Informatics
Telepathology
Implementation


Topic Completed: 16 October 2018

Revised: 27 December 2018

Copyright: (c) 2018, PathologyOutlines.com, Inc.

PubMed Search: Telepathology [title] implementation
Page views in 2018: 55
Page views in 2019 to date: 37
Cite this page: Triolo DJ. Telepathology - implementation. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/informaticstelepathologyimplement.html. Accessed April 25th, 2019.
Implementation selection and validation of a digital pathology system in 2018
  • First step is to determine the use cases that have been determined for your organization to have true value and will provide better outcomes, fastest results, optimization of resources and a measurable ROI
    • In this instance we will concentrate on telepathology and its application for the system we wish to implement
    • In determining the system and vendor, consider the following:
      • Vendor criteria: includes but not limited to
        • Pathology
          • History and understanding of the needs of the pathologist, laboratory and use cases desired for implementation
        • Innovative technology
          • Strong reputation in providing systems that match the needs and does not take a one size fits all approach
          • Continually demonstrates an attitude of how to make it better
        • Microscopy
          • Strong knowledge of microscopy, cameras and the technology and experience to deliver the right solution
        • Strong financial and business
          • Long term viability
        • Business Model
          • Support
          • Service
          • Training
      • System Criteria and Specification
        • Live functionality
        • Application module for the specific use case you are looking for and not a work around
        • More than a single objective
        • Remotely controls the objective selection and controls the stage's X, Y and Z functions
        • Intuitive module for easy adoption and implementation
        • Ability to handle single or multiple slides
        • Small footprint for efficient use of lab or desktop space
        • Fits into your budget restraints without losing functionality
        • See systems that meet the system criteria and specification below
Hybrid remote telepathology systems / whole slide scanners

Images hosted on PathOut server:

Contributed by Domenic J. Triolo

Micron

Aperio

Sakura

Implementation
  • After a system is chosen, the next step is the implementation of both the instrument and software
  • Successful implementation requires the following steps (broken into two groups):
    1. Pre-installation implementation steps
      • Share vision with all involved
      • Engage software IT personnel; if the plan is to integrate solution into current laboratory information management system (LIMS)
      • Engage network IT personnel (both local on campus and remote users)
      • Engage the lab staff and discuss how this will impact workflow
      • Determine super users, in order to manage administrative functions
      • Engage the ultimate users: the pathologists
      • Select and survey the area of installation for electrical access, network availability, vibration free area, available bench space and cleanliness
    2. Postinstallation implementation steps
      • Schedule training for both lab personnel and pathologists
      • Adopt a train the trainer model with vendor personnel
      • Select cases for validation
      • Document the validation process
      • Schedule live date
      • Go live
  • Implementation is the same for telepathology, hybrid telepathology digital pathology, digital pathology
  • This general list should be adjusted for your particular practice, lab, hospital or academic medical center
Diagrams / tables

Images hosted on PathOut server:

Contributed by Bruce E. Dunn, M.D.

Hub and spoke system

Typical configuration: dynamic network

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