Embodiments of the present invention relate to systems and methods for specimen collection.
Generally, laboratory diagnostics were not easily and readily available for specimen collection at home. With the introduction of the Coronavirus Disease 2019, there has been a steady demand for providing healthcare services directly at home. However, within the context of on-demand laboratory diagnostics, this need has generally not yet been met. On-demand diagnostics may be highly beneficial because it may reduce barriers for patients and healthcare providers, alike, to complete the providers’ laboratory orders in an accessible and meaningful manner. However, on-demand diagnostics have generally not been readily available for patients, despite its demand. Additionally, on-demand diagnostics have generally not been introduced at a mass scale due to difficulties healthcare providers and laboratories face with integrating specimen collection order processing systems.
Specimen collection orders are often processed by interfacing with many different systems. Healthcare providers may process specimen collection results using and interfacing with one or more of electronic health record systems, specimen order management systems, digital specimen collection processing, and even outsource laboratory specimen collection to specimen collection processing systems designed particularly for specimen collection and drop off. Each of these systems generally have a particular integration. As a result, legacy specimen collection processing systems often must create a new integration compatible with each of the other systems with which it interfaces to provide the results of the specimen collection. The efforts expended to create new integrations compatible with each system are often duplicative, costly, and inefficient for specimen collection processing.
Aspects provide a toolkit for a specimen collection. The toolkit may include a housing to prevent ingress of liquids and/or particulates into the toolkit; a bottom portion formed by the housing; and a top portion formed by the housing. The bottom portion may include a first side region, a second side region, and a central region disposed between the first side region and the second side region. The top portion may be hingedly attached to the bottom portion. The top portion may include a central region and a handle disposed in the central region. A specimen container may be disposed in the first side region of the bottom portion. A band for specimen collection may be disposed in the second side region of the bottom portion. A sharps container for disposal of needles may be disposed in the central region of the bottom portion. A chux pad may be disposed in the central region of the top portion.
In some aspects, a test tube rack may be disposed in the first side region of the bottom portion. In some aspects, the test tube rack may include a serum separator tube, a colored additive tube, and a writing implement. In some aspects, adhesive may be disposed on the test tube rack. In some aspects, a first colored additive tube may be disposed in the first side of the bottom portion and may be selected based on a first specimen that is being collected. In some aspects, the first colored additive tube may be uncovered such that the first colored additive tube may be visible when the top portion is removed from the bottom portion. In some aspects, a second colored additive tube different from the first colored additive tube may be included. The second colored additive tube may be disposed in the first side of the bottom portion and may be selected based on a second specimen that is being collected, the second specimen being different from the first specimen. In some aspects, the sharps container may be heavier than the specimen container, the band, and the chux pad such that the sharps container may be disposed in the central region of the bottom portion and the specimen container, the band, and the chux pad may be disposed in the first side region or the second side region of the bottom portion. In some aspects, a biohazard container may be disposed in the central region of the top portion. In some aspects, a first container may include a first needle and a first infusion set and may be disposed in the first side region of the bottom portion. A second container may include a second needle and a second infusion set and may be disposed in the second side region of the bottom portion. In some aspects, personal protective equipment may be disposed in the second side region of the bottom portion. The personal protective equipment may include at least one of a glove, an alcohol swab, gauze, and a mask. In some aspects, a latch may secure the top portion of the toolkit to the bottom portion of the toolkit such that the first side region, the second side region, and the central region of the bottom portion may not accessible from the exterior of the housing.
Aspects provide a specimen collection storage. The storage may include a housing to prevent ingress of liquids and/or particulates into the storage; a bottom portion formed by the housing, a top portion formed by the housing; and a tray disposed between the top portion and the bottom portion to store supplies. The bottom portion may include a first side region, a second side region, and a central region disposed between the first side region and the second side region to store supplies. The top portion may be removably attached to the bottom portion and may include a recessed portion to store supplies. The tray may extend across the second side region and at least a portion of the central region. A tube rack may be disposed in the first side region or the second side region. A tachometer may be disposed in the first side region or the second side region. A mobile centrifuge to process the specimen collection may be disposed in the central region. A specimen container may be disposed in the tray.
In some aspects, a tube, a pipette, an alcohol swab, a glove, and adhesive may be disposed in the bottom portion. In some aspects, the specimen container may be lighter than the centrifuge such that the specimen container may be disposed in the tray and the centrifuge may be disposed in the central region. In some aspects, a band, a bandage, a glove, an alcohol swab, and adhesive may be disposed in the recessed portion of the top portion. A top cover to secure supplies may be disposed in the recessed portion.
Aspects provide a method of generating a process to collect a specimen. The method may include identifying a test to complete in a non-medical environment; sending a supply to complete the test; providing instructions to pack the supply in a location of a toolkit to complete the test; providing instructions to retrieve the supply from the toolkit in the non-medical environment; and providing instructions to collect the specimen in the non-medical environment.
In some aspects, the method may include providing instructions on storage requirements for the supply prior to the supply being packed in the toolkit. In some aspects, the supply may be packed at the location of the toolkit based on utilization of the supply. In some aspects, the method may include identifying a characteristic of the non-medical environment; and providing instructions to accommodate the characteristic of the non-medical environment. The characteristic of the non-medical environment may include at least one of seating options, noise, available space, and distractions.
The accompanying drawings are incorporated herein and form a part of the specification.
In the drawings, like reference numbers generally indicate identical or similar elements. Additionally, generally, the left-most digit(s) of a reference number identifies the drawing in which the reference number first appears.
Provided herein are system, apparatus, device, method and/or computer program product embodiments, and/or combinations and sub-combinations thereof, for adaptive specimen collection order processing. With the introduction of Coronavirus Disease 2019, many services are now provided within the home. With many people staying at home and working remotely, the benefits of on-demand diagnostics are innumerable. On-demand diagnostics would be invaluable for patients who are unable to coordinate phlebotomies beyond the home. Generally, coordination between patients and healthcare providers for laboratory diagnostics were cumbersome.
For example, traditionally, on-demand diagnostics were reserved for certain patients that qualified for a “home draw.” A “home draw” was essentially coined as the term for collecting and dropping off specimens within the patient’s home. While laboratories would offer this as a service, this was not readily available or advertised. Patients were generally required to coordinate a “home draw” with a healthcare provider in a complex manner, for example, using designated personnel to coordinate the “home draw.” Therefore, on-demand diagnostics was not readily available to the masses, despite its crucial need given the rising demand for on-demand healthcare services in light of the Coronavirus Disease 2019 pandemic.
Additionally, legacy specimen collection processing providers pose barriers for healthcare providers to seamlessly adopt and integrate specimen collection processing into their existing electronic health record systems, specimen order management systems, and other healthcare electronic systems. There are many variations of system interfacing in order to process specimen collection orders.
As a first example, for illustrative purposes, a small healthcare provider, such as a doctor’s office, may use an electronic health record system. An electronic health record system may be a system that stores real-time patient records, such as, a patient’s medical history, diagnoses, medications, treatment plans, laboratory test results, etc. In some circumstances, healthcare providers in a doctor’s office do not complete specimen collection orders themselves. In these circumstances, small healthcare providers or traditional doctor’s offices may not have in-house services to process specimen collection orders, so small healthcare providers may outsource specimen collection requests to laboratories. As a result, organizations managing specimen collection order processing often must create its own integration compatible with the small healthcare provider’s electronic health record system. Moreover, each small healthcare provider may have a different electronic health record system. Therefore, a different and direct integration may need to be created to be compatible with each and every small healthcare provider’s electronic health record system. This can lead to duplicative and costly efforts for organizations processing specimen collection orders.
As another example, for illustrative purposes, a large healthcare system containing multiple hospitals may need to outsource specimen collection orders. In some cases, an organization processing specimen collection orders may be involved as a reference laboratory. For example, many hospitals may have a pre-compiled list of specimen collection orders the hospital’s in-house laboratory can process. However, sometimes a hospital’s in-house laboratory may be unable to process certain specimen order requests. In these cases, a hospital may need to outsource other specimen collection tests that in-house laboratories are unable to process. These hospitals may refer this work to a reference laboratory processing specimen collection orders.
