During the past decade, medical laboratories - and hospital laboratories in particular - have undergone significant changes related to increasing their role in healthcare delivery and in the emergence of novel molecular technologies. These trends put constant pressure on hospitals and laboratories to keep up in terms of laboratory design, workflow and management. Currently, many hospital laboratories are undergoing or planning renovation projects, while new laboratories design and construction employ novel concepts such as lean design. Exceptional laboratory design aims to increase productivity while lowering the rate of human error. This starts with understanding how laboratory personnel work, and what is important to them on a day-to-day basis. Cambridge Healthtech Institute’s Inaugural Hospital Design and Renovation meeting is designed to bring together architects and designers, laboratory instrument manufacturers, and laboratory directors and hospital administrators to discuss the best practices in modern hospital laboratory design and renovation.
Scientific Advisor: Irving Nachamkin, Dr.PH., M.PH., Laboratory Director, Professor and Director, Division of Laboratory Medicine, William Pepper Laboratory of Clinical Medicine, Department of Pathology & Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania
TUESDAY, AUGUST 23
7:30 am Main Conference Registration & Morning Coffee
8:30 Chairperson’s Opening Remarks
Per Skoglund, Change Manager, Karolinska University Laboratory, Karolinska University Hospital
8:40 Planning, Building and Moving into a New Laboratory
Myra L. Wilkerson, M.D., Vice Chair, Laboratory Medicine Service Line, Geisinger Health System
Administration has agreed to fund a new laboratory building. How do you start such a big project? How do you choose an architect? Who helps you choose everything from paint colors to laboratory casework? How do you move without disruption of services? This session focuses on the recent experience of building a new core laboratory facility for the Geisinger Health System, providing guidance for others considering a laboratory building project.
9:25 Laboratory of the Future - Lean Redesign Case Study
Patricia Macholan, Executive Director, Laboratory Technical Operations Excellence, Quest Diagnostics
Since the future role of Laboratory Medicine is strongly and equally challenged by economic and new technological pressures, it is essential to take a broad view of the discipline and present to the administrators and other decision-makers the full spectrum of activities and benefits Laboratory Medicine can provide. In particular, the importance and the true impact of Laboratory Medicine can only be achieved by adding value to laboratory tests, represented by their effectiveness in influencing the management of patients and related clinical outcomes.
10:10 Coffee Break in the Exhibit Hall with Poster Viewing
10:55 Chairperson’s Remarks
Patricia Macholan, Executive Director, Laboratory Technical Operations Excellence, Quest Diagnostics
11:00 Planning Clinical Laboratories: Adventures in Space and Time
Barbara A. Spitz, AIA, HERA Lab Planners
Joshua Evans, HERA Lab Planners
If you have ever done a renovation project, you probably have some idea of planning in three dimensions. Clinical labs, however, must also recognize the importance of the fourth dimension, time. Planning a clinical lab is more akin to planning a trip on a large sailboat: both are fast moving machines run by a crew with different skills, navigating a variety of constantly changing conditions. Because of hospital demands, clinical lab operations must adhere to turn-around-time targets. Planning three dimensional space becomes a complex exercise when this fourth dimension of time is introduced. We will describe tools used to enable the team to address automation, specimen volume, efficient flow and staffing needed in a clinical lab. We will discuss the various drivers in the planning of a clinical lab and help you understand not only the three dimensions of space but also the impact of the fourth dimension of time.
11:45 am Optimal Efficiency: New Approaches to Lab Consolidation and Centralization
Manuel Hernandez, M.D., Principal & Health Practice Leader, CannonDesign
Can lab consolidation or centralization help reduce hospital costs and mitigate risks? Showcasing case studies from around the nation, this session highlights how hospital lab consolidation and centralization can help hospitals achieve significant efficiencies that lead to substantial cost savings and support more robust operational protocols. Strategies that optimize workflow and staff utilization; improve throughput and accuracy in sample testing; and ease access to test results will be discussed.
