M14

Pathologist Expert Tools

Omni-Assistant’s M14: Pathologist Expert Tools runs in parallel with your LIS. It is compatible with every LIS and does not require an interface.

Omni-Assistant’s M14 provides you with the following benefits:

Synoptic reports, Structured reports, Cancer registry,
Digital pathology, peer review, and much more.

We invite you to discover the Omni-Assistant M14 Software,
in five steps

1
Context
2
M14,
the solution
3
M14 functionalities
description
4
Before / After
Comparaison
5
M14,
a triple winner
1 - Context
Pathology

Anatomic pathology studies macroscopic and microscopic lesions of tissue taken from live or dead beings by biopsies, smears or extemporaneous biopsies, amongst other techniques.

Pathologists

As patients, we do not meet pathologists, however, they play a major role in the healthcare system.

Using a microscope, they study the tissues and make a diagnostic on the cause of the disease, how it developped, the effects of the disease on the cells as well as the outcome of the disease.

Pathologists work behind the scene and provide vital information to the clinician so that he or she can implement the appropriate treatment.

The Pathology Report

Traditionally, pathologists dictate their reports and medical secretaries transcribe them. The report is returned to the pathologist, who must correct the errors, if present, and then publishes it for the clinician to review.

Many of the new generation of pathologists prefer typing themselves their reports, or use their own canvases.

In both cases, the time allotted for the construction of the report provides no added value. Only the diagnostic counts and it must be as easy as possible to interpret by the clinician.

It goes without saying that an erroneous report can lead to an incorrect treatment. It also goes without saying that a non-standardized and unnecessarily complex report can also lead to an error in the treatment due to a misinterpretation by the clinician. Studies have shown that 1 diagnosis out of 10 is erroneous, delayed or missed. In the United States between 40,000 and 80,000 patients die unnecessarily each year because of this.
(Feb 2014 // Mark Graber MD. // Society to Improve Diagnosis in Medicine)

Pathology Challenges
  • Shortage of pathologists and medical secretaries.
    Studies show that there is a shortage of pathologists all around the world. It is estimated that 20% more pathologists are needed to meet the current needs,and that number may rise even more considering the projected aging of the population.

  • Languages.
    Several countries throughout the world have at least two official languages and part of the population of these countries does not speak the other language. If a pathologist issues a report in the language that is not familiar to the clinician or patient, another possibility of error is added to the existing risks.

  • Cancer registries.
    Several countries, including Canada, have a cancer registry to centralize their population cancer data. Pathologists diagnoses must be sent on a regular basis to authorities and most of the time, the information is retrieved through software that identifies key words or alternatively, are manually coded. A viable solution is thus needed.

  • Any registry depends on its source.
    The information must be captured in a standardized manner so it can be efficiently sent to a registry.

2 - The Solution

Omnitech Health specializes in optimization and conformity software conception destined to the health industry. We have been in this field since 2008. Our team is composed of 18 people, including medical informaticians, programmers, analysts, a chemist, a biochemist, a microbiologist, a pathologist and a medical technologist.

Since 2010, in collaboration with several Quebec pathologists, Omnitech Health has been working on creating a software that helps to optimize and standardize the practice of pathology.

This software is named the Omni-Assistant M14 : Pathology Expert Tools (named M14 from this point). La solution

M14 answers all problems in one software
  • Standardized and ultra-fast reports (synoptic and structured)

  • Automated translation

  • Transcription eliminated at 90%

  • Automated coding

  • Digital slides

  • And much more ! Please refer to the Functionalities Description section below.

 

M14 does not replace the Laboratory Information System (LIS), it completes it.

Since summer 2015, M14 has the privilege of being recognized as a value-added solution by the College of American Pathologists, CAP. M14 incorporates more than 80 synoptic cancer reports published and updated by the CAP. All reports are available in French and English

3 - Functionalities description
Ultra-Fast Standardized Reports

M14 offers two types of reports; synoptic and structured reports.

