It further clarifies the paradigm shifts occurring in the healthcare arena and discusses survival and winning strategies for workplace changes. The chapter compares and contrasts traditional versus alternative staffing plans, using personnel classification and qualification and service requirements. More and more clinical laboratories are taking advantage of purpose-designed and built, medical-grade refrigeration technology. Factors affecting test turnaround time are explained. He or she must provide direction to the laboratory by communicating, delegating, motivating, and coaching. The objective of the journal is to provide practical information of immediate relevance to workers in clinical laboratories. Going forward, EHRs impact the laboratory’s ability to achieve its mission by affecting upstream data sources (orders) and the output stream (result display). This chapter describes the implementation of a hospital-based clinical laboratory outreach program, Beaumont Reference Laboratory (BRL), and its affiliation with a regional hospital laboratory network, Joint Venture Hospital Laboratories (JVHL), to secure provider status with major local and regional insurance carriers. Learn about our remote access options. These concepts include: know your real test costs; set charges and accept fee schedules that guarantee a reasonable profit margin; set charges to be market competitive and provide services that are better than those of your competitors; and avoid any appearance of kickbacks. Prior to the acquisition or implementation of any new diagnostic equipment or assay it is critical that the laboratory define exactly what is driving the potential process change. Today, the technician is responsible for the management of a large variety of staff including scientists, support staff, … On acquisition of equipment and/or implementation of new procedures, laboratories are required to establish policies and procedures to maintain or improve the reliability, efficiency, and clinical utility of the testing systems. The chapter talks about the election process and the collective bargaining process. Finally, the chapter facilitates in learning about how consolidation among providers and vendors is driving reengineering and restructuring, and in understanding how healthcare reform is fueling consolidation among all stakeholders. Reigniting the motivation in a person to lead will produce motivation in those whom he leads. This totally revised second edition is a comprehensive volume presenting authoritative information on the management challenges facing today’s clinical laboratories. Managers are accountable for a known scope and use a set of well-developed skills to manage in their area. Meanwhile, I highly, highly, highly recommend this edition for anyone with any laboratory management responsibility. The ability to manage conflict runs across each of those skills. Transactional change occurs when an organization makes improvements to stay competitive. Benchmarking allows you to compete more effectively, obtain and retain resources for your department, enhance the reputation of your department, and improve the satisfaction of your employees. Other than the need for teamwork in developing a suitable evidence base for decision making, effective human resource management to ensure optimal performance in the implementation phase is also equally important. The chapter explains the importance of training with respect to teams, distinguishes between task-related training and team-related training, and helps the reader to understand the concept of team building. It lists a set of critical parameters that one must specify in accounting for laboratory services. Next, the chapter explains the necessity of using positive language when communicating orally and in written form. While disinfectants destroy all microorganisms, but not necessarily their spores on inanimate surfaces, sterilants are agents that kill all microbial life, including spores, on inanimate surfaces. Several types of patient-oriented research (POR) are found in academic and non-university-based healthcare systems such as (i) mechanistic (physiological) studies of human disease, therapeutic studies, and clinical trials. There are myriad regulations that affect a laboratory’s operation, such as a license to operate and personnel policies. Travers, Eleanor M. (Author) 4.6 out of 5 stars 3 ratings. The chapter discusses the union organizing campaign and the “dos and don’ts” for the union and management. Clinical Laboratory Management 2nd Edition PDF Free Download E-BOOK DESCRIPTION This totally revised second edition is a comprehensive volume presenting authoritative information on the management challenges facing today’s clinical laboratories. A description of the recent advances in medicine and information technology is presented. The College of American Pathologists (CAP) continues to play a role in the development of the ISO 15189 standard and, since 2008, has been a certifying body for this standard. We live in a litigious society and the medical community has felt the impact. A document control policy should state the intent and direction the laboratory takes to document and record the structure it uses for creating, revising, approving, distributing, storing, retrieving, and destroying documents. One should understand the patient mix according to diagnoses and/or medical subspecialty to help project utilization of specific, especially esoteric or niche, tests. Positive language stresses positive actions and positive consequences. The chapter discusses the factors affecting quality of test ordering, specimen collection, and patient satisfaction. More and more hospital administrations are spending resources to generate broad benchmarks applicable to the laboratory and all of their functions throughout their institutions, but it is essential to set aside resources internally to develop and monitor