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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Study Shows Too Many Electronic Alerts Cause 30% of Primary Care Physicians to Overlook Essential Clinical Laboratory Test Results

Missed results in EHRs were related to information overload, electronic handoffs from one provider to another, and perceptions of poor usability of the EHR

Physicians often overlook important clinical laboratory test results when they get too many alerts in a day. This was one of several findings from a study designed to see how physicians responded to alerts delivered through an electronic health record system (EHR).

These findings will not surprise most pathologists and medical laboratory managers. Daily and weekly, they see how frequently “out of normal” test results can be reported to a referring physician. (more…)

Clinical Lab Industry Should Prepare for Many Marketplace Changes, Predict Experts at Yesterday’s Executive War College

Labs are facing new threats as managed care plans cut reimbursement levels and new companies are coming between labs and their physician clients

*** Revised Version – Original Version Misstated: The previous version had statements attributed to Ignis Systems that were incorrect. The corrected version is below.

DATELINE: NEW ORLEANS, LOUISIANA—It was a big opening for the 17th annual Executive War College (EWC) on Laboratory and Pathology Management yesterday. A record crowd of about 700 enthusiastic clinical laboratory managers and pathologists heard lab industry leaders predict a fast-changing future for the medical laboratory testing industry.

The editorial team from The Dark Report and Dark Daily are all here to cover the sessions and provide you with useful intelligence and insights about market trends and innovations in the management and operations of clinical laboratories. That was true of yesterday’s opening general session, followed by an afternoon of clinical laboratory management case studies.
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A New Issue for Laboratories: Consumers Who Want to Keep Their Own EMR

In recent years, the laboratory industry has debated how to best meet the demand from some consumers to order laboratory tests and receive results without the involvement of their physician. However, direct access testing (DAT) never gained much momentum. Now comes a trend likely to have a greater impact: the Personal Health Record (PHR).

In an age where the Internet is a secure way to capture information and paper medical records are slowly being converted to electronic ones, more individuals are taking over active management of their personal health information. Enter the Personal Health Record or PHR. This will be a key element in the complete patient medical record and is part of national healthcare IT policy. The Office of the National Coordinator of Health Information Technology (ONC) set as Goal 3 of it strategic framework “to personalize care through the adoption of PHRs.”

Lab managers and pathologists may be surprised to learn that there are already two types of PHRs currently in use: One type is the standalone PHR. This is a PHR created by individuals or by one institution to be used by patients and their families. They are useful for getting consolidated information, but standalone PHRs only work when patients are diligent in keeping records up-to-date. Integrated PHRs with EMR are currently tied directly to one institution and hospital system. This integration allows for helpful services such as appointment scheduling, physician messaging, and prescription refill capabilities.

Because an individual’s PHR is controlled and stored by an individual hospital or clinic at this point, the usefulness of the information is not fully recognized. EMRs are becoming the norm, but, as Dark Daily has reported in the past, adoption of EHRs by physicians and hospitals is slow and falls significantly behind national goals. The obvious goal for the future is to fully integrate PHRs and EMRs not only in one institution, but across institutions in a city, and, eventually, nationwide so that a person’s medical history is safely and accurately stored so that it can follow the person around his or her whole life through.

The emergence of PHRs affects clinical laboratories because lab data is a major component of a person’s permanent health record. Once test results, medications, doctor visits, etc are stored on a single electronic record, it will be easier for all parties involved to make more accurate medical diagnoses. The cost of implementation is great, but a well-developed system will save a significant amount of time and lead to reduced error in the long run. Dark Daily observes that forward-looking laboratories and pathology groups have an opportunity to develop a strategy that supports PHRs. Going forward, that strategy can help the laboratory create greater loyalty with those patients interested in maintaining PHRs.

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