In this case, a healthcare provider operating within an electronic health record system may transmit a request to the specimen order management system of the hospital. A specimen order management system may be a system that processes, stores, and manages patient data related to laboratory processes and specimen collection. These specimen order management systems may manage this information to coordinate the workflow of in-house and outsourced specimen collection order processing.
Once the specimen order management system retrieves a specimen collection order, the hospital may make a decision on what the specimen collection orders that can be processed in-house and the specimen collection orders that will need to be outsourced to the reference laboratory. As a result, the reference laboratory may need to create a direct integration to the specimen order management system in order to receive specimen collection orders and send back specimen collection results. Again, each large healthcare provider may have a different specimen order management system. Therefore, a different and direct integration may need to be created to be compatible with each and every large healthcare provider’s specimen order management system. This can lead to duplicative and costly efforts for organizations processing specimen collection orders.
Regardless of the size and nature of the healthcare provider, organizations managing and processing specimen collection orders may need to create a particular integration for each system with which it is interfacing. This can be extremely cumbersome, costly, duplicative, and confusing for both organizations processing specimen collection orders and those receiving the results of specimen collection orders. Therefore, a technological solution is needed to reduce the barrier to adoption of a specimen collection order processing system with the use of test codes. In this solution, a healthcare provider can provide a test code with the specimen collection order request indicating which operational workflow they desire to process the request. Upon receipt of the test code, a specimen collection order processing system can route a specimen order request to different systems to process the specimen collection order without organizations having to create a separate integration compatible with each system.
Each time a new integration is implemented in a healthcare provider’s system, a healthcare professional would need to log into separate systems and learn how to manage and operate in the new system for reviewing specimen collection orders. However, with the introduction of test codes designated with each specimen collection order request, healthcare providers would not need to operate an entirely new integration in their systems just for reviewing specimen collection order results. Therefore, the use of test codes with specimen collection orders provides a technological solution to a technical problem healthcare providers face by eliminating the need to integrate a new system for specimen collection order processing.
Test code 130 may be a unique test code for system 100 to adaptively route a specimen collection order based on the specific processing needs of specimen order request 125. For example, healthcare provider 110 may input selective specimen processing test code 131 as part of specimen order request 125. Selective specimen processing test code 131 may be a test code indicating that specimen order request 125 to specimen processing module 150. Selective specimen processing test code 131 may be used when a healthcare provider 110 wants to selectively choose when and for which orders specimen order request 125 will be transmitted to specimen processing module 150.
Accordingly, if specimen order request 125 contains selective specimen processing test code 131, specimen order management system 120 transmits specimen order request 125 to specimen processing module 150 for that particular specimen order request 125. Therefore, when selective specimen processing test code 131 is provided with specimen order request 125, healthcare provider 110 may need to provide selective specimen processing test code 131 again for the next specimen order request 125.
Specimen order request 125 may also contain an automated specimen processing test code 132. In many circumstances, healthcare providers 110 may transmit specimen order requests 125 to different systems. However, if a healthcare provider 110 anticipates that all specimen order requests 125 will ultimately be processed by specimen processing module 150, healthcare provider 110 may provide automated specimen processing test code 132. As a result, healthcare provider 110 will not need to provide selective specimen processing test code 131. Instead, healthcare provider 110 may provide only automated specimen processing test code 132. Accordingly, when specimen order management system 120 receives a specimen order request 125 associated with the customer number of healthcare provider 110, specimen order management system 120 may automatically route specimen order request 125 to specimen processing module 125. As a result, healthcare provider 110 may not need to provide a test code 130 for every specimen order request 125.
Specimen order request 125 may also contain a specimen collection module test code 133. Specimen collection module test code 133 may be used to enable a workflow for specimen collection and drop-off. If healthcare provider 110 anticipates all specimen order requests 125 will ultimately be processed through specimen processing module 150, but is limited to specimen collection and drop-off, healthcare provider 110 may provide specimen collection module test code 133 to indicate specimen processing module will only process specimen order request 125 for specimen collection and drop-off.
Therefore, without expending additional resources for processing specimen order request 125, specimen order management system 120 may transmit specimen order request 125 directly to specimen processing module 150 for a narrow processing purpose, such as specimen collection and drop-off. Specimen collection module test code 133 may include a “Date of Collection” parameter as part of specimen order request 125 to streamline specimen collection and drop-off. Therefore, if specimen order request 125 contains specimen collection module test code 133, specimen order management system 120 may transmit specimen order request 125 directly to specimen processing module 150 for the purpose of processing specimen collection and drop-off.
Specimen processing module 150 may be a master data repository for all laboratory specimen order requests 125. Specimen processing module 150 may be a relational database, a NoSQL database or other horizontally scaling database, or any other database adhering to a suitable database design methodology. In some embodiments, specimen processing module 150 may implement a centralized storage area network (SAN), network-attached storage (NAS), redundant array of independent disks, and/or any other configuration of storage devices to supply sufficient storage capacity to store database tables and supporting structures. Sufficient storage may alternatively exist in any other physically attached magnetic storage, cloud storage, or additional storage medium. In some embodiments, specimen processing module 150 may deploy a hard-disk interface, such as ATA, SATA, SCSI, SAS, and/or fibre for interfacing with storage mediums.
By retrieving test code 130, system 100 may adaptively route a specimen collection order based on the specific needs of a healthcare provider 110 without needing to create a separate system compatible with each specimen order management system 120 for specimen collection order processing. Once specimen processing module 150 retrieves a specimen order request 125, eligibility processing module 151 determines whether specimen order request 125 can be processed based on test code 130. Eligibility processing module 151 compares the retrieved test code 130 to test codes eligible for processing through specimen processing module 150, including, but not limited to, selective specimen processing test code 131, automated specimen processing test code 132, or specimen collection module test code 133.
If eligibility processing module 151 determines the retrieved test code 130 matches one of these qualifying test codes, eligibility processing module 151 may transmit the eligible order request 152 for processing. Eligible order request 152 may include a communication notification 153, communication template 154, and/or appointment information 155. Once eligibility processing module 151 denotes specimen order request 125 as an eligible order request 152, specimen processing module 150 may provide a communication notification 153 including an email and/or SMS notification to the patient with appointment links to schedule the appointment. Communication notification 153 may also be generated using a communication template 157 that can customize the format of communication notification 153 and/or appointment information 155 that can be customized based on the specific needs of a specimen processing module 150 end-user.
Interfacing or interconnection among various systems and layers, e.g., specimen order management system 120, specimen processing module 150, and laboratory system 190, may employ any number of mechanisms, such as any number of protocols, programmatic frameworks, or application programming interfaces (API). In some embodiments, specimen order management system and specimen processing module 150 may connect with APIs. APIs may be configured with a particular service type, including, but not limited to, JSON (JavaScript Object Notation), Representational State Transfer (REST or RESTful web services), Extensible User Interface Protocol (XUP), Simple Object Access Protocol (SOAP), XML Schema Definition (XSD), XML Remote Procedure Call (XML-RPC), Message Queue (MQ), or any other service protocols known to a person of ordinary skill in the art.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) law, it is crucial to protect a patient’s data by implementing rigorous cybersecurity measures. Accordingly, a healthcare provider 110 may provide information for sending an API request from specimen order management system 120 to specimen processing module 150 for particular information related to an eligible order request 152. Specimen processing module 150 may be configured with particular functional calls to securely provide patient information related to eligible order request 152 to protect patient’s privacy and confidentiality. The functional calls in specimen processing module 150 may easily be modified. This reduces and narrows the amount of functional calls a specimen order management system 120 may have access to. As a result, not all functional calls are exposed to specimen order management system 120, which may significantly reduce the risk of a cybersecurity and privacy attack for any one of these systems.
Patient system 160 may be a graphical user interface through which a patient schedules and manages a specimen order request 125. Patient system 160 may include an appointment processing module 161, appointment notifications 162, appointment review module 163, appointment feedback input 164, appointment status 165, and appointment status map 166. In order to schedule an appointment for the specimen order request 125, a patient may access an appointment link via email and/or SMS in the appointment processing module 161. A patient may choose a date and time of an appointment and choose a home or office location for the specimen order request 125 within the appointment processing module 161. Based on the patient demographics 136, the appointments in the appointment processing module 161 may be presented to a patient as appointment slots based on health professionals assigned to the patient’s geographic demographics and the availability of the health professionals to perform specimen collection for the selected date and time.
