Care Management > Laboratory > Lab Standardization

Laboratory Solutions for Your Health System

Increasing the efficiency and effectiveness of your laboratory operations is a major concern in today's healthcare landscape. You need immediate, accurate results that help you personalize patient care, while ensuring that your laboratory runs efficiently and cost effectively. From the hospital and reference lab to the central lab, we provide you with the services, solutions and tools to help improve business performance in all your lab settings.

  • We are not only a distributor to deliver supplies, but we worth with your supply chain staff on, lot track and trace, and lot sequestration.
  • We can provide quality distribution and a delivery model for each site of care to help you cut costs with reduced overhead of self-warehousing and distribution.
  • We provide assistance with EMR, middleware and LIS connectivity to the "off site facilities" within the health system.
  • We offer consulting assistance for standardization and help provide efficiency throughout the health system to address continuity between the hospital and all alternate sites of care.        

Laboratory Solutions for All Sites of Care

As your system integrates to a value-based approach, laboratory testing can play an important role. An efficiently-run laboratory care management program in each of your facilities can help improve patient outcomes by:

  • Managing chronic conditions and treatment effectiveness
  • Increasing office efficiency
  • Improving patient satisfaction

From the hospital and surgery center to the physician office and skilled nursing facility, we offer a total solution with expertise, consultants and resources to help you move your lab forward. McKesson Medical-Surgical's team of in-house lab specialists provide expert assistance at every stage of your lab operation. They will work with your account manager to advise you about products, technology solutions and laboratory setup.

McKesson Medical-Surgical MedSol licensed professionals also provide access to specialized resources and support to help you address specific needs such as accreditation, customized safety manuals, post-OSHA inspection response and consulting services. In addition, we offer expert resources to help you find, train and retain a knowledgeable and efficient laboratory staff. We help you stay on top of new lab techniques, equipment and processes to help improve your lab's efficiency and enhance patient outcomes.

Where does lab fit in at every level of the health system? To help evaluate the need for lab at all site of care, below is a summary of the function of the lab at each type of facility as well as the common tests preformed and solutions needed. Scroll down or click on your lab area of interest in the listing below to learn more.

HOSPITAL  |  AMBULATORY SURGERY CENTER  |  IMAGING CENTER  |  DIALYSIS AND INFUSION  |  URGENT CARE  |
COMMUNITY HEALTH CENTER  |  CENTRAL LABORATORY  |  MULTI-SPECIALTY CLINIC  |  PRIMARY CARE  |
HOME HEALTH  |  EXTENDED CARE

 

Hospital 

Lab at a Hospital: high-volume, large test menu; in need of guidance on analyzers, test systems and menu

Solutions needed:

  • A distributor to work with supply chain on formularies, lot track and trace and lot sequestration
  • Quality delivery and distribution model to help cut costs at the hospital level with reduced overhead of self-warehousing and distribution
  • Assistance with EMR and LIS connectivity and middleware to the "off sites" within the health system
  • Consulting assistance for standardization and efficiency throughout the health system to address continuity between hospital and alternate sites
  • Assistance in compliance for CAP, JC, state and federal licensure

Ambulatory Surgery Center 

Lab in an ASC: performs pre-surgery blood work scheduled on site prior to procedure; common tests include BMP, electrolytes, glucose, PT/INR, ACT, UA, sometimes flu or strep

Solutions needed:

  • Faster time to result, immediate assessment in order to proceed to surgery/procedure; faster results will help reduce the potential to re-schedule the surgery and adds a control point in the facility rather than relying on a primary care office or reference lab to perform pre-surgery lab tests 
  • Increased patient satisfaction through greater efficiency and reduced time in complete process

Imaging Center 

Lab in an Imaging Center: pre-procedural blood work scheduled on site prior to procedure; common tests include BUN/creatinine

Solutions needed:

  • Faster time results, immediate assessment in order to proceed to imaging procedure 
  • Increased patient satisfaction through greater efficiency and reduced time in complete process

