Adding Lab to Clinic presentation
- 1. Adding A Lab to a CLinicBy: Robert Reza, Hari Mitra, Kristin Do, Melvin Young
- 2. Project CharterIdentification o Name – Addition of a laboratory to a practice o Group – Dr. Nick Rivera, Dr. Julius Hibbert
- 3. Project BackgroundAdding a lab to a clinic in a rural settinga lot of the patients at our clinic have the need to get laboratory testingrecently implemented an EHR system and the diagnostic clinic does not have a system that is compatible
- 4. Purpose / Business NeedRapid results needed due to overwhelming volume of tasksLack of interoperability causing issuesWasted time spent scanningWasted time manually inputting data which could be automatedFurther source of human error
- 5. Project Scope:ObjectivesLocation of appropriate site for laboratoryHiring a contractor to do work in conversionContacting laboratory testing supply vendors Obtain pricing quotes on EquipmentSuppliesHire qualified staff for laboratoryTrain staff in clinic proceduresOperational laboratory testing
- 6. Project DeliverablesEstablish and Implement Project Management Team (Week 1)Validate Total Project Cost Estimate (Week 2)Finalize Initial Finance Plan and Request for Proposal for Project (Week 3)Finalize ownership agreements (Week 5)Validate Project Schedule (Week 9)
- 7. Project Deliverables (cont.)Develop Specific Design Plan for Construction Process (Week 12)
- 8. Procure Section Design Consultants (Week 15)
- 9. Develop/Adjust Oversight Agreements (Week 18)
- 10. Establishment of an overall agreement between the contractors and the clinic (Week 22)
- 11. construction
- 12. equipment lease / supplies
- 13. Construct agreements with other clinics/practices (Week 25)Project Deliverables (cont.)Construction begins (Week 28)Hiring process beings (Week 34)Construction is done (Week 40)Installation of equipment (Week 42)Certification / Accreditation complete (Week 46)Laboratory testing commences (Week 52)
- 14. Assumptions/LimitationsLeasing an office building next to the clinic to create a laboratoryThe lab will work interoperability with the clinicRenting the laboratory equipmentReferring provider responsible for transportation of specimens
- 15. Risk Assessment Unrealistic expectations can cause a loss of staff moraleAvailability of qualified staff in a rural area may be lowChanging demands of lab tests New sectors of testing like genomics may have to be accounted for Reliability of local suppliers in a rural area Greater cost to get materials. Budgetary issues Realistic expectations for initial year
- 16. Metrics75,000 to 125,000 tests performed annuallyEfficiencyPositive cash flow within 2 yearsAverage time for test resultsLess than 2% error
- 17. Budget (initial)Building remodeling – $100,000 Equipment Installation – $300,000Supplies - $75,000 Total = $475,000
- 18. Budget (annual)Building rental – $25,000 Staff – $550,000 (techs / administration)Equipment / supplies – $225,000 (leasing & restocking)Testing costs / transportation of samples / blood collection – $575,000 for testingLicensing Fees – $7,000EQAS Fees – $2,000Software / Support – $150,000Total cost = $1,509,025
- 19. Quality Assessment (external)Analytical performance of the lab to be assessed periodically and retrospectively by an independent agency3rd party objective evidence to referring clinics / providers / etc. Assures accuracy and allows for comparison to national benchmarks and standards. Goal for employees to minimize errorsIdentification of training needs and corrective procedures. SOPS for integrity of reagents and proper disposal of.
- 20. Quality Assessment (Internal)Audits will be done as a tool to maintain quality using ISO 15189 as is required Lab techs will ensure quality indicators for each type of test will match benchmarks. A combination of internal and external methods will help ensure referring clinics and providers have the utmost confidence in our lab analyses.
- 21. SummaryNeed for rapid results and interoperabilityRemodeling a existing space and converting to a labProject plan 6 monthsConstruction schedule 6 monthsTotal cost for 1st year = $1,984,025