Transcript The Best Is Yet To Come - Midwest Diagnostic Pathology

ACL Laboratories
A Current and Future View
Barbara Bigler, President
July 26, 2011
A partnership of the Advocate and Aurora Health Care System
Overview
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My first six months
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ACL overview and “fun facts”
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Accomplishments first half of 2011
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Where is this taking us?
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Questions / Comments / Rumors
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A bit about me . . .
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Now, on to an ACL Overview
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ACL Laboratories
Core Service Area
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ACL Governance
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ACL Laboratories Organization Structure
ACL Laboratories (“ACL”) is a joint management
agreement for laboratory services between Aurora and
Advocate Health Care systems
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Agreement signed in May 2000
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Governed by Lab Oversight Committee
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ACL directly manages: 2 Central labs; 22 Hospital Rapid
Response labs; 50+ Clinic based labs; 30 Patient Service Centers
(draw locations)
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Does not include laboratory sites we service without staff on-site;
i.e. Advocate BroMenn, Advocate Eureka, Aurora Psych, etc.
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No separate legal structure, tax ID or separate employees
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Staff employed by Aurora (1,397 FTE’s) and Advocate (1,125
FTE’s)
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A2CL Services, LLC
Organization Structure
A2CL Services, LLC is the Commercial Laboratory (Outreach)
jointly owned by Advocate and Aurora
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Formed in 2007
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Equal membership units of Aurora Ventures and Advocate Network
Services, Inc. (100 each)
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Purchases lab testing services from ACL Laboratories
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Independent clients account for 15% of total laboratory volume
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Separate tax ID
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For Profit Status
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Required to process Medicare/Medicaid billings for physician
practices as performing laboratory (AMG & Lakeshore)
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Also markets & sells laboratory testing to non-affiliated entities
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Performs non-hospital billings (third party and direct client billings)
for Outreach clients
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Advocate
Aurora
11 Hospitals
2 Children’s Hospitals
~3,361 Beds
5,600+ Physicians
Advocate Medical Group
Dreyer Medical Group
Advocate Physician Partners
15 Hospitals
~3,000 Beds
4,000+ Physicians
Aurora Medical Group
Aurora Advanced Medical Group
Lakeshore Medical Group
30,000 Employees
$4.5 Billion Revenue
Largest Health System in IL
30,000 Employees
$4.0 Billion Revenue
Largest Health System in WI
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ACL Laboratories Profile
• One of the largest hospital system laboratories in the US
• Fifth largest operating expense compared to IL hospitals; second in WI
• Provides services to 26 Hospitals; 2 Central Laboratories; 110+ Clinic
settings & Patient Service Centers (PSC)
• ACL if “pulled out” is a $2B company; generating $700M in new revenue
for systems
• Saves an annual $54M due to lower RVU
• 2,500 Associates/Caregivers
• 82 Pathologists; MDP (IL) GLP (WI)
• 20M laboratory tests performed annually (50k a day)
• 4,000+ Clients outside of our systems
• Couriers: 80+ vehicles, > 3.6 million miles annually
• Client Services handles ~1000 in-bound calls day
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Product Lines
• Hospital Services
• Ambulatory Services
• Nursing Homes
• Anatomic Pathology
• Forensic Toxicology
• Heavy Metal Testing
• Molecular Diagnostics
• Cytogenetics
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Accomplishments in first half . . .
(* just a portion of the great work)
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A partnership of the Advocate and Aurora Health Care System
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A partnership of the Advocate and Aurora Health Care System
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Where is this direction taking us?
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The future is here and how to be
a part of it
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Pathology and Clinical Laboratory Medicine are pulled to
the forefront of integrated patient diagnostic information
(order, interpret, diagnose, recommend treatment options)
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An organization where:
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Physicians want to provide care
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Patients want to receive care
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Staff feel a sense of purpose, of doing worthwhile
work and of making a difference
High reliability organization (Hardwiring Excellence – Quint
Studer)
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Advocate Experience / Patient Experience
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Advocate and Aurora Health Care
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ACL exists to support Advocate and Aurora
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All decisions within ACL, should be driving us to the overall
benefit of our 2 systems
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They drive our priorities too – even if that means pacing
ourselves to them
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The patient’s physicians are looking to us for the
integration of Pathology and Laboratory information – tell
them what it means; help guide treatment plans
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The systems are looking to ACL to provide laboratory
utilization information related to physician ordering
practices - are the providers ordering the right tests in the
right place?
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Laboratory culture which displays high
reliability performance in standard process
and delivery of safe patient care
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Lean
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Root Cause Analysis (RCA)
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Rapid Improvement Events (RIE)
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CAP 15189 (ISO standards) ???
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Standard process
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Consistent – reliable – accountable care
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Pathologists are central to our organizational success
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A partnership of the Advocate and Aurora Health Care System
1.
What do you see the future being of
Health Care?
2.
How can ACL best support you in this
enhanced patient care and patient
leadership role?
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Question / Comments
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Summary
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ACL Strategic Priorities - Summary
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The Patients we serve and those caring for them
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Advocate and Aurora Health Care
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Pathologists providing patient diagnosis and integrated
laboratory information (AP, Clinical, Molecular = Pathology)
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Staff is trained in a standardized way with supporting
ongoing competency training
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ACL is seen as the provider of education and
interpretation of laboratory information
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Laboratory culture which displays high reliability
performance in standard process and delivery of safe
patient care
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Thank You
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