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Northwell Health Laboratories: The 10-Year Outcomes After Deciding to Keep the Lab.
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- Author(s): Jensen, Kendal J.; Stallone, Robert; Eller, Michael; Castagnaro, Joseph; Poczter, Hannah; Tesoriero, Richard; Balzano-Kane, Jeanne; Gusman, Cari; Bhuiya, Tawfiqul; Breining, Dwayne; Crawford, James M.
- Source:
Archives of Pathology & Laboratory Medicine. Dec2019, Vol. 143 Issue 12, p1517-1530. 14p. 2 Color Photographs, 8 Charts, 5 Graphs. - Source:
- Additional Information
- Subject Terms:
- Abstract: Context.--Northwell Health Laboratories were established in 1997, serving the Northwell Health system. In 2008, the health system considered minority entry into a joint venture with a commercial laboratory. Based on arguments made by Northwell laboratory leadership, the decision was made to retain full ownership of the laboratory. Objective.--To evaluate the 10-year outcomes of the 2008 decision and assess the value of a fully integrated laboratory service line for a regional health network. Design.--Ten-year outcomes were analyzed including financial, volume, and value-based activities. Results.--First, a fully integrated laboratory service line was created, with unified medical and managerial leadership. Second, Core Laboratory volumes and revenues grew at annualized rates of 4.5% and 16.0%, respectively. Third, hospital-based laboratory costs were held either constant, or grew in accordance with strategic clinical programs. Fourth, laboratory services were able to provide leadership in innovative system clinical programming and value-based payment programs. Fifth, the laboratories became a regional asset, forming a joint venture affiliation with New York City Health + Hospitals, and supporting distressed hospitals in Brooklyn, New York. Lastly, Northwell Health Laboratories have become a reputational asset through leadership in 2 consortia: The Compass Group and Project Santa Fe. Conclusions.--The 10-year outcomes have exceeded projections made in 2008, validating the decision to retain the laboratories as a wholly owned system asset. The laboratories are now well positioned for leading innovation in patient care and for helping to drive a favorable posture for the health system under new payment models for health care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Archives of Pathology & Laboratory Medicine is the property of College of American Pathologists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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