  • Synoptic Reports
    The synoptic approach is simple; the pathologist answers a comprehensive questionnaire. Following the completion of the questionnaire, M14 generates a structured and concise report containing all the essential information needed by the clinician and the cancer registry. All report selections are saved in a database with automated coding.

    The College of American Pathologists (CAP), the world reference, publishes and updates the best practices for each type of cancer. The challenge for hospitals is to follow the pace, and historically, do not.

    Omnitech Health has taken the lead and made an agreement with the CAP in order to integrate electronically the synoptic reports content. M14 is recognized by the CAP as a value-added software. When a new update is available, Omnitech Health synchronizes all customers automatically.

    College of American Pathologists

M14 offers all cap synoptic reports (over 80),
preinstalled and updated in both English and French.
There are numerous benefits to a synoptic approach:
  1. Standardization and quality assurance, lowering the risk of medical mistakes.

  2. Time savings.

    1. Transcription is no longer needed when generating a report.

    2. The report is available immediately to the clinician.

  3. Automatic coding for the Cancer Registry.



  • Structured Reports
    Structured reports are used to report non-cancerous diagnosis. Instead of traditional dictation or the use of a Word template, the Pathologist has access to a standardized diagnosis bank that he/she can quickly select using the mouse, the keyboard, a touch pad or voice control.

    The M14 offers thousands of preinstalled standardized diagnosis in both English and French. The Pathologist can also create his/her own personal diagnosis and share them with his/her colleagues if desired.

    All report selections are saved in a database with automated coding.

    There are numerous benefits to a structured approach:
    1. Standardization and quality assurance, lowering the risk of medical mistakes.

    2. Time savings.

      1. Transcription is no longer needed when generating a report.

      2. The report is available immediately to the clinician.

    3. Automatic coding.

Billing

Since all reports are either synoptic or structured and the procedures, tests and diagnoses are coded in the background with SNOMED, ICD9, ICD10 and L4E, it is possible to automate pathologist billing, if needed.

Cancer Registry

Since all the synoptic reports are encoded in the background with SNOMED, ICD9, ICD10 and L4E, M14 can automate the transfer of information to the cancer registry, if required by the authorities. It is a standardized and foolproof solution. The data longer has to be manually coded and recovered through software that identifies keywords as is currently the case, reducing errors and increasing the reliability of the data.

Digital Pathology

Microscope slides can now be digitized and analyzed remotely on a good quality screen. Studies show that this way of working is as valid as the traditional way.

M14 also standardizes digital pathology. M14 incorporates an agnostic virtual slide reader that can interpret all formats of digital slides, regardless of the scanner used.

There are several advantages to digital pathology:

  1. Makes telepathology possible.

  2. Eliminates slide lose and misclassification.

  3. Greatly facilitates the consultations by specialists.

  4. Facilitates peer review.

And Much More
  • Knowledge Base
    M14 is also an integrated knowledge base. The pathologist may keep images and virtual slides for future reference, scientific articles, as well as conformity criteria for each diagnosis. This is valuable help when performing a case analysis and a great learning tool for pathology residents since this knowledge base can be shared if desired.

  • Ultra-Fast Definitions
    M14 allows the pathologist to modify or add definitions to their knowledge base without leaving a case. This is a most interesting feature as the pathologist can gradually adjust his or her database without delaying his or her work.

  • Completely Bilingual
    The pathologist can work in English or French and all diagnostics and templates translate automatically. When using M14, the data is structured and encoded automatically, allowing to export reports in either language, regardless of the pathologist's working language.

  • Speech Recognition
    M14 supports speech recognition. It is possible to navigate the software using voice commands, keyboard shortcuts, touch screen or mouse.

  • Grossing
    Technologists can also use M14. Structured templates can be used to perform grossing and the pictures taken at this stage of the process can be added to the case.

