The Impact of
Informatics on Lab
Services
4750 Venture Drive, Suite 400 Ann Arbor, MI 48108 (800) 860-5454 (734) 662-6363 (734) 662-7118 (FAX) www.pcslabservices.com
Jan W. Steiner, MD, FRCP(C)
Park City Solutions/Laboratory Services Group
Ann Arbor, Michigan
© 2001 PCS Laboratory Services Group
08/01M:/Graphics/Overhead/Allslds/Steiner/2001/1001_Waterloo.ppt
“Nothing is permanent but change.”
Heraclitus
500, B.C.
© 2001 PCS Laboratory Services Group
08/01M:/Graphics/Overhead/Allslds/Steiner/2001/1001_Waterloo.ppt
The Vision of Regionalization of Hospital
Laboratories
Multi-institutional ventures, coordinated to eliminate undue
duplication of resources
High quality through sharing of expertise and technology transfer
Client responsiveness
Unified terminologies, normal values and ranges
Integrated information system with compatible regional database
Shared outreach infrastructure
Unified operational philosophy attuned to clinical goals
Standardized equipment, methodologies and procedures
In-common medical, technical and administrative leadership
In-common purchasing
Dedication to Innovation
© 2001 PCS Laboratory Services Group
08/01M:/Graphics/Overhead/Allslds/Steiner/2001/1001_Waterloo.ppt
Goals of Regionalized Laboratory Systems
Seamless delivery of laboratory services (equal patient access to high
quality laboratory services);
Continuity of care - provision of a regional compatible laboratory
database covering services from cradle to grave which would allow
for movement from M.D. office to Hospital to Nursing Home, etc.
without repeat pre-admission or pre-examination testing;
Regional purchasing plans to standardize equipment, reagents and
supplies to reduce cost of laboratory activities;
Reduction of fixed costs by sharing of high cost human resources;
Low cost structure and competitive pricing;
Institutionalized technologic innovation and technology transfer;
Joint managed care bidding through control of a large population
base and geographic coverage combined with optimum quality of
service;
Inreach lab services development taking advantage of the traditional
allegiance of medical staffs to their institutions;
Joint inreach and outreach infrastructure through creation of
Laboratory Service Organizations which share the cost and activities
of marketing and sales, client servicing, logistical services (couriers),
billing, form design, etc.
© 2001 PCS Laboratory Services Group
08/01M:/Graphics/Overhead/Allslds/Steiner/2001/1001_Waterloo.ppt
Dissociated Regional Laboratory System
“The Tower of Babel Syndrome”
NH
Hospital
Lab
I
Hospital
Lab
II
Hospital
Lab
III
Hospital
Lab
IV
PO
NH
NH
PO
POL
POL
POL
POL
POL
POL
Reference
Lab C
Reference
Lab B
Reference
Lab A
P
P
P
P
NH: Nursing Home
POL: Physician’s
Office Laboratory
PO: Physician’s Office
P: Patient Self-Testing
© 2001 PCS Laboratory Services Group
08/01M:/Graphics/Overhead/Allslds/Steiner/2001/1001_Waterloo.ppt
Integrated Regional Laboratory System
Reference
Lab
NH
NH
Hospital
HospitalHospital
Hospital
CORE
LAB
STATSTATSTAT
STAT
PO
P
P
P
POPOPO
POL
POL
POL
P P P P P
P
P
P
P
P
P
P
P
POL
Key
Rapid Service Labs
Specialized Core Lab
PO: Physician’s Office
POL: Physician’s Office Lab
P: Patient Self-Testing
NH: Nursing Home
© 2001 PCS Laboratory Services Group
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H
1
RRL
H
3
RRL
H
4
RRL
Referral
Lab
Lab
Core
H
Outreach
Core
H
2
RRL
Laboratory Cooperative In-common Model
MD Offices and Clinics
Cafeteria Style Services
1 Hospitals buy tests from lab core
2 Hospitals buy outreach support
from outreach core
Test Send Outs
Marketing, Sales,
Logistics, Billing
NB: There is only one Routine Core
Lab but there may be multiple
specialized cores (e.g., coagulation,
molecular diagnostics, virology) and
multiple Rapid Response
Laboratories (RRLs)