National Laboratory Services Laboratory Information System Project

National Laboratory Services Laboratory Information System

What is the NLS? The National Laboratory Services includes the National Public Health Laboratory, Immunology and the NBTS Provides a dual service: Clinical Diagnostic and Therapeutic Service Public Health Functions Provides all the diagnostic testing for KPH. Reference laboratory in all relevant areas. Develops national policies through systematic research and data analysis. Provide high quality therapeutic and blood banking services.

The National Laboratory Services includes the National Public Health Laboratory, Immunology and the NBTS

Provides a dual service:

Clinical Diagnostic and Therapeutic Service

Public Health Functions

Provides all the diagnostic testing for KPH.

Reference laboratory in all relevant areas.

Develops national policies through systematic research and data analysis.

Provide high quality therapeutic and blood banking services.

7 Departments Anatomic Pathology Haematology Clinical Chemistry Microbiology Immunology Environmental Control Division National Blood Transfusion Service

Anatomic Pathology

Haematology

Clinical Chemistry

Microbiology

Immunology

Environmental Control Division

National Blood Transfusion Service

Anatomic Pathology Provides relevant tissue pathology Autopsy Service Diagnostic Cytology National Cancer Screening Program

Provides relevant tissue pathology

Autopsy Service

Diagnostic Cytology

National Cancer Screening Program

Haematology Routine haematology tests Coagulation tests Bone Marrow Pathology Consultative service for correct test utilization and interpretation

Routine haematology tests

Coagulation tests

Bone Marrow Pathology

Consultative service for correct test utilization and interpretation

Clinical Chemistry Analyses a wide range of constituents in blood, serum, plasma and other bodily fluids. Provides service for KPH, VJH and assists level B & C Hospitals and Health Centres with testing services

Analyses a wide range of constituents in blood, serum, plasma and other bodily fluids.

Provides service for KPH, VJH and assists level B & C Hospitals and Health Centres with testing services

Microbiology Consists of seven sections: Culture Enteric Media TB Laboratory Sanitation Parasitology Serology Identification of mico- organisms in human and environmental samples Antibiotic sensitivity testing Surveillance for micro- organisms leading to communicable disease.

Consists of seven sections:

Culture

Enteric

Media

TB Laboratory

Sanitation

Parasitology

Serology

Identification of mico- organisms in human and environmental samples

Antibiotic sensitivity testing

Surveillance for micro- organisms leading to communicable disease.

Environmental Control Provides environmental analysis in monitoring programs for the Ministry of Health Domestic and industrial waste Raw Water Major rivers and bathing beaches Air quality

Provides environmental analysis in monitoring programs for the Ministry of Health

Domestic and industrial waste

Raw Water

Major rivers and bathing beaches

Air quality

Immunology An immunodiagnostic reference laboratory for early diagnosis of communicable diseases National reference laboratory for HIV diagnosis. Resource facility for training in Immunology

An immunodiagnostic reference laboratory for early diagnosis of communicable diseases

National reference laboratory for HIV diagnosis.

Resource facility for training in Immunology

NBTS Seeks to provide a safe and adequate supply of blood Screening and selection of suitable donors Blood collection Screening of blood for infectious diseases Transfusions Paternity testing Reference centre

Seeks to provide a safe and adequate supply of blood

Screening and selection of suitable donors

Blood collection

Screening of blood for infectious diseases

Transfusions

Paternity testing

Reference centre

What is a Lab Information System? A LIS is a computer based system that will manage and automate the constant stream of daily test requests and results handled on a daily basis.

A LIS is a computer based system that will manage and automate the constant stream of daily test requests and results handled on a daily basis.

Laboratory Test Processing Test Request and Sample Receiving Test Preparation Testing, Results Recording and Verification Test Report Preparation and Distribution

Test Request and Sample Receiving

Test Preparation

Testing, Results Recording and Verification

Test Report Preparation and Distribution

Current Results Entry

LIS Results Entry

Reporting

Reporting

Reporting

Quality Control and Quality Assurance Management

Other LIS Features Test Scheduling Proactive Specimen Collection and Workload Projections Specimen and Sample Tracking/Chain of Custody Statistical Analysis and Surveillance Billing for Laboratory Services Document Management

Test Scheduling

Proactive Specimen Collection and Workload Projections

Specimen and Sample Tracking/Chain of Custody

Statistical Analysis and Surveillance

Billing for Laboratory Services

Document Management

Why does the NPHL need one? Improved diagnostic capacity Improve quality Improve efficiency of service delivery Produce timely information for decision making Improve the security and confidentiality of patient records

Improved diagnostic capacity

Improve quality

Improve efficiency of service delivery

Produce timely information for decision making

Improve the security and confidentiality of patient records

Who Benefits? Patients Health Care Providers General Public The NPHL NPHL Employees Hospitals and Health Centres

Patients

Health Care Providers

General Public

The NPHL

NPHL Employees

Hospitals and Health Centres

Where will it be deployed? Phase One National Public Health Lab National Blood Transfusion Service Kingston Public Hospital Comprehensive Health Centre Phase Two Cornwall Regional Hospital St. Ann's Bay Hospital Spanish Town Hospital Mandeville Hospital St. James Type 5 Clinic

Phase One

National Public Health Lab

National Blood Transfusion Service

Kingston Public Hospital

Comprehensive Health Centre

Phase Two

Cornwall Regional Hospital

St. Ann's Bay Hospital

Spanish Town Hospital

Mandeville Hospital

St. James Type 5 Clinic

Where will it be deployed? Other Other clinics Doctor's offices Remote collection centres