appropriate performance measures in the laboratory. The chapter explains the types and behaviors of costs, how to measure them, what data are needed to generate a cost analysis, and how to cost a basic laboratory test. This chapter defines change and explains the concepts and types of change. The chapter explains future regulations and political and economic events impacting pathology and laboratory practice. This chapter defines relevant economic issues that influence the delivery of healthcare services and their significance to the practice of laboratory medicine. The chapter also provides insights to the commonalities and differences between clinical and forensic drug testing. The success of an organization depends on how well staff members recognize, understand, and resolve conflict, hopefully within a climate and culture where conflicts are anticipated and not ignored. This chapter defines the essential components of a laboratory safety program. It identifies marketing, sales, and customer service tools used to formulate a business plan to respond to the service requirements and economic needs of the healthcare delivery system. The chapter also explains how to apply time value of money concepts to capital acquisition plans using net present value. It presents an outline of healthcare reform and its impact on the industry stakeholders. ByPRATIK P POLADIA 2. The laboratory should not simply send out information, memos, policies, and procedures but should have a mechanism for receiving information from its clients. Patient registration staff should be familiar with Coordination of Benefits and the organization’s process to establish MSP status. Feedback to providers appears to be the most effective intervention, particularly when it is computer-based and when it is linked to EBM. The key factor to success in this network affiliation is the ability of the laboratory network to win provider status for its members with the major managed-care organizations. Managers must understand and participate in cost accounting and budgeting. Planned changes are also referred to as anticipated changes and are intended and thought out. This bar-code number lets you verify that you're getting exactly the right version or edition of a book. Two critical analyses performed in the laboratory are method verification and validation. Long-term storage and retrieval of laboratory data can be easily accommodated by a suitably configured LIS. The emergency operations center (EOC) represents the situational leadership that is necessary to manage the emergency, protect life and property, carry out the function of the laboratory, and assist in other areas of the facility. Various competency assessment methods are followed by managers including direct observations of routine patient test performance, monitoring the recording and reporting of test results, and reviewing of intermediate test results or worksheets and quality control records. The chapter also helps the reader to understand the impact of technological advances, home health devices, and genetic information, and learn how technology is driving personalized medicine, and to understand how society is becoming increasingly litigious. It is essential for the meeting convener to adapt to the meeting type and important for the meeting to be controlled. The chapter talks about basic statistical processes involved in monitoring analytical performance. This chapter describes the legal framework for labor relations activities. The study of management is typically broken out into four primary areas: planning, organizing, directing, and controlling. This chapter discusses the major features of the current healthcare environment. For effective and efficient management of infectious wastes, a comprehensive management plan is essential to ensure the safety of the employees handling the waste, and implementation of cost-effective strategies for waste disposal. A laboratory outreach program can broaden the scope of services for any hospital laboratory and meet the outpatient needs of the community if it is well researched prior to implementation. Conflict is constructive when the involved parties recognize and acknowledge that they have a disagreement and actively work to resolve it. The chapter helps the reader to become familiar with the concepts of clinical relevance and cost-effectiveness and how they are related, and to learn how to document the extent of the problem of laboratory test utilization, including relevant sources of information. Along with other operational divisions such as pharmacy and dietary, the laboratory must compete for resources with direct patient care divisions such as nursing. 16 Performance Appraisals and Competency Assessment. Approval was partially successful, following selected items could not be processed due to error, Journal of Microbiology & Biology Education®, Microbiology and Molecular Biology Reviews®. Includes valuable administrative resources, including checklists, worksheets, forms, and online resources. Transitional change is a more complex type of change in that it replaces processes or procedures with new concepts and procedures. Two other areas of concern to research and clinical laboratory practice are restrictive patents and excessive restraints on the use of human tissue and data for research and clinical purposes. Laboratory managers must encourage a routine exchange of thoughts and messages between the laboratory departments, management and staff, and different shifts. The goal of this chapter is to take the basic theories of motivation and apply them to real-life settings in the laboratory by relating some experiences that the author has had during his tenure in the profession. A feasibility report or business plan, based on the data previously acquired, provides valuable information for the administration to use in making the “go or no-go” decision. The path to developing authenticity is