While scheduling the specimen collection, a patient may opt-in to receive appointment notifications 162 that may include notifications related to the eligible order request 152. Specimen processing module 150 may configure appointment notifications 162 and may retrieve patient’s consent to receive appointment notifications for compliance with legal requirements. A patient, through the appointment review module 163, may review the details of the upcoming appointment for the specimen collection, opt-in to receive appointment notifications 162, and provide appointment feedback input 164, such as information related to appointment location and other relevant information a patient may want to share in advance of the scheduled appointment, to enable a health professional to better prepare for the appointment. A patient may then submit the appointment for the eligible order request 152.
Upon the patient submitting the appointment, the specimen order dispatch module 170 may retrieve the appointment for the eligible order request 152. Specimen order dispatch module 170 may be a backend of system 100 configured to process dispatching the eligible order request 152. Specimen order dispatch module 170 may include an order scheduling module 171, specimen order deployment module 174, and/or a specimen extraction instruction module 177. Order schedule module 171 may process eligible order requests 152 using a specimen order queue 172. Health professionals may configure incoming eligible order requests 152 by configuring the order of these requests in a specimen order queue 172. Healthcare providers may configure specimen order queues 172 to initiate the operational workflow for the scheduled specimen collection. Health professionals may provide their location, availability, and other information to enhance specimen collection dispatch.
Once the appointment is retrieved, specimen order dispatch module 170 may create an object representing a job, according to some embodiments. System 100 may determine which health professionals is suitable for fulfilling the specimen collection appointment. Order schedule module 171 may consider the availability and other information of healthcare professionals to allocate the job corresponding to the retrieved eligible order request 152. Order scheduling module 171 may configure the specimen order queue 172 to eliminate any overlapping specimen collection appointments among health professionals.
In addition to information related to health professionals, specimen order dispatch module 170 may also use information retrieved from or related to a patient to configure specimen order deployment. Specimen order deployment module 173 may consider the location of the patient to configure specimen order queue 172 using region configuration module 174. Region level zip codes are loaded onto the backend of specimen processing module 150 within specimen order dispatch module 170. Specimen order deployment module 173 may use availability templates 175 configured to determine whether specimen processing module 150 is serviceable in a particular region based on whether any health professional is available in the region.
Using the address and zip code retrieved from the patient, region configuration module 174 may determine whether a health professional is aligned to the corresponding region. Based on this determination, specimen order deployment module 173 may provide feedback regarding whether specimen processing module 150 is serviceable in the provided region for the scheduled specimen collection. Region configuration module 174 may also customize region configuration to provide flexible scheduling based on the needs of a specific region. Additionally, specimen order deployment module 173 may include custom lead time 174 in which regions are set with a custom lead-time that provides additional travel time as a buffer for health professional traveling to the patient for a scheduled specimen collection, which allows for smooth resource scheduling.
Additionally, specimen order dispatch module 170 may include a specimen collection instruction module 177 to configure the workflow of specimen collection and drop-off. Accordingly, for a health professional to perform the specimen collection, specimen extraction instruction module 177 may retrieve guidance and instructions for the health professional performing specimen collection and or drop-off.
Specimen order dispatch module 170 may also include a module for specimen quality control 178. Specimen order dispatch module 170 may schedule the appointment for eligible order request 125 based on whether the specimen would retain its quality. Specimen order dispatch module 170 may analyze the potential quality of the specimen based on the region in which the patient is located. For example, considering the temperature in the region, specimen order dispatch module 170 may determine a timeframe within which the specimen would need to be collected and dropped off. Based on this timeframe, specimen order dispatch module 170 may determine a health professional that would be able to perform the scheduled specimen collection within that timeframe while the specimen is still able to retain its quality.
If specimen order dispatch module 170 determines that a health professional was previously scheduled for the specimen collection, but that the specimen would lose its quality based on the health professional’s location and other information, specimen order dispatch module 170 may determine another health professional that would be able to perform the specimen collection while the specimen retains its quality. Specimen order dispatch module 170 may consider any number of factors known to a person of ordinary skill in the art to determine how to schedule a health professional for the ordered specimen collection in order to retain and control the quality of the specimen.
After processing the appointment for eligible order request 152, specimen order dispatch module 170 may transmit information related to the scheduled appointment for eligible order request 152 to patient system 160. Patient system 160 may include an appointment status 165 and appointment status map 166 to apprise the patient of information related to the upcoming specimen collection. Appointment status 165 may be configured to notify the patient with confirmation details of the appointment for the eligible order request 152 and a link to a page with the appointment status 165. The link may display instructions for the patient related to the upcoming specimen collection appointment and may also include contact information for a health professional. Appointment status 165 may display the timeline and progress of fulfilling the specimen collection appointment for the eligible order request 152.
Prior to the scheduled specimen collection appointment, patient system 160 may update appointment status 165 of eligible order request 152 as the health professional proceeds to the patient’s location. The patient may receive notifications as the health professional is en-route to the patient’s location to perform the scheduled specimen collection. The patient may access an appointment status map 166 that displays the location of the health professional in a map. Patient system 160 may update and display the updated location of the health professional and the patient may track the health professional in real-time within appointment status map 166. Patient system 160 may transmit a notification as the health professional arrives at the patient’s location. Patient system 160 may also transmit various notifications based on the health professional executing different events for completing the eligible order request 152.
Once the health professional has arrived at the patient’s location, the health professional may perform the scheduled specimen collection with the use of a toolkit 500 and a storage 600 (
Toolkit 500 may be functional in non-medical environments, such as homes and offices. Any supplies 550 required for the scheduled specimen collection may be contained. Additionally, a health professional may be instructed on how to use toolkit 500 safely and efficiently via one or more SOPs. SOPs may define the requirements for toolkit 500 to ensure compliance with proper specimen collection. SOPs may be generated and approved by qualified personnel in accordance with the CLSI standards and guidelines. The SOPs may be periodically reviewed, such as annually.
Toolkit 500 may be self-contained, for example, by securely containing all supplies 550 needed for the scheduled specimen collection. In addition, toolkit 500 may be constructed to prevent crossover contamination of collected specimens. Each of supplies 550 and any collected specimens may be arranged within toolkit 500 in an organized and secure manner to maintain the integrity of the same. The exterior and interior surfaces of toolkit 500 may comprise a plastic or a coating material to keep toolkit 500 and its components clean and dry. The material of toolkit 500 may also permit easy cleaning and wipe down after specimen collection. Toolkit 500 may also be comprised of an impermeable material to prevent contamination. Because specimen collection appointments are in non-medical environments, it may be helpful to have a discrete toolkit 500 and supplies 550. Health professionals may easily carry toolkit 500 if it is smaller, and some non-medical environments may better support smaller toolkits 500. For example, environments that are compact and/or crowded may benefit from smaller toolkits 500. Thus, the arrangement and organization provided by toolkit 500 may reduce the size needed for toolkit 500.
Providing toolkit 500 in this way may be advantageous for non-medical environments that may be susceptible to risk with respect to specimen collection. This may introduce contaminants into the environment, such as by contacting surfaces and/or others. Retrieving and storing a specimen without exposing it to potentially contaminated environments may facilitate effective and safe specimen collection. Patients may experience seamless specimen collection as a result.
Other aspects that may influence the patient experience may include collection time. Toolkit 500 may be optimized to provide health professionals with quick and easy access to applicable supplies 550. In this way, patients may be able to provide a specimen and return to their day with minimal disruption. In contrast, a dedicated lab service location may require patients to travel and wait for specimen collection. Health professionals using toolkit 500 may be provided with SOPs to consider these variables in various non-medical environments. For example, homes or offices may be crowded or noisy. Additionally, children and/or pets may cause activity in the vicinity of a specimen collection appointment, which may be distracting. Accordingly, SOPs may require health professionals to be organized and efficient to safely and effectively collect specimen. SOPs may provide instructions on safe collection and how to minimize distraction.