Other

Other clinics

Doctor's offices

Remote collection centres

How is it being implemented? Gap Analysis Report - 2002 Infrastructure Structural Changes Air Conditioning Power Stabilization Network Cabling Computer Equipment Wide Area Network

Gap Analysis Report - 2002

Infrastructure

Structural Changes

Air Conditioning

Power Stabilization

Network Cabling

Computer Equipment

Wide Area Network

How is it being implemented? Software Selection Implementation Plan Pilot Project Lab Rollout Regional Rollout Training Support

Software

Selection

Implementation Plan

Pilot Project

Lab Rollout

Regional Rollout

Training

Support

How is it being implemented? Miscellaneous Consolidated Forms Computer and Network Protocols Consumables

Miscellaneous

Consolidated Forms

Computer and Network Protocols

Consumables

When will it be completed? Structural Changes September 2006 Air Conditioning December 2006 Power Stabilization December 2006 Network Infrastructure October 2006 Computer Equipment July 2006

Structural Changes

September 2006

Air Conditioning

December 2006

Power Stabilization

December 2006

Network Infrastructure

October 2006

Computer Equipment

July 2006

When will it be completed? Wide Area Network September 2006 Software Contract Signed August 2006 Pilot Installation November 2006 Entire Lab March 2007 Expand to Regions 2007

Wide Area Network

September 2006

Software

Contract Signed

August 2006

Pilot Installation

November 2006

Entire Lab

March 2007

Expand to Regions

2007

How much is it going to cost? Capital Costs Approx. 1.5 Million US$ Ongoing Costs Support Contracts, Systems Administrator, Repairs etc. Approx. $100,000 US$

Capital Costs

Approx. 1.5 Million US$

Ongoing Costs

Support Contracts, Systems Administrator, Repairs etc.

Approx. $100,000 US$

Successes Air Conditioning Installed 100 tonne air conditioner. Fixed water softening system. Training Room Created training room with 12 computer workstations. Room was used to train NPHL staff in computer basics.

Air Conditioning

Installed 100 tonne air conditioner.

Fixed water softening system.

Training Room

Created training room with 12 computer workstations. Room was used to train NPHL staff in computer basics.

Successes - Renovations Renovations Completed modifications to specimen reception area Completed renovations to TB Laboratory Partitioned training room from seminar room with folding doors. Cleaned, painted and made habitable the server room and the project manager’s office.

Renovations

Completed modifications to specimen reception area

Completed renovations to TB Laboratory

Partitioned training room from seminar room with folding doors.

Cleaned, painted and made habitable the server room and the project manager’s office.

Successes Wide Area Network Contract has been signed with IBM to implement the wide area network between the NPHL, MoH, CHC/ERTU, KPH/VJH and the NCDA. Computers and Printers Fujitsu has supplied the 95 computers and a server for the NPHL, KPH and CHC. MCS will supply the 62 printers and virus software any day now.

Wide Area Network

Contract has been signed with IBM to implement the wide area network between the NPHL, MoH, CHC/ERTU, KPH/VJH and the NCDA.

Computers and Printers

Fujitsu has supplied the 95 computers and a server for the NPHL, KPH and CHC. MCS will supply the 62 printers and virus software any day now.

Successes Network Infrastructure MediaNet has been selected as the vendor for the Network Infrastructure which includes over 200 network drops. Waiting for Sector Committee Approval KPH/VJH/CHC Networking and Power IBM is the selected vendor for the UPS and networking at these satellite locations. Also waiting for Sector Committee Approval

Network Infrastructure

MediaNet has been selected as the vendor for the Network Infrastructure which includes over 200 network drops. Waiting for Sector Committee Approval

KPH/VJH/CHC Networking and Power

IBM is the selected vendor for the UPS and networking at these satellite locations. Also waiting for Sector Committee Approval

Successes Consolidated Forms The consolidated forms have been re-designed and a vendor chosen for the printing.

Consolidated Forms

The consolidated forms have been re-designed and a vendor chosen for the printing.

Challenges Difficulty in obtaining timely BQ’s or approvals from ministerial units. Delays in World Bank no objections. Changes required to BQ’s after tender has been issued. Poor responses to tenders from vendors. Cancelled Procurement & Sector Committee Meetings. Three month hiatus of Project Manager Late delivery of stabilized power and electrical infrastructure.

Difficulty in obtaining timely BQ’s or approvals from ministerial units.

Delays in World Bank no objections.

Changes required to BQ’s after tender has been issued.

Poor responses to tenders from vendors.

Cancelled Procurement & Sector Committee Meetings.

Three month hiatus of Project Manager

Late delivery of stabilized power and electrical infrastructure.

Closing The LIS Project is starting to move out of the procurement approvals stage and into the implementation stage. There will be more visible results as contracts are signed and equipement arrives. The LIS Project at the NPHL will greatly improve the delivery of healthcare for Jamaica, will help improve the management of the NPHL and is one of the first major steps towards a unified Health Information System.

The LIS Project is starting to move out of the procurement approvals stage and into the implementation stage. There will be more visible results as contracts are signed and equipement arrives.

The LIS Project at the NPHL will greatly improve the delivery of healthcare for Jamaica, will help improve the management of the NPHL and is one of the first major steps towards a unified Health Information System.

Questions?

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