharf Hotel on the Tauranga Harbour.

Since we started the user group meetings in 1996, they have continued to be an important part of our calendar. The conference provides a chance for users to ask questions and exchange ideas, and see upcoming enhancements to our product portfolio. We also value the event as an excellent opportunity to learn from you and find out how we can continue to meet your needs.

Preliminary Programme

Start time: 10am Monday 13th Oct. This will allow time for delegates arriving Monday morning.

Finish time: 4.30pm Tuesday 14th Oct.

The preliminary programme provides an overview of the content, which will have a product focus and a workshop approach.

Who should attend?

Sysmex invites all our customers and those interested in learning more about our product portfolio.

In the past our conferences have been attended by: clinical IT specialists, clinicians from primary and secondary care, medical laboratory scientists, laboratory managers, CIOs, IT managers, application specialists and IT support.

Registration and call for papers

You can register your interest for the event online at www.sysmex.co.nz/UserGroup2014 and submit topics for presentation.

User Group Meeting 2014

Cost

There is no cost to attend the conference. Registration will cover meals and refreshments throughout the event as well as the social events. Accommodation and travel are arranged separately.

Accommodation

Accommodation has been reserved at the Trinity Wharf Hotel for the meeting. You will need to book and pay direct with the hotel to confirm your stay.

Contact: reservations@trinitywharf.co.nz

Trinity Wharf Hotel. Luxury Tauranga accommodation and apartments with a stunning waterfront location.

The Royal College of Pathologists Australasia (RCPA) hosted its annual Pathology Update at the Melbourne Convention Centre, billed as the “pathology event of the year”, with over 1200 delegates and 140 speakers.

Noel Paggao and Angus Baird from the Sysmex team were there, showcasing Sysmex software solutions including the latest release of the Delphic LIS, Sysmex laboratory information system, and Delphic AP, Sysmex work area manager software for anatomical pathology.

Noel says the event provided a valuable opportunity to meet pathologists and staff from hospitals and laboratories throughout Australasia and further afield, as well as to gain insight into the latest scientific and technical developments in the industry.

The Sysmex exhibition stand was busy throughout the event, with a number of delegates viewing product demonstrations. There was considerable interest in Delphic AP, with its ability to address industry concerns about quality through its synoptic pathology reporting, single-piece workflow functionality and standards compliance.

Conference Report: Focus on the Future at RCPA Pathology Update Melbourne

Noel says that the Sysmex team had valuable discussions with pathologists regarding their interests in applying information technology in a more clinically purposeful way.

“Our theme for this conference was ‘Building on our achievements to focus on your laboratory’s future’ and this conference really offered us the opportunity to do just that. The Delphic LIS has continued to evolve over the last three decades resulting in an innovative system used by leading laboratories. Looking forward, some of the areas of interest from pathologists are advanced genomics modules, clinical predictive analysis and digital imaging solutions within Delphic AP. We are committed to providing LIS and AP solutions for the Australian and New Zealand markets, and gathering these future needs are essential to our product development process.”

Angus and Noel also took part in a 5Km Fun Walk along the banks of the beautiful Yarra River to the Botanical Gardens, as part of the conference associated activities. The walk raised money for the RCPA College Foundation for Education and Research.

The Customer Services section on our website is updated regularly with product release information listing the current support status for all product versions.

Sysmex has an on-going development roadmap for our product suite which is reflected in the annual release cycle. The products are developed to ensure compatibility with support and technology changes in operating systems as well as integrating new features that incorporate customer and market driven requirements.

If you need more information about the current release of your Sysmex products or to find out what is available in the latest version, please contact your account manager.

Latest release on Full Support:

CPD Points for NZIMLS members

Product Support and version release information

We have been working with the NZIMLS CPD committee to have our specialist LIS training courses qualified for CPD status points.

The courses that have been approved include: TCP Essentials, Advanced TCPs, Decryptic Analyser Interfacing and Reporting.

