APHL- Kenya Edwin Ochieng, Rufus Nyaga

 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 processes and tests. Key Terms (Process, Store and Manage)

 Since the Inception of LIMS over 20 years ago, LIMS has been regarded as a nice to have. However in this “Digital” era, this is quickly changing and LIMS is almost becoming a MUST have.  In Kenya, The journey of LIMS started 5 Years ago. With funding from (CDC through PEPFAR funding), APHL was able to find a LIMS vendor and used a Phased approach to its implementation.  Currently 12 sites are Running LabWare LIMS and 2 sites are running BLIS

BLIS LabWare LIMS Key

HRL (HIV Reference Lab) Central Microbiology Lab Central TB Reference Lab CPGH (Coast PGH) JOOTRH (Nyanza PGH) RVPGH (Rift Valley PGH) Nyeri PGH Kisii Level 5 Thika Level 5 Migori Level 4 Riruta H C PCEA Chogoria MH Phase I Phase II Phase III

Bungoma District Hospital Kapsabet District Hospital Currently 2 sites being implemented by another Partner. Site I Site II Role Out By Counties…??? Site Support Hospital

Entry of the Work list (Sample No done Manually on Inst PC / Screen) Barcode Printing LIMS Database LIMS Client PC Final Reporting / ing Results Results* Sample Reception Sample Collection Sample Pre Processing Results** Orders** NB: Bi-Directional Instrument do not require manual Work list entry

 Greatly reduced transcription errors  Significantly reduces Patient’s Waiting time  Where Bi-directional Interface is applicable, There is absolute elimination of human intervention when processing sample information

Barcode Printer LIMS Database LIMS Reception PC Final Reporting / ing Results Doctor Attending a Patient and Orders for Lab Test On HMIS NB: Results for samples that were not requested via HMIS are Printed Manually HMIS database Lab Requests Lab Results LIMS on Workstations

 Reduces double entry of Patient information  Improves data traceability since there is only one Patient ID generated by HMIS  Results are relayed in real-time to the Doctors hence significantly reducing the patient’s waiting time  “Foreign” Samples no longer gets into the lab. All samples on the bench MUST have a sample number generated by LIMS.

 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.  All samples run together a QC that failed, are flagged meaning their results are suspicious.

Commitment Time All Dreams Are Valid