Webinar: Running a Remote Transfusion Service Program Handouts/ImmuLINK Ru… · Transfusion...

Webinar:Running a Remote Transfusion Service

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Handouts

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Continuing Education

• PACE, Florida and California DHS• 1.0 Contact Hours• Each attendee must register to receive CE at:

https://www.surveymonkey.com/r/ImmuLINKwebinar

• Registration deadline is December 22, 2017

• Certificates will be sent via email only to those who have registered by January 5, 2018

All Content © 2015 Immucor, Inc.All Content © 2015 Immucor, Inc.All Content © 2015 Immucor, Inc.

Presentation Recording

• Session will be recorded and posted. – Access information will be sent to each registrant when the

recording becomes available• CE credits will be issued to anyone who listens to the

recording within one year of the original presentation date (today).– Recording available on Immucor’s education network, LEARN:

www.bloodbankknowledge.com

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• Course content is for information and illustration purposes only. Immucor makes no representation or warranties about the accuracy or reliability of the information presented, and this information is not to be used for clinical or maintenance evaluations.

• The opinions contained in this presentation are those of the presenter and do not necessarily reflect those of Immucor.

Running a Remote Transfusion Service

SANDRA FAZARI, MLT, BSC, MBAMANAGER, TRANSFUSION MEDICINE, STEM CELL AND HLA LABORATORYHAMILTON REGIONAL LAB MEDICINE PROGRAMONTARIO, CANADA

Objectives

ImmuLINK Function and capabilities

Hamilton Regional Laboratory Medicine Program (HRLMP) Hub – Satellite model

Consolidation model

CoLabs and ImmuLINK

Evolving Technology

Transfusion Medicine Technology

THEN NOW

Summary

Technology has changed the way we live; In Transfusion Medicine (TM) it is changing the way we work

Many TM labs are transitioning to automated instruments and now have the opportunity to enter the virtual world

ImmuLINK is virtually linking TM labs and introducing innovative lab process

Objectives

ImmuLINK Function and capabilities

What is ImmuLINK?

ImmuLINK® is a software suite designed specifically for Transfusion Medicine to improve testing efficiency and safety

Centralized data management solution

Single user interface for all Immucor instruments

Manage complex testing at remote sites from any location

Provide an easier way to manage Blood Bank test data

Customizable to fit your current or desired workflow

LIS

Seamless integration across multiple facilities

ImmuLINK®|manage is the core module and provides a centralized data management solution with a single user interface for Immucor instruments in a multi-site environment.

ImmuLINK|manage

• Worklist• Results• Archive

ImmuLINK®|manage

Using ImmuLINK – Accessibility

Accessible through any networked PC

Using ImmuLINK - Worklist

Displays color coded information and links for viewing, updating, approving and releasing sample results

Color Status Ordered

Blue Loaded

Pink Alert

Green Completed

Using ImmuLINK - Results

View by sample or batch for convenient access to results

Using ImmuLINK - Results

• Easy to understand icons and color-coded results

• Know the location and instrument of each sample being processed

Attention required for this sample

Sample ready to be approved (no warnings by the instrument)

Sample approved by authorized user

Sample transferred to LIS

Sample loaded on the instrument

Using ImmuLINK - Results

Receive detailed assay results from an Echo or NEO including reaction images

Reagent DetailPattern of ReactionAgglutination Scores

Using ImmuLINK – Sample Search

Users can search by date, test result, location, rare result rules, and other criteria from any networked PC

Using ImmuLINK - Archive

Access archived results from all instruments in all locations

• Results are automatically archived

• Saved on server, no need to locate disks for sample results

• No instrument downtime to access archives

• Retrieve full details on all completed tests

Using ImmuLINK - Reports

Flexible Reporting Options

• Worklists • Sample Results• History Logs• Test Details• Sample Searches

Multiple Reports available

Reports in PDF format for easy printing or saving

Aggregate tests from multiple sites or instruments into a single document

Efficiency and Safety Solutions

Improved TATs Remote access to detailed results including

well images from any networked computer

Archive Database No instrument downtime; no need to retrieve

instrument discs

Global Reflex Rules Reflex testing to any instrument; no interruption

of testing

Single Interface – reduces complexity Connect multiple instruments at any location

to a single interface

Audit Trail Stores user activity; identifies manual edits for

additional review

Mismatch Rules Compares to previous results and identifies

mismatches

Prevent Transcription Errors No manual entry of molecular results with

ImmuLINK’s molecular module

Objectives

Hamilton Regional Laboratory Medicine Program (HRLMP) Hub – Satellite model

Consolidation model

HRLMP – Lab services

Hamilton Regional Laboratory Medicine Program (HRLMP) provides comprehensive laboratory testing for Hamilton Health Sciences and St. Joseph's Healthcare Hamilton, as well as providing reference laboratory services for Ontario and across Canada.

More than 700 staff members including 50 medical and scientific staff with cross appointments at McMaster University.