  • Other Features for the Pathologist
    Images and annotations management, consult electronic management, peer review, quality control, recut and special stains request management, workload management, etc.

M14 is the perfect complement to laboratory information systems (LIS).

4 - Before / After Comparaison

To better demonstrate the pathology report creation process, here are two tables that speak for themselves.

Example #1
Process step   SIMPLE CASE (Gall bladder)
 
Traditional method
(dictation or Word)
  Optimized method
M14
 
Case viewing (microscope)    
Dictation or report entry ≈ 25 s ≈ 15 s
Transcription ≈ 45 s eliminated
Review ≈ 10 s eliminated
Validation ≈ 2 s ≈ 2 s
Coding ≈ 45 s eliminated
Time savings - 54 % for the Pathologist
100 % for the transcriptionist
 
Results retuned
to the clinician
  Transcription and review
dependant
  Immediately

Example #2
Process step   COMPLEX CASE (CCIS)
 
Traditional method
(dictation or Word)
  Optimized method
M14
 
Case viewing (microscope)    
Dictation or report entry ≈ 4 m 15 s ≈ 2 m 29 s
Transcription ≈ 10 m eliminated
Review ≈ 2 m 30 s eliminated
Validation ≈ 2 s ≈ 2 s
Coding ≈ 2 m 30 s eliminated
Time savings - 62.4 % for the Pathologist
100 % for the transcriptionist
 
Results retuned
to the clinician
  Transcription and review
dependant
  Immediately
5 - M14 - A triple Winner
WINNER #1: THE INSTITUTION

For the healthcare facility (and network health in general), the M14 is a management tool which helps it in its mission while reducing operating costs.

The healthcare facility wins by using the M14 because:

  1. Dictation elimination can reduce the number of medical secretaries. This represents a direct and measurable savings. There is usually 0.5 Medical Transcriptionist for each pathologist.

    0,5 Medical
    transcriptionist / Pathologist
    WITHOUT
    Omni-Assistant M14

    $17,500 / year / Pathologist
    WITH
    Omni-Assistant M14

    $1,750 / year / Pathologist
    Net savings : $15,750 per year per Pathologist.

  1. Pathologists, being able to treat more cases / units in less time, the backlog disappears.

  2. This increased capacity means fewer pathologists are needed, so pathologists shortages are less glaring or simply eliminated.

  3. This increased capacity means that fewer pathologists are required, so pathologist shortages are less obvious or simply eliminated.

  4. The automatic transmission of cases to cancer or tumor registeries, with no possibility of forgetting entries, provides statistics which are more realistic.

  5. Standardized reporting facilitates interpretation by doctors who requested the analysis.

  6. It lowers the risk of erroneous reporting, therefore misdiagnoses and medical errors. Unwanted media attention is hence also attenuated.

  7. It provides quality assurance measures such as automatic verification by other pathologists in predetermined percentage of cases, permitting better supervision of less experienced pathologists.

WINNER #2: THE PATHOLOGIST

For the Pathologist, the M14 is a tool that allows him or her to be more efficient while reducing administrative irritants.

The Pathologist uses the M14 because:

  1. The time saved on the regular workload allows him or her to spend more time on research, education or training.

  2. Automatic encoding of the cases lets him or her automate the billing if necessary, saving time and money.

  3. The virtual scientific library allows the Pathologist to document interesting or peculiar cases, helping in resident education or research.

  4. Peer review which is possible, allows a pathologist to easily request a second opinion.

WINNER #3: THE PATIENT

For the patient, a misdiagnosis always leads to important consequences.

The patient is the greatest winner, because:

  1. He received his diagnosis within the recommended time, permitting immediate care. The more the patient is treated quickly, the more recovery is likely and least likely are the consequences, effects or morbidity.

  2. He has less chance of receiving a misdiagnosis. Whether these errors result from the pathologist, the transcriptionist or the report interpretation by the clinician, the result is the same for the patient: the treatment is not appropriate.