12:30 pm Mobile Labs: Bringing Labs to the Point of Need
Lyle Probst, President, E-N-G Mobile Systems Inc., PositiveID Corporation
E-N-G, a leader in mobile laboratory design/production, has delivered over 400 MobiLab™ Mobile Laboratories. The field-proven line is available in a range of platforms including vans, truck-based systems, shipping containers, and trailers up to 53 feet. Applications range from general-purpose and chemistry labs to BSL3-ready and full CBRNE threat detection/analysis.
12:45 Sponsored Presentation (Opportunity Available)
1:00 Luncheon Presentation (Sponsorship Opportunity Available) or Enjoy Lunch on Your Own
1:30 Refreshment and Cookie Break in the Exhibit Hall with Poster Viewing
2:00 Chairperson’s Remarks
Joseph M. Campos, Ph.D., D(ABMM), F(AAM), Interim Chief, Division of Laboratory Medicine; Director, Microbiology Laboratory, Molecular Diagnostics Laboratory, and Laboratory Informatics; Children’s National Medical Center; Professor, Departments of Pediatrics, Pathology, and Microbiology/Immunology/Tropical Medicine; George Washington University Medical Center
2:05 Karolinska University Laboratory – Experiences, Benefits and Challenges in Adapting the New Operating Model to Value-Based Healthcare
Per Skoglund, Change Manager, Karolinska University Laboratory, Karolinska University Hospital
Niklas Bark, Ph. D, Specialist, Karolinska Institute
Elisabeth Gustavsson, Chemist, University of Gothenburg
The Karolinska University Laboratory is the largest supplier of laboratory services in Sweden, offering a complete laboratory service, including highly specialized and standardized diagnostics, consultation, point-of-care analysis etc. to the Stockholm County. Our single largest customer is the Karolinska University Hospital. The hospital in collaboration with Karolinska Institute is currently changing the operating model by replacing the classical divisions and clinics with an implementation of patient centered value-based healthcare. The main change is to align all responsibility and resources to identified patient flows. This means that the Karolinska University Laboratory has a unique opportunity to adapt the new operating model and optimize quality and efficiency from a value-based healthcare perspective and to identify and evaluate the change in laboratory needs. We will present our strategies and processes to meet the opportunities and challenges that the change process implies for the laboratory service.
2:35 New Generation Laboratory Management: Technologies and Solutions
David Layton, Improvement Engineering and Operations Leader, ARUP Laboratories
Identify the sources of waste and non-value added activities associated with current lab processes, and understand where opportunities for improvement lie. With a vision and documentation of the current processes and improvement opportunities; Value Stream Mapping, Standard Work, Work Flow Analysis, Flexible systems and the other tools of Lean are used to design and engineer an efficient future state laboratory.
3:05 LEAN Cost Accounting in the Laboratory
Stephen S. “Sky” Soom, Associate Vice President, Performance & Innovation, PAML
In today’s era of rapidly changing reimbursement models, test methods and payer shifts, laboratories need a way to monitor these changes in near real time to respond accordingly. PAML has developed software capabilities and a supporting Business Intelligence platform to meet the dynamics of today’s challenges of remaining on the proactive side of the cost of testing.
3:35 Best Test First?
Andy Crouse, Ph.D., Director, Business Development, HudsonAlpha Clinical Services Lab, LLC
The diagnostic odyssey for patients with rare and undiagnosed disease is approximately 7 years long, >$100,000 and can result in inappropriate and/or harmful treatment regimens. Whole genome sequencing produces a diagnosis in ~40% of cases; those diagnoses often impact medical management. Integrating whole genome sequencing into the clinic will positively impact patient care and medical costs.
