>From my Lab Director as a followup post from last week. Thanks for all of the responses and for those interested she has detailed a JCAHO clarification below
Tommy Finley, CIO Rutherford Hospital 288 S Ridgecrest Ave. Rutherfordton, NC 28139 828-286-5529 _____ From: Lynn Reinhardt Sent: Tuesday, June 05, 2007 7:59 AM To: Tommy Finley Subject: Joint Commission and Report Date&Time Tommy, Can you forward the following message to the Meditech-L list so everyone can have the benefit of the answers received and clarification from Joint Commission. >From the variety of answers I got , a lot of labs are interpreting this differently....thanks.....Lynn **************************************************************************** ************* Thanks to everyone who responded to my request for help with Joint Commission and their standard requiring report date/time on the printed report. >From the variety of responses I got back, I can see that everyone has been interpreting this differently, and solving it in different ways. Many are using the report run date and time which didn't fly when we asked Joint Commission about that and the internal audit trail. No, the time of printing is not what they were getting at...they want the time the result is externally available and explained as the time of report completion, either final or preliminary. The problem with the RUN DATE/TIME is that it isn't static. It changes every time a report prints. We tried to use the internal audit trail as evidence, and they said that was acceptable to show test level detail, but that the printed report itself needed the reported date/time on it showing preliminary or final completion. >From what they provided, translated to Meditech, this is the date that a specimen goes to COMP status because at that point the results are externally available electronically even if the report itself prints later (and that opens a whole other can of worms of electronic availability vs paper report). Here is the clarification the Joint Commission Standards group sent to me.... "The intent of the EP is for the date and time of reporting to be physically present on the charted report. This means each laboratory report should have a single date and time of reporting, which reflects the time that report (preliminary or final) was released for use by a healthcare provider It is not the intent of the requirement to have the individual date and time printed for each analyte. Thus, Joint Commission will accept a single date and time of reporting printed on the report, either the preliminary or the finalized date and time. Then, if your organization can track the individual dates and times for each analyte in the LIS, that is sufficient for the audit trail." Tony Frith of the Meditech-L list and finally, Meditech provided the following Knowledge Based article that allowed us to capture the date/time the last test on a specimen is verified, causing the specimen to go to COMP status. It now prints on the first printing of the report and no matter how many times the report "reprints," it's still that same date and time which is what Joint Commission wants. Meditech solution 5/31/07: Article ID: 23428 Date: 1/4/2006 Published: 1/9/2006 Application: LAB Subject: Report Writer Platform: ALL LAB.L.SPEC: Printing the Most Recent Verify Date and Time A number of different tests can be performed on one specimen, to print the verified date and time of the last test which was verified for a completed specimen, you can use the following fields. Please note that the computed field xx.ver.date loops through tests which means that you do not want your detail segment to be the tests segment or any child segment of the tests segment or this code could produce an infinite loop. This code was used in a report which used the main (lab.l.specimen.file) segment as the detail segment. xx.ver.date: [EMAIL PROTECTED]"COMP" ""^VTM^test, [EMAIL PROTECTED](test) [EMAIL PROTECTED], VAL=%Z.date.in.magic([EMAIL PROTECTED])} xx.ver.time VAL=%Z.time.out([EMAIL PROTECTED]) The xx.ver.date field will loop through the tests and perform a maximum on the verify time field to produce the most recent verify time. This value is then used to produce the output. thanks Lynn Reinhardt, MT(ASCP) Laboratory Manager Rutherford Hospital, Inc. Rutherfordton, NC [EMAIL PROTECTED] ----------------------------------------- ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rutherford Hospital, Inc, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. 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