A comment to ACB members:
This is an issue that has been debated for some time (at least since
1990) with respect to the EHR. The solution is to "post" clinical
laboratory data ("reports") directly to the the patients's EHR and then
enable those who need to see such data when and where they need to. THis
has been a world view and in the 1990's the CEN TC-251 worked actively
with the US ANSI organization toward the needed common conventions.
Concurrenly the Us AACC organization has participated and supported this
capability and vision as well as actively working toward work with ACB
amongst other organizations. Fragmentation of dialog and work has impeded
progress toward the vision; few in the US appreciate where the UK is on
the road to this goal. I ancourage the ACB-IT members to reach out to
describe, as soon as possible, to US clinical laboratory audiences where
they are, the impediments noted below, and the action plan for near term
progress. This would be helpful to all parties.
Sincerely,
Arden Forrey
On Thu, 27 Mar 2008, Paul Schmidt wrote:
> Interestingly in our Trust the one thing that suddenly seemed to
> miraculously clear all the organisational and legal issues away before it
> for pathology reporting to be paperless is a large scale (£10 million)
> Electronic Document Management (EDM) project which effectively is a medical
> record scanning project aiming to get rid of our medical records department
> in time for a new PFI build slated for completion by June 2009.
>
> Suddenly it was top priory to get rid of all the paper reports being sent to
> consultants and GPs after inpatient or OPD episodes, and lo and behold a way
> was found.
>
> Instead of a paper report, an image of the printed report will be sent
> directly to the document imaging archive system from the printer queue.
>
> Where it started getting a bit strange is that suddenly some people started
> believing an EPR can be built this way.
>
> Generic lessons: 1. Where there is a will there is a way 2. A way will be
> found to mess up an otherwise good idea.
>
> Cheers
>
> Paul
>
>
>
> -----Original Message-----
> From: IT working group of the Association of Clinical Biochemists
> [mailto:[log in to unmask]] On Behalf Of Richard Jones [Pathology]
> Sent: 27 March 2008 17:40
> To: [log in to unmask]
> Subject: Re: Stopping paper reports from Laboratory Medicine
>
> Grateful for all this. Good to see we are not too far behind best
> practice.
>
> I think managers rarely appreciate the complexity of all this.
>
> Rick
>
>
>
>
> -----Original Message-----
> From: IT working group of the Association of Clinical Biochemists
> [mailto:[log in to unmask]] On Behalf Of Jonathan Kay
> Sent: 27 March 2008 17:26
> To: [log in to unmask]
> Subject: Stopping paper reports from Laboratory Medicine
>
> Just realised that my previous posting was misleading.
>
> In Oxford I've written a proposal for getting rid of paper reports in
> secondary care... it hasn't happened yet.
>
> We've stopped sending paper reports to 56 of our 86 general practices...
> see previous threads in the archives.
>
> Jonathan
>
> On 27 Mar 2008, at 17:16, Jonathan Kay wrote:
>
>> I'll get our proposal to you tomorrow.
>>
>> The biggest issue we found is... clinicians working in outpatients who
>
>> rely on the arrival of the paper report as the notification that the
>> report is available.
>>
>> Jonathan
>>
>> On 27 Mar 2008, at 16:53, Richard Jones [Pathology] wrote:
>>
>>> ...if only!
>>>
>>> More seriuously I've been asked to write up a position paper for the
>>> Trust on paperless reporting. I've always ducked this in the past
>>> because of the complexity of the legal and organisational issues.
>>>
>>> Has anyone got such a paper already - or a policy paper which covers
>>> it and/or any national guidance material.
>>>
>>> If you have I'd be grateful to receive it - anything to reduce more
>>> paper production
>>>
>>> Thanks in anticipation
>>>
>>> Rick
>>>
>>
>>
>
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