Hematology BECKMAN COULTER - Galenica€¦ · Hematology • BECKMAN COULTER ... in the reagents...
Transcript of Hematology BECKMAN COULTER - Galenica€¦ · Hematology • BECKMAN COULTER ... in the reagents...
Hematology
• BECKMAN COULTER
DxH 800 Systems Immediately Reduced Differentials by 200/0
Hutcheson Medical Center Achieves Space and Cost Savings and Improved Workflow Efficiency with two DxH 800 Coulter Cellular Analysis Systems
Laboratory Profile:
• Hutcheson Medical Center, Ft. Oglethorpe, GA, USA
• 300-bed health care system
• Bills approximately 43,300 hematology tests a year or about 11 9 per day
Ft. Oglethorpe, GA, was actually a Fort and had its origin
during the Civil War. It was the gateway to Atlanta. The old
Post Hospital, which was originally built in 1904, played an
important role during WWI and WWI/ where it served many
of the soldiers who were fighting for our nation's freedom.
After WWI/ the Fort was decommissioned and so was the
hospital. Since there was a great need for a hospital to serve
the area, local county governments formed an organization
and worked together to purchase the hospital from the U.S.
government along with 90 acres of land. The current hospital
was actually built and opened in 1953. From its historic
beginnings, Hutcheson Medical Center is now a 300-bed
hospital system, comprised of sub-acute beds, acute care
• Operates 2417
• Relies on two UniCel DxH 800 Coulter Cellular Analysis Systems
Laboratory Goals
• Improve instrument technology
• Increase lab efficiency
• Optimize lab space
o
CS-13423A
Laboratory Results
• Replaced a Gen'S and a COULTER STKS system with two UniCel DxH 800 Coulter Cellular Analysis Systems
• Reduced manual differentials 15-20%
• Reduced reagent costs by $85,000 per year, which allowed them to finance the instrumentation.
• Realized benefits from using two systems for stand-alone tests or as a backup system
• Was able to form Core lab with the two DxH 800s
beds, and nursing home beds. The facility
also has a home health care agency, hospice
and a number of outlying physician offices
and clinics. A second campus houses an
ambulatory surgery center as well as the only
cancer treatment center in the Chattanooga
metropolitan area.
Hutcheson Medical Center had two legacy
systems, a Gen' S and a COULTER STKS.
Beckman Coulter planned to obsolete and
discontinue the Gen ' S and STKS systems;
so, the search was on to replace both and
they needed to do it quickly.
Finding the Right System
Facing their immediate critical need, Hutcheson began to
consider its hematology instrument options.
The Beckman Coulter sales representative invited the former
director and Gerald Faircloth, Executive Vice President
and Chief Operating Officer for the Hutcheson Medical
Center, to the Beckman Coulter Vision Center in Atlanta and
demonstrated the DxH 800. That was the first Mr. Faircloth
knew of Beckman Coulter's DxH 800 hematology system and
he was impressed.
Blood Banking
Centrifugation
Chemistry
Flow Cytometry
Hematology
Hemostasis
Immunoassay
Information Systems
Lab Automation
Molecular Diagnostics
Rapid Diagnostics
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liMy staff is more efficient. They are
turning out results in a shorter timeframe.
If my staff is happy, then I'm a happy
camper. And our physicians are happy
because we are getting the results out
to them in a shorter timeframe. II .................................................
Cindy Parrish
From a financial perspective, Mr. Faircloth was not
only interested in reliability but als'o in the return on
investment. According to Mr. Faircloth, "One of the
things that we were looking for was affordability,
because most hospitals these days don't have a lot
of cash sitting around. So one of my first questions
to the Director of Laboratory Services was "how are
we going to pay for this?' It doesn't generate any
additional revenue so how are we going to pay for it?
And one of things that she said was that we would
save at least $85,000 a year in reagent costs. Well
... that automatically got my attention . Outside of the
cost considerations we were strategically looking to
improve our turnaround times in the ED and also to
improve our wait times and patient satisfaction. Today,
with the help of the two DxH 800s that we purchased ...
we have. Our physicians are extremely pleased with
the turnaround times and the test results that we are
getting. Prior to the purchase of the DxH 800s we had
a lot of complaints. Our patient satisfaction levels have
gone up to the 90th percentile, which means we are
better than 90% of the hospitals in the country insofar
as patient satisfaction in our ED. We've seen our ED
Hutcheson Medical Center, Ft. Oglethorpe, GA.
volumes go up about 10% over the prior year. The
national turnaround time is about 4 hours and ours is
down to about 3.5 hours. Purchasing the DxH 800s
from Beckman Coulter, allowed us to meet those goals."
A Fast and Efficient Installation
Once the decision was made to purchase the two
DxH 800 hematology systems, it was imperative that
the instrumentation be installed quickly. Cindy Parrish,
MBA, MT (ASCP) Administrative Director for Laboratory
Services at Hutcheson Medical Center, commented
that, "The installation went very well. It was easy for us.
Our staff was ready for it. They needed this change.
They needed this technology. When we gave Beckman
Coulter our timeline of 35-40 days they had the support
and the people we needed to get the job done in time.
