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

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Clinical laboratory management indicators clmi

Clinical Laboratory Management Indicators (CLMI)

MSgt Christopher Bartley

MSgt Kara Dubin

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

  • 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.

  • The individual manpower calculation (AFMS 5512)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)

  • 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

Fy09 as of 29 jan 10
FY09 – as of 29 Jan 10 $/RT and Individual RT)

Fy09 as of 11 mar 10
FY09 – as of 11 Mar 10 $/RT and Individual RT)

FY10 – as of 29 Jan 10 $/RT and Individual RT)

FY10 – as of 11 Mar 10 $/RT and Individual RT)

Does your lab have a clmi oi do you bundle if so which tests how do you qc the data you submit
Does $/RT and Individual RT)your lab have a CLMI OI?Do you bundle? If so which tests?How do you QC the data you submit?

  • CMS currently recognizes seven chemistry panels $/RT and Individual RT)

    • Hepatic-80076

    • Basic Metabolic w/Calcium, Ionized-80047

    • Basic Metabolic w/Calcium, Total-80048

    • Comprehensive Metabolic-80053

    • Renal Function-80069

    • Lipid-80061

    • Electrolyte-80051

  • Unbundled chemistry data $/RT and Individual RT)

    • Data collected since 2005

      • Calculations not updated

      • CLMI reported bundled chemistry number

    • All formulas updated

      • Report shows which areas use unbundled data

  • Compare data entered each month $/RT and Individual RT)

  • 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

Finally the one question on everyone s mind how does clmi affect your lab manning
Finally – the one question on everyone’s mind: $/RT and Individual RT)How does CLMI affect your lab manning?

  • Linear Equation using Reportable Test Volume $/RT and Individual RT)

  • 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

  • Step $/RT and Individual RT)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

  • Step $/RT and Individual RT)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