Laboratory Design And Services Model

Question 1

Centralized Laboratory Environment

Answer 1

Bring all laboratory sections in CLOSE PROXIMITY
Funtinally designed laboratory

Question 2

Consolidation process in a grand scale (group labs together)
Hub and spoke model

Answer 2

Regionalization

Question 3

Single, core lab providing high-volume routine testing

Answer 3

Hub

Question 4

One or more other labs consolidating certain functions into ine highly specialized laboratory

Answer 4

Spokes

Question 5

Laboratory Physical Design Considerations

Answer 5

Identify space
Routinely review all floor plans and elevations
Develop and use a project scheduler
Fumehoods away from high-traffic areas
Modular vs. Conventional Laboratory (Modular = fixed, Conventional = transferable)
Consider HVAC requirements
Base cabinets (20 to 30% storage space)
Noise control

Question 6

HVAC Requirements

Answer 6

Proper temperature = 68 to 76 F
Humidity = 20 to 60%
Air flow = 12 air exchanges/hour

Question 7

Space requirements

Answer 7

General = 150 to 200 net sq ft or 27 to 40 net sq ft per hospital bed
Rooms = >100 sq ft
Corridors = 8 feet wide
Eye wash unit = 100 feet of work areas

Question 8

Suggested standard dimensions in planning and designing a laboratory

Answer 8

Laboratory counter width = 2 ft 6 in
Laboratory counter to wall clearance = 4 ft
Laboratory counter to counter clearance = 7 ft
Desk height = 30 in
Desk space = 3 sq ft
Keyboard drawer height = 25-27 in
Human body sitting = 6 sq ft
Human body standing = 4 sq ft

Question 9

Mandated in response t concerns from CMS about fraud and abuse payments
- Avoid shotgun approach to test-ordering practices
- ordering right tests as medically necessary and mst meet evidence-based medicine protocols

Answer 9

Laboratory Compliance Program

Question 10

Laboratory-Related Nongovernmental Organizations

Answer 10

AABB = American Association of Blood Banks
ASCP = American Society for Clinical Pathology
CAP = College of American Pathologists
CLSI = Clinical and Laboratory Standards Institute
COLA = Commission on Office Laboratory Accreditation
TJC = The Joint Commission

Question 11

Offers bloodbank accreditation program that can substitute for a CAP inspection
CLIA deemed status

Answer 11

AABB or American Association of Blood Banks

Question 12

Largest org for lab professionals and offers certification for various specialties

Answer 12

ASCP or American Society for Clinical Pathology

Question 13

Largest proficiency program in US
Has peer-surveyed lab accreditation program
Recognized by TJC
CLIA deemed status

Answer 13

CAP or College of American Pathologists

Question 14

Formerly NCCLS
Peer professional group thst develops standardized criteria regarding lab practices

Answer 14

CLSI or Clinical Laboratory Standards Institute

Question 15

Nonprofit org sponsored by American Academy of Family Physicians , the American College of Physicians, the American Medical Associationm, the American Osteopathic Association and CAP
CLIA deemed status

Answer 15

COLA or Commission on Office Laboratory Accreditation

Question 16

Joint commission on accrediation of healthcare organization
Independent, non profit entity that accredits nearly 17,000 health care org and programs in US
Deemed status

Answer 16

The Joint Commission