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Moving to Clinical Lab 2.0 James M Crawford, MD, PhD jcrawford1@northwell.edu Executive Director and Senior Vice President for Laboratory Services,

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Presentation on theme: "Moving to Clinical Lab 2.0 James M Crawford, MD, PhD jcrawford1@northwell.edu Executive Director and Senior Vice President for Laboratory Services,"— Presentation transcript:

1 Moving to Clinical Lab James M Crawford, MD, PhD Executive Director and Senior Vice President for Laboratory Services, Northwell Health Professor and Chair, Pathology/Lab Medicine Hofstra Northwell School of Medicine Manhasset, NY Deliver more Value! Get Paid More Dollars!

2 Disclosures ClaraPath (start up from Cold Spring Harbor Laboratories)*
2015: Technical Advisory Committee Northwell Health Genomics Alliance (with OPKO Health) 2015: President of LLC *Technology Transfer

3 What is “Clinical Lab 2.0” Transactional Lab Data → Integrative Information Reactive: Order/Result → Proactive: Need/Information Lab = Commodity → Lab = Essential system asset Technical experts only → SME on Health Care delivery We don’t look at our own data → We are the experts on what our data mean Identification of Risk Escalation of Health Care Gaps-in-Care Outcomes (or not) Predicative Analytics We can help drive financial health of system

4 Who are our Stakeholders?
Those who pay for our information: Payers Health system Employers Those who make health care decisions: Providers Consumers “Value” is what someone is willing to pay for. Listen to their needs. Are we meeting their needs? Prove it.

5 “Clinical Lab 2.0” is Leadership, not Followship

6 What are we responding to?
Downside Under-appreciation by our Stakeholders Under-utilization of our expertise Risk of not controlling our destiny Upside Extraordinary opportunity to provide better health care Unrealized opportunity to support better financial outcomes for our Stakeholders *ABN, Advanced Beneficiary Notice

7 Objectives of this Workshop
To identify measures of Success for a “2.0” clinical laboratory To understand the strategies for getting there To learn tactical approaches from review of examples To share in lessons learned

8 “THERE” “HERE”

9 “THERE” Be Intrusive Be Insistent Be Creative Learn new Skills Build new Teams Take Risks! “HERE”

10 “Innovation” in detail
Where is the Opportunity? “Innovation” in detail Inpatient: AKI, antibiotic stewardship, sepsis bundles…. Outpatient: CKD, diabetes, anti-coagulation…. “Innovation” at global level Disease Management teams Precision Medicine Financial Performance Not your “3%” – the other 97% Impact of Lab on the Total Health Care Spend Impact of Lab on the Total Revenue Cycle 10

11 Clinical Lab 1.0 Stake- holder Lab Outcome

12 Clinical Lab 2.0 Stake- holder Lab Outcome

13 The Structure of Today’s Workshop
Khosrow Shotorbani: Why is Clinical Lab 2.0 different? Tarush Kothari, MD, MPH: Success story with AKI Ilan Rubinfeld, MD: Health System CMO perspective Monique Dodd, DPharm/ Building the Value Statements Kathleen Swanson, MS, RPh Aron Seidman Changing IT infrastructure Informatics Panel Open Q&A Session

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