Physicians Office Resource - January 2019

Physicians office Resource

2019 Issue 1

™

Resources for You, Your Patients, & Your Practice

HEART HEALTH CAN START IN 5 MINUTES

Alere Cholestech LDX® System .

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also in this issue

Take Our Research Survey

Prostate Cancer Screening: Early Diagnosis Delivers Best Outcomes Adapting to Change: How Resilient Is Your Laboratory?

How In-House Testing Steers Income to Your Practice

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Pg 32

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Get your finger on the pulse of the U.S. Healthcare System and entered for a chance to win an iPad Mini!

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2019 - Issue 1

PHYSICIANS office RESOURCE

Physicians office Resource

™

Published by Medical Education Resources, LLC

Publisher Aaron R. Medaris amedaris@ physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@ physiciansofficeresource.com President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@ physiciansofficeresource.com

#5600

Account Manager Brandi L. Brower Editorial Board Michael Paquin, FHIMSS Barry Craig, MLT (NCA), CLC Staff Writer Dylan J. Chadwick Creative Director Production Manager Keith A. Katsikas Jr Copyright ©2018

To continue your free subscription of Physicians Office Resource magazine, please fill out the Business Reply Card (BRC) located within this magazine and drop in any United States Post Office mailbox.

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MDescapes: Luxury Destinations & Deals for Physicians Four Seasons

ProductSpotlight Heart Health Can Start in Just 5 Minutes Alere Cholestech LDX® System From Abbott

Accurate, actionable results from the leader in point-of-care lipid testing.

The CLIA-waived Alere Cholestech LDX® Analyzer is engineered for confidence, providing accurate, actionable, and readily accessible results that have set the standard in point-of-care lipid profile, cholesterol, and glucose testing.

Whether you have a patient who has cardiovascular disease—or is at high risk for developing it due to an underlying condition like hypertension, diabetes, hyperlipidaemia or cardiac conditions—early detection and management can make all the difference.

Learn more about this product by entering #5555 at POR.io

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IN THIS ISSUE Prostate cancer screening: early diagnosis delivers...

Prostate cancer represents about 27% of all cancers in men, and is the second deadliest form of cancer...

4

Adapting to Change: How Resilient Is Your Laboratory?

The 21st century challenge is to redesign healthcare systems to be safe, efficient, effective, timely, equitable and patient-centered...

14

To the Lab: How In-House Testing Steers Income to Your Practice We all laughed at Casey, bright-eyed and eager, when we started our hike.

He'd seemingly bought out an entire military surplus store in preparation, while we'd opted (through a heady combination of laziness and...

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2019 - Issue 1

PHYSICIANS office RESOURCE

PROSTATE CANCER SCREENING: EARLY DIAGNOSIS DELIVERS BEST OUTCOMES

By Sekisui Diagnostics

Prostate cancer represents about 27% of all cancers in men, and is the second deadliest form of cancer. Last year, an estimated 26,000 men died of prostate cancer.

The American Cancer Society’s estimates for prostate cancer in the United States for 2017 include: • • • •

4

about 161,360 new cases of prostate cancer. about 26,730 deaths from prostate cancer. about 1 man in 7 will be diagnosed with prostate cancer during his lifetime.

Prostate cancer develops mainly in older men.

About 6 cases in 10 are diagnosed in men aged 65 or older, and it is rare before age 40. The average age at the time of diagnosis is 66.

(Read more at the American Cancer Society).

African-Americans at Higher Risk According to the Prostate Cancer Foundation: “AfricanAmerican men are the group – out of all men in the world – hardest hit by prostate cancer…[and] are 1.6 times more likely to get prostate cancer, and more than twice as likely to die from it.”

An article at Wiley’s Newsroom pointed out: “a new study indicating that higher prostate cancer death rates among black men in the U.S. may be due to a higher risk of developing preclinical prostate cancer, and a higher risk of that cancer progressing more quickly to advanced stages. The investigators estimated that 30 percent to 43 percent of black men develop preclinical prostate cancer—prostate www.PhysiciansOfficeResource.com

cancer that is not symptomatic—by age 85, a risk that is 28 percent to 56 percent higher than that among men of any race.”

mortality, and cost is well established, when implemented in combination with passive surveillance.

Revised USPSTF Prostate This further highlights the need for Cancer Screening Standards prostate cancer screening among In April, the U.S. Preventative at-risk populations.

Services Task Force (USPSTF) released new draft guidelines for The PSA Test The Prostate-Specific Antigen (PSA) test measures the level of PSA in a man’s blood. Because the PSA biomarker is only expressed in prostate tissue, it can aid in the early diagnosis of prostate cancer.

PSA Testing: Controversy… or Just Confusion?

The confusion surrounding the use of PSA testing — when to screen and when not to screen — continues because prostate tumors may be very slow-growing (in general, about two-thirds of prostate tumors are categorized as slow-growing), and require only monitoring.

PSA prostate cancer screening – bringing it more in-line with American Urological Association and American Cancer Society recommendations.

(Read more on the draft recommendations at https://screeningforprostatecancer.org.)

PSA – 15 Minute Results Testing confusion aside, two of the benefits of the PSA test are the ease of testing and rapidity of results. Patients - tested in a doctor’s office during a visit - can receive the results in 15 minutes.

“

This can potentially eliminate the need for a follow-up visit to review results -

and allow the doctor and patient to develop a follow-on plan of action - if any is needed - during the initial visit.

