Jun 11, 2009 | Laboratory News, Laboratory Pathology
Influenza Outbreak Calls Attention to Shortage of Medical Technologists, other lab staff
It took the threat of an influenza pandemic recently to get at least one news reporter to realize the shortage of medical laboratory technicians has reached epidemic proportions.
While the recent outbreak of A/H1N1 influenza turned out to be a dress rehearsal, it inspired Wall Street Journal (WSJ) reporter Laura Landro to focus on the critical role played by medical technologists, clinical laboratory scientists, medical laboratory technicians, and other lab professionals, along with the potential consequences of this clinical laboratory staffing shortage when a killer bug turns out to be “for real.”
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May 5, 2009 | Laboratory News, Laboratory Pathology
Noted Author lauds the quiet professionals working in the world’s laboratories
Seldom do laboratory professionals get the recognition they deserve each day for their role in protecting the public health from spread of disease. Now, with the specter of an influenza pandemic hanging over the world, CNN Contributor Bob Greene suggests it is time to pay homage to what he describes as our unsung “heroes in lab coats.”
Writing yesterday in a commentary on the CNN Web site, Greene observed “Right now, as the eventual path of the swine flu emergency remains uncertain, the world is beginning to turn its pleading eyes in the direction of men and women whose names and faces we don’t even know. The wider world seldom gives them a thought until suddenly we realize that we need them.”
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Apr 9, 2009 | Laboratory Hiring & Human Resources, Laboratory Pathology
Learn why medical labs shoot themselves in the foot when advertising and interviewing candidate!
Probably the single most publicized trend in laboratory medicine is the shortage of medical technologists (MTs), clinical laboratory scientists (CLS), and medical laboratory technologists (MLTs). This shortage prevents many clinical laboratory managers from keeping their laboratories staffed at authorized levels.
Equally publicized is the looming mass exodus of Baby Boomers from clinical laboratory positions as they hit retirement age. The oldest Baby Boomers, born in 1946, are turning 63 this year! They are already eligible for early Social Security benefits and just 24 months from turning 65-the age when full Social Security and Medicare benefits are available to them.
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Apr 7, 2009 | Laboratory News, Laboratory Pathology
Here in Chicago at the huge HIMSS meeting, people are paying attention to lab testing
Dateline: Chicago, IL-Most physicians, nurses, and other healthcare workers are quite familiar with the “Five Rights of Medication.” If one innovative healthcare company is successful, soon all these folks will be equally familiar with the newly-articulated “Five Rights of Laboratory Testing,” which emphasizes that every patient is entitled to receive the proper benefits from laboratory testing.
Sunquest Information Systems, Inc has launched a campaign to promote the Five Rights of Laboratory Testing. The goal is to increase awareness among all healthcare workers of the need to exercise vigilance when ordering laboratory tests and using laboratory test data in patient care decisions.
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Sep 17, 2008 | Laboratory Management and Operations, Laboratory Pathology
In the United States and many countries around the world, primary goals for healthcare reform commonly center on better patient safety, improved health outcomes, and higher quality services. As clinicians in these countries actively work to achieve these goals, the clinical laboratories that serve them must respond to these efforts with appropriate lab tests and services.
Last week, Dark Daily Editor Robert Michel traveled to New Jersey to participate in a lab management meeting specifically organized to look at healthcare globalization and identify how this globalization trend is influencing clinical laboratory services. It was the annual meeting of the Customer Advisory Board (CAB) for the Pre-Analytical Services division of Becton, Dickinson and Company (BD) (NYSE:BDX) of Franklin Lakes, New Jersey. To foster productive discussion about globalization in healthcare and laboratory testing, BD arranged for presentations via teleconference from laboratory experts in India, South Africa, Belgium, and Mexico. Here are noteworthy points from each presentation:
INDIA: Healthcare services in this country are provided through government programs and the private sector. Annual spending on health is about US$37 billion. Government health services are delivered at the state level and India has 22 states. Experts identify the need for 896,000 more hospital beds in this nation and the private sector is responding to meet this goal. Because of the lack of healthcare resources in rural areas, telemedicine services are being pushed because it extends the reach of physicians and greatly increases their productivity. In the laboratory sector, there may be as many as 40,000 independent labs. Consolidation and acquisitions have created at least five major laboratory companies. There is a shortage of laboratory technologists. Phlebotomy is performed by medical technologists, each of who must have a four-year degree. Laboratory accreditation often involves an ISO standard and ISO 15189 is gaining favor.
