PubMed · 14202910
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M ABE. 1964. [SIMPLE EMERGENCY TESTS].. https://pubmed.ncbi.nlm.nih.gov/14202910/
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Direct Access Testing (DAT) is a consumer-driven phenomenon that is sweeping the country. It is a highly controversial subject, the implementation of which requires methodical planning and development to be successful. DAT's purpose is to allow the consumer to order a battery of laboratory tests previously available only with a physician's order. With proper planning, DAT can be beneficial to a medical facility in a number of ways. Whether introduced to a hospital or an integrated health system, physician buy-in is vital to the success of DAT. Physicians need to publicly champion the program, even if members of the laboratory are doing the behind-the-scenes work. DAT is growing rapidly, but everyone still wants the stamp of approval from their physician(s) when it comes to their health.
During the process of facility planning, Fairview Laboratory Services utilized LEAN manufacturing to maximize efficiency, simplify processes, and improve laboratory support of patient care services. By incorporating the LEAN program's concepts in our pilot program, we were able to reduce turnaround time by 50%, improve productivity by greater than 40%, reduce costs by 31%, save more than 440 square feet of space, standardize work practices, reduce errors and error potential, continuously measure performance, eliminate excess unused inventory and visual noise, and cross-train 100% of staff in the core laboratory. In addition, we trained a core team of people that is available to coordinate future LEAN projects in the laboratory and other areas of the organization.
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