This is the final part of the series on the value of laboratory diagnostics in value-based healthcare. Stay tuned to colLABoration for more information, as Orchard Software will be sure to post on additional information as it is released. If this is the first post you’ve come across, please check out Part 1, Part 2, Part 3, and Part 4.
Integration of Point-of-Care (POC) Testing
Healthcare reform is accelerating the shift of providers away from private practices into the protection of large hospitals. Over the last five years, hospital employment of physicians has grown steadily. According to a survey by Accenture, only 36 percent of physicians will own their own practice by the end of 2013, which is a 57 percent decrease from the year 2000.
As healthcare organizations shift in size and ownership, decisions are being made about where laboratories fit to provide the best service. ACOs or Patient-Centered Medical Homes (PCMHs) that include large laboratories may introduce several satellite urgent care testing sites that offer POC lab tests to deliver care to patients at the site of service. This can help reduce the burden on primary care providers and reduce unnecessary hospital admissions. POC testing can provide the information needed to quickly make decisions and stabilize the patient, ultimately avoiding an unnecessary hospital admission or ER visit.
This makes integration of POC testing into the EMR an important area because, as POC testing increases, that data needs to be structured and mineable just as other lab results to enable analytics that include POC test volumes and results.
Call to Laboratory Leaders
In order to successfully achieve value-based healthcare reform, strong leadership is needed—laboratory leaders, administrative leaders, and physician leaders. Laboratorians must align with physicians and organizational leaders to help determine how to best position their laboratory to achieve the desired analytics and outcome measures needed to support the new reimbursement models. The goal is to use information technology to care for populations based on their disease-specific needs in a proactive and patient-interactive manner. Although it is difficult to predict the exact structure the new healthcare system will take, we can expect big changes.
The coordinated care model redefines the role of the clinical lab as even more central to healthcare: the lab becomes the integrator of data and information, as well as the provider of critical insights that can lead to improved patient outcomes and satisfaction. Laboratory leaders need to be thinking of how the lab brings value to a value-based healthcare system and how the lab can best fit the needs of their healthcare organization and the patients it serves.
I am going to be working on a white paper regarding this topic of how the lab brings value to value-based healthcare, and I am eager to hear any of your thoughts on how labs bring value in the new model of healthcare. Respond to this blog, or email me directly at email@example.com.
Kim Futrell, MT (ASCP)
Products Marketing Manager
Orchard Software Corporation
Comments (0) May 16 2013