Sekisui Diagnostics recently sponsored a webcast at Clinical Lab Products on this topic: Critical It is important to understand that the Thinking for Early Diagnosis of controversy around PSA screening is not about the PSA test, but rather The 2017 draft recommendations are Prostate Cancer. It is available, onbased on new findings tracking PSA demand free (Duration: 1 hour, 5 about when or whether to treat testing in clinical trials. From an minutes). The webcast - moderated based on the test result.

April 11, 2017 NBCNews.com article by Steve Halasey, chief editor Men Should Ask About Prostate Cancer of Clinical Lab Products. - explores: Since the FDA approval of the Test, Panel Advises - 4/11/17 comes this: PSA test in 1994, the age-adjusted • The current controversy

mortality rates for prostate cancer in surrounding screening and the U.S. have declined 50%. In that “After following patients for a longer diagnosis of prostate cancer. time period, mortality due to period of time, it was shown that for • The importance of digital rectal prostate cancer has declined every 1,000 men screened, one to two examination. more than mortality for any other lives were saved.

“We are more confident • Optimizing the clinical type of cancer. about the benefits of screening,” said application of PSA testing.

The value of PSA screening in terms Bibbins-Domingo. "We now think, on of early detection of prostate cancer Read this and other articles at balance, there is a small benefit.” and reducing related morbidity, www.PhysiciansOfficeNews.com 5

2019 - Issue 1

PRODUCTFOCUS

Win a FREE iPad Mini!

PHYSICIANS office RESOURCE

As a Thank You for taking part in our brief survey you will be entered in our periodic drawing to win a FREE Apple iPad mini, which you may gift to someone or keep for yourself. The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io Additional details on page 25

#5601

Effective Inhaler Training & Asthma/COPD Monitoring From Vitalograph

Introducing the unique Vitalograph AIM™ (Aerosol Inhalation Monitor) designed to assist in training subjects to use their inhaler correctly. Mastery of the correct technique will support more accurate drug delivery and good patient compliance, resulting in better disease management and fewer visits to medical professionals. The device, which is reimbursable under CPT code 94664, provides visible feedback to the patient on the airway or lung location that the inhaled drug would have been deposited had it been an actual drug treatment.

The techniques for inhalation are guided by audible tones and colorful graphics, and are preset to the inhalation protocols for metered dose inhalers, MDI with a spacer and dry powder inhalers. Pair this device with either an asma-1 home asthma FEV1 and PEF monitor or the copd-6 screener for COPD GOLD status, and you will have the ideal tool set for care of your fragile lung patients.

View Brochures, Videos & More at: POR.io Enter Number: 5601 in the Search Area

#5602

The RX daytona+ From Randox

A bench-top, fully automated, random-access chemistry analyzer, providing routine and specialized testing with emergency STAT sampling functionality. Demonstrating unparalleled versatility, the RX daytona+ combines robust hardware and intuitive software with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX daytona+ ensures unrivalled precision, reliability and accuracy for results you can trust.

View Brochures, Videos & More at: POR.io Enter Number 5602 in the Search Area 6

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If you have one of these...

#5603

...you need one of these!

We all know patience is a virtue but the reality is waiting is not fun. Given our busy lives, delaying test results can be very frustrating and we all know patients aren’t always patient! The FastPack® IP System allows you to test and adjust therapy before your patients leave which helps your physician office with both efficiency and your satisfaction metrics. Now that will restore a smile to everyone’s face!

Call us at 800-332-1042 to see how you can improve your work flow and your patient satisfaction.

TEST MENU: VITAMIN D

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© 2019 Sekisui Diagnostics, LLC. All rights reserved. Because every result matters™ is a trademark of Sekisui Diagnostics, LLC FastPack is a registered trademark of Qualigen Inc.

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2019 - Issue 1

#5604

PRODUCTFOCUS Defining Mobile Telediagnostics

PHYSICIANS office RESOURCE

From MedPod

With the ability to deploy into a medical office in less than 2 minutes, MobileDoc is the ultimate portable practice. Revolutionary in its compact and mobile design, MobileDoc integrates best-in-class professional medicalgrade devices with state-of-the-art HD video and EHR connectivity.

Physicians can provide care remotely that is on par or better than a face-toface visit, including conducting basic exams, checking vitals, and performing specialty testing—shattering the boundaries of traditional care.

View Brochures, Videos & More at: POR.io Enter Number 5604 in the Search Area

#5605

Ideal System for Low-to-Moderate Volume Laboratories From Sekisui Diagnostics

The SK™500 chemistry instrument and SEKURE Reagents offer an ideal system for low-to-moderate volume laboratories seeking exceptional throughput with minimal use of space and water. The SK500 is a compact and efficient instrument with a full menu of reagents specifically designed for and packaged for the system

View Brochures, Videos & More at: POR.io Enter Number: 5605 in the Search Area #5606

Self-contained Diagnostic Workstation From Vitalograph

Vitalograph introduces the Compact Expert diagnostic workstation.

The device is a full touch-screen based medical workstation, which comes equipped with Vitalograph’s flagship Pneumotrac spirometer.

This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Beyond spirometry, it is a desktop testing station for ECG, Pulse Oximetry, Weight , COPD assessment, and Blood Pressure measurements.

View Brochures, Videos & More at: POR.io Enter Number 5606 in the Search Area 8

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THIS HEART HEALTH MONTH, PREVENT HEART DISEASE IN YOUR OFFICE

HEART DISEASE AFFECTS EVERYONE

Heart disease can happen to anyone – not just aging adults. To be heart healthy, patients must be in the know. The Alere Cholestech LDX® System provides lab accurate results in five minutes that can lead to coachable moments for improved heart health.

