{"title":"Consent and confidentiality in genetic research.","authors":"L J Weber, M G Bissell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"432-7"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Merging, partnering, and restructuring: coping with the culture clashes.","authors":"P C Neuhauser, R Bender","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Turmoil in the health-care industry caused by restructuring, mergers, and acquisitions shows no sign of letting up. This condition will continue as the industry adjusts to government and marketplace pressures. To ensure that you can carry out a merger successfully, you should look to creating a new, blended organizational culture. By viewing a model of culture as having three layers, you can develop an action plan to increase trust and open communications between the groups. An examination of organizations involved in complex changes such as a merger or acquisition shows that those who succeed focus on the human part of the equation.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"405-9"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing Me Incorporated: how to survive and thrive in the 21st century.","authors":"I Wilkinson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No matter what your job position or title, YOU are President and Chief Executive Officer of \"Me Incorporated\", the single most exciting company in the world. We are in the midst of a great revolution, summarized in the \"Delta Table of Revolutions\". Part one of this table looks at macro trends--trends affecting our economy and society. Part two examines the revolution taking place within health care. Part three looks at the revolution taking place within laboratory medicine. To survive and thrive in the 21st century, Me Inc. must adopt the best practices of any highly successful company. Me Inc. must develop its core competencies--transferable skills that you can take with you from one organization to another. There are 10 core competencies of Me Inc. These are over and above the essential technical, scientific, and/or medical knowledge and skills that you have. The core competencies you require minus the core competencies you possess equal your skills gap. The key to success for Me Inc. is to close the skills gap. This must be undertaken in a carefully planned way. You must form a clear, concise, and, above all, written plan with specific, realistic, and measurable goals.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"424-8"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Observations from the 1998 CLMA Annual Conference: Part 1--Trends in laboratory medicine.","authors":"H J Kisner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"450-4"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to develop an effective decentralized laboratory testing program.","authors":"C P Collier, R L Houlden, S L Rhymer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we offer practical guidelines for developing an effective decentralized laboratory testing (DLT) program. Based on more than 10 years of experience with a DLT program for bedside blood glucose monitoring, we have identified eight essential steps in this process, including: developing an effective multidisciplinary DLT committee that oversees the various DLT programs; performing a needs analysis and a cost analysis as part of the application for approval of a program from the DLT committee; instrument selection and method evaluation; and, finally, implementing a DLT program including initiating a quality assurance program. A collaborative effort by everyone from the beginning is an important key to success.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"418-23"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21254495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paving the road to maximum productivity.","authors":"C Holland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"Job security\" is an oxymoron in today's environment of downsizing, mergers, and acquisitions. Workers find themselves living by new rules in the workplace that they may not understand. How do we cope? It is the leader's charge to take advantage of this chaos and create conditions under which his or her people can understand the need for change and come together with a shared purpose to effect that change. The clinical laboratory at Arkansas Children's Hospital has taken advantage of this chaos to down-size and to redesign how the work gets done to pave the road to maximum productivity. After initial hourly cutbacks, the workers accepted the cold, hard fact that they would never get their old world back. They set goals to proactively shape their new world through reorganizing, flexing staff with workload, creating a rapid response laboratory, exploiting information technology, and outsourcing. Today the laboratory is a lean, productive machine that accepts change as a way of life. We have learned to adapt, trust, and support each other as we have journeyed together over the rough roads. We are looking forward to paving a new fork in the road to the future.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 6","pages":"410-7"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21253970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Portfolio 2000: managing clinical systems.","authors":"L L Hunter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Powerful forces are changing the provision of health care. Management is transitioning into new responsibility for a leaner, more flexible, customer-focused operation to support the goals of integrated systems of the 21st century--to minimize disease and to promote health. In response to this evolution, the clinical systems management concept describes multidimensional competencies, which are transportable throughout the continuum of care (1). These new knowledge competencies and core competencies applied in a different context are characterized in this paper.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 5","pages":"305-9"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating laboratory processes into clinical processes, Web-based laboratory reporting, and the emergence of the virtual clinical laboratory.","authors":"B A Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>References to integration occur frequently in the health-care literature. Integration in this context refers to the blending or merging of the separate components of a health-care organization to form a cohesive and seamless interoperating whole. The health-care industry is now in the process of reorganizing and consolidating through hospital mergers and the creation of provider networks. The stimulus for these activities, all integrative, has been the introduction of managed care as a replacement for fee-for-service reimbursement. Managed care was designed to introduce competition into health-care delivery, and it certainly has succeeded in this goal. The quest for integration in health care is thus a consequence of the shift to managed care and has been driven by the belief that integration will lead to greater efficiency and cost savings in the industry. The major vehicles for achieving integration in the clinical laboratories will be Web-based reporting and the emergence of the virtual clinical laboratory.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 5","pages":"333-8"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Bills, C Swan, J Brewer, J Fouché, J Coleman, C du Treil, L Lanier
{"title":"As we see it. Compliance: back to the future.","authors":"T Bills, C Swan, J Brewer, J Fouché, J Coleman, C du Treil, L Lanier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 5","pages":"389-94"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical pathways: design, implementation, and evaluation.","authors":"J F Keiser, B J Howard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As David M. Eddy, M.D., Ph.D., Senior Advisor for Health Policy and Management to Southern California Kaiser Permanente, discusses in his excellent book, Clinical Decision Making: From Theory to Practice (1), we are now in a time where we must rethink what we are doing and how we are doing it. Substantial variations among physicians in almost every aspect of the diagnostic process have been documented repeatedly, and these variations appear to cause patients to be treated differently. Eddy says these variations are not the fault of physicians or anyone else because of the complexity of the medical decision process. Nonetheless, the cost and quality of health care have suffered as a result. Numerous articles and individuals such as Jay McDonald, M.D., Professor and Chair of the Department of Pathology at the University at the University of Alabama at Birmingham Medical Center, also have highlighted these variables in practice patterns and their consequences (2). Dr. Eddy, Dr. McDonald, Michael G. Bissell, M.D., Ph.D., Director, Clinical Pathology, Allegheny General Hospital, Pittsburgh, Pennsylvania, and other leaders in the field have stressed the need for more standardization of health care; clinical decisions concerning diagnostic testing and therapeutic choices must be based on scientific evidence that demonstrates the practice being used is truly effective (1-6). This evidence, as well as other parameters discussed below, are known as outcomes. As expressed by Dr. McDonald, \"there is a transition that is going on from doing what seems best to doing what one knows is best\" (2). Practice guidelines and critical pathways now are seen by many as one solution to providing more standardization of health care and to meeting the demands of the rapidly changing medical environment for simultaneously increasing the quality of care while decreasing the costs.</p>","PeriodicalId":79576,"journal":{"name":"Clinical laboratory management review : official publication of the Clinical Laboratory Management Association","volume":"12 5","pages":"317-32"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}