SOUTH AFRICA: This government provides a minimum health insurance program to individuals who fall below a certain level of income. Above that income, private health insurance is the major source of healthcare. One challenge for the country is that it has at least 13 different races which are genetically unique. As genetic medicine advances, personalized services appropriate to these patients must be developed. HIV is a major factor in South Africa. Up to 90% of government health spending goes to HIV positive patients who undergo treatment for other health conditions. There is a shortage of pathologists in the public hospital sector of South Africa. Phlebotomy is done by trained nurses who attended college. Because it can take two or three days to move a specimen from some areas of the country, there is strong interest in point of care testing. (POCT). ISO 17025 is often used by private sector hospitals and laboratories for accreditation.
BELGIUM: As a developed nation with aging demographics, healthcare in this country faces many of the same challenges as the United States. Hospitals have their own laboratories and independent lab companies serve physician offices. There has been some consolidation of the independent lab sector. There is a shortage of both pathologists and technical laboratory staff in Belgium. Laboratories must be accredited with a quality management system (QMS) and ISO 17025 has been used. However, up to 20% of the nation’s laboratories are using ISO 15189 for their accreditation. Lean and Six Sigma is gaining wide acceptance and integrates well with accreditation under ISO standards.
Phlebotomy must be done only by physicians, nurses, and medical technologists.
MEXICO: Healthcare in this country reflects the extremes of wealth and poverty among the population. The government’s social security system provides minimum health benefits to everyone with a job. However, self pay and private health insurance play significant roles in the Mexican healthcare system. A national health priority is extending health services to remote areas of the country. There are still deaths from diseases such as cholera simply because individuals in these areas have no access to healthcare. Phlebotomy is done by nurses and medical technologists. Physicians do not draw blood in their offices, but refer patients to the collection sites operated by independent laboratories. Laboratory accreditation is mandatory in Mexico and ISO 9000 has been used. ISO 15189 is an option to meet accreditation requirements and growing numbers of laboratories are using ISO 15189.
Not surprisingly, everyone participating at the BD meeting on healthcare globalization was fascinated by the similarities and differences in healthcare and laboratory services in each of these four international presentations. Observation number one: Across these four countries, it was obvious that standards of care are tightening. Accreditation of laboratories is one example. In this regard, the quiet inroads being made by ISO 15189 in all four countries caught the attention of the American lab managers participating at this meeting. They recognized that other countries are moving rather rapidly to bring their laboratory services up to the level seen in developed countries.
Observation number two is that the adage “all healthcare is local” remains true. That was illustrated by the different national objectives. In India, use of telemedicine to support rural needs is different than in Mexico, where there are major efforts to create healthcare infrastructure in regions totally lacking any health services whatsoever. Similarly, In South Africa, meeting the health needs of so many HIV positive patients is the primary objective, whereas Belgium’s healthcare system is preparing to serve the many aging, but reasonably well-off individuals soon to reach their retirement years.
Further, it was pointed out that the demand for reliable and cheap point of care (POC) diagnostic tests by countries such as India, South Africa, and Mexico as a way to support rural care, would make these attractive and sizable markets for the IVD industry. Thus, more innovation in POC testing innovation is likely to occur first in those countries, rather than in the United States or Europe.
Your Dark Daily Editor,
Robert Michel
