Renee Slaw, MBA, FACHE, assistant director, pathology & laboratory medicine who was at his side over that decade of discovery and deployment, also moved over to HSS from the Clinic. Thomas Bauer, MD, PhD, joined HSS in 2017 as the pathologist-in-chief, bringing with him a long history in orthopedics and digital pathology at the Cleveland Clinic where he co-pioneered the field in the department of pathology there. But he knew making it happen meant a commitment from the healthcare system and gathering in-depth clinical experience. The vision was that of Inderpal Kohli, assistant VP, clinical applications & training who leads the IT project team. Check out the benefits on the clinical and patient care side that we profiled here. This is HSS’s digital pathology IT journey. If you’re looking to adopt digital pathology for primary diagnosis, reporting and correlating images from radiology, pathology, and other image-rich specialties for the same patients in the same interface, the IT team at HSS has plenty of good advice to pass along.
HSS did the development work that other healthcare systems can leverage too. It may serve as a model to build similarly complex equations when the clinical need arises.Ever the pioneer, HSS had the boldness to pilot and partner with their digital pathology and enterprise imaging provider, Sectra, and Epic their EMR provider to plow the integration path for half of the nation’s healthcare systems ready to do the same.
EPIC BEAKER MANUAL
Conclusions: Automated calculations of free and BT were successfully implemented and validated, the first of such implementation for the Epic Beaker LIS platform, eliminating the need of offline manual calculations, potential transcription error, and with improved turnaround time. Calculated results in Epic Beaker LIS were then compared and confirmed by manual calculations using Microsoft Excel spreadsheets and scientific calculators to have no discrepancies. Results: Free and BT were calculated using instrument measured results of total testosterone, sex hormone binding globulin, and/or serum albumin, by applying equations widely adopted in laboratory medicine for endocrine diseases and disorders.
Calculations were performed in real-time during result entry events, and calculated results populated the result components in LIS automatically. A set of calculation variables were created, and mathematical logic and functions were used to link the variables and perform the actual quadratic equation based calculations. Materials and Methods: We developed and implemented an advanced calculation module from the ground up using existing basic calculation programming functions in the Epic Beaker LIS. We aimed to develop a module within the Epic Beaker LIS to enable automatic quadratic equation solving capability and real-time reporting of calculated free and BT values. Free and bioavailable testosterone (BT) calculations require a quadratic solver currently unavailable as ready to use the function on most commercial LIS platforms. Due to the lack of established advanced mathematical functions and equation logic in LIS software, calculations beyond simple arithmetic functions require a tedious workaround. Background: Automated calculations by laboratory information system (LIS) are efficient and accurate ways of providing calculated laboratory test results.
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