Laboratory Information Systems
A laboratory information system, or LIS, is a software program that provides all the basic functionality needed for a clinical laboratory, whether that laboratory is hospital-based or a standalone commercial laboratory facility. Various components of the LIS will handle patient check-in, order entry, results entry, physician and patient demographics, specimen processing, and have some level of reporting ability.
Legacy laboratory information systems are typically homegrown, that is, they were developed within the organization 20 or 30 years ago, or were purchased ”off the shelf.” Homegrown systems and legacy systems often have problems with connectivity, scalability and flexibility, especially as technology changes within the laboratory and healthcare industry. Off-the-shelf products often force laboratories to modify their workflow to adapt to the LIS, rather than the other way around. Also, numerous LIS vendors have gone out of business or shifted their focus to other areas in the last two decades. Often legacy LISes utilize multiple databases, which create a great deal of difficulty with database interfaces and data synchronization.
Newer LISes are increasingly able to offer what laboratories need: modular-based systems with customizable functionality, scalability and a high level of adaptable connectivity for both institutional electronic medical records (EMRs) and physician access. Laboratories also require a LIS to to interface with the laboratory’s instrumentation, which allows patient results to be directly entered into the database and then into the EMR; Web-based order entry/result inquiry; and workload balancing. The LIS often has non-clinical functionality such as workflow monitoring and billing services.
In addition, these systems need to be customizable, be able to effectively and easily interface with both the institution’s electronic health record, the laboratory’s automated equipment, and provide Web-based access for physicians.
The environment for health information technology, specifically LISes, requires adherence to a number of national and international standards including CLIA, CCHIT, ANSI, HL7, HITSP, and LOINC.
Lab Lowers CHF Readmits, Cuts LOS for AMI Patients
CEO SUMMARY: Labs today are finding ways to send actionable information to referring physicians. The laboratory at MedCentral Health System in Ohio uses electronic alerts to inform clinicians about test results that may be significant. One alert helped the lab cut length of stay for patie…
Memorial Hermann’s Health Info Exchange Helps Lab Outreach
CEO SUMMARY: In Houston, Memorial Hermann Healthcare System has put together a health information exchange (HIE) to serve the Houston market. By design, this HIE not only gives physicians immediate access to a wide variety of patient data, but also supports the type of workflow required f…
Indiana Clinical Lab Taps Data to Improve Service to Doctors
CEO SUMMARY: Business intelligence is on the verge of becoming the next “big thing” in clinical laboratory management. Lab teams are using real-time data dashboards to quickly identify problems and take proactive steps to raise service levels to clients. South Bend Medical Foundation …
Clin Lab Partners’ Strategy Is to Leverage Lab Data
CEO SUMMARY: At Clinical Laboratory Partners, the strategy is to create and deliver a growing suite of enhanced lab information services to client physicians and payers in the Connecticut market. It wants to differentiate itself from competing lab companies by packaging lab test …
Hospital Lab Uses HIE To Win Outreach Clients
CEO SUMMARY: Health information exchanges (HIEs) are operating nationwide, but few handle lab test orders and results with ease the way HealthBridge does. This long-established HIE in Cincinnati, Ohio, allows physicians to send lab test orders from their electronic health record …
ELINCS Specifications Released in California
CEO SUMMARY: Clinical laboratories and pathology groups have a new tool to use for interfacing their LIS (laboratory information systems) with the electronic health record (EHR) systems of their office-based physician clients. It is ELINCS, an IT standard designed to support elec…
Georgia HIE Helps all Labs Feed Test Data to Docs
CEO SUMMARY: In Macon, Georgia, an innovative effort by a regional extension center and a health information exchange (HIE) will level the playing field for hospital labs and independent labs in the state. Their goal is to build a secure and flexible clinical integration platform…
Doctors Use Mobile Apps To View Lab Results
CEO SUMMARY: By sending lab test results and other data from the hospital’s electronic health record system to physicians’ smartphones, Holy Name Medical Center in Teaneck, New Jersey, is empowering physicians to manage patient care more efficiently. Today, few hospitals send…
Michigan’s JVHL Partners With AMA to Use LOINC
CEO SUMMARY: Office-based physicians in Michigan can use a program offered by the American Medical Association (AMA) to get assistance in adapting their electronic medical record (EMR) systems to utilize LOINC for lab test ordering and lab test results reporting. This service is …
Controlling Test Utilization By Physician Use of CPOE
CEO SUMMARY: Systems for computerized physician order entry (CPOE) and clinical decision support can contribute to better utilization of laboratory tests while achieving improvements in patient outcomes. At Decatur Memorial Hospital, use of CPOE helped physicians slash the volume…
CURRENT ISSUE
Volume XXXI, No. 6 – April 29, 2024
Laboratory managers will want to note that The Dark Report itself was targeted by the fraudsters who hit Change Health in a cyberattack. Also, one lab has some innovative methods of combatting the chronic staffing shortage, including hiring college graduates and students.
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