Another aspect that may influence the patient experience is safety. Safe collection may be facilitated by providing instructions to that end via SOPs. For example, a health professional may be instructed on retrieval of supplies 550 from toolkit 500, usage of supplies 550 with patients, and return of supplies 550 to toolkit 500. Supplies 550 may be accounted for throughout a specimen collection appointment. Accordingly, supplies 550 that may be unsafe to handle (e.g., needles) are controlled by the health professional to prevent injury.
Setting up toolkit 500 may include receiving, organizing, and packing supplies 550. A health professional may receive supplies 550 in one or more shipments. The inventory of supplies 550 may include supplies 550 specific to an eligible test. Examples of eligible tests categories include venipuncture, urine, and Covid-19 polymerase chain reaction (RT-PCR) collections. Frequently ordered tests include comprehensive metabolic panel (CMP), complete blood count (CBC), hemoglobin A1c, thyroid stimulating hormone (TSH), and Covid-19 RT-PCR. Eligible tests include tests for which collection of appropriate specimen is facilitated by the systems and methods described herein. These tests require following standards and regulations for laboratory testing and may incorporate endocrine/thyroid functions, general health screening, specific diagnostic monitoring, allergens, etc. Test-specific supplies are provided along with SOPs on storage requirements to maintain specimen integrity, which may include information on temperature, for example. Many supplies 550 may be applicable to multiple tests and may be cross-utilized as many tests have the same or similar collection requirements.
One or more of the shipments may contain an inventory list that may be cross-referenced with the received supplies 550 to ensure that the health professional received all the supplies 550 listed in the denoted quantities. The shipping containers themselves may be stored for subsequent use, such as if one or more supplies 550 need to be returned to the supplier.
After conducting an inventory check of the received shipment(s), a health professional may organize supplies 550 within toolkit 500. Not all supplies 550 may be required for a scheduled specimen collection. Therefore, a storage location may be designated to store excess inventory. The health professional may identify and designate a clean, dry, and secure location to safely store any excess inventory. SOPs may provide information on temperature requirements. Additionally, a health professional may be instructed to maintain supplies 550 in a neat area free of clutter. Like supplies 550 may be maintained together to keep the designate storage area organized. For example, personal protective equipment (PPE) and test tubes may each be grouped and stored together exterior to toolkit 500 for organization, accessibility, and later inclusion in toolkit 500. The inventory list(s) provided in the received shipment(s) may also be maintained at the designated storage location to assist the health professional in periodically assessing inventory stock levels to resupply toolkit 500.
Prior to packing supplies 550 and/or prior to the scheduled specimen collection, the surfaces of toolkit 500 may be decontaminated. A health professional may periodically clean and decontaminate toolkit 500, to ensure that toolkit 500 may be safely brought into non-medical environments during specimen collection. SOPs may instruct a health professional on how to clean surfaces of toolkit 500. Additionally, prior to a scheduled specimen collection (e.g., the night before), the health professional may review the upcoming specimen collection and information related to any supplies 550 required for conducting the collection. After reviewing the requisitions of every upcoming specimen collection, the health professional may pack toolkit 500 with adequate supplies 550 for the tests ordered for each collection. Post-collection of the specimen, the health professional may replace any used supplies 550 from the health professional’s designated storage location and/or obtain a new shipment of inventory.
Packing toolkit 500 may require a health professional to follow one or more SOPs. SOPs may instruct a health professional to first decontaminate toolkit 500 and/or review the upcoming specimen collection and information related to any supplies 550 required for conducting the specific specimen collection. Additionally, SOPs may direct the health professional to add and organize supplies 550 in specific areas within toolkit 500. Supplies 550 may be organized by utilization according to some embodiments. Utilization may include increasing efficiency and minimizing error and delays. For example, supplies 550 may be organized so that everything needed for the collection is easily retrievable by the health professional during the specimen collection. This may include having supplies 550 be visible and/or arranged within arm’s length for the health professional. Based on the scheduled specimen collection, this organization may be modified. If a particular specimen collection requires select supplies 550, these priority supplies 550 may be readily available within toolkit 500, rather than buried under other supplies 550 or hidden from view. Organizing by utilization may lessen the burden on health professionals to provide quick and seamless collection. Patients may also experience greater satisfaction, as collection may be simple and personalized.
Organizing supplies 550 may also take into consideration weight distribution of supplies 550 within toolkit 500, overall weight of toolkit 500, and toolkit 500 dimensions for holding supplies 550 within toolkit 500. Further, organizing supplies 550 within toolkit 500 may take into consideration needs of the health professional. For example, if the health professional is left-handed, priority supplies 550 may be organized to be easily reachable by the health professional’s left hand. The patient’s needs may be similarly considered. For example, if the patient is left-handed and the scheduled collection requires drawing blood, the patient may desire for blood to be drawn from their right, or non-dominant, arm. Toolkit 500 may be organized to allow the health professional to best collect while being positioned on the right side of the patient. SOPs may additionally instruct the health professional on how and where to sit or stand to conduct the specimen collection. For example, the patient being seated on a stool may introduce risk into the specimen collection process or specimen collection. In contrast, the patient sitting on a chair with a back and arm rests may facilitate proper specimen collection.
A health professional may also be instructed on securing toolkit 500 before visiting a non-medical environment and after specimen collection. Contaminating the collected specimen, as well as securing the chain of custody of collected specimen are concerns when conducting a mobile operation. Toolkit 500 may be constructed to facilitate security and authorization. For example, toolkit 500 may include locking mechanisms that are operable by authorized users only, such as the healthcare professional that services toolkit 500. SOPs may provide instructions to actuate a locking mechanism of toolkit 500 during travel and when not in use for specimen collection. Accordingly, the health professional may lock toolkit 500 after packing it with supplies 550 and after collecting specimen. In some embodiments, the locking mechanism is a latch 503. Latch 503 may be a bailing latch to secure top portion 520 of toolkit 500 to bottom portion 540. More than one health professional may be authorized to access the same toolkit 500. For example, multiple health professionals dispatched to the same location may be authorized to access toolkit 500. Multiple health professionals may be dispatched if additional support is required.
With reference to
Several supplies 550 may be included in toolkit 500. These supplies 550 may include cross-utilized supplies 550 and supplies 550 specific to the scheduled specimen collection. For example, supplies 550 added to toolkit 500 may include one or more of a container 552 (e.g., for sharps), a tube rack 554, a band 568 (e.g., a tourniquet), first needles 570 (e.g., black needles), second needles 572 (e.g., green needles), an infusion set 574 (e.g., a butterfly), gloves 576, an alcohol swab 578, gauze 580, a needle holder 582, a mask 584 (e.g., a disposable mask), adhesive 586 (e.g., a paper tape roll), hand sanitizer 588, a specimen container 590 (e.g., a small bag), a chux pad 592, a biohazard container 594 (e.g., a drawstring biohazard bag or green bag), and/or PPE 596. These supplies 550 may be arranged in one or more containers.
Supplies may be applicable to multiple tests and may be cross-utilized for specimen collections. Needles, gauze, alcohol swab, needle holder, tape, tubes, and tourniquets may be used for venous collections, for example. Some tests may require additional processing beyond specimen collection, such as centrifuging and aliquoting plasma. Accordingly, additional supplies may be required for different tests. Needle selection may be based on venous sufficiency. Needles, for example, first needles 570 and second needles 572, may have different sizes, or gauges. First needles 670 may be small gauge needles (e.g., 22 gauge (G) black needles) to facilitate draws in pediatric or small veins. Second needles 572 may be standard needles (e.g., 21G standard needles). Infusion set 574 may be used for more challenging collections.
Generally, supplies 550 for a scheduled specimen collection may be contained within toolkit 500 in bottom portion 540. When not being prepared for a scheduled specimen collection, toolkit 500 may store supplies 550 in top trays 532, for example excess supplies 550. One or more top trays 532 may be disposed on top end 522 and may be removable from toolkit 500 according to some embodiments. Top trays 532 may include bottom ends 534 that are received in the recessed first side region 526 and second side region 530. Prior to the scheduled specimen collection, top trays 532 may be removed and kept at the designated storage location for maintaining excess inventory.
