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Category: Clinical Microbiology
Outreach Implementation Requirements: a Case Study, Page 1 of 2
< Previous page | Next page > /docserver/preview/fulltext/10.1128/9781555817695/9781555812799_Chap40-1.gif /docserver/preview/fulltext/10.1128/9781555817695/9781555812799_Chap40-2.gifAbstract:
This chapter describes the planning process to implement an outreach program, identifies potential barriers to acceptance of the implementation plan for an outreach program, discusses the impact of a successful outreach program on various laboratory sections, discusses the advantages of computer-assisted routing for couriers, describes methods for monitoring the financial success of an outreach program, and discusses the advantages of initiating a joint venture with affiliating hospital based outreach laboratories to obtain contracts with managed-care organizations. It reviews the development of the sales and marketing department, as well as courier services. Send-out tests represent procedures that are not performed in any of the laboratory sections and must be sent to an accredited laboratory. The total revenue for all beaumont reference laboratory (BRL) business compared with the total revenue gained through joint venture hospital laboratory (JVHL) highlights the contribution of JVHL and JVHL pull-through test volume to BRL’s overall business growth. In conclusion, laboratory networks appear to provide an advantage in increasing pull-through in laboratory volume due to the network’s extensive coverage of basic managed-care organizations, thereby providing one-stop shopping for laboratory services.
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BRL organization chart.
BRL organization chart.
Courier management, client services, and client interaction with software for courier routing, specimen counts, STAT pickups, client supplies inventory, specimen tracking, and client service problem logs.
Courier management, client services, and client interaction with software for courier routing, specimen counts, STAT pickups, client supplies inventory, specimen tracking, and client service problem logs.
Annual volume of tests, including total tests and five different methods, performed from 1992 to 2002 in the Molecular Pathology Laboratory at William Beaumont Hospital.
Annual volume of tests, including total tests and five different methods, performed from 1992 to 2002 in the Molecular Pathology Laboratory at William Beaumont Hospital.
The daily requisitions for tests at BRL received by physician offices (▲) and nursing homes (♦), and totals (■), in January 2002.
The daily requisitions for tests at BRL received by physician offices (▲) and nursing homes (♦), and totals (■), in January 2002.
2002 BRL outreach laboratory utilization analyzed by specialty
2002 BRL outreach laboratory utilization analyzed by specialty
Beaumont Reference Laboratory's annual client numbers and clinical pathology procedures
Beaumont Reference Laboratory's annual client numbers and clinical pathology procedures
Courier routing-optimization results: the BRL experience
Courier routing-optimization results: the BRL experience
Route-optimization results: rerouting for cold weather
Route-optimization results: rerouting for cold weather
Route-optimization results: reoptimization of Monday p.m. routes
Route-optimization results: reoptimization of Monday p.m. routes
Annual volume of tests of cervical cytology at BRL a
a Data collected by Jennifer Shimoura.
Annual volume of tests of cervical cytology at BRL a
a Data collected by Jennifer Shimoura.
Tests performed in 2002 in the Molecular Pathology Laboratory at William Beaumont Hospital
a RT-PCR, reverse transcriptase PCR; HCV, hepatitis C virus; HIV, human immunodeficiency virus; HBV, hepatitis B virus; CMV, cytomegalovirus; ACE, angiotensin-converting enzyme; TMA, transcription-mediated amplification; MTHFR, methylene tetrahydrofolate reductase; HPV, human papillomavirus.
Tests performed in 2002 in the Molecular Pathology Laboratory at William Beaumont Hospital
a RT-PCR, reverse transcriptase PCR; HCV, hepatitis C virus; HIV, human immunodeficiency virus; HBV, hepatitis B virus; CMV, cytomegalovirus; ACE, angiotensin-converting enzyme; TMA, transcription-mediated amplification; MTHFR, methylene tetrahydrofolate reductase; HPV, human papillomavirus.
Summary of tests performed by BRL in 2002 according to specialty
Summary of tests performed by BRL in 2002 according to specialty
Breakdown of tests performed by BRL in 2002 according to specialty
a CHE, Chemistry; HEM, Hematology/Coagulation; IMM, Immunology; MIC, Microbiology; MOL, Molecular Pathology; FLO, Flow Cytometry; BLB, Blood Bank; CYT, Cytology.
Breakdown of tests performed by BRL in 2002 according to specialty
a CHE, Chemistry; HEM, Hematology/Coagulation; IMM, Immunology; MIC, Microbiology; MOL, Molecular Pathology; FLO, Flow Cytometry; BLB, Blood Bank; CYT, Cytology.
2002 Frequently ordered tests performed by BRL in 2002 listed in rank order according to specialty
a E2, estradiol; U/A, urinalysis; ESR, erythrocyte sedimentation analysis; Ab, antibody; Ag, antigen; E3, estriol; Prel, preliminary; Def, definitive; HS, high sensitivity; HH, hemochromatosis gene mutation; ID, identification; Cul, culture.
2002 Frequently ordered tests performed by BRL in 2002 listed in rank order according to specialty
a E2, estradiol; U/A, urinalysis; ESR, erythrocyte sedimentation analysis; Ab, antibody; Ag, antigen; E3, estriol; Prel, preliminary; Def, definitive; HS, high sensitivity; HH, hemochromatosis gene mutation; ID, identification; Cul, culture.
Send-out test volumes at William Beaumont Hospital
a Non-BRL represents inpatient, emergency center, and registered outpatient send-out procedures.
Send-out test volumes at William Beaumont Hospital
a Non-BRL represents inpatient, emergency center, and registered outpatient send-out procedures.
Review of send-out tests by telephone at William Beaumont Hospital
Review of send-out tests by telephone at William Beaumont Hospital
Potential areas to monitor to track financial outcome in an outreach program
Potential areas to monitor to track financial outcome in an outreach program
Annual revenue at BRL
a Total procedures performed by BRL in Anatomic and Clinical Pathology.
Annual revenue at BRL
a Total procedures performed by BRL in Anatomic and Clinical Pathology.
Payor mix for three years at BRL
a Payor mix for three years at BRL
Payor mix for three years at BRL
a Payor mix for three years at BRL
Annual statistics relating to procedures performed by BRL
a Total procedures performed by BRL in Anatomic and Clinical Pathology.
Annual statistics relating to procedures performed by BRL
a Total procedures performed by BRL in Anatomic and Clinical Pathology.
Comparison of procedures and revenue for BRL and JVHL business
a Refers to all BRL business and all payors (Medicare, Blue Cross, JVHL, etc.)
b Refers to the total revenue for clients with JVHL activity and includes JVHL-only gross revenue column.
c Refers to JVHL capitated contracts (payments) only and excludes pull-through business.
d In conclusion, laboratory networks appear to provide an advantage in increasing pull-through in laboratory volume due to the network's extensive coverage of basic managed- care organizations, thereby providing one-stop shopping for laboratory services.
Comparison of procedures and revenue for BRL and JVHL business
a Refers to all BRL business and all payors (Medicare, Blue Cross, JVHL, etc.)
b Refers to the total revenue for clients with JVHL activity and includes JVHL-only gross revenue column.
c Refers to JVHL capitated contracts (payments) only and excludes pull-through business.
d In conclusion, laboratory networks appear to provide an advantage in increasing pull-through in laboratory volume due to the network's extensive coverage of basic managed- care organizations, thereby providing one-stop shopping for laboratory services.