| DESCRIPTION OF ENHANCEMENTS |
Patch LR*5.2*158
-----------------
Routine List
Before After Patch
Routine Check Sum Check Sum List
LRCAPPH 9623897 10294589 1,19,127,136,138,158
LRCAPPH1 7546206 4949612 127,136,138,158
-----------------
Files/Fields
Default PCE Provider/Phlebotomy Workload Capture
File: LABORATORY SITE (#69.9)
Field: PCE DEFAULT PROVIDER (#617)
File: LAB ORDER ENTRY
Field: PCE ENC (#30)
------------------
Installation Instructions:
1. All users may remain on the system.
2. No options need be placed out of order.
3. Install patch during non-peak hours.
4. Laboratory specimens should not be accessioned or verified during
installation of the patch.
5. The Auto-Instruments 'LAB' job does not have to be stopped.
6. Installation time of this patch is less than ten minutes.
7. Journal requires no special attention.
8. No options are contained in this patch
NOIS List (Partial List)
Purpose of the Patch:
===========================
MILW-1196-41783
MOU-1196-31178
SEP-1196-62013
MAD-0297-41389
===========================
Test Site:
Alpha Test Site: Long Beach
------------------
This patch contains two enhancements. (1) Provide a PIMS certified Default
Patch Description:
This patch provides a new field, PCE DEFAULT PROVIDER, in the LABORATORY
SITE (#69) file to support the Laboratory PCE API workload data capture.
The default provider is defined locally based on PCE/PIMS workload
provider screening criteria. It is the responsibility of the LIM to
coordinate with the PCE/PIMS Coordinator to ensure that this field is
properly defined and maintained.
Failure to enter a default provider will cause PCE and Laboratory
Provider to be used for laboratory Patient Care Database workload
phlebotomy workload data NOT TO BE PROCESSED. NONE of the workload data is
lost. No default provider causes the workload data processing software to
stop and wait until the field is properly defined.
The software logic will check the ordering provider for no termination
date and person class for the encounter date. If the ordering provider
fails this check the default provider will be used instead.
A cleanup utility will be provided to deal with previous provider
rejection errors by reprocessing encounters using the default provider
collected via PCE API. (2) Correct excessive counting of laboratory
instead of the ordering provider of record.
---------------------
Second Enhancement:
Laboratory phlebotomy counts were being credited for non patient
specimens. Also other factors were inflating phlebotomy workload. A code
change now screens all workload to ensure that only patients from the
Patient (#2) file are processed. Software logic has been change to capture
1 phlebotomy count for each LAB ORDER with a collection type of Send
Patient (SP), Immediate Collect (I) or Lab Collect (LC).
phlebotomy workload.
The inflated phlebotomy counts coincide with the installation of patch
LR*5.2*138. It is recommended that the manual counts be used for the date
range between this patch and LR*5.2*138 instead of the LMIP generated
totals. After this patch is installed the manual totals should match
auto-captured phlebotomy totals +/- 5%.
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