Identifying CVD risk is quick and easy with fingerstick sampling from a CLIA-waived instrument With in-visit test results, you can get your patient on the road to a healthier heart faster Know your patients’ numbers with a complete lipid profile with glucose on the same test cassette

#5607

THE ALERE CHOLESTECH LDX IS AVAILABLE FROM ABBOTT. TO LEARN MORE, VISIT LDX.POR.IO. ®

© 2019 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD177640 10004525-01 1/19

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Hematology Testing Made Easy From Sysmex

PHYSICIANS office RESOURCE

2019 - Issue 1

PRODUCTFOCUS #5608

Designed for labs testing up to 25 samples per day, the Sysmex pocH-100i™ has the smallest footprint of any analyzer on the market.

The instrument requires only 15µL of whole blood for reporting of 17 clinical parameters, including a 3-part WBC Differential. It is ideal for urgent care, physician office lab, small clinic, or any outpatient setting where a point of care CBC is needed.

View Brochures, Videos & More at: POR.io Enter Number 5608 in the Search Area

#5609

Reliable Detection of Strep A, Flu A, Flu B and RSV From Cepheid

Cepheid’s GeneXpert Xpress® brings standardized molecular testing to any healthcare setting. Employing the highly accurate and easy to use lab in a cartridge technology in every GeneXpert system, the GeneXpert Xpress® is a true on-demand walkaway testing system that provides accurate and reliable detection of Strep A, Flu A, Flu B and RSV. Two or four-module configurations save valuable bench space and reduce the need for multiple testing platforms.

View Brochures, Videos & More at: POR.io Enter Number: 5609 in the Search Area

#5610

Laser Lipo–Non-Invasive Instant Inch Loss Results From Laser Lipo Ltd

The FDA Approved, Strawberry Laser Lipo is a ground-breaking treatment offering non-invasive, instant inch loss results to the Abdomen, Hips, Thighs, Arms, Back Fat, Buttocks, Male Chest and Knees, without any pain or downtime. The clinically proven, noninvasive laser treatment penetrates the skin to selectively target the fat cells underneath, leaving blood vessels, nerves and other tissue undisturbed. Only $24,750 and 0% in-house no credit check financing.

View Brochures, Videos & More at: POR.io Enter Number: 5610 in the Search Area 10

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Nail it with one swab.

Syndromic respiratory infection testing now CLIA-waived The BioFire® FilmArray® Respiratory Panel (RP) EZ uses a molecular syndromic approach to accurately detect and identify a wide range of pathogens—not just Flu A and B. As a healthcare provider, this means your patients can receive the right treatment the first time, potentially leading to higher patient satisfaction and lower costs. And as the name implies, it’s easy and can be performed right in your office or clinic.1 1 test. 14 respiratory pathogens. All in about an hour.

#5611

biofiredx.com

CLIA

BioFire RP EZ Pathogens Viruses Adenovirus Coronavirus Human Metapneumovirus Human Rhinovirus/Enterovirus Influenza A

1

Influenza A/H1 Influenza A/H1-2009 Influenza A/H3 Influenza B Parainfluenza Virus Respiratory Syncytial Virus

WAIVED

Bacteria Bordetella pertussis Chlamydophila pneumoniae Mycoplasma pneumoniae

CLIA Certificate of Waiver required to perform testing.

For more information contact +1 +1 801-736-6354 888-844-7640ext. ext.1947 1947

!11 BFDX-MKT-0234

2019 - Issue 1

PRODUCTFOCUS

PHYSICIANS office RESOURCE

The Brewer Basic Exam Table From Brewer

#5612

Full featured, entry-level exam table design. The Brewer Basic Exam Table features a pneumatic cylinder, seamless upholstery, and the largest storage capacity available. We invite you to compare features, price, warranty and you will find the Brewer Basic Exam Table is clearly the best entry level exam table available.

View Brochures, Videos, & More at: POR.io Enter Number 5612 in the Search Area

#5613

CLIA-Waived BioFire® FilmArray® Respiratory Panel (RP) EZ From BioFire

The BioFire RP EZ accurately detects and identifies 14 viral and bacterial pathogens—not just Flu A and Flu B— so you can provide your patients with the right treatment, the first time. The test is easy and can be performed right in your office or clinic, with results in about an hour. The BioFire RP EZ is designed to run on a single computer/ instrument configuration (EZ Configuration) of the BioFire® FilmArray® 2.0 System.

View Brochures, Videos & More at: POR.io Enter Number 5613 in the Search Area

#5614

Sysmex XN-L™ Series Automated Hematology Analyzers From Sysmex

Now lower volume customers can enjoy the same capabilities in CBC testing as larger hospitals and reference labs. Enhanced clinical value is standard and optional licenses for reticulocyte or body fluid testing are available. The XN-L analyzers are the first to feature BeyondCareSM Quality Monitor, an innovative, web-based QC and calibration management program.

View Brochures, Videos & More at: POR.io Enter Number 5614 in the Search Area 12

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#5615 #5616

#5316

Call 888-522-9939 or Visit medpod.por.io for More Information !13

2019 - Issue 1

PHYSICIANS office RESOURCE

ADAPTING TO CHANGE: HOW RESILIENT IS YOUR LABORATORY?

By Irwin Z. Rothenberg, MBA, MS, CLS(ASCP), Technical Writer /Quality Advisor, COLA Resources, Inc.

The 21st century challenge is to redesign healthcare systems to be safe, efficient, effective, timely, equitable and patient-centered. Laboratory medicine is integral to many of these objectives, involving disease prevention, diagnosis, treatment, and management.