Laboratory Services

Anatomic Pathology

Clinical Chemistry and Immunology

Core Laboratory

Genetics

Microbiology

Special Hematology

Specimen Collection

Transfusion Medicine and HLA

Centres of excellence

HRLMP – Transfusion Medicine

•ECHO•11341 BP Trxn•12773 Samples

resulted

•ECHO•3884 BP Trxn•9703 samples

resulted

•ECHO•20156 BP Trxn•12596 samples

resulted

•ECHO & NEO•17482 BP Trxn•22758 samples

resulted

HGH JHCC

STJMUMCWL• ~2000 samples• ~1000 BP Trxn

Hub-Satellite model

Site A is the Hub(MUMC)where all the resulting and test approval occurs; Site B is the satellite (WL) where the sample resides and is loaded on the instrument

Live date was June 6th, 2014

Distance between WL and MUMC = ~45 km

Hub-Satellite model

Current State at Satellite site before ImmuLINK: Group and Screen and Crossmatch testing performed by gel methodology Lab not licensed to perform antibody investigation

Stat investigation shipped to MUMC site Full GS and AI performed by Capture methodology

Routine investigation shipped to Canadian Blood ServicesFuture State:

Satellite site loads and maintains instrument MLT/MLA can leave and perform other lab work GS that have Neg ABS and no discrepancies will auto verify ABS Pos and/or further testing is required – Hub site reviews

investigation via ImmuLINK and directs the completion of the investigation to include final results

Hub-Satellite model

How do we move from current to future state? Compare processes and procedures

Develop a process flow map for future state

Steps in process

Communication

Reagents

SOP development

LIS build

Validation of the process

Training

Hub-satellite model – screen comparison

2014 2015 2016 2017    Jan‐June

Neg 2208 1982 2037 970

Pos 254 186 147 75

Total GS 2462 2168 2184 1045

Shipped 6* 13 16 10

AI 126 60

Group and Screens - WL

Hub-satellite model - Efficiencies

What are the realized savings and efficiencies? Transport – reduction in shipment of specimens Change to automation and ImmuLINK resulted in significant tech time efficiencies

Preliminary data = 66 days of GS work Reduction in error – no manual entry of results into LIS Improvement in TAT – MLT can devote time to other work Improvement in work life Replacing MLT with MLA – wage savings

This is a potential savings not a realized savings in our experience With the samples that had positive screens

Savings in reagent cost as there is no need to repeat entire testing at Hub Satellite Gain in access to expertise Improvement in TAT – shipping time would delay TAT

f1

Slide 36

f1 Find a patient example to demonstrate patient outcomes. following sample. Sue provided ER example.fazari, 7/31/2015

Centralization model

Evaluating processes utilizing Lean Six Sigma

Elimination of samples shipped to multiple sites

Workload and staffing – not balanced

Centralize test resulting to one site eliminating shipping of samples

Increase in MLA skill mix

Better staff utilization; ability to eliminate certain shifts at certain sites

Objectives

CoLabs and ImmuLINK

LHIN Networks

CoLabs and ImmuLink

CoLabs is one of the largest Laboratory Medicine Networks in Canada Works collaboratively with the hospital organizations in the Hamilton Niagara

Haldimand Brant LHIN under a coordinated leadership model. Immucor Inc. and CoLabs Laboratory Medicine Network in Spring 2017

announced a partnership a unified vision for a regional transfusion lab medicine model designed to drive innovation through reagents, scalable automation and data

management solutions The ultimate goal is to improve the overall patient experience and optimize

efficiency, quality and performance across all CoLabs sites. CoLabs will implement one NEO® instrument and one Echo® instrument at each

of its two high volume labs, and one Echo® instrument at each of its other 11 sites. ImmuLINK will connect all Immucor instruments at the 13 sites to allow a shared

model of technical and professional expertise.

Immulink facilitates ….

Standardization of testing platforms across a region thereby promoting standardized SOPs and access to the results from any computer.

Decrease in transportation cost

More efficient tracking of specimens and patient results

Decrease in test redundancy across a region.

Improving Quality Control Tracking QC reagents and usage

Troubleshooting

Education

Promotes integration, efficiency in staffing and centralization of expertise.

Challenges

Accreditation and Proficiency testing

No other comparable process within the country or province

Worked with our accrediting body on proficiency samples and licensing requirements for Hub-Satellite model

LIS build

Interface builds are always challenging

Time and resources

Validation

ImmuLINK improves the quality of service we provide thereby improving patient

care and allows for the operation of lab in a cost efficient way.

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Continuing Education

• PACE, Florida and California DHS• 1.0 Contact Hours• Each attendee must register to receive CE at:

https://www.surveymonkey.com/r/ImmuLINKwebinar

• Registration deadline is December 22, 2017

• Certificates will be sent via email only to those who have registered by January 5, 2018

All Content © 2015 Immucor, Inc.All Content © 2015 Immucor, Inc.All Content © 2015 Immucor, Inc.

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