To pack toolkit 500, bottom portion 540 is uncovered by removing top portion 520. Bottom portion 540 may include a first side region 542, a central region 544, and a second side region 546. The composition of bottom portion 540 is described below. It should be understood that the order of presentation is not necessarily the order in which supplies 550 may be placed. In some embodiments, latch 503 may secure top portion 520 of toolkit 500 to bottom portion 540 such that first side region 542, central region 544, and second side region 546 of bottom portion 540 are not accessible from the exterior of the housing of toolkit 500.
As shown in
Tube rack 554 may support one or more of serum separator tubes (SSTs) 556, first tubes 558 (e.g., lavender tubes), second tubes 560 (e.g., blue tubes), and third tubes 562 (e.g., red tubes). In another aspect, tube rack 554 may also include writing implements, such as sharpie™ markers 564, and/or pens 566.
Supplies 550 may be included to maintain specimen integrity. Tube selection may be based on the test for which specimen is being collected. Tubes, for example, first tubes 558, second tubes 560, and third tubes 562, may be color-coded. Tubes may be topped with color coding. Color coding the tubes may be based on the additives contained in the tubes (e.g., anticoagulants, stabilizers, etc.). For example, first tubes 558 may be color-coded with lavender to indicate that first tubes 558 contain ethylenediamine tetraacetic acid (EDTA) additives which prohibit the blood from coagulating and stabilize the specimen to maintain values as they would be in situ. First tube 571 may be used for specimens that require ambient, refrigerated or frozen temperature, but not protection from light. Second tube 573, for example, may be amber transfer tubes that protect the collected specimen from light.
After positioning tube rack 554 in bottom portion 540, one or more of these items may be placed in tube rack 554. In an aspect, approximately one to approximately 15 SSTs 556 may be included, such as approximately 12 SSTs 556; approximately one to approximately 15 first tubes 558 may be included, such as approximately 8 first tubes 558; approximately one to approximately 15 second tubes 560 may be included, such as approximately 9 second tubes 560; approximately one to approximately 15 third tubes 562 may be included, such as approximately three third tubes 562; approximately one to approximately five sharpies™ 564 may be included, such as approximately one sharpie™ 564; and approximately one to approximately five pens 566 may be included, such as approximately one pen 566. On top of tube rack 554 with one or more of these items added, adhesive 586 and/or hand sanitizer 588 may be added. For example, approximately one to approximately five adhesive 586 items may be included, such as approximately two adhesive 586 items; and approximately one four-ounce hand sanitizer 588 may be included.
One or more specimen containers 590 may be placed in first side region 542. For example, approximately one to approximately 15 specimen containers 590 may be included, such as approximately five to approximately 10 specimen containers 590.
A container 595 (e.g., an original needle case with a perforated top) may be placed in first side region 542 in front of tube rack 554 to contain one or more first needles 570 and/or second needles 572. For example, approximately five to approximately 15, such as approximately eight of each of first needles 570 and second needles 572 may be included. In the same container 595 that contains first needles 570 and/or second needles 572, one or more infusion sets 574 may be included. For example, approximately five to approximately 15 infusion sets 574 may be included, such as approximately 10 infusion sets 574.
A container 598 (e.g., a 3″ × 2″ × 3″ container) may be placed to the right of container 552 in second side region 546. In an aspect, container 598 may contain one or more bands 568 for specimen collection. For example, approximately five to approximately 15 bands 568 may be included, such as approximately 10 bands 568.
A container 591 (e.g., a 4″ × 4″ container) may be positioned in second side region 546. In an aspect, container 591 may be positioned to the right of container 598. In an aspect container 591 may contain one or more of first needles 570, second needles 572, infusion sets 574, and gloves 576. Approximately five to approximately 15 gloves 576 may be included in container 591, such as approximately 10 gloves 576. A container 593 (e.g., a 6″ × 4″ × 2″ container) may be placed in second side region 546 to contain alcohol swabs 578, gauze 580, and needle holders 582 to the right of container 591 containing first needles 570, second needles 572, infusion sets 574, and gloves 576. Approximately half a pack of gauze 580 may be added. Additionally, approximately five to approximately 30 alcohol swabs 578 may be included, such as approximately 15 alcohol swabs 578; and approximately five to approximately 30 needle holders 582 may be included, such as approximately 10 to approximately 15 needle holders 582. Masks 584 may be placed in second side region 546 behind container 593 containing alcohol swabs 578, gauze 580, and needle holders 582. Approximately one to approximately 15 masks 584 may be included, such as approximately five to approximately 10 masks 584.
Once all of the supplies 550 are added and organized in toolkit 500, a health professional may close bottom portion 540 by adding top portion 520 (
SOPs may instruct a health professional to pack items in addition to toolkit 500 for a scheduled specimen collection. As shown in
Storage 600 may include everything needed to process a collected specimen, such as a specimen collected using toolkit 500. As with toolkit 500 (
Most supplies 550 for a scheduled specimen collection may be contained within storage 600 in bottom portion 640. However, as shown in
Bottom portion 640 may be covered by top portion 620.
Larger and/or heavier supplies 550 may be included in bottom region 644 of bottom portion 640. One or more tube racks 554, mats 579, tachometers 581, centrifuges 583, power sources 585, and sanitizing wipes 587 may be placed in bottom region 644. For example, approximately one to approximately 15 tube racks 554 may be included, such as approximately one tube rack 554; approximately one to approximately two mats 579 may be included, such as approximately one mat 579; approximately one to approximately two tachometers 581 may be included, such as approximately one tachometer 581; approximately one to approximately two centrifuges 583 may be included, such as approximately one centrifuge 583; approximately one to approximately five power sources 585 may be included, such as approximately two power sources 585; and approximately one to approximately 100 sanitizing wipes 587 may be included, such as approximately 75 sanitizing wipes 587.
As shown in
Once both toolkit 500 and storage 600 are ready and supplied as described herein, a health professional may proceed to a scheduled specimen collection appointment. As shown in
Post-collection of the specimen, mat 579 may be removed from storage 600 and placed in front of the front passenger seat, which may be moved back to provide additional floor space. Centrifuge 583 may be removed from storage 600 and placed flush on mat 579 for use. Mat 579 may provide heat protection and stabilize centrifuge. For example, centrifuge 583 may include a suction cup that secures to mat 579 and reduces vibration. After specimen processing is completed in centrifuge 583, a specimen box 700 containing the specimen may be sealed and placed on mat 579 and centrifuge 583 may be moved back into storage 600. A health professional may be instructed on the speed and temperature of centrifuge 583 to ensure proper operational parameters.
Many tests require centrifugation within a designated time period from the time of collection. Storage 600 facilitates timely centrifugation, allowing for viable specimens processing. Operational perimeters for centrifugation may be defined by the tube manufacturers and by specimen collection requirements for various tests. Ensuring the specimens are centrifuged at the appropriate time intervals, for the appropriate amount of time, and at correct speeds may ensure a properly prepared specimen for testing. Centrifuge 583 selection and control parameter preservation may facilitate the specimen processing while ensuring specimen integrity.
SOPs may instruct health professionals to charge centrifuge power sources prior to a scheduled specimen collection (e.g., the night before). Vehicle 10 and/or portable batteries may be charged to full capacity to facilitate centrifuge operation to collect data at exact timed intervals. Centrifuge 583 cycling may require prolonged power (e.g., from vehicle 10 and/or portable battery power sources) to achieve an appropriate centrifuge speed on each run, where runs may be completed during some or all of a testing day. For example, an appropriate centrifuge speed for a six-minute run may be between approximately 3300 revolutions per minute (RPM) and approximately 4000 RPM, such as between approximately 3310 RPM and approximately 3500 RPM, such as between approximately 3350 RPM and approximately 3450 RPM. Centrifuge 583 selection may be based on speed consistency during each run during a testing day. Other selection criteria to improve mobile phlebotomy performance may include size, weight, and portability. As discussed above, centrifuge 583 may be approximately ten pounds or less to fit well in vehicle 10, such as approximately nine pounds. Additionally, centrifuge 583 may include a suction cup base for adherence to mat 579 for stabilization. Examples of market devices that meet specifications for centrifuge 583 based on testing include the LW Scientific MXU and E8.
