Crossing Omic Chasm - Why Is It So Hard?
Date: Wednesday, December 11, 2014, at 1 PM EDT/10 AM PDT
Presenter: Justin Starren, MD, PhD, FACMI, Associate Professor of Preventive Medicine and Medical Social Sciences at the Northwestern University Feinberg School of MedicineWhile the need for genomic decision support has been universally recognized and discussed in numerous papers, the number of actual implementations has been few. Many commercial EHR vendors have stated publicly that they do not have near-tearm plans to store genomic data within the EHR itself, although they anticipate exposing genomic computerized decision support within their workflows. Several papers have explicitly commented on the need for Ancillary Genomic Systems (AGS) to mediate between the large volumes of genomic data that is anticipated and the limited data capacity of most EHR systems. The Electronic Medical Records and Genomics (eMERGE) network is a multi-institutional network exploring the challenges of implementing GCDs in real-world situations. This presentation will discuss the progress of eMERGE to date and explore the broader challenges of implementing widespread genomic decision support.
This talk will discuss:
- How genomic data differs from conventional EHR data
- The architecture and function of an Ancillary Genomic System
- Workflow challenges in Genomic Decision Support
Utilizing Informatics to Improve Laboratory Test Selection
Date: Wednesday, November 12, 2014, at 1 PM EDT/10 AM PDT
Presenter: Jason Baron, MD, Medical Director, Core Laboratory, Department of Pathology at MGH
Presenter: Anand Dighe, MD, PhD, Director, Core Laboratory, Department of Pathology at MGHStrategic application of laboratory information technology and electronic clinical decision support can improve test utilization, decrease costs, increase quality and enhance diagnostic precision. This session will teach pathologists and other laboratory personnel how to navigate various technical, political and clinical challenges to providing enhanced clinical decision support for laboratory test selection and test result interpretation. This talk will offer attendees the background needed to take a more active leadership role in the clinical content of their own institution's hospital and laboratory information systems and to leverage these systems to improve diagnostic and economic value. Key points to be discussed include:
- Technical and administrative barriers to implementing enhanced clinical decision support for laboratory testing
- Strategic approaches to overcoming these barriers
- Examples to illustrate available decision support tools and how these can be implemented to enhance diagnostic value
Computational Pathology: IT Support for Basic Research in Pathology
Date: Wednesday, October 15, 2014, at 1 PM EDT/10 AM PDT
Presenter: Michael J. Becich, MD, PhD, Chairman and Professor of Biomedical Informatics and Pathology, University of Pittsburgh School of MedicineThis webinar focuses on how computational pathology is integral to the future of Pathology. Dr. Becich will discuss the role of Pathology in biomedical research and it's increasing value in the advent of personalized medicine and big data. Whether it be genomic data from sequencing in the clinical and research labs, whole slide imaging, quantitative image analysis or bioinformatics, the value of Pathology data and IT to support research is critical for a department's academic success. Key takeaways from Dr. Becich's presentation include:
- Defining computation pathology
- Defining components for Pathology research IT support and their relationship to computational pathology
- Discussing the approach the University of Pittsburgh has taken over the years to develop a robust research IT infrastructure in Pathology to support biomedical research
Using Pathology Informatics to Optimize Lab Efficiency and Quality in an Era of Healthcare Reform
Date: Tuesday, September 9, 2014, at 1 PM EDT/10 AM PDT
Presenter: Bruce A. Friedman, MD, Active Emeritus Professor of Pathology, University of Michigan Medical School and President, Pathology Education ConsortiumIn this webinar Dr. Friedman explored how healthcare reform, most particularly the ACO, has placed pressure on pathology and the clinical labs to operate faster and deliver less expensive and higher quality results. One of the key elements in this response is through the deployment of pathology informatics tools to improve managerial and clinical efficiency. Specific details were provided such as the deployment of analytic software packages that provide dashboards to analyze various aspects of lab operations. Attention was also paid to the future of LISs which is critical in this era of maximum attention to EHRs.
