Difference between revisions of "User:Shawndouglas/sandbox/sublevel4"

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[[File:MarkhamStouffvilleHospital23.jpg|right|300px]]The hospital lab is a unique creature in that it encompasses many departments within a hospital, often spread out over multiple areas. Most of the prior mentioned specialties, as well as many more, will make up the bulk of laboratory testing in a hospital.<ref name="EspositoHospital15">{{cite web |url=https://health.usnews.com/health-news/patient-advice/articles/2015/01/30/hospital-labs-behind-the-scenes |title=Hospital Labs: Behind the Scenes |work=U.S. News & World Report |author=Esposito, L. |date=30 January 2015 |accessdate=09 March 2022}}</ref> By extension, the informatics solution used in the hospital must be equally robust. This means the LIMS should be sufficiently feature-rich to allow for pathology, hematology, microbiology, virology, molecular diagnostic and blood banking workflows (to name a few) to be readily implemented. Just about any type of specimen you could imagine may be taken<ref name="EspositoHospital15" />, so the LIMS should have vast flexibility in its specimen types. Additionally, given the multiple departments and high daily specimen load of a hospital[1], the LIMS should be automation-friendly and support a wide array of instruments and equipment.
[[File:Colorado Department of Public Health and Environment.JPG|right|300px]]A public health laboratory is unlike the average clinical diagnostics laboratory as it must typically meet more stringent requirements. For example, they must adhere to not only CLIA (for labs in the United States), but also additional regulations laid out by the departments, agencies and other regulatory bodies of local, state and/or national governments. Additionally, the public health lab serves entire populations, not just individuals.<ref name="BeckerAnIntro10">{{cite book |url=https://books.google.com/books?id=6SDqL72zPRUC |title=Public Health Laboratories: Analysis, Operations, and Management |chapter=Chapter 1: An Introduction to Public Health Laboratories |author=Becker, S.; Perlman, E.J. |editor=Jenkins, W. |publisher=Jones & Bartlett Learning |pages=1–14 |year=2010 |isbn=0763771023}}</ref><ref name="BeckerPublic05">{{cite book |url=https://books.google.com/books?id=bFBPMcQe6ogC |title=Public Health Administration: Principles for Population-based Management |chapter=Chapter 27: Public Health Laboratory Administration |author=Becker, S.J.; Blank, E.C.; Martin, R.; Skeels, M. |editor=Novick, L.F.; Mays, G.P. |publisher=Jones & Bartlett Learning |pages=623–627 |year=2005 |isbn=0763740780}}</ref> As such, these differences require the public health LIMS to provide additional functionality to help public health labs meet their population-based mandates.


All this culminates into multiple points:
In addition to the essential features of a standard LIMS, the public health lab will also be looking for a system that can (or allows users to)<ref name="APHLLab19">{{cite web |url=https://www.aphl.org/aboutAPHL/publications/Documents/GH-2019May-LIS-Guidebook-web.pdf |format=PDF |title=Laboratory Information Systems Project Management: A Guidebook for International Implementations |author=Association of Public Health Laboratories |publisher=APHL |date=May 2019 |accessdate=18 November 2021}}</ref><ref name="LabWarePublic20">{{cite web |url=https://www.labware.com/industries/healthcare#publichealth |title=Public Health |publisher=LabWare, Inc |date=2021 |accessdate=18 November 2021}}</ref><ref name="OrchardPublic20">{{cite web |url=https://www.orchardsoft.com/solutions/public-health-labs/ |title=Public Health Laboratories |publisher=Orchard Software Corporation |date=2021 |accessdate=18 November 2021}}</ref><ref name="CommonCentsApollo20">{{cite web |url=https://www.apollolims.com/lab-expertise/public-health/ |title=ApolloLIMS for Public Health Labs |publisher=Common Cents Systems, Inc |date=2021 |accessdate=18 November 2021}}</ref>:


