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May 30, 2007

Value-added Services: The “Quest” Example

Are Indian Labs doing all they can in terms of offering test results to patients? I would argue not. If you look at the typical lab report for a test, the format is exactly the same for all customers – the boilerplate approach. There is the test or a panel with results, units and a reference range. Some labs indicate if the result is abnormal, while others make an effort to give an ‘Interpretative Comment’. Unfortunately, in most cases, the interpretative comments is a generic one and has enough disclaimers to be almost useless to the referring physician and / or the patient.

The other major shortcoming is that, in most cases, every visit of the patient is treated as a new visit even though the patient may have visited the lab many times in the past. So the concept of a serial report, graphic or otherwise, is virtually unknown in India. It is left to the patient in most cases to collate the results and make sure that they carry with them all their historic reports when they visit the physician.

Compare this with the value added services offered by the world’s leading diagnostics company, Quest Diagnostics to physicians and patients & consumers particularly the Reminder Program. Physicians get access to the eMaxx® Physician Portal, a patient-centric electronic health record for practitioners. Patients get access to a wealth of additional information about their tests and their interpretation and they can sign up for an email reminder for their next testing episode.

This is a great example of value added services that a lab can provide to its users. The best part is that it is not at all difficult to have the IT infrastructure to support these web-based services. It just needs an increased awareness on the part of lab managements in India. The entry of Quest Diagnostics to India could provide the impetus to change some of our time honored methods.

May 29, 2007

Executive War College on Lab and Pathology Management

As an Indian who is committed to seeing our diagnostic industry featuring prominently on the global map of clinical diagnostics, it was indeed a wonderful opportunity to speak on behalf of our industry at a global conference on lab and pathology management, The Executive War College in Miami, on May 10 & 11. (Refer http://www.executivewarcollege.com/ for agenda and details).

The War College is called so as a reference to preparing laboratory managers for battle in the competitive, evolving diagnostic industry. The conference included 700 delegates from 15 countries, and tackled topics ranging from revenue cycle management to managing quality effectively, along with some industry sponsored sessions on automation, informatics and esoteric testing. Of particular note were speakers from GE and Siemens who elaborated on the coming convergence of imaging, informatics, and in vitro diagnostics (IVD), a trend which will have dramatic repercussions on clinicians, patients and diagnostic service providers around the world.

My talk on lab services in India (and its implications on the global testing market) was well received by curious professionals who took a genuine interest in understanding the dynamics of the subcontinent.

For more details on the War College and the parent body, the Dark Report (lab intelligence newsletter), refer http://www.darkdaily.com/.

Add to Google Button is now active

I have just made it easier to subscribe to the 'Clinical Laboratory & Diagnostics in India' feed.

First get an account with either Google (iGoogle) or Yahoo (MyYahoo). You can make this your home page.

Go to http://blog.labnetworx.com. Scroll down and click on the '+ My Yahoo' or 'Add to Google' button.

That's it, you are now subscribed.

May 27, 2007

Using Google Reader to subscibe to RSS feeds

RSS is a technology that adds a lot of value to the browsing experience. I subscribe to quite a few feeds such as CNN, Wired, Register, Guardian as well as Bruce Friedman's Lab Soft News and am able to scan all the important news snippets in minutes. 

If you do not use RSS already, here is a great way to start.

A simple way of subscribing to an RSS feed is to use a 'reader' like the Google Reader.Get a gmail account if you don't already have one. Sign in to the Google site.

Go to http://www.google.com/reader and click on 'Add Subscription'. In the box that opens up, enter blog.labnetworx.com and you are done. This feed gets added to your subscriptions on the left panel.

Also see my blog on using Firefox to subscribe to RSS feeds posted here http://labnetworx.com/blog/2007/05/subscribe_to_rss_feeds_using_f.html

Subscribe to RSS Feeds using Firefox Browser

Mozilla Firefox and Internet Explorer 7 are two browsers that are available as free downloads on the Internet that allow you to easily subscribe to RSS feeds and make it a part of your internet experience.

This post shows you how easy it is to subscribe to the Clinical Laboratory & Diagnostics Blog using the Firefox browser.

