1 / 20

Clinical Laboratory Management Indicators (CLMI)

Clinical Laboratory Management Indicators (CLMI). MSgt Christopher Bartley MSgt Kara Dubin.

zane-gates
Download Presentation

Clinical Laboratory Management Indicators (CLMI)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical Laboratory Management Indicators (CLMI) MSgt Christopher Bartley MSgt Kara Dubin

  2. What is CLMI?CLMI is the only laboratory benchmarking system deployed in the DoD at this time Why do we as a lab use it? It provides tools to: - Evaluate operational and financial performance - Improve utilization of services, productivity, and cost effectiveness

  3. The main use, Total RT (Section 1-1), is used in the manpower calculation (AFMS 5512) • Data comparison between labs of similar size. • RT/FTE (Section 1-1) is a gauge of how over/underworked personnel are. • $/RT (Section 1-1) can indicate need for a new/modified reagent contract.

  4. The individual RTs (Section 1-2) show how your Total RT breaks down • Section 1-3 shows Clinical, Cytology and Histology Civilian/Military Reference Lab Costs/Totals • An increase here could indicate a need for a new/modified testing contract, a need to refer test(s) to a military reference lab, or a need to bring a test in-house. • Section 2-1 provides the same data for Histology (Total RT and Civilian/Military Reference Lab)

  5. Section 2-2 provides the same data for Histology (RT/FTE, $/RT and Individual RT) • Section 3-1 provides the same data for Cytology (Total RT and RT/FTE) • Section 3-2 provides the same data for Cytology ($/RT) • It also can indicate a QA issue (Unsat, Limited, QA) showing a need to evaluate technique/additional training

  6. FY09 – as of 29 Jan 10

  7. FY09 – as of 11 Mar 10

  8. FY10 – as of 29 Jan 10

  9. FY10 – as of 11 Mar 10

  10. Does your lab have a CLMI OI?Do you bundle? If so which tests?How do you QC the data you submit?

  11. CMS currently recognizes seven chemistry panels • Hepatic-80076 • Basic Metabolic w/Calcium, Ionized-80047 • Basic Metabolic w/Calcium, Total-80048 • Comprehensive Metabolic-80053 • Renal Function-80069 • Lipid-80061 • Electrolyte-80051

  12. Unbundled chemistry data • Data collected since 2005 • Calculations not updated • CLMI reported bundled chemistry number • All formulas updated • Report shows which areas use unbundled data

  13. Compare data entered each month • Use instrument test counts (if your instrument keeps this data) to validate test counts on the SDR • Use the Issue/Turn-In Summary Report in DMLSS to validate supply charges • Use current recall roster to validate number of military personnel/ranks • Talk to person in charge of timecards to validate number of civilian personnel/GS levels

  14. Finally – the one question on everyone’s mind: How does CLMI affect your lab manning?

  15. Linear Equation using Reportable Test Volume • Step 1. Refer to the standard manpower equation for formula • Formula: X + Y + (R/1100) = Authorizations • Step 2. Determine positions requirements Base Cost (X) based on MTF Peer Group start-up cost • Peer 1 Facilities: 2 authorizations • Peer 2 & 3 Facilities: 3 authorizations • Peer 4 Facilities: 4 authorizations • Peer 5 Facilities: 7 authorizations

  16. Peer Rating comes from Max Available Enrollment's • Clinics • PG 1 - less than 10,000 • PG 2 - 10,000 - 15,000 • PG 3 - greater than 15,000 • Bedded Facilities • PG 4 - Non-GME Hospitals • PG 5 - Grad Med Ed Hospitals

  17. Step 3. Determine positions requirements earned from Additives (Y) • Overseas: 1 authorization (overseas readiness manpower additive) • Isolation/BAT: 1 authorization (high readiness/BAT in isolation, Kunsan only) • Split Operations: In-house: 1 authorization (open door cost), maximum of 2 labs • 24 hr STAT Lab: 3 authorizations (open door cost), maximum of 1 lab • Shared Ops: 1 authorization (tech commitment to sharing facility) • Free Standing Lab: 2 authorizations (open door cost - outside main MTF), maximum of 4 labs • Active BDC: 4 authorizations open door cost + 1/50 units monthly • Consultant/Flt CC: 1 authorization (activities must consume >50% of time), maximum 1/MTF

  18. Step 4. Obtain a 12-month average for Reportable Tests (R) using data from the Clinical Laboratory Management Indicators (CLMI) • Step 5. Compute authorizations using the equation • Step 6. MAJCOMs may submit proposed variances to AFCQMI for review

  19. When do I bring a test in-house or decide to refer it out? • $/RT • Productivity (RT/FTE) • Add/reduce authorizations (RT) • Instrumentation • All tests counted equal • Changes to authorizations start with Sq/CC

More Related