* The hospital LIMS should have not only the essential clinical diagnostic functionality mentioned in the second chapter, but also most of the specialized functionality mentioned with the other laboratory types above.
* Provide specialty workflow for newborn screening.
* The hospital LIMS should have the potential to take the place of the multiple informatics systems that typically run within a hospital lab, reducing data silos and minimizing the impact of system updates.
* Provide surge capacity for high-priority analyses.
* The hospital LIMS should have robust integration capabilities with EHRs and any other informatics systems that can’t be replaced by the LIMS.
* Provide workflow and tools for managing microorganisms and toxins of elevated risk.
* The hospital LIMS should be highly flexible and configurable to take advantage of new test types, new departments, and more rapid testing (e.g., point-of-care testing).
* Support most medical test protocols and specimen types.
* Support ELISA, DNA extraction, sequencing and other molecular workflows.
* Support for a robust set of decision support rules for reflex testing.
* Support the Centers for Disease Control and Prevention's PHIN Messaging System.
* Support other electronic data exchange standards for critical community partners.


==References==
==References==
{{Reflist}}
{{Reflist}}

Revision as of 20:42, 9 March 2022

Colorado Department of Public Health and Environment.JPG

A public health laboratory is unlike the average clinical diagnostics laboratory as it must typically meet more stringent requirements. For example, they must adhere to not only CLIA (for labs in the United States), but also additional regulations laid out by the departments, agencies and other regulatory bodies of local, state and/or national governments. Additionally, the public health lab serves entire populations, not just individuals.[1][2] As such, these differences require the public health LIMS to provide additional functionality to help public health labs meet their population-based mandates.

In addition to the essential features of a standard LIMS, the public health lab will also be looking for a system that can (or allows users to)[3][4][5][6]:

  • Provide specialty workflow for newborn screening.
  • Provide surge capacity for high-priority analyses.
  • Provide workflow and tools for managing microorganisms and toxins of elevated risk.
  • Support most medical test protocols and specimen types.
  • Support ELISA, DNA extraction, sequencing and other molecular workflows.
  • Support for a robust set of decision support rules for reflex testing.
  • Support the Centers for Disease Control and Prevention's PHIN Messaging System.
  • Support other electronic data exchange standards for critical community partners.

References

  1. ↑ Becker, S.; Perlman, E.J. (2010). "Chapter 1: An Introduction to Public Health Laboratories". In Jenkins, W.. Public Health Laboratories: Analysis, Operations, and Management. Jones & Bartlett Learning. pp. 1–14. ISBN 0763771023. https://books.google.com/books?id=6SDqL72zPRUC. 
  2. ↑ Becker, S.J.; Blank, E.C.; Martin, R.; Skeels, M. (2005). "Chapter 27: Public Health Laboratory Administration". In Novick, L.F.; Mays, G.P.. Public Health Administration: Principles for Population-based Management. Jones & Bartlett Learning. pp. 623–627. ISBN 0763740780. https://books.google.com/books?id=bFBPMcQe6ogC. 
  3. ↑ Association of Public Health Laboratories (May 2019). "Laboratory Information Systems Project Management: A Guidebook for International Implementations" (PDF). APHL. https://www.aphl.org/aboutAPHL/publications/Documents/GH-2019May-LIS-Guidebook-web.pdf. Retrieved 18 November 2021. 
  4. ↑ "Public Health". LabWare, Inc. 2021. https://www.labware.com/industries/healthcare#publichealth. Retrieved 18 November 2021. 
  5. ↑ "Public Health Laboratories". Orchard Software Corporation. 2021. https://www.orchardsoft.com/solutions/public-health-labs/. Retrieved 18 November 2021. 
  6. ↑ "ApolloLIMS for Public Health Labs". Common Cents Systems, Inc. 2021. https://www.apollolims.com/lab-expertise/public-health/. Retrieved 18 November 2021. 
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