News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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Inside the Recent CLMA and USCAP Meetings

Last week, The Dark Report was in San Diego and Houston to attend the annual meetings of the United States & Canadian Academy of Pathology (USCAP) and the Clinical Laboratory Management Association (CLMA). Time spent in the exhibit halls of both meetings spoke volumes about the changing trends in the laboratory profession.

First was the USCAP meeting, conducted in San Diego, California. This is a growing meeting and attracts more than 3,000 pathologists from countries around the world. One can hear many different languages spoken as one walks among the crowd between sessions. The exhibit hall of USCAP is also growing. It featured 245 exhibitors and represented a good cross section of companies selling instrument systems, consumables, and services to anatomic pathology laboratories.

Of particular note were two things seen in USCAP’s exhibition hall. First, there was an intriguing spread of companies offering digital solutions for anatomic pathology. Technology is advancing and, even if the current generation of products fall a bit short of the functionality desired by customers, it is clear that lots of money is being invested to advance all aspects of pathology informatics and digital imaging. Second, molecular pathology was definitely a major product sector at this exhibition. Whether it was the marketing of new diagnostic assays or companies offering services in molecular pathology, there was high interest in how molecular pathology could be used to provide higher quality diagnostic support to pathologists and their referring clinicians.

Following the USCAP meeting, I flew to Houston, Texas to catch the CLMA annual meeting. Just as laboratory consolidation in the hospital industry over the past decade has steadily concentrated laboratory management duties into the hands of fewer people, CLMA has seen a corresponding shift in the numbers of attendees and the composition of vendors in its exhibition hall. One obvious difference from past years is the lower profile of several in vitro diagnostic (IVD) companies at this year’s event. Yet, a survey of vendors throughout the exhibition hall indicated that the people passing through the exhibition were qualified buyers and their expectation was that new business would be result from their participation at the exhibition.

Just as at the USCAP exhibition hall, CLMA’s exhibitor line-up featured a growing number of software and informatics vendors compared to past years. I take this as a sign that laboratory directors and pathologists are taking active steps to use information technology to guide their management of laboratory operations and work flow. The range of middleware solutions and vendors on the exhibition floor would be a response by vendors to the demand for those functions by laboratory customers.

Another observation was gained from attendance at the annual meetings of USCAP and CLMA. There is plenty of optimism about the future of laboratory medicine among attendees and vendors at both events. Despite the rapid pace of change in healthcare and unfavorable reimbursement trends, pathologists and laboratory managers believe that new diagnostic tests and advances in laboratory medicine are giving them important new tools to help patients and their physicians.

Your traveling editor,
Robert Michel

Send your comments and observations to Robert at rmichel@darkdaily.com.

Mayo Medical Lab Executive Highlights Market Opportunities for Hospital Laboratories

At the Hotel Monaco in San Francisco, California last Saturday, an intriguing line-up of lab industry experts delivered presentations that contained some highly useful information. This Dark Daily briefing will concentrate on several comments made by Rodney W. Forsman. He is the Administrative Director of Outcomes at Mayo Medical Laboratories (MML) and Associate Professor of Laboratory Medicine at the Mayo Clinic School of Medicine.

The event was the sixth annual Spring Fling conference, produced by the Golden Gate Chapter of the CLMA (Clinical Laboratory Management Association). The keynote speaker was our own Dark Daily Editor, Robert L. Michel. In attendance was an enthusiastic crowd of laboratory professionals from across Northern California, along with a large number of lab industry exhibitors.

Forsman was speaking on the subject of how community laboratories—particularly hospital laboratories with outreach programs—could play an important role in supporting integration of clinical services within a region. Forsman discussed the leverage that laboratory testing offers clinicians. After mentioning the oft-discussed fact that lab testing costs are about 5¢ on the healthcare dollar and play a role in as much as 70% of all clinical decisions, he provided two insights about the use of laboratory test data at Mayo Clinic which should be of interest to Dark Daily readers.

First, he provided a statistic about the role of laboratory testing inside the Mayo Clinic. Forsman explained that the Mayo Clinic’s EMR (electronic medical record) system has operated since 1995. Laboratory test data comprises 94% of the “objective data” within Mayo’s EMR system. This is a proportion which exceeds the widely-noted statement that laboratory test data makes up 70% to 80% of the typical patient’s permanent health record.

Second, Forsman provided another fact about Mayo to reinforce his point about the essential role that laboratory test data plays within the clinical continuum. At the Mayo Clinic each day, 60,000 laboratory test results are added to the Mayo EMR. This lab test data is in high demand, as Mayo tracks, on average, 200,000 daily retrievals of lab test data from the system by caregivers within the Mayo Clinic.

Forsman’s major point in his remarks was to emphasize how clinical laboratories could improve the value they offer their parent hospitals, referring physicians, and the patients they serve in their local community. He stressed the importance of using financial tools and close management of laboratory resources to accomplish these goals.

In our next Dark Daily, we will highlight insights about molecular diagnostics shared by another nationally-recognized speaker at the CLMA Golden Gate Chapter’s Spring Fling.

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