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	<title>Comments on: Underfunding Affects the Public Face of Clinical Laboratories</title>
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	<description>DARK Daily is a concise e-news/management briefing on timely topics in clinical laboratory and anatomic pathology group management. It is a solution to the dilemma facing anyone in the laboratory profession.</description>
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		<title>By: NM</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-366235</link>
		<dc:creator>NM</dc:creator>
		<pubDate>Fri, 18 Nov 2011 11:38:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-366235</guid>
		<description>I have been a Quest Diagnostics employee for 13 years, and every day that I come to work, I am getting closer to a world that has cures for cancer, diabetes, alzheimer&#039;s and every other devastating disease - can Garrison Keillor say the same?

To AK, I would add- did you not take the required annual training about compliance and duty to report? If you signed that statement, and then did not use any of the 5 available means to report a violation in CLIA-88, including anonymous phone tips on the CHEQline, then you are culpable and could have been held accountable. We take our responsibilities to our patients very seriously, and I was highly offended by Keillor&#039;s remarks, slamming the entire 400,000 global employees of our company because he had a bad day at a draw station? He should try actually doing the work for a living before he insults so many people so broadly. And I personally don&#039;t mind if the decor is dingy if that means that the company did not have to lay off it&#039;s workers during an economy where record numbers of patients were in collections because they could not pay their lab bill due to being laid off.</description>
		<content:encoded><![CDATA[<p>I have been a Quest Diagnostics employee for 13 years, and every day that I come to work, I am getting closer to a world that has cures for cancer, diabetes, alzheimer&#8217;s and every other devastating disease &#8211; can Garrison Keillor say the same?</p>
<p>To AK, I would add- did you not take the required annual training about compliance and duty to report? If you signed that statement, and then did not use any of the 5 available means to report a violation in CLIA-88, including anonymous phone tips on the CHEQline, then you are culpable and could have been held accountable. We take our responsibilities to our patients very seriously, and I was highly offended by Keillor&#8217;s remarks, slamming the entire 400,000 global employees of our company because he had a bad day at a draw station? He should try actually doing the work for a living before he insults so many people so broadly. And I personally don&#8217;t mind if the decor is dingy if that means that the company did not have to lay off it&#8217;s workers during an economy where record numbers of patients were in collections because they could not pay their lab bill due to being laid off.</p>
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		<title>By: AK</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-6315</link>
		<dc:creator>AK</dc:creator>
		<pubDate>Fri, 25 Dec 2009 04:29:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-6315</guid>
		<description>I worked for Quest Diagnostics for just under nine years.  Mr. Kellier is right about the wages.  Quest pays below market at their Portland lab than competing labs in the Portland/Vancouver area.  I left there in 2007 and immediately started working for $3/hour more than I was making after working at Quest for over eight years. 

Another nice little factoid about the Portland lab:  From 1999 to 2002 had the Pathology TRANSCRIPTIONIST grossing in their biopsy specimens.  They let that go on until corporate &quot;caught&quot; them in 2002 - they claimed to be running under CLIA-88 regulations, yet had a non-degreed person on the bench, grossing patient&#039;s biopsies.  


If you all have a choice, PLEASE use another lab service.  Until they get caught, you never know WHO is handling your blood, tissue, or other specimens.</description>
		<content:encoded><![CDATA[<p>I worked for Quest Diagnostics for just under nine years.  Mr. Kellier is right about the wages.  Quest pays below market at their Portland lab than competing labs in the Portland/Vancouver area.  I left there in 2007 and immediately started working for $3/hour more than I was making after working at Quest for over eight years. </p>
<p>Another nice little factoid about the Portland lab:  From 1999 to 2002 had the Pathology TRANSCRIPTIONIST grossing in their biopsy specimens.  They let that go on until corporate &#8220;caught&#8221; them in 2002 &#8211; they claimed to be running under CLIA-88 regulations, yet had a non-degreed person on the bench, grossing patient&#8217;s biopsies.  </p>
<p>If you all have a choice, PLEASE use another lab service.  Until they get caught, you never know WHO is handling your blood, tissue, or other specimens.</p>
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		<title>By: Robert Boorstein, MD, PhD</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-6153</link>
		<dc:creator>Robert Boorstein, MD, PhD</dc:creator>
		<pubDate>Tue, 22 Dec 2009 19:51:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-6153</guid>
		<description>I read, with interest, your commentary on the Garrison Keillor column.
 
While I concur that aspects of lab medicine are &quot;underfunded&quot;, I think a major issue is the absence of consumers from the decision making process.   I had a similar unpleasant phlebotomy experience at Labcorp.   If that had been Burger King, I would have gone to McDonalds, if Chevy, then Ford, etc.   However, my insurance company (which I don’t choose) chooses the lab company.  The industry doesn&#039;t have the market discipline that comes from consumers spending their own money (or even a voucher).  In reality, there often isn&#039;t that much value in upgrading waiting areas, or improving customer service in the collection area, since customers don’t have anywhere else to go. We don’t really discuss whether McDonalds is underfunded or overfunded.
  Millions of people can decide whether a big Mac is better than a Whopper.  If they had the choice, they probably would be able to choose between Labcorp and Quest too.
 
