In the ever-evolving landscape of healthcare, efficiency is paramount. Medical professionals seek streamlined processes to focus more on patient care and less on administrative tasks. This efficiency is crucial in laboratory testing workflows, such as Exact Sciences Cologuard testing.

To optimize this process, a non-integrated set-up is often utilized. This approach facilitates ordering, requisition generation, order tracking, and manual results, including LOINC submission. Here’s how to set it up effectively:

Setting up the Exact Sciences Performing Entity

The journey begins with configuring the Exact Sciences Performing Entity. This necessitates creating it via SQL. If you are an OSIS Member, OSIS DBA assistance is available for this initial step, and additional information can be obtained from account managers or EHR specialists. Once established, the OSIS Exact Sciences eReq solution Crystal Report is installed by the development team.

Order Test Setup

1. Accessing the Order Test Master File: Navigate to the NextGen File Maintenance and access the Order Test Master File. Initiate the addition of new test information by selecting 'New'.

2. Completing Test Information: Ensure the newly created Exact Sciences Performing Entity is selected. Utilize the CPT code as the key for consistency. Complete all fields, including CPT4 and SIM codes for billing and reporting accuracy. Proper LOINC coding is crucial for UDS reporting.

3. Building Result Components: Transition to Order Components within the master files. Follow the same process as before to create result components linked to the test. Once again, ensure the correct LOINC coding for UDS reporting.

4. Finalizing Configuration: Return to the Cologuard Order Test and navigate to the Options tab, Click on the yellow folder button and incorporate the newly created Order Component.

Optimizing Accessibility

• Practice Preferences: In the Orders Module menu of practice preferences, ensure the Exact Sciences Performing Entity is included in the Lab/Rad tab. This will ensure the Exact Sciences Performing Entity is available for selection in the EHR Orders Module. 

• Order Test Favorites: Add the configured test to the Order Test Favorites list in File Maintenance to enhance accessibility, following the same process you did in the Order Test Setup.
  

Requisition Setup

Within the Reports section of Practice Preferences, select Exact Sciences from the System dropdown. Add a requisition via the file explorer window, ensuring the correct file path is set. If you are an OSIS Member, we have an approved Exact Sciences requisition for Cologuard, that we provide as an OSIS Solution. 

Clinical Workflow

With configurations complete, the clinical workflow is ready for execution:

• Ordering: In the NextGen EHR Orders Module, select the new Exact Sciences option within the Performing Entity dropdown. Select the new Cologuard test, then choose the appropriate save option and print requisitions as needed for your practice.

• Resulting: Enter results for the Cologuard order, ensuring accuracy in Coll. Date/Time, Result, and Flag fields. Save the entry, and results will be visible within the order module.

By following these steps meticulously, healthcare facilities can efficiently integrate Exact Sciences Cologuard testing into their workflows, ensuring accurate results and enhanced patient care.

If you're seeking a deeper understanding of the Exact Sciences Cologuard test workflow, we invite you to explore our On-Demand Webinar presented by OSIS EHR Subject Matter Expert Brandon. Brandon offers a comprehensive walkthrough of the workflow, accompanied by a detailed demonstration. Join us on this educational journey to streamline your processes and elevate patient care.

Ready to optimize your Exact Sciences Cologuard testing experience? Become an OSIS Member today to access exclusive resources and support.