As a result, the laboratory profession continues to undergo rapid change. Not only is there an impact through advances in technology, with new tests and test methodologies, new modes of communication, and new capacities for storage, retrieval and analysis and dissemination of data, but through emerging sociopolitical trends resulting in changes to the very structure of organized medicine, and how medical care is delivered. These include major legislation such as the Affordable Care Act which encourages shifts from private practice to integrated healthcare networks; and the development of new models of healthcare delivery such as Accountable Care Organizations, which mandate value-based compensation models. These changes, whether on a macro institutional level, or micro departmental level, impact our laboratories. Millions more insured will lead to significantly increased demand for laboratory services at the same time that baby 14

boomer staff (who have been the backbone of laboratory staffing since the 1960’s) are retiring in large numbers, but with fewer schools training replacements.

Exacerbating this is the continuing growth of tests available (currently at least 3500 tests), new specialties, new global health issues (i.e. Opiod epidemic), accelerating the increase in workload.

Challenges and Changes Forecast for the Laboratory Profession The two main forces directly affecting laboratory operations are rapid technological advances (e.g. total laboratory automation, molecular diagnostics techniques, digital technology; point-of-care and remote testing, etc.) and resultant increased economic pressures, with the need to align to increasingly limited budgets One major outcome of the introduction and growth of digital technology, in particular, is the huge increase in the generation and utilization of data, both for immediate patient care needs as well as population health management and trend analysis. This has resulted in the laboratory becoming “information central” within the greater healthcare environment, touching almost www.PhysiciansOfficeResource.com

every point of healthcare delivery.

Under these circumstances it is easy to recognize that laboratory medicine has a pivotal role, increasingly integral to many clinical decisions on disease prevention, diagnosis, treatment and management. The overall challenge for the laboratory profession is to adapt to these rapid changes, while maintaining quality service.

A summary of these challenges include: • Increased scope of services offered, requiring changes in laboratory organization and communication, including workflow, scheduling, reporting policies, data transmission and storage; expanded relationships with other healthcare providers; integrated roles for information technologists; and increased direct interaction with the public.

• New roles and responsibilities of the laboratory due to changes in healthcare delivery through integrated network organizations—Accountable Care Organizations (ACOs) and Patient Centered Medical Homes (PCMHs), integrating the laboratory as a part of team-based care • The need for updating policies and procedures to reflect this new paradigm of increased scopes of practice and involvement • New personnel requirements, recruitment and training to

“ These times call for leadership that is more adaptive and agile than ever before... This is leadership that understands change, and can adapt through creating an organizational culture of resilience.”

Irwin Z. Rothenberg

ensure a competent workforce to meet these challenges.

• Adjusting to the new age of patient empowerment: patient initiated testing; and test results reported and interpreted directly to patients.

• Keeping up with the changing political and regulatory climate • Changing population demographics and the need for interventions for specific subsets of the population; use of big data influencing government resource allocation.

Dealing with all these changes can be stressful for laboratory professionals.

The clinical laboratory industry is already embracing networking, consolidation, integration, outsourcing, and creating additional

value by providing knowledge services related to in vitro diagnostics.

Clinical laboratory services are also increasingly defined by their value provided for patient outcomes.

Already, there is evidence that ongoing technological developments have considerably improved the productivity of clinical laboratories.

The next thirty years comprise a perfect storm scenario for laboratory medicine in terms of meeting professional staffing needs to meet these challenges: • Millions more people will be insured and able to access the healthcare system far more comprehensively than ever before, including laboratory services • Millions of baby boomers adding to the post-65 year old demographic, requiring more frequent and intensive healthcare, including laboratory services • Significant numbers of boomer clinical laboratory professionals are part of this retirement tidal wave, contributing to the shortage of available staff • The continued rapid development of advanced technology such as molecular genetics. requiring ever more sophisticated instruments and !15

PRODUCTFOCUS

2019 - Issue 1

#5617

Optimize Productivity and Expand your Practice

PHYSICIANS office RESOURCE

From MedPod

The Medpod Medical Cart optimizes productivity and load balancing by enabling access to remote physicians during high volume periods or to reach lowdensity populations. Medpod’s proprietary software integrates with a wide range of professional medical devices and gives the remote provider control of the devices to conduct an examination that is on par with a face-to-face visit. Patient images, audio and data can be captured, annotated, tagged and uploaded in realtime or stored and forwarded into the EHR by either remote or local provider.

View Brochures, Videos & More at: POR.io Enter Number 5617 in the Search Area

Lab-Accurate Results for ACR and HbA1c From Abbott

#5618

With its compact size and panel of tests, the Afinion 2 system is ideal for point-of-care testing in physician offices, clinics, community health centers and hospital out-patient clinics. From just a small urine or fingerstick whole blood sample, lab-accurate results for ACR and HbA1c are made available during the consultation.

View Brochures, Videos & More at: POR.io Enter Number 5618 in the Search Area

#5619

CELL-DYN Emerald Hematology Analyzer From Abbott

CELL-DYN Emerald is a 3-part differential hematology analyzer that offers high performance in an affordable, compact design that provides reliable and accurate patient results every time. As a smaller operating laboratory, you need a solution that offers reliable results. CELL-DYN Emerald provides results in under 65 seconds.

CELL-DYN Emerald’s small size, simple touch screen software and reliability offer an easy-to-use, truly compact table/bench top instrument for easy performance in your laboratory.

View Brochures, Videos & More at: POR.io Enter Number 5619 in the Search Area 16

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CONTINUEDFROMPAGE15 advanced training by staff • Increased competition from other healthcare professions that are able to promise and deliver on better working conditions, higher compensation, and greater recognition.