Step 1: Download the Firefox Browser from this website, http://www.mozilla.com/en-US/firefox/

Step 2: Install the browser

Step 3: In the address bar, type the address of the blog, http://blog.labnetworx.com . Since this website has RSS feeds, you will notice an orange RSS icon in the address bar. Click on it to subscribe to the RSS feed.

RSS Icon

Step 4: Go to the Bookmarks Toolbar Folder and you will see all the headings of the latest posts on the blog. You can click on the individual item to read it.

Subscribed Feeds

May 26, 2007

Implications of Electronic Reports

The introduction of electronic reports has profound implications for the clinical laboratory. Labs will have to re-orient their processes to not only produce a printed report, but also at the same time make the results available as an email, an Internet download, an entry into an electronic medical report (EMR) or through a SMS. Some Indian labs have already started offering their results on their websites or through email / SMS and while their efforts can best be described as ‘nascent’, there is no doubt that in the next 5-10 years, the electronic format will gain dominance over the printed report.

In the meantime, labs are faced with an additional layer of complexity. They not only have to continue to provide printed reports, but also start adopting an additional electronic format. Bruce Friedman’s post on the subject titled ‘Electronic Communication of Pathology Results’ quotes a white paper of the same name published by the Royal College of Pathologists of Australia and is highly recommended as it gives the basic issues to be addressed when using electronic reports.

One implication that we need to consider is that the results in both the printed and electronic forms have to be the same. One approach could be that the lab proceeds as usual and produces a printed report, and then someone else converts the results into an email / Internet upload / SMS format with there being every likelihood that this process introduces a change or error in reporting. When the patient or referring physician receives both reports and finds that the values are different, it could have serious clinical implications not to mention the damage to the lab’s reputation and standing.

A more positive implication of electronic reports is that it is far easier to store and recall older results and to maintain a longitudinal history or record of the patient’s health. Initiatives for producing an Electronic Medical Record (EMR) are well underway in most countries and laboratory results form an integral part of the EMR. Clinical labs will have no option but to introduce changes to their systems and process that will enable them to contribute to the EMR.

May 25, 2007

Introducing the Indian Clinical Lab & Diagnostics Blog

Having finally got around to the phenomenon of blogging, I now find it a very interesting and worthwhile way of communicating with my fellow lab professionals.

Over the past two years since I started up Labnetworx, it has been a privilege to work with a number of clients, partners and friends and sharing with all of them a great professional relationship.

This blog belongs to the clinical laboratory and diagnostics industry in India and I will be inviting interested professionals to post their thoughts and ideas on this blog or comment upon some of the issues presented here. I find that each one of my contacts is a veritable storehouse of knowledge and this is a great way of all of us benefiting from each other.

For a start I have introduced four categories for the blogs: (1) Information Technology as it applies to the Clinical Lab (2) Laboratory Technology (3) Medical Significance of Tests and (4) The Business of Labs. I will add more categories in the future.

So welcome to the blog and happy posting!

 

May 24, 2007

Should labs start sending electronic reports?

Alternate methods of result delivery, such as email, Internet and SMS, are making an apperance and are being used by many labs in addition to the traditional printed reports.

What is driving this change? At a fundamental level, it is the ease of use of electronic means that allows it to be preferred to the traditional paper based method. The patient does not need to report back to the lab to collect the lab report, saving a trip and a lot of time. Of course, for the patient to be ready to receive the results in an electronic format, he or she will need to have access to either email, Internet or a mobile phone. According to the Internet and Mobile Association of India (http://www.iamai.in), there are about 42 Million Internet users in India as of March 2007 and this number will increase to 54 Million by March 2008. Thus already about 5% of the Indian population is already using the Internet and/or email. The same survey also points out that the maximum increase in Internet usage is in small towns and towns and now they form about 25% of all users in India.  The lower cost of owning personal computers, presence of cyber cafes and increasing local content will continue to drive Internet penetration.

The numbers are even more impressive for mobile phone usage. India now has an estimated 120 Million mobile phone users and more than 1 Million are getting added on every month. India is considered to be the fastest growing mobile phone market in the world.  While about 12% of the population already own mobile phones, we can be sure that the penetration of mobile users will be much higher in people using laboratory services.

Clinical labs should get on to the band wagon if they have not already done so.


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