Toolkit 500 (
As shown in
Similar to toolkit 1500, toolkit 2500 shown in
Any of toolkit 500 (
Referring again to
Specimen completion module 180 may store the necessary steps for specimen collection completion. These steps may be customized based on scheduled specimen collection for eligible order request 152. Specimen documentation 181 may determine whether all the appropriate results of the specimen collection have been retrieved and/or whether all the necessary steps of the specimen collection have been performed, which may provide an audit trail for every step of the specimen collection. Specimen completion module 180 may also include specimen collection completion customization 182 for post specimen collection processing.
Post specimen collection, a health professional may drop off the specimen collected for eligible order request 152 at a laboratory system 190 based on the type of collection. Laboratory system 190 may be any designated drop-off location or laboratory. In some embodiments, specimen collection results 184 may be transmitted to patient system 160 to display to the patient the results of the specimen collection within a patient portal or HIPAA compliant interface. Specimen collection results 184 may be information compliant with HIPAA that a patient accesses in a patient portal post specimen collection.
A health professional may then close eligible order request 152 by designating the request with a completion test code 183 to indicate that the specimen collection and drop-off has been completed. Specimen collection completion module 180 may transmit completion test code 183 to eligibility processing module 151, specimen order dispatch module 170, and/or patient system 160. Eligibility processing module 151, specimen order dispatch module 170, and/or patient system 160 may update the test code 130 associated with eligible order request 152 to indicate that the specimen collection has been completed.
After specimen processing module 150 retrieves specimen order request 125, eligibility processing module 151 may determine that specimen order request 125 is an eligible order request 152 based on whether the retrieved test code 130 is a qualifying test code. Once eligibility processing module 151 determines that specimen order request 125 is an eligible order request 152, specimen processing module 150 may transmit a communication notification 153 to patient system 160 including an email and/or SMS notification to the patient with appointment links to schedule the visit. As a security measure, these appointment links may be unique to each eligible order request 152. As shown in
In addition to determining whether a specimen order request 125 is an eligible order request 152 with test code 130, specimen processing module 150 may also process a specimen collection appointment based on a healthcare provider’s lab order submitted by the patient to patient system 160. As shown in
Once specimen processing module 150 determines specimen order request 125 is an eligible order request 152 either based on retrieved test code 130 or a patient’s submission of a specimen order request 125, specimen processing module 150 transmits a communication notification 153 to patient system 160 including an email and/or SMS notification to the patient with appointment links to schedule the visit. As shown in
As shown in
Once the patient has reviewed the appointment information, a patient may then submit the appointment for the eligible order request 152. As shown in
Once the appointment is retrieved, specimen order dispatch module 170 may create an object representing a job, according to some embodiments. System 100 may determine which health professional is suitable for fulfilling the specimen collection appointment. Order schedule module 171 may consider the availability and other information of a health professional to allocate the job corresponding to the retrieved eligible order request 152. Order scheduling module 171 may configure the specimen order queue 172 to eliminate any overlapping specimen collection appointments among health professionals.
In addition to information related to health professionals, specimen order dispatch module 170 may also use information retrieved from or related to a patient to configure specimen order deployment. Specimen order deployment module 173 may consider the location of the patient to configure specimen order queue 172 using region configuration module 174. Region level zip codes may be loaded onto the backend of specimen processing module 150 within specimen order dispatch module 170. Specimen order deployment module 173 may use availability templates 175 configured to determine whether specimen processing module 150 is serviceable in a particular region based on whether any health professional is available in the region. Using the address and/or zip code retrieved from the patient, region configuration module 174 may determine whether a health professional is aligned to the corresponding region.
Based on this determination, specimen order deployment module 173 may provide feedback regarding whether specimen processing module 150 is serviceable in the provided region for the scheduled specimen collection. As shown in
As shown in
After completing the scheduled specimen collection, a health professional may access a specimen collection completion module 180 to document and process results from the scheduled specimen collection. Specimen collection completion module 180 may include specimen documentation 181 for documenting the results of the scheduled specimen collection. A health professional may provide digital evidence of the specimen collection to specimen documentation 181. For example, a health professional may provide completion notes or photographs of the collected specimen and attach it to the job for the eligible order request 125. Specimen documentation 181 may retrieve the results of the specimen collection and monitor for specimen collection completion. In some embodiments, specimen collection results 184 may be transmitted patient system 160 to display to the patient the results of the specimen collection within a patient portal or HIPAA compliant interface. As shown in
Additionally, specimen documentation 181 may determine whether all the appropriate results of the specimen collection have been retrieved and/or whether all the necessary steps of the specimen collection have been performed, which may provide an audit trail for every step of the specimen collection. As shown in
At 305, specimen order management system 120 retrieves a specimen order request 125 from a healthcare provider 110. A healthcare provider 110 may access system 100 to place an adaptive specimen collection order based on a patient’s needs. Healthcare provider 110 may place an adaptive specimen collection order by providing relevant information as an input to specimen order management system 120. Specimen order management system 120 may be a graphical user interface through which the healthcare provider 110 submits a specimen order request 125 as an input. Specimen order request 125 may be a specimen collection order with information including, but not limited to, test code 130, patient information 135, patient demographics 136, and patient contact information 137. Test code 130 may be a unique test code for system 100 to adaptively route a specimen collection order based on the specific processing needs of specimen order request 125.
At 310, specimen order management system 120 determines whether specimen order request 125 contains a test code 130. Test code 130 may be a unique test code for system 100 to adaptively route a specimen collection order based on the specific processing needs of specimen order request 125. Healthcare provider 110 may input selective specimen processing test code 131, automated specimen processing test code 132, or specimen collection module test code 133 as part of specimen order request 125. For example, healthcare provider 110 may input selective specimen processing test code 131 as part of specimen order request 125. Selective specimen processing test code 131 may be a test code indicating that specimen order request 125 to specimen processing module 150. Selective specimen processing test code 131 may be used when a healthcare provider 110 wants to selectively choose when and for which orders specimen order request 125 will be transmitted to specimen processing module 150.
Accordingly, if specimen order request 125 contains selective specimen processing test code 131, specimen order management system 120 may transmit specimen order request 125 to specimen processing module 150 for that particular specimen order request 125. Therefore, when selective specimen processing test code 131 is provided with specimen order request 125, healthcare provider 110 may need to provide selective specimen processing test code 131 again for the next specimen order request 125.
Specimen order request 125 may also contain an automated specimen processing test code 132. In many circumstances, healthcare providers 110 may transmit specimen order requests 125 to different systems. However, if a healthcare provider 110 anticipates that all specimen order requests 125 will ultimately be processed by specimen processing module 150, healthcare provider 110 may provide automated specimen processing test code 132. As a result, healthcare provider 110 may not need to provide selective specimen processing test code 131. Instead, healthcare provider 110 may provide only automated specimen processing test code 132. Accordingly, when specimen order management system 120 receives a specimen order request 125 associated with the customer number of healthcare provider 110, specimen order management system 120 may automatically route specimen order request 125 to specimen processing module 125. As a result, healthcare provider 110 may not need to provide a test code 130 for every specimen order request 125.
Specimen order request 125 may also contain a specimen collection module test code 133. Specimen collection module test code 133 may be used to enable a workflow for specimen collection and drop-off. If healthcare provider 110 anticipates all specimen order requests 125 will ultimately be processed through specimen processing module 150, but is limited to specimen collection and drop-off, healthcare provider 110 may provide specimen collection module test code 133 to indicate specimen processing module will only process specimen order request 125 for specimen collection and drop-off.
Therefore, without expending additional resources for processing specimen order request 125, specimen order management system 120 may transmit specimen order request 125 directly to specimen processing module 150 for a very narrow processing purpose. Specimen collection module test code 133 may include a “Date of Collection” parameter as part of specimen order request 125 to streamline specimen collection and drop-off. Therefore, if specimen order request 125 contains specimen collection module test code 133, specimen order management system 120 may transmit specimen order request 125 directly to specimen processing module 150 for the purpose of processing specimen collection and drop-off. The “Date of Collection” parameter may be used to control the dates a patient can actually schedule for the specimen collection.
