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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Medical Scribes Move Outside the ER to Help Clinicians in Other Healthcare Settings Make the Switch From Paper Charts to EHRs

Scribe-assisted physicians say their productivity is back to normal after plummeting with connection to an EHR and have time to spare

One unintended consequence of the federal program to encourage hospitals and physicians to adopt and use electronic health record (EHRS) systems is the creation of a new category of healthcare worker. Today, a growing number of hospitals and medical groups are hiring medical scribes.

Medical scribes are trained individuals who document physician-patient encounters in real-time while a physician is examining the patient. Dark Daily was one of the first to call attention to this new healthcare profession. Medical scribes got their start several years ago working in emergency rooms (ER) to help increase ER physician productivity [See Dark Daily: Adoption of EMRs Creates Demand for New Healthcare Job of ‘Scribes’].

Now, thanks in part to $15.5 billion in federal funding under the American Recovery and Reinvestment Act of 2009, medical scribes are assisting physicians outside the ER. They can be found with doctors making hospital rounds and in medical practices, entering patient medical data into EHRs while physicians are examining or interacting with patients, noted a report published in Modern Healthcare. (more…)

Genetic Testing Used at University of Florida to Deliver Personalized Medicine to Cardiac Patients

Pathologists are helping care team interpret genetic laboratory test results for patients in the cardiac catheterization laboratory

Genetic tests will be part of the regular care protocols for some cardiology patients at both the University of Florida (UF) Clinical and Translational Science Institute (CTSI) and Stanford University Medical Center. Among other factors, it is faster time-to-answer and the lower cost of certain genetic technologies that make it feasible to use genetic tests in this care setting.

In particular, the genetic tests will be used to guide cardiologists as they make therapeutic decisions. Assisting in the interpretation of these tests will be pathologists and clinical laboratory professionals. (more…)

Today’s Physicians Prefer Employment; Days of Pathologists as Partners in Private Group Practices Are Numbered

Fewer office-based physicians practice as a partner or shareholder in their medical group

For decades, the clinical laboratory industry has relied on the medical lab test referrals of office-based physicians as its primary source of patient specimens and revenue. The dominant business model of office-based physicians during these decades has been that of physicians as partners in private practice groups or as shareholders in professional corporations.

Similarly, over the past four decades, the profession of pathology has been dominated by the business model of partner-pathologists in a private group practice or professional corporation. But evidence continues to accumulate that the heyday of private practice anatomic pathology is soon to end.

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Physician Adoption of EHRs Accelerates, but Rural Providers Slow to Embrace EHRs

Adoption of EHR systems by small practices, small hospitals, and rural health providers lags behind the pace of urban-based hospitals and physician groups

As larger numbers of physicians implement electronic health record (EHR) systems, clinical laboratories are faced with the task of building interfaces that connect their laboratory information systems (LIS) to those EHRs.

Recent numbers indicate that hundreds of thousands of physicians are now enrolled in the federal EHR incentive program. This puts medical laboratories and anatomic pathology groups squarely in the midst of the drive to encourage physicians to both implement an EHR in their clinical practice and use that EHR in ways that meet “Meaningful Use” requirements.

Some 225,765 providers are participating in the Medicare and Medicaid EHR incentive programs created by the American Recovery and Reinvestment Act of 2009. The Centers for Medicare and Medicaid Services (CMS) report that almost $4.5 billion in financial incentives have been paid to hospitals and physicians for implementation of electronic health record (EHR).

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Why Hospital Implementation of an Enterprise-Wide EMR Can Often “Degrade” the Informatics Capabilities of the Clinical Laboratory

Hospital’s purchase of an “enterprise-wide solution” to be the EMR and related ancillary system software often leaves the hospital lab without the full LIS functions found in best-of-breed LIS products

DATELINE—PITTSBURGH, PENNSYLVANIA, Part II: Adoption of electronic medical record (EMR) systems by hospitals and health systems throughout this country may now be the single most disruptive factor in how hospital labs configure their laboratory information systems (LIS) specifically in support of their parent institutions’ informatics requirements.

This issue surfaced repeatedly during presentations made here on Friday, June 8, at the Strategic Summit organized by the Association for Pathology Informatics (API). In simplest terms, a growing number of hospital and health system administrators want to purchase and deploy a single “enterprise-wide solution” (EWS) for their EMR and total informatics needs. (more…)

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