Laboratory Information System Functionality Assessment Toolkit (LIS-FAT): What you need to know about your LIS solution
Date: March 19, 2014, at 10am PST/1pm EST
Presenter: J. Mark Tuthill, MD, Division Head of Pathology Informatics at Henry Ford Health System
Presenter: Andrew Splitz, President/CEO of S&P Consultants, Inc.The LIS Functionality Assessment Toolkit (LIS-FAT) was developed by the Association for Pathology Informatics to address the need for laboratories to outline their current LIS operational requirements as well as support selection of a new LIS or LIS module. This session will describe the rationale behind the toolkit's development and design. Attendees will be led through detailed examples of how the toolkit could be applied to their laboratories as well as how the various components work in concert.
The objectives of this webinar are to:
- Understand the origin and drivers for development of the LIS-FAT
- Review the history of the toolkit's development, design and organization
- Examine the toolkit components (appendices) using detailed, real world examples
Integrated Disease Reporting: Order from (Almost) Chaos
Date: February 25, 2014, at 3:30pm EST/12:30pm PST
Presenter: Monica E. de Baca, MD of Hematologics, Inc.
Presenter: George Birdsong, MD of Emory University School of Medicine/Grady Health SystemAs the complexity of the data used to manage patients with chronic diseases has grown, the task of the clinician has become increasingly difficult and time consuming. At worst, patient safety can be compromised or delivery of care delayed due to the difficulty in retrieving all of the necessary data elements needed for treatment. This presentation outlines a framework that takes advantage of the capabilities of electronic reporting to create an Integrated Disease Report (IDR) - a single, succinct, integrated, interpretative report comprising all data pertinent to the disease: pathology results, laboratory data, imaging correlations, risk profiles, and therapeutic implications.
Problems of Mislabeled Specimens in U.S. Clinical Laboratories and Practical Solutions
Date: January 29, 2014 at 10am PST/1pm EST
Presenter: Brian R. Jackson, MD, MS, VP and Chief Medical Informatics Officer at ARUP Laboratories
Presenter: Charles D. Hawker, PhD MBA, Scientific Director for Automation at ARUP Laboratories.Pre-analytical errors in clinical laboratories have been widely cited as a major factor adversely impacting patient safety. Mislabeled specimens have been reported as the most significant of these pre-analytic errors. This presentation will provide practical solutions that laboratories can implement that can reduce labeling errors, and will also describe a new unique robotic system that inspects relabeled specimens by photographing the outside of specimen tubes and using optical character recognition (OCR).
After participating in this webinar, attendees will be able to:
- List the many steps in the pre-analytical sequence at which labeling errors can occur
- Understand the need to measure labeling errors in his/her own institution
- Implement several actions to reduce labeling errors in his/her own institution
- List the key elements of the CLSI AUTO12-A standard for specimen labels
Significance and Practical Applications of ATA Clinical Guidelines for Telepathology
Date: Tuesday, January 20, 2014, 12:00-1:00 pm EST
- Liron Pantanowitz, MD, Associate Professor of Pathology & Biomedical Informatics, Director of Cytology University of Pittsburgh Medical Center (UPMC) Shadyside, Director Pathology Informatics Fellowship, Department of Pathology, UPMC Shadyside, UPMC
- Andrew Evans, MD, PhD, Staff Pathologist and Associate Professor, Director of Telepathology, University Health Network, Laboratory Medicine Program Toronto General Hospital
This joint webinar with the Association of Pathology Informatics (API) and American Telemedicine Association (ATA) will address the impact of the new ATA Clinical Guidelines for Telepathology. The guideline, published in August 2014, is an update to the original 1999 ATA guideline and provides new and updated guidance on specific applications, practice, benefits, limitations, and regulatory issues that may arise in the practice. This dynamic document will continue to evolve as the technology and applications change, but is designed to act as a guide to practitioners looking to implement telepathology.
Key points to be discussed in this webinar include:
- The current state of telepathology and its various modalities
- Overview of ATA telepathology guidelines
- Significance and practical applications of guidelines
- Points to be addressed in future versions of the guidelines