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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New Managed Care Contract Opportunity for Clinical Labs and Pathology Groups

As health insurers build patient-friendly web sites, they now want all the lab test data

For laboratories wanting to contract with managed care plans, it will soon be “all about the data.” In upcoming contract renewal talks, expect health insurers to have a keen interest in working specifically with those clinical laboratories and pathology groups which can interface and electronically provide lab test data.

Dark Daily is first to identify this important development. It creates an opportunity for local laboratories to contribute added value to payers in their region. There is a specific reason for this increased interest. Health insurers are building information-rich Web sites for their insured beneficiaries. It is now important for them to have laboratory test data that they can use to populate the digital health record of their beneficiaries.
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Cleveland Clinic and Microsoft Team up to Use Point-of-Care Testing in EMR Network

New care delivery model might emerge from collaboration between two partners

Guess which famous health provider is partnering with Microsoft (NASDAQ:MSFT) to encourage patients using home self-testing devices to regularly upload those data into an electronic medical record? It’s the Cleveland Clinic Health System. This project may point to a disruptive new model for laboratory testing.

It’s a pioneering arrangement. Microsoft’s HealthVault is interfaced with the eCleveland Clinic MyChart patient portal to create an interactive feature that collects data on from in-home medical devices used by patients with chronic conditions. The pilot project includes 460 patients with diabetes, congestive heart failure and hypertension. These patients use home blood pressure monitors, glucometers, and weight scales which are linked to the HealthVault platform personal health record (PHR) system.
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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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