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N P H L L I S Presentation


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N P H L L I S Presentation

  1. 1. National Laboratory Services Laboratory Information System Project
  2. 2. National Laboratory Services Laboratory Information System
  3. 3. What is the NLS? <ul><li>The National Laboratory Services includes the National Public Health Laboratory, Immunology and the NBTS </li></ul><ul><li>Provides a dual service: </li></ul><ul><ul><li>Clinical Diagnostic and Therapeutic Service </li></ul></ul><ul><ul><li>Public Health Functions </li></ul></ul><ul><li>Provides all the diagnostic testing for KPH. </li></ul><ul><li>Reference laboratory in all relevant areas. </li></ul><ul><li>Develops national policies through systematic research and data analysis. </li></ul><ul><li>Provide high quality therapeutic and blood banking services. </li></ul>
  4. 4. 7 Departments <ul><li>Anatomic Pathology </li></ul><ul><li>Haematology </li></ul><ul><li>Clinical Chemistry </li></ul><ul><li>Microbiology </li></ul><ul><li>Immunology </li></ul><ul><li>Environmental Control Division </li></ul><ul><li>National Blood Transfusion Service </li></ul>
  5. 5. Anatomic Pathology <ul><li>Provides relevant tissue pathology </li></ul><ul><li>Autopsy Service </li></ul><ul><li>Diagnostic Cytology </li></ul><ul><li>National Cancer Screening Program </li></ul>
  6. 6. Haematology <ul><li>Routine haematology tests </li></ul><ul><li>Coagulation tests </li></ul><ul><li>Bone Marrow Pathology </li></ul><ul><li>Consultative service for correct test utilization and interpretation </li></ul>
  7. 7. Clinical Chemistry <ul><li>Analyses a wide range of constituents in blood, serum, plasma and other bodily fluids. </li></ul><ul><li>Provides service for KPH, VJH and assists level B & C Hospitals and Health Centres with testing services </li></ul>
  8. 8. Microbiology <ul><li>Consists of seven sections: </li></ul><ul><ul><li>Culture </li></ul></ul><ul><ul><li>Enteric </li></ul></ul><ul><ul><li>Media </li></ul></ul><ul><ul><li>TB Laboratory </li></ul></ul><ul><ul><li>Sanitation </li></ul></ul><ul><ul><li>Parasitology </li></ul></ul><ul><ul><li>Serology </li></ul></ul><ul><li>Identification of mico- organisms in human and environmental samples </li></ul><ul><li>Antibiotic sensitivity testing </li></ul><ul><li>Surveillance for micro- organisms leading to communicable disease. </li></ul>
  9. 9. Environmental Control <ul><li>Provides environmental analysis in monitoring programs for the Ministry of Health </li></ul><ul><li>Domestic and industrial waste </li></ul><ul><li>Raw Water </li></ul><ul><li>Major rivers and bathing beaches </li></ul><ul><li>Air quality </li></ul>
  10. 10. Immunology <ul><li>An immunodiagnostic reference laboratory for early diagnosis of communicable diseases </li></ul><ul><li>National reference laboratory for HIV diagnosis. </li></ul><ul><li>Resource facility for training in Immunology </li></ul>
  11. 11. NBTS <ul><li>Seeks to provide a safe and adequate supply of blood </li></ul><ul><li>Screening and selection of suitable donors </li></ul><ul><li>Blood collection </li></ul><ul><li>Screening of blood for infectious diseases </li></ul><ul><li>Transfusions </li></ul><ul><li>Paternity testing </li></ul><ul><li>Reference centre </li></ul>
  12. 12. What is a Lab Information System? <ul><li>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. </li></ul>
  13. 13. Laboratory Test Processing <ul><ul><li>Test Request and Sample Receiving </li></ul></ul><ul><ul><li>Test Preparation </li></ul></ul><ul><ul><li>Testing, Results Recording and Verification </li></ul></ul><ul><ul><li>Test Report Preparation and Distribution </li></ul></ul>
  14. 14. Current Results Entry
  15. 15. LIS Results Entry
  16. 16. Reporting
  17. 17. Reporting
  18. 18. Reporting
  19. 19. Quality Control and Quality Assurance Management
  20. 20. Other LIS Features <ul><li>Test Scheduling </li></ul><ul><li>Proactive Specimen Collection and Workload Projections </li></ul><ul><li>Specimen and Sample Tracking/Chain of Custody </li></ul><ul><li>Statistical Analysis and Surveillance </li></ul><ul><li>Billing for Laboratory Services </li></ul><ul><li>Document Management </li></ul>
  21. 21. Why does the NPHL need one? <ul><li>Improved diagnostic capacity </li></ul><ul><li>Improve quality </li></ul><ul><li>Improve efficiency of service delivery </li></ul><ul><li>Produce timely information for decision making </li></ul><ul><li>Improve the security and confidentiality of patient records </li></ul>
  22. 22. Who Benefits? <ul><li>Patients </li></ul><ul><li>Health Care Providers </li></ul><ul><li>General Public </li></ul><ul><li>The NPHL </li></ul><ul><li>NPHL Employees </li></ul><ul><li>Hospitals and Health Centres </li></ul>
  23. 23. Where will it be deployed? <ul><li>Phase One </li></ul><ul><ul><li>National Public Health Lab </li></ul></ul><ul><ul><li>National Blood Transfusion Service </li></ul></ul><ul><ul><li>Kingston Public Hospital </li></ul></ul><ul><ul><li>Comprehensive Health Centre </li></ul></ul><ul><li>Phase Two </li></ul><ul><ul><li>Cornwall Regional Hospital </li></ul></ul><ul><ul><li>St. Ann's Bay Hospital </li></ul></ul><ul><ul><li>Spanish Town Hospital </li></ul></ul><ul><ul><li>Mandeville Hospital </li></ul></ul><ul><ul><li>St. James Type 5 Clinic </li></ul></ul>
