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Prescriptions

Electronic interchange of lab test orders and results between laboratories reduces errors and gives full traceability Ib Johansen, Margit Rasmussen MedCom - Denmark. Referrals. Referrals. Referrals. Referrals. 177525 = 65 %. Reimbursement. 21049 = 99 %. Prescriptions. Prescriptions.

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Prescriptions

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  1. Electronic interchange of lab test orders and results between laboratories reduces errors and gives full traceability Ib Johansen, Margit Rasmussen MedCom - Denmark

  2. Referrals Referrals Referrals Referrals 177525 = 65 % Reimbursement 21049 = 99 % Prescriptions Prescriptions 1389023 = 84% 1039105 = 73% Disch Disch . Letters . Letters 1131750 = 96 % 682923 = 85 % Lab. Lab. reports reports 543040 = 82 % 1188575 = 99 % Lab Requests 559348 = 98 %

  3. MEDRPT MEDREQ Central serversWebReq laboratory requisition WebReq 84 labs are using it 9 different vendors

  4. Norway: 12 % down to 0%

  5. MEDRPT MEDREQ Central serversWebReq laboratory requisition 14 mill tests / year 6-8 % forwarded to a secondary lab WebReq • - Heavy manual workload sending/receiving papers • - Many errors due to manual typing of i.e. patient ID, Tube ID • Appox. 2 % of all tests must be repeated due to handling errors, papers not found • - Long reporting time – manual paper based result reporting

  6. Triangle solution 14 mill tests / Y 1 mill tests / Y

  7. Triangle solution 12 mill tests / Y 1 mill tests / Y

  8. Triangle solution 12 mill tests / Y 1 mill tests / Y

  9. MedCom Triangle solution Danish Centre for Health Telematics Results (nov. 2009) • 10000 requisitions / M • 44000 results received / M • No manual handling of results received (17% down to 1 %). 2. Results imported automatically 3. Time savings (2 min/test = 24000 H/Year) 4. Results ready 1-2 days earlier, No delay 5. No paper/parallel workflow at GPs 6. Use of National MedCom EDI/XML standard 7. Possible to trace producing lab in all results

  10. Triangle solution HOTEL

  11. Triangle solution HOTEL

  12. On-line testtool available

  13. MedCom Triangle solution Danish Centre for Health Telematics • Stepwise development and implementation • Start receiving results • Sending Orders • Requisition hotel • Upload orders from wards, and private specialists • Download orders by webservices / EDI

  14. MedCom Triangle solution Danish Centre for Health Telematics Spin off: • National sample ID - no relabelling • 12 digits • No information • Code 128c • Modulus 11 check digit • National number server, webservice • Wide use of international IUPAC/NPU codes

  15. MedCom Spin off Danish Centre for Health Telematics http://www.hitch-project.eu/

  16. Thanks for listening www.medcom.dk ijo@medcom.dk

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