We were so excited about getting the instruments that
we even put tape on the laboratory floor to indicate
the footprint where the instruments were going to be
placed. The training that our folks received was great.
They came back with
some good ideas."
Deavin Blansit,
Hematology Lead
Technologist added,
"The training was
excellent. I spent four
days in Miami and the
training personnel there Deavin Blansit Hematology Lead Technologist were great. They went
out of their way to
answer our questions on the hardware and software
updates. The installation process for the DxH 800 was a
very smooth transition. We had an excellent applications
specialist who was a great resource. He walked us
through everything including writing decision rules and
made taking the DxH systems live easy and smooth.
Our service rep was onsite for our "go-live" day. He
continues to call a couple of times a week just to make
sure there are no issues. He has been a great resource
for us and keeps on top of everything we need."
Reaping the Rewards
Within the first week, Hutcheson Medical Center
was seeing results and meeting many of the goals
they had set. Cindy Parrish, Administrative Director of
Laboratory Services remarked that the two DxH 800
systems "immediately produced a reduction in manual
o
differentials by about 15-20%
over what they had been
doing. We had been seeing
a review rate of about 25%
of our patient population
and we are already within a
week sitting at a 10% manual
differential review rate. We
have the potential to actually
Cindy Parrish, MBA, MT (ASCP), SC, SH, DIM, Administrative Director, Laboratory Services at Hutcheson Medical Center.
take those values down even further at this point
with some studies we are doing. Our ultimate goal is
between 7-8% differential review rate."
"By bringing in two systems, and putting them side-by
side, we were able to create the Core Lab that we had
been working on for a couple of months. We needed to
have two instruments that we could alternate between or
to use simultaneously. It gave us the flexibility in defining
differential parameters
that would meet the
needs of our patient
populations. Like most
labs we're very limited in
space so we needed a
compact instrument so
that we could optimize the
available space in the laboratory."
"My staff is more efficient. They are turning out
results in a shorter timeframe. If my staff is happy,
then I'm a happy camper. And our physicians are
happy because we are getting the results out to them in
a shorter timeframe."
New Hardware and Software Improvements
After a seamless installation of roughly 40 days, the
laboratory was ready to put the DxH 800s to the real
test. Sissy Givens, Core Lab Supervisor, was highly
impressed with the performance of the DxH 800. "One
of the things that impressed me is that there is no rocker
or any pinch valves to deal with, which means
virtually no maintenance."
Other features that Sissy likes include the ability to scan
in the reagents with the barcode feature rather than type
in the information. "You don't have to worry about going
from primary mode to secondary mode. And you don't
have to stand there waiting . You just put the microtainer
on and walk away. I also like the 1 O-liter cubes that
are much easier to lift than the 20-liter cubes on other
instrumentation. So changing out the reagents is much
easier than before."
"The smaller footprint of the instrument
gives us more working room which, in
turn, allowed us to rearrange the other
equipment into one area for a true
Core Lab concept."
"One of the things that is of benefit to
our patients is that we now can use
smaller amounts of specimen. We only Sissy Givens
need 165 microliters whether we use a Core Laboratory Supervisor
rack or a microtainer. So, we don't have to get as much
sample from our patients. Additionally, we don't use as
much OC material so our OC goes further."
Deavin Blansit, Hematology Lead Technologist, who is
responsible for patient testing , OC review, IOAP reports
and maintenance on the hematology analyzers, was
immediately impressed with the linearity limits and the
specificity of the instruments.
"It greatly cut down on the
number of diffs which has
freed me up to work
on other projects."
o
"Setting up the OC is very simple. You can just scan
one barcode and it downloads your normal, high and
low OC. There is no more mode-to-mode OC. It
saves time. And you don't have to have a schedule
where you run in open and closed mode. I also like
the fact that the Retics are now random access.
You don't have to be in the correct function or the
correct test mode."
"I love the fact that the LATRON on the DxH 800
is a barcodeable vial so it decreases a lot of contamination
that you used to get from manual probes. The IOAP is a lot of easier to
use. It takes just a few clicks of the mouse instead of having to download
it on a disk and then going to the Internet."
Beckman Coulter's PROService, a diagnostics technology that allows
technicians to remotely monitor the customer's DxH 800 instrumentation
and proactively troubleshoot issues, has been a great benefit to the lab
technicians at Hutcheson Medical Center. Deavin Blansit notes that she has
used the PROService on a few occasions. "It's been very helpful. Instead of
trying to describe what my screen says or what a part looks like to my service
representative, they are able to remotely see my screen, manipulate things and
capture LIS files."
Hutcheson Medical Center is very pleased with the purchase of their two DxH 800
Coulter Cellular Analysis Systems. They were able to transition to the new systems
seamlessly and have been able to achieve many of their goals including quicker
turnaround times, reduced reagent costs and improved patient satisfaction.
Beckman Coulter, the stylized logo, UniCel, and COULTER are registered trademarks of Beckman Coulter, Inc. DxH, Gen'S, STKS, and LATRON are trademarks 01 Beckman Coulter, Inc. Printed with soy ink
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