  24. 24. Where will it be deployed? <ul><li>Other </li></ul><ul><ul><li>Other clinics </li></ul></ul><ul><ul><li>Doctor's offices </li></ul></ul><ul><ul><li>Remote collection centres </li></ul></ul>
  25. 25. How is it being implemented? <ul><li>Gap Analysis Report - 2002 </li></ul><ul><li>Infrastructure </li></ul><ul><ul><li>Structural Changes </li></ul></ul><ul><ul><li>Air Conditioning </li></ul></ul><ul><ul><li>Power Stabilization </li></ul></ul><ul><ul><li>Network Cabling </li></ul></ul><ul><ul><li>Computer Equipment </li></ul></ul><ul><ul><li>Wide Area Network </li></ul></ul>
  26. 26. How is it being implemented? <ul><li>Software </li></ul><ul><ul><li>Selection </li></ul></ul><ul><ul><li>Implementation Plan </li></ul></ul><ul><ul><li>Pilot Project </li></ul></ul><ul><ul><li>Lab Rollout </li></ul></ul><ul><ul><li>Regional Rollout </li></ul></ul><ul><li>Training </li></ul><ul><li>Support </li></ul>
  27. 27. How is it being implemented? <ul><li>Miscellaneous </li></ul><ul><ul><li>Consolidated Forms </li></ul></ul><ul><ul><li>Computer and Network Protocols </li></ul></ul><ul><ul><li>Consumables </li></ul></ul>
  28. 28. When will it be completed? <ul><li>Structural Changes </li></ul><ul><ul><li>September 2006 </li></ul></ul><ul><li>Air Conditioning </li></ul><ul><ul><li>December 2006 </li></ul></ul><ul><li>Power Stabilization </li></ul><ul><ul><li>December 2006 </li></ul></ul><ul><li>Network Infrastructure </li></ul><ul><ul><li>October 2006 </li></ul></ul><ul><li>Computer Equipment </li></ul><ul><ul><li>July 2006 </li></ul></ul>
  29. 29. When will it be completed? <ul><ul><ul><li>Wide Area Network </li></ul></ul></ul><ul><ul><ul><ul><li>September 2006 </li></ul></ul></ul></ul><ul><ul><ul><li>Software </li></ul></ul></ul><ul><ul><ul><ul><li>Contract Signed </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>August 2006 </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Pilot Installation </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>November 2006 </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Entire Lab </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>March 2007 </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Expand to Regions </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>2007 </li></ul></ul></ul></ul></ul>
  30. 30. How much is it going to cost? <ul><li>Capital Costs </li></ul><ul><ul><li>Approx. 1.5 Million US$ </li></ul></ul><ul><li>Ongoing Costs </li></ul><ul><ul><li>Support Contracts, Systems Administrator, Repairs etc. </li></ul></ul><ul><ul><li>Approx. $100,000 US$ </li></ul></ul>
  31. 31. Successes <ul><li>Air Conditioning </li></ul><ul><li>Installed 100 tonne air conditioner. </li></ul><ul><li>Fixed water softening system. </li></ul><ul><li>Training Room </li></ul><ul><li>Created training room with 12 computer workstations. Room was used to train NPHL staff in computer basics. </li></ul>
  32. 32. Successes - Renovations <ul><li>Renovations </li></ul><ul><li>Completed modifications to specimen reception area </li></ul><ul><li>Completed renovations to TB Laboratory </li></ul><ul><li>Partitioned training room from seminar room with folding doors. </li></ul><ul><li>Cleaned, painted and made habitable the server room and the project manager’s office. </li></ul>
  33. 33. Successes <ul><li>Wide Area Network </li></ul><ul><li>Contract has been signed with IBM to implement the wide area network between the NPHL, MoH, CHC/ERTU, KPH/VJH and the NCDA. </li></ul><ul><li>Computers and Printers </li></ul><ul><li>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. </li></ul>
  34. 34. Successes <ul><li>Network Infrastructure </li></ul><ul><li>MediaNet has been selected as the vendor for the Network Infrastructure which includes over 200 network drops. Waiting for Sector Committee Approval </li></ul><ul><li>KPH/VJH/CHC Networking and Power </li></ul><ul><li>IBM is the selected vendor for the UPS and networking at these satellite locations. Also waiting for Sector Committee Approval </li></ul>
  35. 35. Successes <ul><li>Consolidated Forms </li></ul><ul><li>The consolidated forms have been re-designed and a vendor chosen for the printing. </li></ul>
  36. 36. Challenges <ul><li>Difficulty in obtaining timely BQ’s or approvals from ministerial units. </li></ul><ul><li>Delays in World Bank no objections. </li></ul><ul><li>Changes required to BQ’s after tender has been issued. </li></ul><ul><li>Poor responses to tenders from vendors. </li></ul><ul><li>Cancelled Procurement & Sector Committee Meetings. </li></ul><ul><li>Three month hiatus of Project Manager </li></ul><ul><li>Late delivery of stabilized power and electrical infrastructure. </li></ul>
  37. 37. Closing <ul><li>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. </li></ul><ul><li>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. </li></ul>
  38. 38. Questions?
  39. 39. Thank You