If you have recently completed a course with us or would like more information regarding allocation of points, please contact us.

For our Canadian and Australian customers who have completed training courses and are keen to pursue professional development points, let us know and we can provide the relevant information to assist with this.

Product Version numberEclair 6.5

Delphic 9

Delphic AP 9

Delphic Haematology 2.1.2; 2.1.3

Delphic Micro 4.1.0

We have made a number of enhancements to make it easier to access documentation and help online in Delphic:

a) Context specific help relevant to the task you are working on can be launched from within the area or module, e.g. when using Results Search, context specific help provides an overview of the Results Search functionality. This is launched in a new window so you can continue working in Delphic.

b) If you require more detailed guidance to information, the Delphic reference manuals and documentation are now available online within Delphic. These can be accessed directly from the same Help screen. The manual specific to the area or module will launch as a PDF.

c) A link to the complete Delphic online documentation library is also available. This will launch a list of all available reference material as PDFs. You can also access the documentation library from the main tool bar in Delphic.

Let us know what you think. Suggestions, feedback and ideas are welcome. Next steps – we are making further improvements to Help in the main Delphic toolbar which will provide a menu structure for easy navigation to the level of help you need.

The screens below illustrate the steps to find online help, and easily access the Delphic PDF manuals when you need, as well as a few tips on searching PDFs.

Laboratory and specimen handling errors can have devastating consequences for patients, create attention in the media and damage reputations of laboratories and their staff. Placing paramount importance on patient safety, accreditation agencies are working to establish the right laboratory workflow and processes, to ensure labs achieve and comply with the appropriate standards.

In rare events, the anatomical pathology lab has been the subject of such specimen handling errors. Central to all our product development roadmaps, including Delphic AP, is the creation of software that supports the right processes for your laboratory to help meet current and forthcoming accreditation requirements.

Delphic AP manages the workflow of the anatomical pathology laboratory and the most recent version V9 already delivers to a number of the process requirements, enabling a high degree of specimen tracking and auditing. The Single Piece Workflow

Patient safety! Delphic AP V9 and the Single Piece Workflowmodule takes quality and compliance to the next level. The key purpose of the new module is to eliminate the risk of specimen handling errors and future-proof the lab to meet evolving compliance standards.

How does the Single Piece Workflow module achieve this over and above the core functionality within Delphic AP v9? The key differentiators are:

- Presentation of patient cases. Delphic AP v9 presents you with a list of patient cases highlighting the active case currently in process. Delphic AP v9 plus the Single Piece Workflow module presents only one case at a time until completion at each lab workstation, e.g. cutting, embedding etc.

- A specialised intuitive user interface designed for touch screen and dedicated work stations at each step in the specimen workflow.

- Barcode initiated cassette writing, blocking, microtomy steps

Accessing Online Documentation and Help in Delphic

At issuing (QC) during final QC lab sign out, user must scan all specimen pots, cassettes, slides for single patient case before issuing

High quality processes benefit your lab, staff and the patient community. A fully integrated Sysmex Delphic AP solution is a low risk, straight forward approach to establishing a single piece workflow for your lab, offering these key advantages:

- No additional 3rd party software interfacing required, removing associated complexities and costs

- Product and terminology familiarity means limited training and up-skilling for lab managers and bench staff

Please contact your Sysmex representative for further information or a product demonstration. Expected release date for the Single Piece Workflow is end of June. *Delphic AP Single Piece Workflow requires the core Delphic AP system – minimum version 9.

1

2

3

4

5

Quiz question What is the meaning behind the name Sysmex - i.e. how did this name get created? The first person to respond correctly will receive a merino Sysmex jacket.

Email: steele.deborah@sysmex.co.nz with your response.

Sysmex Australia

www.sysmex.com.au

Sysmex New Zealand

www.sysmex.co.nzWe Believe the Possibilities.

