Quest Diagnostics Sendouts Via Cerner Millennium

Purpose	This procedure provides instructions for the transferring/tracking of reference laboratory specimens from LAMC Main Lab to Quest Diagnostics.

Scope	This procedure is intended for all users and applies to laboratory specimens sent to outside reference laboratories, Quest Diagnostics, which are interfaced with Cerner using the Reference Laboratory Network.

Policy	The implementation of Reference Lab Netwok (RLN) will allow the Quest sendout orders from KPHC to interface with Cerner.  In addition, the status of sendouts can be reviewed by using the Pending Report, plus, tracking and resulting will all be accomplished through Cerner.  Furthermore, the LAMC Main Lab can now prepare a Packing List in Cerner for those specimens sent to Quest Diagnostics. 
                         The specimens collected and accessioned at any MOB draw stations must be transferred and tracked to LAMC Main Laboratory for send out/pick up by outside courier.
                        Status display on Cerner and KPHC:
Cerner Status	KPHC Status	
Logged in as Collected after blood draw	Collected	
In Transit to Send Out  ( LAMC Main Lab)	Collected	
Specimen logged in as Received at Send Out ( LAMC Main Lab)	Collected	
In Transit to outside reference laboratory tracking location, Quest Diagnostics (LA SO Quest Spe)	Collected	
Specimens logged in as In Lab using the LA SO Quest Login	In Process	

Transferring/ tracking specimens to the Send Out (Pick Up) Location
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Follow the current SOP# LIS.SCPMG.004 – Transferring/Tracking Specimens on how to create a transfer list to transfer and track all outside reference laboratory specimens/orders collected and accessioned at MOB draw stations to LAMC Main Laboratory for send out/pick up by outside courier.
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Quest Diagnostics Sendouts Via Cerner Millennium, Continued

			
Step	Action	Icon	
1	Refer to SOP#LIS.SCPMG.003 – Logging-In Specimens in Cerner to log in all outside reference laboratory specimens received from the collection sites.		
2	Click on the Transfer Specimen icon from the Applications bar (Appbar) to launch the application		
3	Click View then Options to change to view Packing lists only and Filter by transfer temperature.  Click Save.		
4	Click on radio button for Not Transferred and click New		

Creating a Packing List to the Outside Reference Laboratory Tracking Location

LA MC Spec Trk

LA MC Spec Trk

LA SO Quest SPE

Quest Diagnostics Sendouts Via Cerner Millennium, Continued

			
Step	Action	Icon	
5	Under Build Transfer List:
a.	Select Manual build
b.	Select Location
o	From location is: LA MC Spec Trk
o	To location is: LA SO Quest Spe
c.	Select Transfer Temp
d.	Scan Accession number(s)
e.	Click Save
f.	Automatically returns to Transfer Specimens screen and click OK on pop-up information box		

Creating a Packing List to the Outside Reference

Laboratory

Tracking Location, Continued

LA SO Quest Spe

LA MC Spec Trk

From Location: LA MC Spec Trk
To Location: LA SO Quest Spe

LA SO Quest Spe

LA MC Spec Trk

Quest Diagnostics Sendouts Via Cerner Millennium, Continued

			
Step	Action	Icon	
6	When specimens are ready to be picked up, pull up Packing List(s) by:
a.	Launch Transfer Specimen application
b.	Select “Not Transferred” radio button
c.	Input From (LA MC Spec Trk)/To locations (LA SO Quest Spe)
d.	Input date
e.	Click Retrieve		
7	Click Transfer button to Transfer Packing List – this action will allow:
a.	Printing of the Packing List – List may be used by outside courier (i.e. Quest) to initial and document specimens pick up. Retain documentation if applicable.
b.	Sends the outbound orders message over the interface to Quest, updates order status to In Transit
o	Click Yes on Pop Up
o	Select Printer
o	Click OK		

Creating a Packing List to the Outside Reference Laboratory Tracking Location, Continued

LA SO Quest Spe

LA MC Spec Trk

To: 
LA SO Quest Spe

From:
LA MC Spec Trk

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Step	Action	Icon	
			
8	Refer to the section below to log in the entire Packing List to the LA SO Quest Login IMMEDIATELY AFTER the specimens have been physically picked up by the outside courier. This will trigger the order status to In Lab in Cerner and In Process in KPHC and provides a documented timestamp when specimens have been physically picked up by outside courier and it’s waiting for results.		

LA SO Quest Spe

LA MC Spec Trk

Creating a Packing List to the Outside Reference Laboratory Tracking Location, Continued

To:
LA SO Quest Spe

LA MC Spec Trk

 	

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Step	Action	Icon	
9	Launch Specimen Log In application
a.	Select List for Log-In By:
o	Enter Transfer List Number created above
o	Enter List Date
o	Click Retrieve button

b.	Specimen Log-In by Transfer List page opens
o	Make check mark by all specimens
o	Change log in location to LA SO Quest Login.
o	Click Log In button		

Logging In Packing List to the Facility’s Outside Reference Lab Login Location

LA SO Quest Login

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Quest Diagnostics Sendouts Via Cerner Millennium, Continued

Controlled Documents	
The following controlled documents support this procedure.	
	Procedure	
LIS.SCPMG.003	Logging-In Specimens in Cerner	
LIS.SCPMG.004	Transferring/Tracking Specimens	
LCIM.262	Quest – Send-Out Laboratory Test (KRMS)	
	Process – Transferring/Tracking Outside Reference Laboratory Specimens	

Authors: Marian Azuma and Jo-Ann Calalang

Reviewed and approved by:

SIGNATURE	DATE	
		
Augusto Pangan
Area Lab Supervisor - Los Angeles Medical Center		

		

Julie Toti, CLS, MS
Director, Clinical Laboratory – Los Angeles Medical Center		

		

Joseph Thompson, M.D.
Medical Director, Clinical Laboratory – Los Angeles Medical Center		

Document No. LSPM 255          QSE: Process Control                           Page 7 of 8           Version No. 1

Quest Diagnostics Sendouts Via Cerner Millennium, Continued

HISTORY PAGE
 
Change type:
New, major, minor	Changes made to SOP - describe	Signature responsible person/date	Laboratory Director review/date	Laboratory Manager review/date	Date change implemented	
New						

						

						

						

						

						

						

Document No. LSPM 255                  QSE: Process Control                   Page 8 of 8           Version No. 1