Department of Microbiology Quality Manual / Policy QIMMIPPTOC.08 / Page 1of 3
Section: Information Management / Subject Title: LIS Manual Processes and Procedures Table of Contents

Information Systems Access

Laboratory Information System Access Process QIMMI01000

Confidential Data AccessibilitytoSoft.QIMMI010002

User access to SOFT QIMMI01002

Modify User Access toSoftQIMMI01004

Inactivate userAccess toSoftQIMMI 01005

Maintaining the Security of SOFT User PasswordsQIMMI01003

Information Systems Training

Laboratory Information System Training ProcessQIMMI02000

Soft Laboratory Information System Competency AssessmentQIMMI02001

Soft TrainingQIMMI02002

Request and Notification of LIS Changes

Request Notification of LIS Change ProcessQIMMI03000

Evaluation of Change for LIS RequestQIMMI030001

Approval Procedure for Changesto SoftQIMMI03002

Implementation of Changes to Soft ApplicationsQIMMI03003

Determining the Accuracy of Soft ReportsQIMMI03006

Auto-verification ofResults in SoftQIMMI03004

Testing of Auto-verification of ResultsQIMMI03005

Verification of Accuracy of LIS Calculations

Annual ReportReviewQIMMI03007

Hardware and Software Modifications QIMMI03008

LIS Software Change Policy QIMMI03009

LIS Validation Flowchart QIMMI03010

LIS Downtime and System Maintenance

LIS Support Downtime ProcessQIMMI04000

Soft LIS Incident ReportingQIMMI04001

System Repair QIMMI04003

Maintaining the Components of Soft LIS Acceptable Environment QIMMI04004

LIS SystemSupport Staff QIMMI04005

System Hardware Support QIMMI04006

LIS Backup Procedure QIMMI04007

System and Hardware Overview QIMMI04008

Minor Emergency Systems Support QIMMI04009

Downtime Procedures Department ofMicrobiology QIMMI04011

Disaster Recovery Protocol QIMMI04012

Post Data Restoration Validation QIMMI04002

LIS Daily System Maintenance QIMMI 04013

Downtime Recovery Checklist

Record of Soft Hardware and Software

Patient Maintenance Log

Daily Weekly LIS System Maintenance Checklist

Markham Server Location Environment

Forms

LIS User Access Request Form MicroQIMMI101001a

LIS Notification of Termination of Employment MicroQIMMI01001b

Network AccessRequest form (NARF)

Competency Assessment General Duty Technologist Micro QPEMI05005a

Competency Assessment TechnicianMicroQPEMI05005b

Competency Assessment Administrative Assistant Micro QPEMI05005c

Orientation for Technologists Micro, Information Systems Training MI\ORIEN\03\04

Microbiology Change Request FormQIMMI03002a

Testing and Verification of Microbiology Change RequestsQIMMI03003a

Agreement to Laboratory Report Facsimile

Incident ReportForm MicroQOMMI01003a

Record of Edited Revisions

Manual Section Name: LIS Manual Processes and Procedures Table of Contents

Page Number / Item / Date of Revision / Signature of Approval
Annual Review / May 26, 2004 / Dr. T. Mazzulli
Annual Review / May 26, 2005 / Dr. T. Mazzulli
Annual Review / July 12, 2006 / Dr. T. Mazzulli
Annual Review / August 9, 2007 / Dr. T. Mazzulli
Annual Review / October 30, 2008 / Dr. T. Mazzulli
Annual Review / October 30, 2009 / Dr. T. Mazzulli
Annual Review / May 31, 2011 / Dr. T. Mazzulli
Annual Review / May 31, 2012 / Dr. T. Mazzulli
Annual Review / May 31, 2013 / Dr. T. Mazzulli

UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY

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S:\MICROBIO\Microbiology\New Manual\Live Manual\Quality Manual\Information Management\LIS Manual Table of Contents\LIS Manual Table of Contents_Micro.doc