Specimen processing module 150 may be a master data repository for all laboratory specimen order requests 125. Specimen processing module 150 may be a relational database, a NoSQL database or other horizontally scaling database, or any other database adhering to a suitable database design methodology. In some embodiments, specimen processing module 150 may implement a centralized SAN, NAS, redundant array of independent disks, and/or any other configuration of storage devices to supply sufficient storage capacity to store database tables and supporting structures. Sufficient storage may alternatively exist in any other physically attached magnetic storage, cloud storage, or additional storage medium. In some embodiments, specimen processing module 150 may deploy a hard-disk interface, such as ATA, SATA, SCSI, SAS, and/or fibre for interfacing with storage mediums.
If specimen order management system 120 retrieves a specimen order request 125 containing a test code 130 for specimen order request 125, method 300 proceeds to 315. If specimen order management system 120 retrieves a specimen order request 125 that does not contain a test code 130, method 300 proceeds to 320.
At 315, specimen processing module 150 retrieves a specimen order request 125 containing a test code 130 from specimen order management system 120. If specimen order request 125 contains a test code 130, specimen order management system 120 may transmit specimen order request 125 to specimen processing module 150.
At 320, specimen processing module 150 retrieves an image upload of specimen order request 125 a patient was provided from a healthcare provider 110 through patient system 160. The patient may choose a file containing the specimen order request 125 and provide the information of the healthcare provider 110. For example, the patient may use their smartphone to take an image of specimen order request 125 provided by healthcare provider 110. The patient may then upload the captured image to patient system 160. Once the patient has uploaded the specimen order request to patient system 160, patient system 160 may transmit the captured image of specimen order request 125 to eligibility processing module 151 and eligibility processing module 151 determines whether specimen order request 125 submitted by the patient is an eligible order request 152. In some embodiments, specimen processing module 150 may first retrieve an image upload of specimen order request 125 before method 300 proceeds to 305.
At 325, specimen processing module 150 determines whether the retrieved test code 130 matches qualifying test codes. By retrieving test code 130, system 110 may adaptively route a specimen collection order based on the specific needs of a healthcare provider 110 without needing to create a separate system compatible with each specimen order management system 120 for specimen collection order processing. Once specimen processing module 150 retrieves a specimen order request 125, eligibility processing module 151 may determine whether specimen order request 125 can be processed based on test code 130. Eligibility processing module 151 may compare the retrieved test code 130 to test codes eligible for processing through specimen processing module 150, including, but not limited to, selective specimen processing test code 131, or automated specimen processing test code 132, specimen collection module test code 133. Eligibility processing module 151 may also determine whether the type of test specified in specimen order request 125 (e.g., a test for vitamin D, a test for COVID, a test for glucose level, etc.) can actually be serviced.
At 330, specimen processing module 150 transmits eligible order request 152 for processing. If eligibility processing module 151 determines the retrieved test code 130 matches one of these qualifying test codes, eligibility processing module 151 transmits the eligible order request 152 for processing. Eligible order request 152 may include a communication notification 153, communication template 154, and/or appointment information 155. Once eligibility processing module 151 denotes specimen order request 125 as an eligible order request 152, specimen processing module 150 may provide a communication notification 153 including an email and/or SMS notification to the patient with appointment links to schedule the visit. Communication notification 153 may also be generated using a communication template 157 that can customize the format of communication notification 153 and/or appointment information 155 that can be customized based on the specific needs of a specimen processing module 150 end-user.
At 335, specimen processing module retrieves confirmation from the patient of a specimen collection appointment for the eligible order request 152. Patient system 160 may be a graphical user interface through which a patient schedules and manages a specimen order request 125. Patient system 160 may include an appointment processing module 161, appointment notifications 162, appointment review module 164, appointment feedback input 164, appointment status 165, and appointment status map 166. In order to schedule a specimen order request 125, a patient may access an appointment link via email and/or SMS in the appointment processing module 161. A patient may choose a date and time of an appointment and choose a home or office location for the specimen order request 125 within the appointment processing module 161. Based on the patient demographics 136, the appointments in the appointment processing module 161 may be presented to a patient as appointment slots based on health professionals assigned to the patient’s geographic demographics and the availability of the health professionals to perform specimen collection for the selected date and time.
While scheduling the specimen collection, a patient may opt-in to receive appointment notifications 162 that may include notifications related to the eligible order request 152. Specimen processing module 160 may configure appointment notifications 162 may retrieve patient’s consent to receive appointment notifications for compliance with legal requirements. A patient, through the appointment review module 163, may review the details of the upcoming appointment for the specimen collection, opt-in to receive appointment notifications 162, and provide appointment feedback input 164, such as information related to location access and patient needs, to enable a health professional to understand the patient’s needs and prepare for the appointment. A patient may then submit the appointment for the eligible order request 152.
At 340, specimen processing module determines the serviceability and details for dispatching the specimen collection appointment corresponding to specimen order request 152. Upon the patient submitting the appointment, specimen order dispatch module 170 may retrieve the appointment for the eligible order request 152. Specimen order dispatch module 170 may be a backend of system 100 configured to process dispatching the eligible order request 152. Specimen order dispatch module 170 may include an order scheduling module 171, specimen order deployment module 174, and/or a specimen extraction instruction module 177. Order schedule module 171 may process eligible order requests 152 using a specimen order queue 172. Health professionals may configure incoming eligible order requests 152 by configuring the order of these requests in a specimen order queue 172. Health professionals may configure specimen order queues 172 to initiate the operational workflow for the scheduled specimen collection. Health professionals may provide their location, availability, and other information to enhance specimen collection dispatch.
Once the appointment is retrieved, specimen order dispatch module 170 may create an object representing a job, according to some embodiments. System 100 may determine which health professional is suitable for fulfilling the specimen collection appointment. Order schedule module 171 may consider the availability and other information of healthcare providers to allocate the job corresponding to the retrieved eligible order request 152. Order scheduling module 171 may configure the specimen order queue 172 to eliminate any overlapping specimen collection appointments among health professionals.
In addition to information related to health professionals, specimen order dispatch module 170 may also use information retrieved from or related to a patient to configure specimen order deployment. Specimen order deployment module 173 may consider the location of the patient to configure specimen order queue 172 using region configuration module 174. Region level zip codes are loaded onto the backend of specimen processing module 150 within specimen order dispatch module 170. Specimen order deployment module 173 may use availability templates 175 configured to determine whether specimen processing module 150 is serviceable in a particular region based on whether any health professional is available in the region.
Using the address and/or zip code retrieved from the patient, region configuration module 174 may determine whether a health professional is aligned to the corresponding region. Based on this determination, specimen order deployment module 173 may provide feedback regarding whether specimen processing module 150 is serviceable in the provided region for the scheduled specimen collection. Region configuration module 174 may also customize region configuration to provide flexible scheduling based on the needs of a specific region. Additionally, specimen order deployment module 173 may include custom lead time 174 in which regions are set with a custom lead-time that provides additional travel time as a buffer for health professionals traveling to the patient for a scheduled specimen collection.
Additionally, specimen order dispatch module 170 may include a specimen extraction instruction 177 to configure the workflow of specimen collection and drop-off. Accordingly, for a health professional to perform the specimen collection, specimen extraction instruction module 177 may retrieve guidance and instructions for the health professional performing specimen collection, extraction, and or drop-off.
At 345, specimen processing module 150 updates the status of the scheduled specimen collection corresponding to eligible order request 152. After processing the appointment for eligible order request 152, specimen order dispatch module 170 may transmit information related to the scheduled appointment for eligible order request 152 to patient system 160. Patient system 160 may include an appointment status 165 and appointment status map 166 to apprise the patient of information related to the upcoming specimen collection. Appointment status 165 may be configured to notify the patient with confirmation details of the appointment for the eligible order request 152 and a link to a page with the appointment status 165. The link may display instructions for the patient related to the upcoming specimen collection appointment and may also include contact information for a health professional. Appointment status 165 may display the timeline and progress of fulfilling the specimen collection appointment for the eligible order request 152.
