Re: [Histonet] Beaker with or without Vantage

[Cristi Rigazio via Histonet]

We use Beaker across our system and like anything it has its pros and cons.  
Tim is correct, it was NOT developed for Pathology, rather for physicians and 
the lab module was an afterthought.  Our IHC lab uses Vantage with Middleware 
and things go really well for them to my knowledge, but it certainly wasn’t 
without its challenges.

Changing any system is going to come with growing pains, for sure, but some of 
the things I would want “redone” include tracking, as a multiple site system we 
have issues with packing lists moving tests with materials to other labs and 
keeping the pathologists from signing cases out.  We lose our tracking from the 
gross station and pick it back up at embedding, using manual batch tracking 
sheets for what goes on the processors.  I believe something has been built to 
help with this and we use a wingman system, so others might not have this 
issue.  From a manager perspective, The report system is getting a little 
insane as with upgrades there seems to be unforeseen changes that impact 
reports you may rely on, also there are a variety of ways to develop or run 
reports (workbench reports, Clarity and Universe!) and the redundancy is 
getting confusing.  From the bench perspective, depending on the type of lab 
you are, accessioning is accomplished three different ways for us, client 
specimens that we have to register, within system specimens that are ordered in 
a manner that we have to go “grab” the order and the ideal way where we simply 
scan the label and input the task protocol (again within the system, but why 
can the doctors/nurses use two different ways to input the order??).  Scanning 
the barcodes from the cassettes can be an issue, but that is not Beakers fault, 
make sure you have solid cassette printers.  Lastly, the physicians view in 
Epic is much different than your view in Beaker, this has caused confusion when 
trying to find things like additional testing reports performed outside and 
then scanned in.  We have hammered through the majority of these issues and the 
Beaker team is great at helping out and thinking outside the box to smooth out 
workflows.  Oh, and billing!  Make sure you test all the way through patient 
accounting!  Stay positive, as noted, likely the choice isn’t yours to make, 
but how you approach it is.  Build a good relationship with your Beaker team, 
prioritize your needs and chip away.  It will work out.  

Sent from my iPhone

> On Nov 29, 2017, at 2:19 PM, Morken, Timothy via Histonet 
>  wrote:
> 
> Ginny, when you say "slow down our whole process" is that slowness in the 
> system or mismatch of the LIS to the pathology process?
> 
> My understanding is that this was originally designed for use in public 
> health labs (EpicLab), which are quite different than pathology labs. Now 
> they are trying to adapt a thirty-year old non-pathology system to pathology. 
> Sure would be nice if someone would just use a new pathology-specific LIS 
> built with new technology!  Why do we keep having to keep having 
> non-pathology people shove things on us and demand we adapt to their 
> ignorance? We went thru this with Copath for many years and had to teach them 
> how pathology works (they should have been paying us for our knowledge, not 
> charging us to teach them!). Now it seems it is coming around again in a new 
> form.
> 
> 
> Tim Morken
> Pathology Site Manager, Parnassus
> Supervisor, Electron Microscopy/Neuromuscular Special Studies
> Department of Pathology
> UC San Francisco Medical Center
> 
> From: Kurth Virginia L. [mailto:vku...@uwhealth.org]
> Sent: Wednesday, November 29, 2017 10:16 AM
> To: Morken, Timothy; Martha Ward-Pathology
> Subject: Re: Beaker with or without Vantage
> 
> 
> Hello
> 
> We switched to beaker this year, and it definitely had growing pains.
> 
> I personally believe it was made for a doctor not a lab, and seemed to slow 
> down our whole process,
> 
> but everyone is going to it.  It helps patient care in the aspect of everyone 
> is on the same page with that
> 
> patient.  I think that more and more kinks will be worked out as it continues 
> to adapt to the lab setting.  I think
> 
> asking people when they switched should be considered because it has evolved. 
>  Good Luck!
> 
> 
> 
> 
> 
> Ginny Kurth
> 
> 
> UW Hospital of Wisconsin
> 
> 
> From: Martha Ward-Pathology via Histonet 
> >
> Sent: Tuesday, November 28, 2017 12:30:57 PM
> To: Morken, Timothy
> Cc: 
> histonet@lists.utsouthwestern.edu
> Subject: Re: [Histonet] Beaker with or without Vantage
> 
> WARNING: This email appears to have originated outside of the UW Health email 
> system.
> DO NOT CLICK on links or attachments unless you recognize the sender and know 
> the content is safe.
> 
> 
> 
> 
> "They" aren't the ones that will have to 

