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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In the United Kingdom, Medical Laboratory Professionals Gather to Explore Disruptive Diagnostic Technology, ISO 15189, and How Labs Can Add Value

Two-day conference attracted an international audience of clinical laboratory scientists and addressed major trends in healthcare and laboratory medicine

DATELINE: BIRMINGHAM, ENGLAND—This week in the industrial heartland of the United Kingdom, pathologists and medical laboratory professionals gathered for the 13th Annual Frontiers in Laboratory Medicine (FiLM) conference. The hot topics were new quality management standards for labs in the UK, innovative ways to improve utilization of clinical laboratory tests, and how first mover laboratories in the United Kingdom are using such disruptive technologies as digital pathology and MALDI-TOF mass spectrometry.

FiLM is co-produced annual by the Association for Clinical Biochemistry and The Dark Report. Over the past decade, it has grown into the largest conference in Europe that addresses the management and operation of medical laboratories and histopathology laboratories.

New Medical Laboratory Standards include ISO 15189

Currently, medical laboratories in the United Kingdom are adapting to changes in accreditation and external quality assurance (EQA—known as proficiency testing in the United States). By 2018, all labs in the UK will need to be accredited to the standards of ISO 15189: Medical Laboratories. As this happens, the United Kingdom will join a growing list of nations that now use ISO 15189 as a basis for licensure and accreditation of histopathology and medical laboratories. (more…)

Findings Confirm What Pathologists Have Known for Years: Significant Number of Primary Care Doctors Are Uncertain about the Correct Clinical Laboratory Test to Order

National survey of 1,768 family practice and internal medicine specialists determines that they are struggling to stay current with changing guidelines for ordering and interpreting medical laboratory tests

Recent publication of a new study confirms what pathologists and medical laboratory professionals have known for years: a significant number of primary care physicians acknowledge that they sometimes are uncertain about which clinical laboratory test is the most appropriate one to order. These same doctors also admit that they are often also uncertain how to interpret the results of some medical laboratory tests.

Physicians Uncertain when Ordering Clinical Laboratory Tests

These are two conclusions resulting from a survey published in the March-April edition of the Journal of the American Board of Family Medicine (JABFM). It is important that clinical laboratory administrators and pathologists understand the survey findings for two important reasons.

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Some Clinical Laboratories Report Drop in Average Number of Tests-Per-Patient

Medical laboratories and pathology groups can participate in national survey about changes in average revenue-per-requisition and average number of tests-per-requisition

Across the country, a number of clinical laboratory organizations have privately told The Dark Report editorial team that they have experienced a decline in the average number of lab tests-per-requisition over the past 18 months. Since the sample size is so small, it would be inappropriate to conclude that the experience of these labs reflects a national trend.

At the same time, even though this data is anecdotal and from a handful of lab organizations, it could be an early sign of an important shift in lab test utilization by clinicians. In recent years, employers, private payers, and the Medicare/Medicaid programs have initiated a variety of initiatives that have the common goal of encouraging physicians to more wisely utilize medical laboratory tests.

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