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

Sign In

Future of Pathology Informatics and LIS is Focus of 2012 Pathology Informatics Summit to be Held This Week in Chicago

Fast-moving trends are reshaping how clinical laboratories and pathology groups use information technology to deliver more value to physicians and patients

In the field of medical laboratory informatics, there is an emerging trend of great importance to both clinical laboratories and pathology groups. It is becoming increasingly tougher for hospital labs to select a “best-of-breed” laboratory information system (LIS). That’s because more hospital administrators are opting for a single “enterprise-wide” informatics/EHR solution that commonly includes an LIS that is not the first choice of laboratory management.

“We are now at a very significant tipping point in the field of pathology informatics,” declared Bruce Friedman, M.D., Active Emeritus Professor of Pathology at the University of Michigan Medical School. “After more than three decades of stability and broad acceptance of best-of-breed LISs and close collaboration between LIS vendors and pathology professionals, the enterprise-wide-solution is emerging as a favorite of hospital CIOs and CEOs. (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.

(more…)

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).

(more…)

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…)

;