[Histonet] agar to make cell blocks

[Blanca Lopez via Histonet]

Hi everybody!
Is anybody willing to share their protocols to make a cell block please. I have 
a customer that use agarose 2% (nusieve GTG agar) but we are having trouble to 
take the gel out of the tube, breaks easily even when I try to cut the gel 
cylinder. I told her to make agar 4% microwave little to make it liquid 
transfer some with a pipette, stir and centrifuge for 10 min 2000 rpm.
Which agar do you recommends for cell? Or any other recommendation to improve 
the technique? Do you know if there is a differences between brands? Please 
give your opinion.
thanks



UT Southwestern


Medical Center



The future of medicine, today.

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Re: [Histonet] Beaker with or without Vantage

[Morken, Timothy via Histonet]

Ginny, when you say "slow down our whole process" is that slowness in the 
system or mismatch of the LIS to the pathology process?

My understanding is that this was originally designed for use in public health 
labs (EpicLab), which are quite different than pathology labs. Now they are 
trying to adapt a thirty-year old non-pathology system to pathology. Sure would 
be nice if someone would just use a new pathology-specific LIS built with new 
technology!  Why do we keep having to keep having non-pathology people shove 
things on us and demand we adapt to their ignorance? We went thru this with 
Copath for many years and had to teach them how pathology works (they should 
have been paying us for our knowledge, not charging us to teach them!). Now it 
seems it is coming around again in a new form.


Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center

From: Kurth Virginia L. [mailto:vku...@uwhealth.org]
Sent: Wednesday, November 29, 2017 10:16 AM
To: Morken, Timothy; Martha Ward-Pathology
Subject: Re: Beaker with or without Vantage


Hello

We switched to beaker this year, and it definitely had growing pains.

 I personally believe it was made for a doctor not a lab, and seemed to slow 
down our whole process,

but everyone is going to it.  It helps patient care in the aspect of everyone 
is on the same page with that

patient.  I think that more and more kinks will be worked out as it continues 
to adapt to the lab setting.  I think

asking people when they switched should be considered because it has evolved.  
Good Luck!





Ginny Kurth


UW Hospital of Wisconsin


From: Martha Ward-Pathology via Histonet 
>
Sent: Tuesday, November 28, 2017 12:30:57 PM
To: Morken, Timothy
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Beaker with or without Vantage

WARNING: This email appears to have originated outside of the UW Health email 
system.
DO NOT CLICK on links or attachments unless you recognize the sender and know 
the content is safe.




"They" aren't the ones that will have to use it.therein lies the rub!   I 
have not heard many positive things about AP Beaker.



Martha Ward, MT (ASCP) QIHC
Manager

Molecular Diagnostics Lab
Medical Center Boulevard  \  Winston-Salem, NC 27157
p 336.716.2109  \  f 336.716.5890
mw...@wakehealth.edu





-Original Message-
From: Morken, Timothy via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, November 28, 2017 11:48 AM
To: Histonet
Subject: Re: [Histonet] Beaker with or without Vantage

I am interested as well. "They" are threatening us with a move to Beaker in the 
future


Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of 
Pathology UC San Francisco Medical Center

-Original Message-
From: Blake Taylor via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, November 28, 2017 8:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Beaker with or without Vantage

I'm looking for anyone out there that has switched to Beaker for AP, Also do 
you use Ventana Connect with Beaker?  Did you choose to use the Beaker tracking 
system or is anyone using Beaker in conjunction with Vantage?  Our Hospital is 
in the beginning phase of moving from Copath Sunquest to Beaker (2017 version) 
.  Any thoughts of what has gone well and what has not would be appreciated.

Thanks so much

Blake Taylor
Surgical Pathology Supervisor
Lexington Medical Center
803-936-8214
bcdu...@lexhealth.org

PRIVILEGED AND CONFIDENTIAL: This electronic message and any attachments are 
confidential property of the sender. The information is intended only for the 
use to the person to whom it was addressed. Any other interception, copying, 
accessing, or disclosure of this message is prohibited. The sender takes no 
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Re: [Histonet] Beaker

[Mark Pawlowski via Histonet]

Good luck with Beaker.  We switched in April and had many issues.  Insist on a 
complete run through of a specimen, from collecting to billing before you go 
live.  We had issues where our pathologist did not have access, printers were 
not linked,  etc.  Get used to the phrase "It's hard coded" which is used by 
the Beaker folks when something cannot be changed.  The interface is more 
involved than with our homegrown database and now almost eight months later it 
is taking us about double the time to do the data entry.  Also, schedule a 'At 
the elbow support person' to be in your lab area a full week when you go live.  
This is a Beaker term for someone who has experience using the system from 
another organization.  And finally, get ready to start a lot of tickets, which 
is the way that your get something addressed in EPIC.  The first day, I put in 
34.


