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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St. Elizabeth Medical Center May Be First U.S. Hospital to Hold Three ISO Accreditations

Utica Hospital holds accreditation in ISO 9001 and 14001, may pursue 15189

When the federal Centers for Medicare and Medicaid Services (CMS) approved DNV Healthcare, Inc. , of Cincinnati, Ohio, to accredit hospitals in the United States last fall, it changed the accreditation landscape significantly. A division of Det Norske Veritas of Oslo, Norway, DNV Healthcare is the first new hospital accreditation competitor for The Joint Commission http://www.jointcommission.org in 40 years. The Joint Commission is the longtime leader in hospital accreditation in the United States.

Among the first hospitals to use this new Medicare accreditation program was St. Elizabeth Medical Center in Utica, New York. One compelling reason why St. Elizabeth used DNV to pursue Medicare accreditation was that it already held ISO 9001 accreditation and the DNV accreditation process enables hospitals to earn accreditation under both programs. Based in its successful experience with DNV and with ISO 9001, St. Elizabeth’s administrators and clinical laboratory managers expect to pursue ISO 15189:Medical Laboratories accreditation within the next two years.

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Study Indicates Errors in Breast Cancer Testing in Canadian Province of Quebec

Health minister characterizes reports of 20% to 30% error rates as highly exaggerated

Questions about a possible high rate of errors in breast cancer testing done in the Canadian province of Quebec surfaced last week. Government health officials were forced to publicly acknowledge that they had received a report in April of a limited study that indicated an error rate of between 15% and 20% in hormone receptor testing, and an error rate as high as 30% in HER2/neu testing.

Following the first news reports of this situation last Thursday, Quebec health officials scrambled to respond to public concerns. In response to calls for the Health Ministry to release the full report to the public, Quebec’s Health Minister, Yves Bolduc, convened an extraordinary Sunday meeting that took place yesterday. He met with pathologists and oncologists from the province to review the details of the report on errors in breast cancer testing and determine a course of action.

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VA Investigates Medical Errors at Three Facilities

Effort to notify and test as many as 10,555 patients is under way

Reforms in the healthcare system are requiring fundamental changes in how hospitals and other healthcare providers, including clinical laboratories, report medical errors. At the same time, consumers are tracking the quality differences between providers and insisting on more accountability for medical errors.

These points were highlighted in a Dark Daily e-briefing on March 11, 2009, titled “Medical Errors Become a Headline News Item.” At that time, the Department of Veterans Affairs (VA) had made public the discovery of multi-year problems at VA clinics in Murfreesboro, Tennessee, and Augusta, Georgia. At both sites, improper procedures with diagnostic equipment had been identified. In both situations, the problems meant that thousands of patients may have been exposed to infection.

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Electronic Health Record (EHR) Systems Are Here: Is Your Clinical Laboratory and Pathology Group Ready?

Modern Healthcare’s list of Top Ten Hospital EHR Vendors Has Insights for Lab Managers

Published data indicates that about 90% of the nation’s hospitals have implemented an electronic health record (EHR) system. This remarkable statistic has direct implications for clinical laboratories and anatomic pathology groups, since typically 70% or more of a patient’s permanent health record is comprised of laboratory test data.

However, the 90% EHR adoption rate among the nation’s hospitals masks a more provocative truth: only a limited number of hospitals and health systems have implemented an EHR system that is fully integrated and presents a complete patient health record in real time. Thus, many hospitals are using EHR systems that fall far short of allowing clinicians to work exclusively with a complete paperless health record.

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Why Some Clinical Laboratories Prosper During Tough Economic Times

Last week in New Orleans, the 14th Annual Executive War College on Laboratory and Pathology Management took place, with more than 450 senior laboratory administrators and pathologists in attendance from 11 nations across the globe. It was an upbeat gathering, despite the economic downturn being felt by hospitals, health systems, and laboratories in many countries.

Some of that optimism stems from the fact that many laboratories continue to do well-clinically and financially. That was the case with three strategic management case studies presented at the Executive War College:

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