• Lack of adequate funding for enough schools and graduation capacity to provide the needed numbers of laboratory professionals.

Resilient Leadership As a result, these times call for leadership that is more adaptive and agile than ever before, i.e. resilient leadership. This is leadership that understands change, and can adapt through creating an organizational culture of resilience; going beyond continuous quality improvement to embrace change on an institutional as well as departmental level, enabling their laboratory operation to not only survive but prosper and grow.

safety and productivity concerns.

Quality work processes are not static properties of an organization, embracing resilience reflects a dynamic effort to maintain quality.

A culture of resilience A culture of resilience recognizes the value of the laboratory staff, the stresses that they may be experiencing, the training that is needed, and the need to be supportive and understanding. It goes beyond a culture of continuous quality improvement to include trust, teamwork, tolerance, and a global perspective that more change is inevitable. The properties necessary for resilient organizations include:

Top Management commitment: to recognize performance concerns and addresses them with continuous and extensive follow-through based on applying competency improvement processes utilizing coaching and management observation.

Key management strategies Resilient Laboratories include: providing staff with key These are laboratories that are able to information about future plans for the respond effectively, and adapt to all development of the laboratory, and kinds of changes in operation, internal involving the staff when possible; and and external demands, and determining how to implement these expectations, through effective changes through adjustments to job planning and resource allocation, thus assignments; staffing levels; policies allowing the continuation of normal and procedures; management of services without compromising quality. timelines and budgets.

Gaps in the continuity of healthcare threaten a patient’s well-being and The characteristics of a resilient introduce the potential for adverse laboratory include support for: events. Whether, or how, a system An open and fair culture: the responds to fill such gaps in care reporting of issues, problems, events, continuity indicates its resilience. and errors throughout the organization Adaptations include new clinician is supported and encouraged, but initiatives, adaptive instrumentation, culpable behaviors are not tolerated. flexible staffing patterns, continuous A Learning culture: Wherein issues, quality improvement practices, and problems, events, and errors are institutional networking leading to handled with an eye toward correction, improvements in performance and and solution, not denial; but not a service. These approaches make up “blame game” attitude either the resilience that is built into the Realism: Management is aware of system to help accommodate demands any potential for serious problems for care. Resilience provides the and events due to weaknesses means for organizations to target inherent in their operation, and resource investments by integrating continuously monitor these.

Awareness: Management collects ongoing data to gather insight into quality of performance, problems, and the state of safety defenses.

Utilizes the staff for feedback and innovative ideas.

Flexibility: New or complex problems are handled in a way that maximizes the ability to solve the problem without disrupting overall work.

Transparency: Management keeps staff informed of all happenings, both good and bad. This can open up new avenues of discussion, problem-solving, and team-building.

Resilience relies on constant feedback from the staff regarding the effectiveness of the changes made by management. Additional steps that enhance the ability of the laboratory to successfully adapt to these challenges include: 1. Encouraging two-way communication 2. Recognize and reward achievement.

3. Help employees succeed.

Provide employees with the resources and support to do their work, and as they show signs of readiness, be willing to entrust them with new tasks and greater responsibility.

1. Provide continuing education.

This should include a formal orientation program, cross-functional training, maintenance of professional skills, coaching, career development, and personal development.

Out of this develops a resilient innovative workforce, one that is capable of adaptively learning to correct errors and to take advantage of new opportunities (e.g., digital technology; remote testing; ACOs), to improve quality of service.

The end result is the leveling of silos, enhancing communication, creating a workforce that is not hesitant to innovate and adapt to change; feels appreciated and experiences less stress when change is needed.

Read this and more articles plus references at www.PhysiciansOfficeNews.com !17

#5620

Single, Integrated POC Testing Solution

PHYSICIANS office RESOURCE

2019 - Issue 1

PRODUCTFOCUS

From Abbott Point of Care

The fully automated i-STAT System offers a broad menu of tests for diagnostic and treatment indicators related to disease state management and clinical practice guidelines. Using just 2 or 3 drops of blood, the system provides time-sensitive tests at the patient’s side in just minutes.

View Brochures, Videos, & More at: POR.io Enter Number 5620 in the Search Area

#5621

From Routine To Specific Tests, Perform Them All On A Single System From HORIBA Medical

The Pentra C400 is an extremely compact Clinical Chemistry benchtop analyzer. From routine to specific tests, it can perform them all on a single system. It can run up to 420 tests per hour with ISE module. Its automation and continuous loading provides enhanced productivity in a user-friendly environment.

View Brochures, Videos, & More at: POR.io Enter Number 5621 in the Search Area #5622

Now It’s More Than Just A Blood Test From Sysmex

With its simplified operation, the Sysmex XP-300™ is ideal for clinics and physician office labs. It provides a CBC with 17 different parameters, including a 3-part WBC Differential. The XP-300+M combines the accuracy and reliability of a Sysmex CBC with the agility of Medicus Middleware. Features include EMR connectivity, instrument interfaces and a QC module.

View Brochures, Videos & More at: POR.io Enter Number 5622 in the Search Area

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INNOVATIVE INTEGRATION ACROSS THE CARE CONTINUUM

CBC testing solutions for physician office labs

#5623

#5624

XN-L SERIES

www.sysmex.com/us

#5625

#5626 XP-300+M

Contact your Distribution Representative for additional information and promotions.

© 2018 Sysmex America Inc.

!19

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LIVE LARGE & PROSPER 40% Off Villa Experience Visit FourSeasons.com/Nevis or Call 869-469-6238 Learn more about this resort and take the virtual tour at www.MyMDescapes.com

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www.PhysiciansOfficeResource.com

#5627

Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $3,188.00 Welch Allyn CP150 w/ Interp: $3,258.00

#5628

The Adview 2 is still the only truly modular diagnostic station that grows with your needs. Start with blood pressure and choose temperature or pulse oximetry option at the time of purchase.

