Diese Präsentation wurde erfolgreich gemeldet.
Wir verwenden Ihre LinkedIn Profilangaben und Informationen zu Ihren Aktivitäten, um Anzeigen zu personalisieren und Ihnen relevantere Inhalte anzuzeigen. Sie können Ihre Anzeigeneinstellungen jederzeit ändern.
Brad Cunningham
SystemOne, LLC
bcunningham@systemone.id
Importance of Quality Systems and
Connectivity
Decentralising HIV ...
© SystemOne, 2016 All rights reserved.
• Translating real-time data into real-time
actionTreatment
• Diagnostics moving fu...
Real-Time Results Quality
© SystemOne, 2016 All rights reserved.
Congratulations!
Your HIV test result has been completed
...
Quality Systems
© SystemOne, 2016 All rights reserved.
• The successful implementation of POC for HIV & EID is ambitious,
...
Quality: Multi-Stakeholder Responsibility
© SystemOne, 2016 All rights reserved.
Result
Operator
Manufacturer
Clinical
Int...
Quality Systems & Quality Assurance
© SystemOne, 2016 All rights reserved.
• QA is not a(n):
• Event
• Series of events
• ...
Zimbabwe Pilot: Integrated Laboratory Network
© SystemOne, 2016 All rights reserved.
• Pilot: Integrated laboratory networ...
In Conclusion
© SystemOne, 2016 All rights reserved.
• Diagnostic landscape has progressed to the point where EID & VL
tes...
QUESTIONS?
© SystemOne LLC, 2016 All rights reserved.
Brad Cunningham
VP, Implementation
SystemOne LLC
(m): +27 61 487 469...
Nächste SlideShare
Wird geladen in …5
×

ASLM- Alere: Importance of Quality Systems

192 Aufrufe

Veröffentlicht am

Presentation given by Brad Cunningham, Vice President of Implementation at SystemOne from the 2016 ASLM Conference

Veröffentlicht in: Gesundheitswesen
  • Als Erste(r) kommentieren

  • Gehören Sie zu den Ersten, denen das gefällt!

ASLM- Alere: Importance of Quality Systems

  1. 1. Brad Cunningham SystemOne, LLC bcunningham@systemone.id Importance of Quality Systems and Connectivity Decentralising HIV Early Infant Diagnosis and Viral Load Testing to Achieve 90-90-90 Alere Session: ASLM Conference, Cape Town 7 December, 2016 © SystemOne LLC, 2016 All rights reserved.
  2. 2. © SystemOne, 2016 All rights reserved. • Translating real-time data into real-time actionTreatment • Diagnostics moving further away from centralized, well-controlled environmentsQuality • Optimize utilization of instruments, consumption of consumables, improve ROICost Faster, better quality health data leads to better patient outcomes
  3. 3. Real-Time Results Quality © SystemOne, 2016 All rights reserved. Congratulations! Your HIV test result has been completed at your local clinic. Your HIV Status is: Negative(ish) # results being reported on Connected platforms growing at 16% per month.
  4. 4. Quality Systems © SystemOne, 2016 All rights reserved. • The successful implementation of POC for HIV & EID is ambitious, but necessary • If you cannot ensure the quality of a result, you cannot act on it • Quality is much simpler to control in well-controlled, centralised laboratories Point of care • Harsher environments (temperature, dust, power, surges…) • Lower skill • English is generally 2nd language (often 3rd or 4th) • Less access to resources & support • No training as a lab technician • Low understanding of quality & quality systems • No review process
  5. 5. Quality: Multi-Stakeholder Responsibility © SystemOne, 2016 All rights reserved. Result Operator Manufacturer Clinical Internal Quality Checks Key Performance & Quality Indicators Monitoring & response HIV: ? Interpretation Implementation Follow-Up Connected Diagnostics Sample collection Sample prep. SOP EQA Performance monitoring Training Consumables Sample logistics … Scale!
  6. 6. Quality Systems & Quality Assurance © SystemOne, 2016 All rights reserved. • QA is not a(n): • Event • Series of events • Intervention • Milestone • QA is an ongoing process and (eco)system • Continuous Quality Monitoring via connectivity / connected diagnostics Internal Quality Control External Quality Assessment Key Performance Indicators Key Quality Indicators Training Screening Algorithm Adherence Consumables & inventory Sample logistics & monitoring Environmental conditions Trends Contamination clustering Event-based triggers Indicator-based monitoring Calibration & maintenance …
  7. 7. Zimbabwe Pilot: Integrated Laboratory Network © SystemOne, 2016 All rights reserved. • Pilot: Integrated laboratory network for Continuous Quality Monitoring and Automated EQA reporting EQA Provider 3rd Party Patient Management Daily Quality Monitoring Operational EQA samples: results from testing at remote facility to EQA provider system within 40minutes
  8. 8. In Conclusion © SystemOne, 2016 All rights reserved. • Diagnostic landscape has progressed to the point where EID & VL testing at POC is not only required, but feasible. • Significant concerns about quality & impact of an incorrect result. • Continuing innovation in connected diagnostic platform and the consumption of data. • Need to equip all stakeholders responsible for quality components with the information ecosystem. • POC testing in expensive – connectivity is required to ensure successful translation in field and maximize ROI. • Quality & operations are simple to manage for 3-4 central, well coordinated laboratories. • 50 facilities? • 100 facilities? • 1,000 facilities?
  9. 9. QUESTIONS? © SystemOne LLC, 2016 All rights reserved. Brad Cunningham VP, Implementation SystemOne LLC (m): +27 61 487 4693 bcunningham@systemone.id www.systemone.id

×