increasing your ability to be courageous enough to be open about your failures, your weaknesses, and where you are being inauthentic. Master of Science Degree in Medical Laboratory Science. If external benchmarking is performed using a contracted service, the analysis is both assisted by and limited by the way the data are massaged and presented by the benchmarking service. An effective leader will collaboratively set goals with those involved in the work based on the vision of the organization and then enable those people to use their abilities to accomplish the goal. Today's laboratory managers have to ensure quality while exercising prudent fiscal responsibility, and this within the context of a dramatically changing workforce that must better serve patients in an era of expanding knowledge and rapid change. The chapter explains how to operate a POCT program and to ensure the quality of testing. Once you have invented a possibility that is bigger than yourself and committed to make that possibility a reality, you will need new skills such as listening effectively, and finding a way of speaking about the future that makes it seem real and palpable to others. The chapter provides guidelines for collection, testing, and reporting of results in workplace drug testing. There is no substitute for engaged leadership. It focuses on specific approaches to performance monitoring and external Benchmarking. Majority of laboratories are in the state or private employment sector and must be considered for nonregulated testing. The chapter explains how to evaluate team and team member performance, and emphasizes individual performance in terms of contribution to the team. CLMA’s Career Center offers laboratory professionals a job bank where members have the ability to post positions, search candidate resumes, and find career opportunities. It focuses on the three common types of budgets, the budgeting process, and how budgets are used to measure financial performance and to control costs. His seminal works presented a hierarchy of needs represented as a pyramid with four levels of “deficiency needs” and a final top level of “growth needs”. It helps the reader to understand the purpose of performance appraisals. Many hospital laboratories, especially those in academic medical centers, serve significant numbers of outpatients. The chapter explains potential concerns and regulatory impact of increased use of EHRs in physician practices for pathologists and laboratories. It focuses on considerations relevant to the evaluation of benchmarking data. It reviews the types of benchmarking activities and where to find benchmarks. It talks about the relationship between complete and accurate billing and the generation of sufficient income to continue to perform expected functions. It familiarizes the reader with the historic development of clinical pathology and laboratory medicine in the United States. It requires an awareness of personal skills to determine the best way to reach the highest-quality decision with the greatest acceptance in the amount of time available. The laboratory medicine best practices (LMBP) initiative at the Centers for Disease Control and Prevention (CDC) adapts evidence-based medicine (EBM) concepts to clinical laboratory practice and quality improvement (QI) studies. The implementation of the outreach program led to many benefits, including using spare capacity and thus achieving economies of scale, generating a new revenue stream, lowering unit costs, enhancing the test menu, and creating a new avenue for customer (physician) bonding. Typically encountered interfaces between the LIS and other information systems include admission/discharge/transfer (ADT) interface and order-entry interface. Reviewer: Valerie L. Ng, PhD MD(Alameda County Medical Center/Highland Hospital), Color Atlas of Medical Bacteriology, Second Edition, Genome Plasticity and Infectious Diseases, Customers Who Bought This Item Also Bought, A Guide to Specimen Management in Clinical Microbiology, Second Edition. Our interim directors and executives are highly qualified and able to make a significant impact as soon as they arrive. Today, healthcare providers realize that the patient is the client and consumer. The author believes that an understanding of the expectations, hungers, and needs of employees can guide leaders in this process. It describes the ideal orientation process and addresses potentially useful retention techniques such as communication, training, recognition and work environment, available to managers. These edits when developed and applied nationally are known as national coverage determinations (NCDs) or local coverage determinations (LCDs) when developed by individual contractors on local policies. Provides thorough coverage of management topics such as managerial leadership, personnel, business planning, information management, regulatory management, … This chapter begins by defining and describing conflict. This chapter provides the reader with a strategy for making changes in laboratory utilization that are based on the clinical relevance of the tests. This chapter concentrates on personnel costs because they are the ones over which a manager can exert the greatest influence. This chapter describes the research compliance responsibilities for human subjects protection laws. The chapter identifies the elements of an EMP. Internal emergencies usually include utility failures, hazard spills, fires, bomb threats, and personnel or reagent shortages. This totally revised second edition is a comprehensive volume presenting authoritative Activities that fit with this strategy may be found in other departments of a hospital, such as marketing radiology and cardiology, to the same group of physicians. A laboratory manager must develop a system to organize the workflow, policies, and staffing of the laboratory. 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