#5630

#5629

#5632

#5631

#5633

#5634

Coaxial Ophth, Fiber Optic Oto, Speucla Dispenser, Aneroid BP, Wall Transformer & Wall Board without Thermometer: $850.00 with Thermometer: $1,117.00

#5636 #5635

#5637

#5638

#5639 !21

2019 - Issue 1

PRODUCTFOCUS

#5640

Brewer’s Flex™ Access Exam Table

PHYSICIANS office RESOURCE

From Brewer

Step up to power table performance for less with Brewer’s Flex™ Access Exam Table. Industry-leading 700-lb. patient weight capacity, unique safety features and unmatched ergonomic patient access maximize your clinical efficiency and ROI. A streamlined footprint and optional upgrades like safety grab bars, stirrups, and passthrough work surface provide ultimate flexibility for your practice.

View Brochures, Videos, & More at: POR.io Enter Number 5640 in the Search Area

#5641

Make Laboratory Compliance and Inspection Easier From My Inspection

Make laboratory compliance and inspections easier by changing how you document, save and retrieve all information necessary to meet CLIA and accreditation regulations. With two unique electronic tools My Compliance Manual and MyInspection™ Software, the guesswork and tedious task of interpreting and documenting policy, procedure, forms, charts and logs is over. Your lab will be compliant, have less paper, and be inspection ready.

View Brochures, Videos & More at: POR.io Enter Number 5641 in the Search Area

#5642

Pronto® Pulse CO-Oximeter® From Masimo

Pronto® Pulse CO-Oximeter® with rainbow® Technology for Noninvasive Spot-Checking of Total Hemoglobin (SpHb®) and SpO2 in a Handheld device.

Featuring Masimo SET® Measure-through Motion and Low Perfusion™ Pulse Oximetry Technology: > Helps clinicians monitor more than 100 million patients a year1 > Used by the top 10 U.S. hospitals listed in the 2017-18 U.S. News and World Report Best Hospitals Honor Roll2 1 Estimate: Masimo data on file. 2 http://health.usnews.com/healthcare/best-hospitals/articles/best-hospitals-honor-roll-and-overview

View Brochures, Videos, & More at: POR.io Enter Number: 5642 in the Search Area 22

www.PhysiciansOfficeResource.com

A better way.

They’re Here Flu, RSV, Strep. Be Ready.

With confirmatory molecular results,

Cepheid’s CLIA Waived test menu delivers peace of mind to you and your patients.

#5643

#5644

#5645

Xpert Xpress Flu/RSV

Xpert Xpress Flu

Xpert Xpress Strep A

• One sample. One Cartridge.

Three results

• Qualitative, molecular detection and differentiation of influenza A and B

• Accurate, real-time PCR molecular testing for Group A Strep

• Qualitative, molecular detection and differentiation of influenza A, influenza B and RSV

• Sample types include nasal swab and nasopharyngeal swab

• Internal QC in each cartridge

®

®

• Room Temperature reagent storage

®

• No confirmation required for negative results*

• Sample types include Nasal swab and Nasopharyngeal swab

For more information, call (888) 256-6990 For in vitro diagnostic use. * No culture confirmation required for negative results unless clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF).

904 Caribbean Drive | Sunnyvale, CA 94089 USA | TOLL FREE +1.888.336.2743 | PHONE +1.408.541.4191 | FAX +1.408.541.4192 | www.cepheid.com

!23

2019 - Issue 1

PRODUCTFOCUS #5646

The Brewer Century Series Stool

PHYSICIANS office RESOURCE

From Brewer

Has a pneumatic height adjustment, 16" wide, 4" thick polyfoam seat cushion, and five-leg 23" brushed aluminum accent base. Optional adjustable 18" chrome footing. Optional adjustable contoured backrest with black plastic shroud.

View Brochures, Videos & More at: POR.io Enter Number 5646 in the Search Area

#5647

CLIA-Waived Comprehensive Metabolic Panel From Abbott Point of Care

The Piccolo Xpress™ point-of-care chemistry analyzer delivers comprehensive CLIA waived diagnostics to Physician Offices. In 3 easy steps, the Piccolo provides lab-accurate results in minutes from a menu of 29 general chemistry tests, including lipids, liver, kidney, metabolic and other specialty functions. By using only 100 microliters of whole blood, serum or plasma - physicians can make confident treatment decisions faster, thereby increasing the efficiency, throughput and capacity of their practice, while also increasing revenue and ensuring patient satisfaction.

View Brochures, Videos & More at: POR.io Enter Number 5647 in the Search Area #5648

Memory Loss Biomarkers to Aid in Diagnosis in Primary Care Practices From Evoke Neuroscience

The eVox® System is an FDA 510(k) cleared medical device to aid primary and specialty care physicians in diagnosis of memory loss and other cognitive disorders. eVox® measures memory loss biomarkers that may aid in detecting memory loss sooner, identifying the root cause of memory loss, and performing a differential diagnosis. eVox® procedures are performed in-office and are reimbursable by Medicare and commercial payers.

View Brochures, Videos & More at: POR.io Enter Number 5648 in the Search Area

24

www.PhysiciansOfficeResource.com

Win a FREE iPad Mini!

Join POR as we conduct our first in a series of brief surveys, designed to give a voice to providers. With your help we can better understand what’s trending in physician offices, laboratories, and healthcare facilities across America, and help improve office and laboratory proficiency, profitability, and patient care.

