Thank you to everyone who called/emailed or responded to our problem...below is an email I got that explains the resolution we are going to use very well. Hope this helps..... -----Original Message----- From: Lynn Reinhardt [mailto:[EMAIL PROTECTED] Sent: Thursday, August 02, 2007 6:35 PM To: Freeman, Gale Subject: FW: [MEDITECH-L] FW: Joint Commission and Report Date&Time
Gale, We faced this same issue (seems to be their new hot button to look for as many labs don't have it). While the internal audit trail is great, even an electronic report needs to state the time it was externally reported and we took that as the time the last test on a specimen is verified and the specimen goes to COMP status. The inspector we had specifically said it doesn't have to be on a test by test basis, so since our reporting/telecom is based on a specimen going to COMP status, we made a change to our specimen header to capture that information. The solution below works for MIC, LAB, and BBK Activity reports/headers. >From Joint Commission, it isn't necessary for it to be on the Summary Report as that is a "manipulation" of the activity report for convenience. From an electronic standpoint, it's the activity report format that shows up in PCI. We don't have the Pathology module, but I would assume it works the same. The MIS tech who worked on this had a little trouble with the one for MIC, but eventually got all of them built and working. Below you'll see the messsage that was forwarded via our CIO to the Meditech L list. Good luck! Lynn Reinhardt, MT(ASCP) Rutherford Hospital, Inc. Rutherfordton, NC [EMAIL PROTECTED] (828)286-5123 ************************************************************************ *** Thanks to everyone who responded to my request for help with Joint Commission and their standard requiring report date/time on the printed report. >From the variety of responses I got back, I can see that everyone has been interpreting this differently, and solving it in different ways. Many are using the report run date and time which didn't fly when we asked Joint Commission about that and the internal audit trail. No, the time of printing is not what they were getting at...they want the time the result is externally available and explained as the time of report completion, either final or preliminary. The problem with the RUN DATE/TIME is that it isn't static. It changes every time a report prints. We tried to use the internal audit trail as evidence, and they said that was acceptable to show test level detail, but that the printed report itself needed the reported date/time on it showing preliminary or final completion. From what they provided, translated to Meditech, this is the date that a specimen goes to COMP status because at that point the results are externally available electronically even if the report itself prints later (and that opens a whole other can of worms of electronic availability vs paper report). Here is the clarification the Joint Commission Standards group sent to me.... "The intent of the EP is for the date and time of reporting to be physically present on the charted report. This means each laboratory report should have a single date and time of reporting, which reflects the time that report (preliminary or final) was released for use by a healthcare provider It is not the intent of the requirement to have the individual date and time printed for each analyte. Thus, Joint Commission will accept a single date and time of reporting printed on the report, either the preliminary or the finalized date and time. Then, if your organization can track the individual dates and times for each analyte in the LIS, that is sufficient for the audit trail." Tony Frith of the Meditech-L list and finally, Meditech provided the following Knowledge Based article that allowed us to capture the date/time the last test on a specimen is verified, causing the specimen to go to COMP status. It now prints on the first printing of the report and no matter how many times the report "reprints," it's still that same date and time which is what Joint Commission wants. Meditech solution 5/31/07: Article ID: 23428 Date: 1/4/2006 Published: 1/9/2006 Application: LAB Subject: Report Writer Platform: ALL LAB.L.SPEC: Printing the Most Recent Verify Date and Time A number of different tests can be performed on one specimen, to print the verified date and time of the last test which was verified for a completed specimen, you can use the following fields. Please note that the computed field xx.ver.date loops through tests which means that you do not want your detail segment to be the tests segment or any child segment of the tests segment or this code could produce an infinite loop. This code was used in a report which used the main (lab.l.specimen.file) segment as the detail segment. xx.ver.date: [EMAIL PROTECTED]"COMP" ""^VTM^test, [EMAIL PROTECTED](test) [EMAIL PROTECTED], VAL=%Z.date.in.magic([EMAIL PROTECTED])} xx.ver.time VAL=%Z.time.out([EMAIL PROTECTED]) The xx.ver.date field will loop through the tests and perform a maximum on the verify time field to produce the most recent verify time. This value is then used to produce the output. thanks Lynn Reinhardt, MT(ASCP) Laboratory Manager Rutherford Hospital, Inc. Rutherfordton, NC [EMAIL PROTECTED]
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