Delta Pathology Pathology Institute Presentation 2013

Outcome of Retreat in 2003

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology

InfrastructureManagement

LogisticsConsultation

LABORATORY SERVICES

SER

VIC

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& A

CC

ESS

P

OIN

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Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



National Lab Status in 2003

LABORATORY SERVICES

SER

VIC

ES

& A

CC

ESS

P

OIN

TS

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



Status in 2003

LABORATORY SERVICES

SER

VIC

ES

& A

CC

ESS

P

OIN

TS

North East LA ( NELA)

North West LA (NWLA)

Mid LA

INPATIENT STRATEGY

Inpatient Strategy

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



LABORATORY SERVICES

SER

VIC

ES

& A

CC

ESS

P

OIN

TS

CLIA Incidents in Rural Louisiana

Laboratory failed to follow their submitted Plan of Correction

Hospital faces loss of CLIA certificate and revocation of hospital certificate

Referral of proficiency testing to an outside laboratory

Between lab collaboration on proficiency testing

Components of Compliance Program

Laboratory audits

Communication of findings with facility administration

Issuance of deficiencies and tracking corrections

Oversight of equipment installation and validation process

On-site education of laboratory staff

Compliance workshops for lab leadership

Communication of issues through compliance alerts to laboratories

Maintaining professional relationships with state and regional laboratory officials

Consultation during compliance crisis events and response preparation

Maintain compliance for Delta Medical Directors’ labs

Provide value-added services when competing for hospital and physician office business

Compliance

OUTREACH STRATEGY

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



LABORATORY SERVICES

SER

VIC

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& A

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Outreach Strategy

DELTA DERMATOPATHOLOGYStatewide Dermatopathology Service And Marketing Strategy

2012

MARKETING POINTS

Louisiana based service

Infrastructure

Couriers

Client service personnel

Reporting Options

Hard copyFaxEMR InterfaceWeb portal

Molecular Diagnostics (MDx)

Requisition Branding

Report Footer

Enhanced Service

Opportunity for sub specialization

Opportunity for internal consultation

Cross coverage (sign out, teaching)

Specialized and standardized reportingWork toward standardized diagnostic terminologyTemplates for malignanciesSubspeciality footer on reports

Direct Immunoflourescence (Delta SHV)

Molecular Testing (Delta MDx)

Marketing Strategy

Direct Marketing to SpecialistsMarketing TeamSub Specialists

Co-marketing with clinical lab

Brochure/poster/booth at Clinical Meetings

Website

Collaborate teaching of Specialty Residents

Emphasize LA base to LA connected Specialists

Outreach Marketing

Expansion of specialty related MDx menu:BRAF for melanoma (already in place)Melanoma FISH panel (validation underway)T-cell receptor gene rearrangementOther

Expansion of Louisiana client base

HUBS

BILLING

TRANSPORT

EMRs-HOSPITAL-PHYSICIAN

REFERENCELABS

PHYSICIANOFFICES

PRIVATE

FAX PUBLIC

WebPortal

INTERNET

VPN WEBACCESS

Information Technology

CareEvolve client interfaces: 206

Interfaces via EMR: 61

EMR Interfaces include:

CernerARUPWebConnectCareEvolveDelta ClientACSMeditechAmazing Charts

Meditech MagicMeditech HCAHBOC StarCPSIHMSDHSNextGen

AthenaNewTechGreenwaydigiChartSevocityeClinicalWorksGE Centricity

27 PRN courier vehicles run daily

1,367,256 miles/year traveled

Logistics

The Delta Pathology Group, LLCOwnershipPathologists (100%)

ManagementPathology Resource Network, LLC

Business Models

Omega Diagnostics, LLCOwnershipPathologists (100%)

ManagementPathology Resource Network, LLC

Business RelationshipsOwns and operates AP and MDX TC infrastructurePurchases AP TC infrastructure from hospitalsEmploys all laboratory personnelExpends capital on behalf of laboratory operationsProvides IP/OP/Outreach AP and MDX TestingClose to 50 IP/OP facilities under contract for AP services

Business RelationshipsOwns and operates CP TC infrastructurePurchases CP TC infrastructure from hospitalsEmploys all laboratory personnelExpends capital on behalf of laboratory operationsProvides IP/OP/Outreach CP Testing7 IP/OP facilities outsourced their CP labs to OD15 rural facilities use OD as their reference laboratory

Facilites: 47

Cytology: 61,732

Histology: 158,544

Employees: 150

MDX: 10,300

Flow Cytometry: 62,672

Clinical Pathology: 850,000

2012 Annualized Projections

Delta Pathology

Billable Tests: 1,429,484

Employees: 189

Special Attributes: Automation

Foundation:

Social AccountabilitySupport of MT Profession and Education

2012 Annualized Projections

Omega Diagnostics

WEST 1

WEST 2

KNIGHT-BILLING

EAST

WEST

SFM

GRETNA

WJ

LOURDES

WCHCROWLEY

RAPIDES

CABRINI

ALEXANDRIA

LAFAYETTE

NEW ORLEANS

MONROESHREVEPORT

DeltaClient

DocQVoice

Mail

WEST 3

KNIGHT

CenturyLink MPLS

Region

Site RTR

North East LA ( NELA)

North West LA (NWLA)

Mid LA

Acadiana (LFY)

SELA/NOLA

FUTURE DIRECTIONS

MARKET ANALYSIS 2012

Meaningful use project mandates EMR by 2014Clinicians desire one interface with one laboratory for “one stop shop” menu of services (AP/CP/Mol/Genetics)

REGIONAL AND NATIONAL MARKET FORCES

DHH mandating Medicaid patients to enroll in CCN’s CCN’s seeking “one stop shop” menu of testing (AP/CP/Mol/Genetics)Single billing source for data mining in order to monitor quality and efficiency of care provided

Risk based contractingSubstantial quality reporting Data management services

Economy of healthcare reform outcomesReduced fee schedulesConsolidation of laboratory platforms to drive efficiencies

CLINICAL INTEGRATION NETWORKS

Allows physician in separate practices toCollectively negotiate with payors and employers.

Anti-Trust risk if not done properly.

Three part legal analysis:

Is clinical integration program real?

Initiatives actively undertaken and monitored by network involves all physicians in network Applies to physician practice patterns in fee for service

Are initiatives designed to achieve likely

Improvements in quality and efficiency?

Is joint contracting necessary to achieve

The efficiencies of the program?

CLINICAL INTEGRATION NETWORKS

Benefits to physicians:

Access to coordination infrastructure

Access to technology

Data accessible across full continuum of

care

Enhances community impact

Potential for better reimbursement

Core Components:

Comprehensive improvement

initiatives

Performance improvement architecture

Selective physician partnerships

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



LABORATORY SERVICES

SER

VIC

ES

& A

CC

ESS

P

OIN

TS

National Lab Status in 2012

Hospital Inpatient

Hospital Outpatient

RuralHospital

PhysicianOffice

Referral Work

Anatomic Pathology

Cytopathology

Clinical Pathology

MolecularPathology

GeneticPathology



LABORATORY SERVICES

SER

VIC

ES

& A

CC

ESS

P

OIN

TS

Status in 2012

Delta Pathology Pathology Institute Presentation 2013

Health & Medicine

Transcript of Delta Pathology Pathology Institute Presentation 2013