As a Thank You, we’ll report the results from this and future surveys in Physicians Office Resource magazine. Moreover, we will enter you in our periodic drawing for a FREE Apple iPad, which you may gift to someone or keep for yourself.

The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io

!25

2019 - Issue 1

PRODUCTFOCUS #5649

Accutest pH® Phenaphthazine Paper From Jant Pharmacal

PHYSICIANS office RESOURCE

Test papers give instant, easy-to-read results, with clear, bright matches at 0.5 intervals from pH 4.5 to 7.5. Color charts are lab-tested for precision accuracy. Made in the U.S.A. with state-of-the-art materials. An FDA-listed medical test product, used in hospitals and doctor’s offices around the world. Economical – approximately 100 tests/roll. Widely used in hospitals and doctors’ offices to detect the presence of amniotic fluid in vaginal secretions during late-term pregnancy, a sign of premature amniotic sac rupture.

View Brochures, Videos, & More at: POR.io Enter Number 5649 in the Search Area #5650

Micros ES60 From HORIBA Medical

The Micros ES60 is an easy to use tabletop hematology analyzer. It combines the reliability of the current Micros 60 with the latest Linux based operating system utilizing a large color touch screen user interface. The Micros ES60’s Zero Maintenance concept provides unparalleled user convenience monitoring all aspects of instrument operations and provides real time status updates for the user.

View Brochures, Videos, & More at: POR.io Enter Number 5650 in the Search Area

#5651

BioFire® FilmArray® Torch From BioFire

The BioFire® FilmArray® Torch is a fully integrated, random, and continuous access system designed to meet your laboratory’s syndromic infectious disease testing needs. The BioFire Torch offers a radically reduced benchtop footprint, saving precious space in the lab, and its scalability meets high throughput demands. BioFire® FilmArray® Link Software automatically uploads patient results. Fully compatible with all CLIA Moderate BioFire® FilmArray® Panels, the BioFire Torch helps you maximize efficiency and productivity.

View Brochures, Videos & More at: POR.io Enter Number 5651 in the Search Area 26

www.PhysiciansOfficeResource.com

WORRIED ABOUT CREATING ANTIBIOTIC-RESISTANT SUPERBUGS? A CBC with 3-part or 5-part differential can provide clues to help distinguish between viral and bacterial infections before you decide to treat.

Why invest in laboratory testing?

Horiba’s analyzers: • Provide fast and accurate results, allowing you to deliver more decisive patient care.

• Increase office efficiency by reducing call-backs to patients with test results • Increase patient satisfaction by eliminating wait time for results and repeat office visits

Micro ES 60 Hematology System 3-part diff

Pentra 60C+ Hematology System 5-part diff

Fast, accurate results in a small footprint

Advanced technology comparable to hospital analyzers

HORIBA Part #5360600241 HS Item # (129-7842) ea.

#5652

HORIBA Part #5300001398 HS Item #(111-3703) ea.

Pentra C400 Chemistry Analyzer Routine to specialty testing in a benchtop analyzer

#5653

HORIBA Part #5300001388 HS Item #(887-0033) ea.

#5654

Get Connected!

Lite

Easy • Patient Data Management

The LiteDM Patient Data Management System: • Provides an affordable way to connect up to four analyzers • Eliminates transcription errors by consolidating results to one report • Streamlines operations by connecting directly to EMR systems

#5655

Contact us at 888-280-1401 mail us at: medical-marketing.US@horiba.com Contact your Horiba Medical Representative for more information • www.horiba.com/us/en/medical

!27

#5656

Pentra XLR From HORIBA Medical

For laboratories that need a highly reliable hematology analyzer with gold standard technology, the Pentra XLR provides the highest quality of results while delivering process efficiencies with auto-validation, auto rerun, and auto dilutions in a small, compact system. For laboratories that require reticulocytes for better patient care, the Pentra XLR provides a high quality and automated reticulocyte panel, available on a highly reliable hematology analyzer from HORIBA Medical in a cost effective manner.

PHYSICIANS office RESOURCE

2019 - Issue 1

PRODUCTFOCUS

View Brochures, Videos & More at: POR.io Enter Number 5656 in the Search Area

#5657

Highly Accurate Networked PC-based Spirometry From Vitalograph

Vitalograph introduces the new Spirotrac V software coupled with the rugged, accurate Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Challenge testing, cough testing and slow vital capacity testing with lung age estimation are all standard features. Beyond spirometry, the Spirotrac V also becomes a platform for a PC-based diagnostic workstation, incorporating a Bluetooth ECG, USB Pulse Oximetry, 6 minute walk test, Bluetooth Weight Scale for COPD / CHF assessment, and automated Blood Pressure measurements.

View Brochures, Videos, & More at: POR.io Enter Number 5657 in the Search Area

#5658

Fully Automated Quantitive Immunoassay Analyzer From Sekisui

The FastPack® IP System is a fully automated quantitative immunoassay analyzer designed for use in the Physician Office laboratory. Utilizing sophisticated chemiluminescence technology, the FastPack® IP System provides the capability to produce complex immunoassay results in 12 minutes or less with a push of a button. Menu includes Vitamin D, Testosterone, TSH, Free T4 PSA and hCG.