Lab Perspectives – Standardisation – More than just reference rangesAround the world medical laboratories and pathology services are facing similar challenges, such as an ever- increasing demand for their services, the pressure to cut costs, and in some areas a declining number of qualified staff.

As a result of these drivers, over the last decade there has been a trend towards the regional consolidation and standardisation of laboratory services. Regional consolidation allows for greater economies of scale and a reduction in the duplication of resources, helping to control long term operating costs. Healthcare agencies may consolidate their capabilities around one reference laboratory, or establish a regional network of tiered laboratory services, where laboratories within the network offer different levels of service or specialise in a variety of tests. By assigning certain tests to specific facilities, regional health organisations are able to reduce the associated overheads.

As laboratory services move towards this kind of shared services model, adopting common technology and testing platforms is a fundamental part of the process. This enables laboratories to standardise test menus, methods, reference ranges and reporting. Labs within a regional network often share a single instance of an enterprise-wide LIS providing the foundation to standardise pre-analytical, analytical and post-analytical stages of the laboratory workflow across their network.

Moving to a model where different labs within the shared network specialise in different tests requires robust systems to manage the logistics of specimen transfer. Labs are looking to reduce the paper trail and better utilise their LIS to seamlessly manage the assignment of tests within and between different laboratory locations, as well as tracking specimens that have to be transported within the network.

Technology can also assist with allocating work where there is pressure on qualified staff by allowing laboratories to easily reallocate tests and manage workload. This can be applied to both staffing and instrumentation. For example, a multi-lab LIS network can allow for analysers at one site to provide backup to others at different locations on the network, easily reallocating tests and removing the need for backup instrumentation to be installed at each site.

Achieving standardisation through shared IT can also offer benefits post-analytically. The creation of standardised reports draws on the value of the LIS with an integrated rules engine to add interpretive comments based on relevant patient data, reducing manual commenting and the variations that can be introduced. This can enable consistency for the clinical interpretation regardless of the actual lab that performed the tests. A shared LIS also allows better collaboration for report validation and signoff steps when required, with reassignment of work managed through the single LIS.

Consolidation of data, for instance in a centralised clinical data repository (CDR), reduces complexity and clinical risk, by providing a standardised reporting method across multiple facilities.

Lab systems are interfaced to a wide variety of external systems and a multilab solution can simplify and standardise a solution especially when combined with message and coding standards such as HL7, LOINC, SNOMED, patient and health provider identifiers. In addition to a sophisticated multilab LIS, these are essential to achieve standardised and integrated information systems.

The adoption of clinician electronic order requests also helps standardise the pre-analytical phase. Electronic test order menus are built on standardised test codes and menu sets and can prompt for the inclusion of clinical information to support the request. Among the number of reported benefits that can be achieved with electronic orders, the lab analytical phase benefits from highly accurate, quality test requests.

There are many important aspects that are relevant to today’s laboratories looking to achieve standardisation. A proportion of this can be realised by having the right technologies and IT systems in place and applying them in the right way.

Ultimately, it is about making better use of all resources - people, place and process - while continually striving to improve the timeliness and accuracy of your laboratory service to healthcare providers and their patients.

References: Supuvelda and Young, The Ideal LIS, Dec 2012. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423316/

Sysmex staff and their families joined a volunteer environmental day on Motutapu Island in the Auckland Hauraki Gulf on Sunday 2nd March, helping out with weeding and a beach clean-up.

Application Specialists Michael Smith and Craig Rouse in -18 degree temperatures in Dauphin, Manitoba, Canada. Dauphin Medical Centre is one of the most recent Diagnostic Services of Manitoba laboratory sites to go live on Delphic.

Application Specialists Michael Smith and Craig Rouse in -18 degree temperatures in Dauphin, Manitoba, Canada. Dauphin Medical Centre is one of the most recent Diagnostic Services of Manitoba laboratory sites to go live on Delphic.