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Enabling MRSA reporting via NPEx

Mark Hasselholdt

Contract Manager

Manchester Medical Microbiology Partnership

• Transfer of Microbiology services from Tameside to MMMP at

Manchester Royal Infirmary in October 2016

• Previously Tameside Microbiology referred some Virology work to

MMMP

• Requirement for work to be processed electronically from end-to-

end

• Both sites use Telepath

• NPEx selected as preferred method

Background

Challenges

• No previous electronic links between sites. Tameside previously

printed Virology reports from MMMP via remote printer

• No previous experience of processing Bacteriology tests via NPEx

either at MMMP or X-Lab

• Volume of work increase (Bacteriology, NPEx)

• Different link to previous NPEx links at MMMP (size, dynamic)

• Timescale (contract deadlines, staff)

• Resources (staff, lack of experience of setting up referred

Microbiology tests in Telepath or NPEx)

MRSA Screening

• Large volume (~2,000) swab samples per

month

• Requirement for positives to be reported to

Tameside ICN

• Differences in Telepath setup

• No. swab sites

• Field used to book site

• Test added in NPEx

• Mappings added in NPEx for both sites

• Reports defined for both sites in Telepath, with accompanying rules

added to Tameside rulebase

• Tameside Medical Authorisation group added in MMMP Telepath

• ICN reporting enabled

• Routine added in MMMP Telepath to scan in swab site

Changes made

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Process Screenshots

Number Samples

• Increased booking in speed

• Whole booking process scanned – Virtually

eliminates booking in errors

• Simplified resulting – Less chance of errors

• Speed of reporting

• Cost, environmental benefits

Enhancements

The Future

• Lab Automation – Site no longer important

• Potential switch to new LIMS

• Overhaul reporting method

• Improve test, specimen type mapping

• Direct mapping of results into Tameside