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.

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Presentation transcript:

Analysis. Answers. Action. 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

Analysis. Answers. Action. 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)

Analysis. Answers. Action. Kenya Embraces ….. Kenya aims to meet the ambitious Treatment Targets released by UNAIDS in 2014, preparing to control the HIV epidemic by 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.

Analysis. Answers. Action. 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

Analysis. Answers. Action. CD4 and Viral Load Referrals Barcode Printer LIMS Database LIMS Reception PC Final Reporting / ing 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 ed

Analysis. Answers. Action. 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 - ing Results -Integration with Instruments -Data management -Lab Management Reports LIMS NASCOP

Analysis. Answers. Action. LIMS vs Manual VL Sample Processing

Analysis. Answers. Action. 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

Analysis. Answers. Action. SQC chats in LIMS

Analysis. Answers. Action. 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

Analysis. Answers. Action. 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)

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