B-128 Delivering Predictable Operational efficiency gains at our core central reference laboratory with strategic deployment of navify® Lab Operation informatics automation solution

Abstract

Background

Metropolis Healthcare Limited (‘MHL’) operates a network of 200 clinical labs in India, our Global Reference Lab (GRL) in Mumbai processes over 25000 tests in a 17 hour daily operation. We are an ISO15189 and CAP accredited laboratory. Our strategic goals have been to bring operational standardization across the network & Improve speed of service with a predictable 90 percentile production TAT. To achieve this goal, we chose digitalization of our laboratory operation with the deployment of navify ® Lab Operations informatics automation solution in. This poster explains our journey of planning, implementing, and delivering on our goal of predictable operational efficiency. The digital solution is at the forefront of all digitalization IQC processes, auto validation and auto approval of patient results passing through a framework of autoverification rules and complete traceability of processes.

Methods

The poster will explain the scope, planning and implementation approach of this digital automation project at Global reference Lab in 5 steps

1. HL7 order structure for communication between LIS and navify ® Lab Operations

2. 22 analyzers from 11 different manufacturers being connected to the Informatics solution. the corresponding testing

3. Test & IQC (Internal Quality Control) Master with specific ranges and rules

4. 10 steps AV (Auto verification) Rules decision framework of concentric sieves across lab disciplines (155 AV Algorithms have been configured at GRL)

5. Structured user acceptance testing framework before Go Live.

Results

This poster discusses the outcomes that we have seen on deployment of this digital solution.

1. Over 25,000 test results are subject AV engine daily with AV rate of 75 % of all results in Biochemistry, Immunoassays.

2. 66 % of all Complete Blood Count (CBC) reports 95 % of all HbA1c results 93 % of all ESR results

3. Over 1750 QC results are subject to QC rules daily

4. There is an improvement of 4 hours observed in production TAT

Conclusions

Laboratory Informatics solution has enhanced lab performance in terms of TAT & efficiency of review. The staff satisfaction (both technical and medical) has increased and we see an impact on production outcome. The poster will also show an incremental effectiveness analysis by comparing key performance areas such as predictability in production, staff time saved, before and after technology deployment.