I am somewhat heartened by the recent flu vaccine season, where many drugstores provided flu shots for modest prices, and cash.  In that case Walgreens has to provide service , or people will go to CVS.  

Robert Boorstein, MD, PhD
Associate Professor of Pathology</description>
		<content:encoded><![CDATA[<p>I read, with interest, your commentary on the Garrison Keillor column.</p>
<p>While I concur that aspects of lab medicine are &#8220;underfunded&#8221;, I think a major issue is the absence of consumers from the decision making process.   I had a similar unpleasant phlebotomy experience at Labcorp.   If that had been Burger King, I would have gone to McDonalds, if Chevy, then Ford, etc.   However, my insurance company (which I don’t choose) chooses the lab company.  The industry doesn&#8217;t have the market discipline that comes from consumers spending their own money (or even a voucher).  In reality, there often isn&#8217;t that much value in upgrading waiting areas, or improving customer service in the collection area, since customers don’t have anywhere else to go. We don’t really discuss whether McDonalds is underfunded or overfunded.<br />
  Millions of people can decide whether a big Mac is better than a Whopper.  If they had the choice, they probably would be able to choose between Labcorp and Quest too.</p>
<p>I am somewhat heartened by the recent flu vaccine season, where many drugstores provided flu shots for modest prices, and cash.  In that case Walgreens has to provide service , or people will go to CVS.  </p>
<p>Robert Boorstein, MD, PhD<br />
Associate Professor of Pathology</p>
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		<title>By: stmichrick</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-6101</link>
		<dc:creator>stmichrick</dc:creator>
		<pubDate>Mon, 21 Dec 2009 21:14:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-6101</guid>
		<description>Keillor accurately describes my last experience at the Department of Motor Vehicles.

His predilection for nanny government is delusional. Hopefully most of American Democrats will get over it after their first taste of ObamaCare.</description>
		<content:encoded><![CDATA[<p>Keillor accurately describes my last experience at the Department of Motor Vehicles.</p>
<p>His predilection for nanny government is delusional. Hopefully most of American Democrats will get over it after their first taste of ObamaCare.</p>
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		<title>By: Larry Yazman</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-5641</link>
		<dc:creator>Larry Yazman</dc:creator>
		<pubDate>Fri, 11 Dec 2009 17:18:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-5641</guid>
		<description>I don&#039;t think that paying more for venipuncture will make a difference on the service issue. The commercial labs will let that increase just flow to their bottom line. The best phlebotomists in our region work for the hospital laboratories. The ones who are not competent and/or do not have good people skills lose their jobs at the hospitals and find employment at our local commercial lab draw stations.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think that paying more for venipuncture will make a difference on the service issue. The commercial labs will let that increase just flow to their bottom line. The best phlebotomists in our region work for the hospital laboratories. The ones who are not competent and/or do not have good people skills lose their jobs at the hospitals and find employment at our local commercial lab draw stations.</p>
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		<title>By: Joanne D'Amico</title>
		<link>http://www.darkdaily.com/underfunding-affects-the-public-face-of-clinical-laboratories-1211/comment-page-1#comment-5633</link>
		<dc:creator>Joanne D'Amico</dc:creator>
		<pubDate>Fri, 11 Dec 2009 15:34:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.darkdaily.com/?p=4196#comment-5633</guid>
		<description>I think the Quest spokesperson needs to do some real time serious checking. I too have been unhappy with Quest&#039;s phlebotomy. I need frequent lab tests, and my experiences there have been that while the facility appears clean and well maintained, and the employees are not foreign (should not be an issue), they are universally glum, pre-occupied, non-welcoming, barely responding to my (and other clients) cheerful greetings. The wait is usually an hour, even though there are only 8 - 10 people waiting, and it apperas there are at least 2-4 phlebotomists. I rarely see the same personnel there twice, and although I have decent veins, (used to let lab students practice on me and they did fine)the Quest people often have to stick me 2-3 times.

They get increasingly unhappy when I tell them I am allergic to latex, and if they miss, and I request that a different employee try, they get really unhappy - and I often sit another 10-20 minutes until someone else appears. Therefore, I have finally found a small local lab that is happy to see me, the wait time is rarely over 5-10 minutes, and they manage to get what they need the first time.</description>
		<content:encoded><![CDATA[<p>I think the Quest spokesperson needs to do some real time serious checking. I too have been unhappy with Quest&#8217;s phlebotomy. I need frequent lab tests, and my experiences there have been that while the facility appears clean and well maintained, and the employees are not foreign (should not be an issue), they are universally glum, pre-occupied, non-welcoming, barely responding to my (and other clients) cheerful greetings. The wait is usually an hour, even though there are only 8 &#8211; 10 people waiting, and it apperas there are at least 2-4 phlebotomists. I rarely see the same personnel there twice, and although I have decent veins, (used to let lab students practice on me and they did fine)the Quest people often have to stick me 2-3 times.</p>
<p>They get increasingly unhappy when I tell them I am allergic to latex, and if they miss, and I request that a different employee try, they get really unhappy &#8211; and I often sit another 10-20 minutes until someone else appears. Therefore, I have finally found a small local lab that is happy to see me, the wait time is rarely over 5-10 minutes, and they manage to get what they need the first time.</p>
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