3:50 Sponsored Presentation (Opportunity Available)
4:05 Refreshment Break in the Exhibit Hall with Poster Viewing
4:50 PANEL DISCUSSION: Open Discussion on Other Lab Issues- Silos, Personnel and Metrics
Moderator:
Joseph M. Campos, Ph.D., D(ABMM), F(AAM), Interim Chief, Division of Laboratory Medicine; Director, Microbiology Laboratory, Molecular Diagnostics Laboratory, and Laboratory Informatics; Children’s National Medical Center; Professor, Departments of Pediatrics, Pathology, and Microbiology/Immunology/Tropical Medicine; George Washington University Medical Center
Panelists: Speakers of the Day
Topics to be discussed include but are not limited to:
- Breaking down laboratory silos
- Using laboratory metrics to optimize lab workflow
- Personnel issues for the future- designing labs that focus on employee well-being and engagement
5:50 Wine & Cheese Pairing Welcome Reception in the Exhibit Hall with Poster Viewing
6:50 Close of Day
WEDNESDAY, AUGUST 24
7:15 am Registration
7:30 Interactive Breakout Discussion Groups with Continental Breakfast
This session features various discussion groups that are led by a moderator/s who ensures focused conversations around the key issues listed. Attendees choose to join a specific group and the small, informal setting facilitates sharing of ideas and active networking. Continental breakfast is available for all participants.
Laboratory of the Future
Moderator: Patricia Macholan, Executive Director, Laboratory Technical Operations Excellence, Quest Diagnostics
- Success factors and implementation challenges for lean redesign
- Combining process design, management and improvement to drive performance
- Lean Six Sigma Roadmaps
Choosing the Right Designers, Consultants and Vendors
Myra L. Wilkerson, M.D., Vice Chair, Laboratory Medicine Service Line, Geisinger Health System
- Choosing the Right Designers, Consultants and Vendors
- Choosing consultants, designers and developers
- Selecting automation lines for your lab
- Overseeing the construction
- Challenges of the launch of a new laboratory
8:25 Chairperson’s Opening Remarks
Jeff Shulkin, M.S., Principal, Morph Design, Inc.
8:30 Designing the Microbiology Laboratory of Tomorrow and Beyond
Anne Beall, Director, U.S. Clinical Marketing; Microbiology & Molecular Solutions, BioMerieux Inc.
For decades, clinical microbiology labs has been doing the same thing the same way. Lab design is only one of the drivers to improve performance. A combination of the right design, optimization of people resources, processes and technology can help drive microbiology laboratory efficiency.
9:15 Creating the Evolving Laboratory
Jeff Shulkin, M.S., Principal, Morph Design, Inc.
The Incongruence - Traditional approaches to Laboratory Design often result in ‘fixed’ facilities requiring frequent, expensive, disruptive, impractical, minimally effective and, oft, non-fundable serial remodels. In contrast, the testing requirements of Pathology, Clinical Laboratory, Research and R&D labs best reflect the characteristics of dynamic Living Systems. Quoting Frank Lloyd Wright, “Form follows function – that has been misunderstood. Form and function should be one.” The Congruence – Integrate the anatomy, physiology and mutability of Living Systems in the design of Living Laboratories.
10:00 Using Breakthrough Process Redesign to Redesign your Laboratory’s Culture and Environment.
Catherine Ochsner, Senior Manager Continuous Improvement Danaher Business Systems Commercial Operations, Beckman Coulter
Transitioning current laboratory personnel into an group of highly enlightened, engaged and empowered individuals means redesigning the management of the value stream, the laboratory environment and current methods of employee engagement. The use of Production Preparation Process facilitates culture change by directing laboratory organizational attention and association back to the concept of four significant laboratory flows; engineering flow, information flow, material flow people flow. This presentation will focus on concepts that result in creative critical thinking, problem solving and design; which result in high levels of dynamic team engagement, empowerment and cross-functional accountability.
10:30 Coffee Break in Exhibit Hall with Poster Viewing
12:50 pm Luncheon Presentation (Sponsorship Opportunity Available) or Enjoy Lunch on Your Own
1:20 Close of Hospital Laboratory Design and Renovation
1:25 Ice Cream and Cookie Break in the Exhibit Hall with Poster Viewing