The National Medical Laboratory Information System (MedLIS) Programme

Dr Miriam Griffin, MedLIS Project Manager & Clinical Director Anne Geaney National Blood Bank Lead , MedLIS Project Team “To ensure patients healthcare providers have rapid 24-hour access to complete and up-to-date accurate laboratory data across all sites”

• Create a national electronic laboratory record with a standard build to be rolled out to all sites

• single patient centred system with automatic tracking, routing and • resulting of specimens

• Support “end-to-end” electronic communication of requests and results

• real-time user friendly access

• Laboratory data to be available irrespective of where test was carried out, where the health care provider is located and where patient initially presented

Scope

3 BRNDEXP 2.1 0714 © 2014 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner MedLIS-how will it achieve a national laboratory record

MedLIS-how will it achieve this goal?

AMS 24/7 Single Proactive Database application HSE Data Monitoring centre MedLIS Millennium Pathnet (Cerner) Single National LIS 24/7/365 24/7 /365 Covering 43 Disaster Support Laboratories Recovery Lab Help

Santry Desk

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Full Audit Integrated Trail p2 Management Sentinel Reports & Report Writer

Charge Benefit Services Realisation Module Plan

6 BRNDEXP 2.1 0714 © 2014 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner MedLIS-NOT JUST FOR THE LABS! POWERCHART Order Comms for Clinical User Specimen Bridge mPages SpecimenTracking & Logistics POWER CHART AMBULATORY Order Comms for users outside Hospitals eg GPs, Nursing Homes, Clinics

Mobile access

7 BRNDEXP 2.1 0714 © 2014 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner General Lab Biochemistry 2424/7 Laboratory Haematology Support Single Sign POWERCHART Coagulation Front Line Order Comms for Immunology Lab Help On Clinical User Serology Desk mPages AMS 24/7 Single Database Proactive Online Outreach supporting application Physician Portal iBus Monitoring Order Comms for Anatomic Pathology Intefaces Cytopathology Research & users outside with Single Autopsy Hospitals eg GPs, Clinical Audit Database existing Nursing Homes, analysers HSE Data Open Engine centre Clinics integration with MedLIS Millennium other software & Microbiology Pathnet (Cerner) services 24/7/365 Specimen Bridge Virology Single National LIS Disaster Mycology Covering 43 SpecimenTracking Centralised IT Recovery Laboratories Santry & Logistics Solution for INAB Blood accreditation Cerner Training Transfusion Mobile access Benefit Realisation Coordinator Integrated Plan Management E learning Modules POCT ReportsCare & ReportXML All Legacy Full Audit Training Plans for DataWriter Archived and Trail p2 all users Helix Molecular EASILY accessible Sentinel Diagnostics Helix haplotype (HLA) Module

Transfusion

Gen Lab

Micro

Histo/Cyto/AP Director of MedLIS Acute Steering MedLIS NPT Helix Hospitals Board HSE ICT

Training

Quality/Change Management Order Comms Support/Back Office Information Governance Central Infrastructure & Networks Local, Desktops & Peripherals Lab ICT, MDIs, iAccess, Dragon, MedLIS MedLIS Scanning Steering NPT Board Data Archiving & Migration

Patient Registration & Numbering

Interface Team

GPs/Community

INAB MedLIS Outline Implementation Plan Phases 1&2

Phase Gateway HSE Site Completion Week 1 Align Gateway 18 1 Engage Gateway 61 St James Hospital 1 Service Midland Regional Hospital Tullamore 68 Pilot Commencement Midland Regional Hospital Portlaoise Beaumont Connolly Service 1 76 Commencement Mater Hospital Mullingar Hospital 1 Activate Gateway 78 2 Align Gateway 79 2 Engage Gateway 100 AMNCH (Tallaght) Coombe Women’s and Infants University Hospital Naas Hospital Service 2 Our Lady of Lourdes Hospital Drogheda 106 Commencement St Vincent’s University Hospital Our Lady’s Hospital Navan National Maternity Hospital Holles Street St Columcille’s Hospital Loughlinstown 2 Activate Gateway 107

MedLIS Outline Implementation Plan Phases 3-5 3 Align Gateway 108 3 Engage Gateway 129 University College Hospital, Galway Letterkenny General Hospital Sligo General Hospital Roscommon County Hospital Mayo General Hospital 3 Service Commencement 135 Portiuncula Hospital Limerick University Hospital Mid Western Regional Hospital Ennis St John’s Hospital Limerick Mid Western Regional Hospital Nenagh 3 Activate Gateway 136 4 Align Gateway 137 4 Engage Gateway 158 Waterford Regional Hospital Kerry General Hospital South Tipperary General Hospital 4 Service Commencement Milestone Mercy University Hospital Cork 164 Bantry General Hospital South Infirmary Victoria University Hospital Cork St Luke’s General Hospital Kilkenny 4 Activate Gateway 165 5 Align Gateway 166 5 Engage Gateway 187 Our Lady’s Children’s Hospital Crumlin Children’s University Hospital Temple Street St Luke’s Hospital Rathgar 5 Service Commencement Cappagh Orthopaedic Hospital 193 St Michaels Hospital Dun Laoghaire Royal Victoria Eye and ear Hospital 5 Activate Gateway 194