Prior to the scheduled specimen collection appointment, patient system 160 may update appointment status 165 of eligible order request 152 as the health professional proceeds to the patient’s location. The patient may receive notifications as the health professional is en-route to the patient’s location to perform the scheduled specimen collection. The patient may access an appointment status map 166 that displays the location of the health professional in a map. Patient system 160 may update and display the updated location of the health professional and the patient may track the health professional in real-time within appointment status map 166. Patient system 160 may transmit a notification as the health professional arrives at the patient’s location. Patient system 160 may also transmit various notifications based on the health professional executing different events for completing the eligible order request 152.
At 350, specimen processing module 150 retrieves digital evidence of the completed specimen collection. A health professional may access a specimen collection completion module 180 to document and process results from the scheduled specimen collection. Specimen collection completion module 180 may include specimen documentation 181 for documenting the results of the scheduled specimen collection. A health professional may provide digital evidence of the specimen collection to specimen documentation 181. For example, a health professional may provide completion notes or photographs of the collected specimen and attach it to the job for the eligible order request 125. Specimen documentation 181 may retrieve the results of the specimen collection and monitor for specimen collection completion.
Specimen completion module 180 may store the necessary steps for specimen collection completion. These steps may be customized based on scheduled specimen collection for eligible order request 152. Specimen documentation 181 may determine whether all the appropriate results of the specimen collection have been retrieved and/or whether all the necessary steps of the specimen collection have been performed, which may provide an audit trail for every step of the specimen collection. Specimen completion module 180 may also include specimen collection completion customization 182 for post specimen collection processing.
At 355, specimen processing module 150 transmits the results of the completed specimen collection to laboratory system 190 or patient system 160. Post-collection of the specimen, a health professional may drop off the specimen collected for eligible order request 152 at a laboratory system 190 based on the type of collection. Laboratory system 190 may be any designated drop-off location or laboratory. In some embodiments, specimen collection results 184 may be transmitted patient system 160 to display to the patient the results of the specimen collection within a patient portal or HIPAA compliant interface.
At 360, specimen processing module 150 updates the test code 130 of eligible order request 152 with a completion test code 183. A health professional may then close eligible order request 152 by designating the request with a completion test code 183 to indicate that the specimen collection and drop-off has been completed. Specimen collection completion module 180 may transmit completion test code 183 to eligibility processing module 151, specimen order dispatch module 170, and/or patient system 160. Eligibility processing module 151, specimen order dispatch module 170, and/or patient system 160 may update the test code 130 associated with eligible order request 152 to indicate that the specimen collection has been completed.
Various embodiments can be implemented, for example, using one or more computer systems, such as computer system 400 shown in
Computer system 400 can be any well-known computer capable of performing the functions described herein.
Computer system 400 includes one or more processors (also called central processing units, or CPUs), such as a processor 404. Processor 404 is connected to a communication infrastructure or bus 406.
One or more processors 404 may each be a graphics processing unit (GPU). In some embodiments, a GPU is a processor that is a specialized electronic circuit designed to process mathematically intensive applications. The GPU may have a parallel structure that is efficient for parallel processing of large blocks of data, such as mathematically intensive data common to computer graphics applications, images, videos, etc.
Computer system 400 also includes user input/output device(s) 403, such as monitors, keyboards, pointing devices, etc., that communicate with communication infrastructure 406 through user input/output interface(s) 402.
Computer system 400 also includes a main or primary memory 408, such as random access memory (RAM). Main memory 408 may include one or more levels of cache. Main memory 408 has stored therein control logic (i.e., computer software) and/or data.
Computer system 400 may also include one or more secondary storage devices or memory 410. Secondary memory 410 may include, for example, a hard disk drive 412 and/or a removable storage device or drive 414. Removable storage drive 414 may be a floppy disk drive, a magnetic tape drive, a compact disk drive, an optical storage device, tape backup device, and/or any other storage device/drive.
Removable storage drive 414 may interact with a removable storage unit 418. Removable storage unit 418 includes a computer usable or readable storage device having stored thereon computer software (control logic) and/or data. Removable storage unit 418 may be a floppy disk, magnetic tape, compact disk, DVD, optical storage disk, and/ any other computer data storage device. Removable storage drive 414 reads from and/or writes to removable storage unit 418 in a well-known manner.
According to an exemplary embodiment, secondary memory 410 may include other means, instrumentalities or other approaches for allowing computer programs and/or other instructions and/or data to be accessed by computer system 400. Such means, instrumentalities or other approaches may include, for example, a removable storage unit 422 and an interface 420. Examples of the removable storage unit 422 and the interface 420 may include a program cartridge and cartridge interface (such as that found in video game devices), a removable memory chip (such as an EPROM or PROM) and associated socket, a memory stick and USB port, a memory card and associated memory card slot, and/or any other removable storage unit and associated interface.
Computer system 400 may further include a communication or network interface 424. Communication interface 424 enables computer system 400 to communicate and interact with any combination of remote devices, remote networks, remote entities, etc. (individually and collectively referenced by reference number 428). For example, communication interface 424 may allow computer system 400 to communicate with remote devices 428 over communications path 426, which may be wired and/or wireless, and which may include any combination of LANs, WANs, the Internet, etc. Control logic and/or data may be transmitted to and from computer system 400 via communication path 426.
In some embodiments, a tangible, non-transitory apparatus or article of manufacture comprising a tangible, non-transitory computer useable or readable medium having control logic (software) stored thereon is also referred to herein as a computer program product or program storage device. This includes, but is not limited to, computer system 400, main memory 408, secondary memory 410, and removable storage units 418 and 422, as well as tangible articles of manufacture embodying any combination of the foregoing. Such control logic, when executed by one or more data processing devices (such as computer system 400), causes such data processing devices to operate as described herein.
Based on the teachings contained in this disclosure, it will be apparent to persons skilled in the relevant art(s) how to make and use embodiments of this disclosure using data processing devices, computer systems and/or computer architectures other than that shown in
It is to be appreciated that the Detailed Description section, and not any other section, is intended to be used to interpret the claims. Other sections can set forth one or more but not all exemplary embodiments as contemplated by the inventor(s), and thus, are not intended to limit this disclosure or the appended claims in any way.
While this disclosure describes exemplary embodiments for exemplary fields and applications, it should be understood that the disclosure is not limited thereto. Other embodiments and modifications thereto are possible, and are within the scope and spirit of this disclosure. For example, and without limiting the generality of this paragraph, embodiments are not limited to the software, hardware, firmware, and/or entities illustrated in the figures and/or described herein. Further, embodiments (whether or not explicitly described herein) have significant utility to fields and applications beyond the examples described herein.
Embodiments have been described herein with the aid of functional building blocks illustrating the implementation of specified functions and relationships thereof. The boundaries of these functional building blocks have been arbitrarily defined herein for the convenience of the description. Alternate boundaries can be defined as long as the specified functions and relationships (or equivalents thereof) are appropriately performed. Also, alternative embodiments can perform functional blocks, steps, operations, methods, etc. using orderings different than those described herein.
References herein to “one embodiment,” “an embodiment,” “an example embodiment,” or similar phrases, indicate that the embodiment described can include a particular feature, structure, or characteristic, but every embodiment can not necessarily include the particular feature, structure, or characteristic. Moreover, such phrases are not necessarily referring to the same embodiment. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it would be within the knowledge of persons skilled in the relevant art(s) to incorporate such feature, structure, or characteristic into other embodiments whether or not explicitly mentioned or described herein. Additionally, some embodiments can be described using the expression “coupled” and “connected” along with their derivatives. These terms are not necessarily intended as synonyms for each other. For example, some embodiments can be described using the terms “connected” and/or “coupled” to indicate that two or more elements are in direct physical or electrical contact with each other. The term “coupled,” however, can also mean that two or more elements are not in direct contact with each other, but yet still co-operate or interact with each other.
The breadth and scope of this disclosure should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the following claims and their equivalents.
This application is a divisional of nonprovisional U.S. Pat. Application No. 17/746,653, filed May 17, 2022, which claims the benefit of provisional U.S. Pat. Application No. 63/298,944, titled “Adaptive Specimen Collection Order Processing” filed on Jan. 12, 2022, all of which are incorporated herein by reference in their entireties.
Number | Date | Country | |
---|---|---|---|
63298944 | Jan 2022 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 17746653 | May 2022 | US |
Child | 18146278 | US |