Epic Beaker Project Implementation
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Beaker is Epic's laboratory information system (LIS). With Beaker, pathologists, laboratory technologists, phlebotomists, and other laboratory staff contribute to the same unified patient record shared with physicians and nurses using Epic clinical modules. Because Beaker is integrated with the Epic clinical suite, there are no interfaces between the lab and the electronic health record, significantly reducing lag time and maintenance needs. Beaker has two modules: Clinical Pathology (AP) and Anatomic Pathology (CP).
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Beaker is going live in three locations: RUHS Medical Center Lab, MSC Lab, and Public Health Lab.
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Beaker is going live on Wednesday, March 20, 2024 at 0400.
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Barcoded Specimen Collection
Beaker helps end-users perform positive patient identification (PPID) by using integrated scanning collection and tracking workflows to ensure that the right patient is always associated with the right specimen.
On-the-go Specimen Collection Using Rover and Mobile Printers
Rover, an Epic app for mobile devices, supports specimen collection workflows based on barcode scanning. It allows nurses and phlebotomists to scan, print labels, and document specimen collection at the bedside.
Specimen Tracking
Specimens are tracked electronically in a single-piece processing workflow that reduces the opportunity for error. A complete audit trail gives the organization a full view of the specimen's lifecycle and makes finding its current location easy.
Smart Add-on Tests
When appropriate specimens are available, the system prompts physicians to add on relevant tests to reduce unnecessary draws. Redundant tests are automatically canceled, and substitute tests are ordered.
Real-Time Worklists
Real-time to-do lists centralize ongoing and upcoming work with a shared Outstanding List for testing and resulting, and worklists for receiving, preparing, and shipping specimens.
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Integrated Disease Reporting
Pathologists can review radiology, anatomic pathology, and clinical pathology results for multiple related orders in a single screen to quickly assess diseases that require various procedures to diagnose and monitor.
Cancer Documentation Simplified
Pathologists complete synoptic checklists for patients with cancer in Epic. The documentation in these completed checklists appears automatically for biopsy patients and can automatically populate forms in Beacon's Staging activity to ensure consistent documentation and minimize redundant charting.
Specimen Tracking
Beaker tracks every specimen's life cycle with unique barcodes, eliminating the need to relabel samples and reducing chances for error.
Supports Integration with Third-Party Speech Integration System
Beaker supports dictation applications that allow speech-to-text software for fast and consistent transcription.
Built-In Charge Review
Pathologists can place and review charges without having to open another application.
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Nurse End-user Moodle Training Dates (virtual): Tuesday, Jan. 16, until go-live
Lab Superuser Beaker Training Dates (in-person): Tuesday, Jan. 16, until Friday, Feb. 2
Lab End-user Beaker Training Dates (in-person): Monday, Jan. 29 until Friday, March 8
Downtime/Cutover Date: Tuesday, March 19 at 2300
Starting at 2300 on Tuesday, March 19, RUHS Laboratories and Blood Bank will be down.
End-users are expected to follow downtime laboratory and blood bank workflows as defined in:
LAB 6.6.7 Computer Downtime Procedures for Clinical Laboratory
LAB 6.9.7 Departmental Test Requirements and Report Forms Downtime Only
HW 678 Blood Transfusion
Beaker Go-live Date: Wednesday, March 20 at 0400
Policies and Procedures:
LAB 6.9.7 Departmental Test Requirements and Report Forms Downtime Only
LAB 6.6.7 Computer Downtime Procedures for Clinical Laboratory
Additional Resources:
A Laboratory Medicine Best Practices Systematic Review and Meta-Analysis
Implementing Epic Beaker Laboratory Information System for Diagnostics in Anatomic Pathology