Moving to Clinical Lab 2.0

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Moving to Clinical Lab 2.0

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Moving to Clinical Lab 2.0James M Crawford, MD, PhDjcrawford1@northwell.eduExecutive Director and Senior Vice President for Laboratory Services, Northwell HealthProfessor and Chair, Pathology/Lab MedicineHofstra Northwell School of MedicineManhasset, NY


Deliver more Value!

Get Paid More Dollars!


Disclosures2ClaraPath (start up from Cold Spring Harbor Laboratories)*2015: Technical Advisory CommitteeNorthwell Health Genomics Alliance (with OPKO Health)2015: President of LLC*Technology Transfer


What is “Clinical Lab 2.0”3Transactional Lab Data → Integrative InformationReactive: Order/Result → Proactive: Need/InformationLab = Commodity → Lab = Essential system assetTechnical experts only → SME on Health Care deliveryWe 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


Who are our Stakeholders?4Those 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.


“Clinical Lab 2.0” is Leadership, not Followship5


What are we responding to?6DownsideUnder-appreciation by our StakeholdersUnder-utilization of our expertiseRisk of not controlling our destinyUpsideExtraordinary opportunity to provide better health careUnrealized opportunity to support better financial outcomes for our Stakeholders*ABN, Advanced Beneficiary Notice


Objectives of this Workshop7To identify measures of Success for a “2.0” clinical laboratoryTo understand the strategies for getting thereTo learn tactical approaches from review of examplesTo share in lessons learned




9“HERE”“THERE”Be IntrusiveBe InsistentBe Creative

Learn new SkillsBuild new Teams

Take Risks!


“Innovation” in detail10Inpatient: AKI, antibiotic stewardship, sepsis bundles….Outpatient: CKD, diabetes, anti-coagulation….“Innovation” at global level

Disease Management teams

Precision Medicine

Where is the Opportunity?


Financial Performance

Not your “3%” – the



Impact of Lab on the Total Health Care Spend

Impact of Lab on the Total Revenue Cycle



Clinical Lab 1.0




Clinical Lab 2.0


The Structure of Today’s Workshop13Khosrow Shotorbani: Why is Clinical Lab 2.0 different?Tarush Kothari, MD, MPH: Success story with AKIIlan Rubinfeld, MD: Health System CMO perspectiveMonique Dodd, DPharm/ Building the Value Statements Kathleen Swanson, MS, RPhAron

Seidman Changing IT infrastructure

Informatics PanelOpen Q&A Session



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