 Mark



From: histonet-requ...@lists.utsouthwestern.edu 

Sent: Wednesday, November 29, 2017 1:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 168, Issue 21

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Today's Topics:

   1. Re: Beaker with or without Vantage (Martha Ward-Pathology)
   2. gross photography (Julio Benavides Silv?n)
   3. Re: gross photography (Hawkins, Hal K.)
   4. Frozen section - IHC for 6x HisTag (Ana Maluenda)
   5. Lab related blog post (Lester Raff MD)
   6. Re: gross photography (Gudrun Lang)


--

Message: 1
Date: Tue, 28 Nov 2017 18:30:57 +
From: Martha Ward-Pathology 
To: "Morken, Timothy" 
Cc: "histonet@lists.utsouthwestern.edu"

Subject: Re: [Histonet] Beaker with or without Vantage
Message-ID:


Content-Type: text/plain; charset="iso-8859-1"

"They" aren't the ones that will have to use it.therein lies the rub!   I 
have not heard many positive things about AP Beaker.


?
Martha Ward, MT (ASCP) QIHC
Manager

Molecular Diagnostics Lab
Medical Center Boulevard ?\? Winston-Salem, NC 27157
p 336.716.2109 ?\? f 336.716.5890 ?
mw...@wakehealth.edu ?
?
?



-Original Message-
From: Morken, Timothy via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, November 28, 2017 11:48 AM
To: Histonet
Subject: Re: [Histonet] Beaker with or without Vantage

I am interested as well. "They" are threatening us with a move to Beaker in the 
future


Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of 
Pathology UC San Francisco Medical Center

-Original Message-
From: Blake Taylor via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, November 28, 2017 8:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Beaker with or without Vantage

I'm looking for anyone out there that has switched to Beaker for AP, Also do 
you use Ventana Connect with Beaker?  Did you choose to use the Beaker tracking 
system or is anyone using Beaker in conjunction with Vantage?  Our Hospital is 
in the beginning phase of moving from Copath Sunquest to Beaker (2017 version) 
.  Any thoughts of what has gone well and what has not would be appreciated.

Thanks so much

Blake Taylor
Surgical Pathology Supervisor
Lexington Medical Center
803-936-8214
bcdu...@lexhealth.org

PRIVILEGED AND CONFIDENTIAL: This electronic message and any attachments are 
confidential property of the sender. The information is intended only for the 
use to the person to whom it was addressed. Any other interception, copying, 
accessing, or disclosure of this message is prohibited. The sender takes no 
responsibility for any unauthorized reliance on this message. If you have 
received this message in error, please immediately notify the sender and purge 
the message you received. Do not forward this message without permission.

Re: [Histonet] gross photography

[Gudrun Lang via Histonet]

Hi,
We use MakroPath from Milestone in a routine histolab. The camera is mounted
on the top oft he grossing-station, with an integrated PC+monitor and pedals
for zooming and taking photos. Within this system you can mark the pictures,
draw something, measure something ...
In comparison to the older method with digital-camera, manual zoom etc. it
is very conveniant.  Picture quality is high.

Gudrun

-Ursprüngliche Nachricht-
Von: Julio Benavides Silván via Histonet
[mailto:histonet@lists.utsouthwestern.edu] 
Gesendet: Dienstag, 28. November 2017 21:27
An: histonet@lists.utsouthwestern.edu
Betreff: [Histonet] gross photography


Hi there,

May I ask you your opinion about which system you are using to take gross
pictures? We are using a couple of big tungsten light bulbs and a Nikon d60
camera. We are a research lab working with sheep, so we get big lesions in
big organs. I was wondering if anybody is using a Digital Gross Photography
System and how they compare with a "more ytraditional" digital camera
approach.

As always, thank you so much for your opinions. Greatly appreciated!

Cheers

Julio





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[Histonet] Lab related blog post

[Lester Raff MD via Histonet]

For those interested, Part 1 of a two part blog about pathology and diagnosis.

http://www.chicagonow.com/downsize-maybe/2017/11/i-give-people-cancer-part-1/

Have a good week.

Lester J. Raff, MD MBA
UroPartners
Medical Director Of Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel: 708-486-0076
Fax: 708-492-0203

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