Dialysis and Infusion 

Lab in Dialysis and Infusion: pre-procedure or infusion blood work scheduled on site prior to procedure; common tests include CMP, CBC, therapeutic drug levels prior to procedure and/or infusion; CBC can be critically important

Solutions needed:

  • May need to schedule in advance for results to be accessible on day of procedure/infusion
  • Important to assess patient current status and course of treatment and/or adjustment of TD
  • Single point of care leads to increased patient satisfaction and higher quality outcomes 

Urgent Care Center 

Lab in UC: needs to be seen as single point of care with on-site lab - "one stop shop; common tests include CBC, chem panels, rapid diagnostics (especially respiratory such as flu and strep, UA-simple, quick TAT, site of patient care

Solutions needed:

  • Lab needs to provide a comprehensive assessment in urgent situations and provide higher quality outcomes
  • Alternative to primary care office visit when appointment is not available; may eliminate ER visit
  • Studies suggest patients are willing to drive 25 miles to receive comprehensive service in an UC

Community Health Center 

Lab in a CHC: desirable designation as "Patient Centered Medical Home"; designation receives higher level of government funding at times; common tests include small list of waived tests, glucose, lipids, A1C, lead testing for infant care and STDs; some do waived chemistry (I-Stat or Piccolo)

Solutions needed:

  • Need for multiple services in-house due to population serviced
  • In-house lab provides more timely diagnosis, evaluation and immediate treatment; lab with on-site consultation helps to keep patients compliant. Patient portals should be evaluated; do patients have access to the portals
  • Higher quality of care and improved patient outcomes; higher patient satisfaction

Central Laboratory 

Lab function of a Central Lab: central lab in the health system affords ability to bring high volume, non-STAT tests to single location; maintaining or growing test volume is critical

Solutions needed:

  • Look at decentralization of more immediate need tests; provide POC at satellite offices
  • Lower costs, improved efficiency, higher quality outcomes and patient satisfaction

Multi-specialty Clinic 

Lab in a Multi-specialty Clinic: all services in-house provides a higher quality of care and improved outcomes with managed chronic conditions; various needs for lab testing dependent on specialties within clinic

Solutions needed:

  • Evaluation of combined volumes to determine test menu and best fit equipment; EMR, LIS and middleware for connectivity
  • Affords on-site testing for variety of patient conditions with one central lab within clinic; improves patient compliance, decreases patient costs of separate visits for care and lab work; links to quality of care initiatives
  • Patient satisfaction high; patients see multiple specialists within site

Primary Care 

Lab in Primary Care: wide range of needs with varied patient population (age, gender, disease management); common tests include combination of moderately complex and POC (waived testing), CBC, chem panels, IA, rapid diagnostics, lipids and A1C for diabetes and hyperlipidemia, some coagulation

Solutions needed:

  • Without comprehensive services and efficient scheduling, may turn to UC or retail clinic
  • Keeps primary care physicians viable with offering of additional on-site services
  • May eliminate need for follow-up appointment with immediate diagnosis and treatment
  • Higher quality outcomes, increased patient satisfaction

Home Health 

Lab in Home Health: current model for phlebotomy only in patient home; common tests include waived, POC testing (BMP, blood gases, PT/INR, glucose, UA, Hgb A1C), flu and strep need to be kept in mind

Solutions needed:

  • Delayed diagnosis, evaluation and course of treatment with delay in lab results
  • Opportunity to bring POC testing to the patient home bedside with "mobile lab unit"
  • Improved management of chronic condition; better outcome, increased patient satisfaction

Extended Care 

Lab in Extended Care: current model for phlebotomy only with labs sent to reference lab or hospital site; common tests include CBC, PT/INR, glucose meters, chem panels, UA, rapid diagnostics, flu, A1C, fecal and gastric occult, urinalysis, Piccolo, iSTAT (ABG & BNP); small space needs

Solutions needed:

  • POC testing provides more timely assessment and treatment with immediate results; flu, UA, FOBT and electrolytes can be important
  • Faster results lead to quicker delivery of care and better clinical outcomes, increased patient satisfaction; reduced readmissions/re-hospitalization, immediate results by treating patients in place      

      

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