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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UnitedHealthcare Partners with Quality Health, Medical College of Wisconsin, and Ministry Healthcare to Form Large, Multi-System ACO in Wisconsin

In September UnitedHealthcare and its collaborators announced plans to create what is planned to be one of the largest accountable care organizations in Wisconsin

As predicted, national health insurance companies are moving deliberately to be part of large accountable care organizations (ACOs). For example, in Wisconsin, three health systems and one of the nation’s largest health insurers are developing a multi-system accountable care organization designed to compete with the largest ACO in the state.

ACOs Expected to Use Medical Laboratory Testing in Different Ways

For pathologists and clinical laboratory executives, this development is a reminder that ACOs will play a significant role in healthcare’s transformation. Also, these super-sized ACOs will have their own influence on the transformation of medical laboratory testing in this country, since ACOs can be expected to use medical laboratory testing in different ways and are unlikely to use fee-for-service as the primary method of payment for laboratory testing.

In September when UnitedHealthcare (UHC) (NYSE: UNH) announced it was collaborating with two health systems to form an ACO in Wisconsin to cover 100,000 patients. A third health system (Ministry Health) joined the new ACO network a week later. UHC efforts are part of a nationwide strategy to double what it spends to provide care in ACOs. (more…)

Kaiser and Other Health Systems Create Nation’s Largest Private-Sector Diabetes Registry

New database of diabetes patients opens door for pathologists to improve existing medical laboratory testing algorithms

Integration of healthcare informatics is proceeding at a brisk pace. The latest evidence comes from 11 highly-respected integrated health systems that are pooling data to create the largest, most comprehensive private-sector diabetes registry in the country. It will contain information from 1.1 million diabetic patients.

For clinical laboratory managers and pathologists, this “super diabetes database” demonstrates that many multi-hospital health systems are now willing to pool patient data to make it easier to identify clinical trends. This data will also be used to develop more sophisticated evidence-based medicine (EBM) guidelines—many of which will involve better utilization of medical laboratory tests.
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More Doctors Using Dashboards with Real-Time Patient Data—Including Clinical Pathology Laboratory Test Results

Use of electronic medical record systems makes it easier for physicians to create patient  care dashboards

Just as more clinical laboratories are using real-time dashboards to manage operations and workflow, a similar trend is happening with office-based physicians. Physicians using electronic medical records (EMRs/EHRs) in their medical practice are creating dashboards that give them detailed, real-time information about their patients.

One example is the Marshfield Clinic, based in Marshfield, Wisconsin. A recent story by Healthcare-Informatics.com (HI), reported that Marshfield Clinic has created a real-time dashboard for physicians. Marshfield is a 779-physician multi-specialty group. The dashboard application provides doctors with usable data across their entire patient population.
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