Lab Management Rotation

The laboratory management rotation is a 2 week (full day) rotation within the 4 year combined AP-CP post graduate program at Cedars-Sinai Medical Center.  The major vehicles for instruction of a resident by the course director will be through individual lectures, reading and performance of a laboratory management/QA project.

Rotation Structure

On the first day of the rotation the resident should meet with the Lab Management Rotation Director to review the responsibilities and expectations for the rotation.  The resident is expected to have reviewed this description prior to beginning the rotation.  Laboratory Management is the integration and coordination of organizational resources to provide quality laboratory services as efficiently and effectively as possible. Success requires a vast array of skills founded on sound principles of management science.

 

Specific Lab Management Goals and Objectives

The objectives of the rotation are encompassed by the six core competencies as defined by the ACGME and residents will be evaluated during their training in each of these areas.  The above goals and objectives will be met through attainment of these six core competencies:

Patient Care:

  • Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
  • Resident must learn and practice principles of clinical quality and patient safety.

Medical Knowledge

  • Management: General Principles
  • Describe management theory.
  • Differentiate between leadership and management
  • Tasks and tools of management
  • The role and responsibilities of the Medical Laboratory Director
  • CLIA requirements
  • CAP and TJC Standards
  • HIPAA compliance

Interpersonal and communication skills

  • Be able to create an effective presentation and conduct a management meeting.
  • Recognize the role of continuing education activities in the practice of Pathology
  • Analyze public relations as it relates to the practice of pathology
  • Describe business development activities as they relate to the practice of pathology including Laboratory outreach management component (marketing, sales, logistics and communications, and research activities).
  • List the principles of compensation and benefits management
  • Recognize the importance of a performance appraisal and setting performance
  • expectations. 
  • Evaluate the role of teamwork and consensus building

Professionalism

  • Demonstrate compassion: be understanding and respectful of patients, their families, and the staff and physicians caring for them.
  • Interact with others without discriminating based on religious, ethnic, sexual, or educational differences.
  • Demonstrate positive work habits, including punctuality, dependability, and professional appearance.
  • Demonstrate responsiveness to the needs of patients and society that supersedes self-interest.
  • Demonstrate principles of confidentiality with all information transmitted both during and outside a patient encounter.
  • Demonstrate a commitment to excellence and ongoing professional development.
  • Demonstrate interpersonal skills in functioning as a member of a multidisciplinary health care team.

Practice-based learning and improvement

  • List the basic elements of the strategic processes
  • Identify productivity measures such as Benchmarking metrics
  • Define POC, Waived and Provider Performed testing
  • Understand proficiency and competency requirements
  • Be able to analyze and interpret QC data for a common laboratory procedure (
  • Levy-Jennings plots, Westgard Rules)
  • Participate in a quality improvement activity
  • Describe process improvement and industrial engineering principles such as LEAN and Six Sigma

Systems-based practice

  • Be able to develop a business plan using Strengths, Weaknesses, Opportunities,
  • Threats (SWOT) analysis
  • Recognize different models of Laboratory professional practice (academic medical
  • center, community hospital-based and independent)
  • Describe Pathology group practice arrangements
  • Describe the importance of maintaining good Medical Staff Relations
  • Understand the role of the pathologist/pathology group from the hospital
  • administrator’s perspective including relevant labor laws and rules
  • Describe the training and certification necessary for different job classifications and job descriptions of medical laboratory sciences professionals
  • Be able to list state reporting laws
  • Describe the role of the laboratory in patient Security (HIPAA)
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