1. Analysis. Answers. Action. www.aphl.org Value of LIMS in Optimizing Quality of Care and Treatment of PLHIV 15 th Annual HuQAS Scientific Conference Kenya Institute of Curriculum Development (KICD) 17 th September 2015

2. Analysis. Answers. Action.www.aphl.org What’s a LIMS It’s a acronym for L aboratory I nformation M anagement S ystem. A laboratory information system is a computer program / Software that process, store and manage data from all stages of medical lab processes and tests. Key Terms (Process, Store and Manage)

3. Analysis. Answers. Action.www.aphl.org Kenya Embraces 90-90-90 ….. Kenya aims to meet the ambitious 90-90-90 Treatment Targets released by UNAIDS in 2014, preparing to control the HIV epidemic by 2030. By 2020, The Target is to have :- Diagnosed 90% of all People Living with HIV (PLHIV) Started and retained 90% of those diagnosed on ART Achieved Viral Suppression for 90% of the Patients on ART.

4. Analysis. Answers. Action.www.aphl.org Testing Diagnosis Primary Care Treatment Viral suppression Comprehensive Care Center (CCC) Hospital Information Management System (HMIS) Seek Test Treat Retain Lab Information Management System (LIS) in HIV Clinical Cascade Viral Load Monitoring Lab Request for Testing

5. Analysis. Answers. Action.www.aphl.org CD4 and Viral Load Referrals Barcode Printer LIMS Database LIMS Reception PC Final Reporting / Emailing Results Patient At a Facility’s CCC NB: Currently, All Referred samples’ results are automatically sent back to the facility once the results are Authorized Manual Lab Requests LIMS on Workstations Results Are Auto Emailed

6. Analysis. Answers. Action.www.aphl.org LIMS – NASCOP EID System Integration Integration at the Database Level LIMS Database NASCOP VL/EID System -SMS Notifications (Workload and Backlog) -Reagent Monitoring -National Reporting tool -Emailing Results -Integration with Instruments -Data management -Lab Management Reports LIMS NASCOP http://www.nascop.org/eid/overall.php

7. Analysis. Answers. Action.www.aphl.org LIMS vs Manual VL Sample Processing

8. Analysis. Answers. Action.www.aphl.org QC samples are managed in LIMS and their results are stored each time they are ran. Lab Manager can observe the performance of the QC’s over time. LIMS plots the variable chats showing the different QC performance over time. QC / QA sample Management

9. Analysis. Answers. Action.www.aphl.org SQC chats in LIMS

10. Analysis. Answers. Action.www.aphl.org LabTranscription errors /month Av. TAT of archived report retrieval Time taken to compile monthly statistics LabPrePostPrePostPrePost A>30<5>6min<1 min>96 hrs< 5 min Indicator Data

11. Analysis. Answers. Action.www.aphl.org How has LIMS helped Improve Care? Quality management (QC monitoring) Timely reporting of Test results and commodity Improved data management Patient’s Historical data monitoring Alerts- Provides routine notification on current testing status (workload and backlog)

12. MoH (NPHLS/DLSU) CDC-Kenya NASCOP CHAI (Clinton Health Access Initiative) Acknowledgment