PRODUCTS & SERVICES
laboratory training. This facilitates their use outside of the central laboratory setting, offering healthcare institutions greater e- ibility and streamlined workows.” Clinicians and healthcare organizations favor POCT’s convenience. “For clinicians and healthcare institu-
tions the greatest benefit of point-of-care testing is that it enables them to access patient test results faster and more con- veniently” hillips noted. “This helps them identify the best course of action or treatment uickly often while the patient is still in their care. mproving their ability to prescribe the appropriate medication contributes to greater antibiotic steward- ship as well.” They also favor another “C” accord-
ing to oseph ickers roduct anager embrane edia all edical. “From our interactions, the factor which is always highlighted as the most important is test consis- tency” ickers said. “This is influenced by many aspects of the overall ual- ity of the test materials, including sample capture substrates reac- tion pads and visual indicators. The clini- cian must not eperience any ambiguity or subjectivity in the test results. They must get the right result every time.” or patients OCT affects their eperi- ence, which then motivates satisfaction survey results used to determine reim- bursement.
Joseph Vickers
“oint-of-care testing can improve the patient eperience significantly” hillips observed. “The patient can often find out the results of a test during the same phy- sician visit rather than returning home or waiting in a hospital bed and worry- ing about what the results might be. As a result the process can be much more convenient for the patient and can provide greater peace of mind.” Unfortunately, not all POC tests gener- ate fast readouts or results, regardless of proimity to patient or facility location. “any of the point-of-care tests from
oche provide results in about min- utes or less, which would be considered rapid” hillips noted. “Some point- of-care tests may use a chemistry that requires a longer reaction and analysis time. However, there is still an advan- tage to having the testing close to the patient because it helps to mitigate the workflow, safety and time challenges that can occur when sending a patient sample to a central lab location. nother
significant advantage to point-of-care testing unrelated to test turnaround time is that it provides access to testing for remote populations that cannot easily come to a central healthcare facility or testing location.” or all patients prefer a fundamental requirement. “Top of the list for the patient is accu- racy” ickers insisted. “ndergoing medical diagnostics is often a stressful process and the results of a OCT must be accurate. The impact of false positives or negatives on a patients treatment process and overall health and well-being can be catastrophic. alse results must be avoided at all costs.”
Connectivity concerns One way to improve point-of-care testing prospects involves electronic accessibility according to hillips. “any point-of-care tests are not con- nected electronically, or through a cloud- based data management hub so providers are required to enter testing results manu- ally into the patients or electronic medical record” she indicated. “There is a significant opportunity here to use connec- tivity to eliminate many manual reporting elements. Having seamless connectivity between point-of-care testing and the system would create greater efficiencies and improve documentation of testing with less risk of error or omission during transcription.” Of course data privacy and cybersecu- rity issues loom large as a challenge. “Certainly data privacy and security are important considerations in any connec- tivity solution” hillips acknowledged. “But device manufacturers and healthcare institutions can partner with cloud-based data security providers to address those concerns effectively.” n fact theres a high probability that
OCT becomes standard operating proce- dure during the net decade accelerated perhaps by current pandemic events. “Seamlessly connected OC testing is very likely to be the norm rather than the eception a decade from now” hillips forecast. ase of use and overall utility top alls
list of desired improvements ickers indicates.
“One of the main advantages of POCT is
the ability for the test to be performed by a minimally trained individual, often in an adverse environment” he said. “ large positive impact to OCT could be made by improving the tests ease of use both
48 September 2020 • HEALTHCARE PURCHASING NEWS •
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during operation of the test in terms of its robustness and simplicity to use and combining that with the effortless inter- pretation of results.”
Digital upside hillips predicts a bright future for OCT products and services by taking cues from convenience concepts and eperience ideals in other industries. “The healthcare landscape is evolving
rapidly today and one of the primary driv- ers of the evolution is digital technology” she observed. “Healthcare is starting to catch up to industries like transportation and retail shopping where innovators like Uber and Amazon have transformed the business models and the consumer eperience. The introduction of wearable technology and mobile apps is already changing the way consumers engage in their own healthcare. “ decade from now or sooner one could envision how secure wireless connectivity and personal healthcare apps could further change the way vital health information is accessed and shared between patient mobile devices databases such as electronic medical records and point-of-care testing devices including those used at home for patient self-testing” she continued. “hile there are hurdles to overcome, this enhanced, real-time connectivity could provide a more efficient seamless and convenient eperience for both patients and provid- ers helping to improve patient care while reducing costs.” ickers foresees epansion and comple-
ity defining OCT products and services during the net decade. “As we move to a more cloud-based and connected society there will be big changes in OCT over the net years and we have to think about integration of testing and apps” he noted. “s OCT develops and we see more multiple and ualitative testing app integration could provide many advantages such as the ability to have qualifying questions about symptoms and recent eperiences prior to taking the test.” urther this might enable the caregivers to provide more ualitative interpretations and feedback with more contet to the patient he added. ickers also contemplates a migration to “more advanced whole, cell-based diagnostic markers, moving away from the protein- or hormone-based markers often used today and enabling the provi- sion of more sophisticated insight into the disease state.” HPN
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