Regional project ALBIOM : Nearly 50 laboratories share biology results with doctors and their patients

Nearly 50 laboratories in Alsace now share structured biology results with doctors and their patients using Shared Medical Records (DMP). In late March 2016, over 24,000 documents were already available.

Anne Stackler, Project Manager for the GCS (health cooperation group) Alsace E-Health, tells us about service ALBIOM which aims to improve the data streams between the regional and city hospitals.

What factors led to you starting project ‘ALsace BIOlogie Médicale’ (ALBIOM)?

Anne Stackler: We started off by looking at how important medical biology is in the healthcare system (it is used to make over 60% of diagnoses in hospital and city laboratories) as well as what health professionals need to work-on effectively. No matter what laboratory they work at, doctors need to have an overview of patients’ biological history. Although reports are now electronic and results can be accessed in different ways through servers or messaging services, there is still room for improvement in the way doctors and laboratories share information. This is a clear differencet between city and hospital laboratories, especially when patients are hospitalised or treated for chronic pain.

Why did you choose the DMP as the focal point of your project?

A.S.: Alsace is one of the most dynamic DMP regions. ASIP Santé has launched a call for proposals aimed at supporting DMP usage and development. Naturally, we tailored our response towards sharing medical biology data within the DMP. Two calls for tender were issued to set up this project: one focused on solutions able to manage laboratories producing and sending medical biology result reports to the DMP, the other to supply a bioviewer to help doctors prescribe biological analyses. Three3 software publishers were selected, including Enovacom in consortium with MIPS. Before installing ENOVACOM Suite V2 and GLIMS-V9, the IT department and biologists from the Saverne Hospital pilot site took them through a test phase. The GCS Alsace E-health headed up the project and supported the laboratories working with the publishers. The ARS and ASIP Santé have supported this project and offered their expertise, with particular regards to IT system interoperability and standardising report templates.

There is still room for improvement in the way doctors and laboratories share information

Why did you choose the DMP as the focal point of your project?

A.S.: Alsace is one of the most dynamic DMP regions. ASIP Santé has launched a call for proposals aimed at supporting DMP usage and development. Naturally, we tailored our response towards sharing medical biology data within the DMP. Two calls for tender were issued to set up this project: one focused on solutions able to manage laboratories producing and sending medical biology result reports to the DMP, the other to supply a bioviewer to help doctors prescribe biological analyses. Three3 software publishers were selected, including Enovacom in consortium with MIPS. Before installing ENOVACOM Suite V2 and GLIMS-V9, the IT department and biologists from the Saverne Hospital pilot site took them through a test phase. The GCS Alsace E-health headed up the project and supported the laboratories working with the publishers. The ARS and ASIP Santé have supported this project and offered their expertise, with particular regards to IT system interoperability and standardising report templates.

How far along is the project?

A.S.: We started the project five months ago and so far 46 city and hospital laboratories have transmitted over 8000 medical biology results to the DMP. For the Saverne Hospital, Enovacom’s solutions manage both the flow of reports from hospitals’ Electronic Patient Records and laboratory IT systems. As of March 31st 2016, nearly 24, 000 documents have been exchanged and managed by the ENOVACOM Suite V2 platform.

46 city and hospital laboratories have transmitted more than 8 000 medical biology results to the DMP

What feedback have you received from workers involved in the project – particularly from the biologists?

A.S.: The biologists are very satisfied with the software as their partners are able to access the biology reports from a special secured warehouse which stores patient data. It fits perfectly into their medical validation process without adding to their workload. The tool’s ergonomics were built with prescribers to meet their needs and laboratory results are accessible more quickly and are better presented. The software shows results in tables and graphs, highlights any abnormalities, shows previous results and comments or conclusions from biologists who validated the report etc..

About the user

Anne Stackler, Project Manager for the GCS Alsace E-health.

albiom

DMP: 750 complete documents received every month with no information lost

A pioneer in health IT systems, the Saverne Hospital, is involved in project ALBIOM which aims at supplying and sharing medical biology reports through Shared Medical Records (DMP). François Dottori, hospital Deputy Director, tells us how satisfied he is with seeing this project succeed.

As part of project ‘ALsace BIOlogie Médicale’ (ALBIOM), started in February 2011 by the GCS Alsace E-Health, the Saverne Hospital has been involved in the project whose main goal is to supply DMPs with structured medical biology reports from the MIPS business laboratory software by using the ENOVACOM Suite V2 interoperability solution. The Saverne Hospital is a pioneer of digitalising and using IT systems.

750 complete documents received every month with no loss of information

“Back in 2002, we were one of the first hospitals to start using Electronic Patient Records (DPI). Today it supplies patients’ Shared Medical Records (DMP) with hospital discharge letters, surgery and radiology reports, and therefore biology”, François Dottori is happy to tell us. Project ALBIOM aims to improve the Saverne Hospital’s laboratory reports making them more secure and easier to compare with previous reports.

“In the past, we were supplying data to 350 patients’ DPI reports every month,” he continues. “With ALBIOM, 750 reports are automatically transferred every month once the laboratories have finalised with them and none of the information was lost. Soon doctors will be able to type in key words to see diagnoses and specialists will be able to see a list of patients’ results in his speciality”.

A hospital actively reviving Shared Medical Records

DMPs have existed since 2011 but have not yet reached their full potential. As the Ministry has recently been promoting web-DMPs, project ALBIOM is helping to bring them back into widespread usage. Every patient is involved as their INSC number doubles as their patient ID. “In Alsace, there are currently 58,800 functional DMPs, 8,500 of which are patients from the Saverne Hospital”, François Dottori points out. “From 2011 to the end of 2015, 227,000 documents were supplied to DMPs in the region, including 26,000 from our establishment. Since the beginning of the project in 2014, we have set up the technical prerequisites and configured our DMP so that it can communicate with other DMPs. The first report was sent in November 2015″.

Biologists involved and mobilised

The IT systems management at Saverne Hospital led project ALBIOM from within the establishment and collaborated with Alsace E-Health and Enovacom engineers.

“Setting it up has been successful”, he says. Every party was prepared beforehand to avoid any surprises. We have also participated in the communications so healthcare professionals in the catchment area were also prepared. We had already told 30 private practitioners about our ambition to formalise this type of process in 2011. They were however reluctant because the reports had not been properly structured yet. That all changed with ALBIOM and its ability to compare medical biology examination results.

“In the past, we were supplying data to 350 patients’ DPI reports every month,” he continues. “With ALBIOM, 750 reports are automatically transferred every month once the laboratories have finalised with them and none of the information was lost. Soon doctors will be able to type in key words to see diagnoses and specialists will be able to see a list of patients’ results in his speciality”.

A partnership between Enovacom and MIPS

As a result, the Saverne Hospital has become the first public hospital in France to comply with the provisions of the 2016 decree on securely transmitting reports. “In practice, a DMP page of medical biology results is created in the Enovacom module, which modifies its contents to adapt the GLIMS dictionary encryptions”, concludes François Dottori. “The healthcare professional uses his CPS card to log on to the DMP with a fast internet connection to analyse results and produce a report in the MIPS Laboratory software. The report is then automatically sent to the DMP by the ENOVACOM Suite V2 solution. They have invested in changing their solution, have been very available and involved, and I can say that our relationship has gone from being just client-supplier to now more of a partnership!”

About the user

François Dottori, Deputy Director of the Saverne Hospital.

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