View Brochures, Videos & More at: POR.io Enter Number 5658 in the Search Area

28

www.PhysiciansOfficeResource.com

#5659

ADVANCING BIOCHEMISTRY TESTING WITH RANDOX THIRD PARTY REAGENTS

Extensive range of reagents covering over 100 disease markers with 115 reagents, including Adiponectin, Cystatin C and sLDL Cholesterol

Excellent quality and stability producing accurate and precise results whilst reducing the risk of errors and lowering costs

A wide range of kit sizes including Easy Read and Easy Fit options, helping to improve efficiency and cost savings for your laboratory

Automated applications with specialty assays for 195 of the most common clinical chemistry analyzers

Superior methodologies with excellent correlation against gold standard methods, our reagents come in a wide range of formats and methods for any laboratory size

Not all products are available for diagnostic use in all countries.

Contact us for more information. +13047282890 | TOLL FREE 866 472 6369 www.randox.com | reagents@randox.com Randox Laboratories-US Ltd, 515 Industrial Boulevard, !29 Kearneysville, West Virginia, 25430,

PRODUCTFOCUS #5660

Silaris™ Influenza A&B Test From Sekisui Diagnostics

A molecular test utilizing polymerase chain reaction (PCR) technology providing accurate results for early diagnosis and proper management of influenza.

PHYSICIANS office RESOURCE

2019 - Issue 1

tion rep

Accurate √ Molecular Results √ State-of-the art microfluidic cassette technology √ PCR test using proprietary OscAR™ Technology

Affordable √ Single Test Diagnosis √ Controls in every kit √ Molecular reimbursement (CPT Code 87502)

Plus System

Simple √ Easy to Use √ Compact portable dock with no calibration required √ Room temperature storage

,* no interpretation required.

2017 - Issue 8

View Brochures, Videos, & More at: POR.io Enter Number: 5660 in the Search Area

CLIA-waived for Rapid Detection of Flu A+B From BD Veritor

PHYSICIANS office RESOURCE

ults in minutes* with a clear, digital

#5661

#3806

Our BD Veritor™ line of immunoassay products, the BD Veritor™ Plus System and the BD Veritor™ System give healthcare providers and laboratorians in near patient settings the objective, lab-quality tests results at the point 1 of care within minutes. This assay system eliminates the subjectivity of visual interpretations of tests results and replaces it with an objective digital result.

ation of rapid influenza antigen ary 13, 2017. The BD Veritor™ A+B meets these requirements.

View Brochures, Videos & More at: POR.io Enter Number: 5661 in the Search Area

#5662

V; after 5-minute incubation period

The RX imola From Randox

a final order on reclassification entitled "Microbiology Devices: Use Directly with Clinical Specimens" (82 Fed. Reg. 3609)

d Company.

30

A fully automated, random access analyzer with STAT sampling functionality; boosting productivity and saving time Noninvasive Blood Pressure when it matters most. Developed for medium-high throughput & Temperature Monitoring laboratories, the RX imola provides comprehensive testing with the world-classFrom RX Masimo series test menu, including specific proteins, lipids, therapeutic drugs, drugsofof care. abuse,Integrates antioxidants and the continuum Masimo’s breakthrou diabetes testing.

The RX imola: A cost-effective system that measurements from the Radical-7® handheld or Radiu delivers consistent high quality results with a small footprint.

tetherless patient-worn monitor. Instantly interpretable View Brochures, Videosdisplay & More at:intuitive, POR.io multi-touchscreen navig visibility with Enter Numbereasy 5662 in adaptable the Search use Areain hospital environments. Integ and noninvasive blood pressure and temperature monitorin www.PhysiciansOfficeResource.com View Brochures, Videos & More at: POR.io Enter Number: 3807 in the Search Area

SPIROMETERS TO FIT EVERY NEED...

WHY COMPROMISE? #5664 #5665

#5663

#5666 #5667

#5668

Data you can rely on. People you can trust.

Vitalograph has the most complete range of spirometers, all produced with the dedication to quality and durability that has endured for more than half a century.

Pneumotrac™ ALPHA™ Spirometer ALPHA Touch In2itive™ micro™ copd-6™

PC based with Spirotrac® V software - compatible with add-on ECG & SpO2 World’s Easiest To Use Spirometer - No PC Required The most flexible Spirometer for use with or without PC Hand held with software integration for ultimate portability Quick and easy, full spirometry that fits in your pocket & under $1,000 Instant Assessment of airway obstruction

Call (800) 255-6626 or email to contact@vitalograph.com and mention this ad to receive a 10% discount*. *valid until March 31, 2019.

Vitalograph®, Spirotrac®, ALPHA™, Pneumotrac™, In2itive™, micro™ , and copd-6™ are trademarks or registered trademarks of Vitalograph Ltd.

www.vitalograph.com Print Ref: 56036_2

!31

0086

2019 - Issue 1

PHYSICIANS office RESOURCE

TO THE LAB: HOW IN-HOUSE TESTING STEERS INCOME TO YOUR PRACTICE

By Dylan Chadwick, Staff Writer for Physicians Office Resource We all laughed at Casey, bright-eyed and eager, when we started our hike. He'd seemingly bought out an entire military surplus store in preparation, while we'd opted (through a heady combination of laziness and daring) to pack as little as possible. Most curiously was Casey's hand-pump micron water filter. Roughly the size of a cinder-block and forged from heavy metal, we snorted incredulously as he clipped the device to his pack, hiked up his shorts and started his journey, clattering like an old Buick.

However, hiking a 70 mile swatch of the Appalachian trail proved more treacherous than we'd imagined, and as the sweltering humidity of the Tennessee backwoods enveloped us, the need for water grew to maddening levels. The iodine tablets we'd packed tasted too strongly of paint, rendering anything we put them in practically undrinkable and our "fool-proof" method of boiling water to purify it took way too long. In a moment of parched desperation, we turned to Casey, sitting cross-legged on an 32

old stump, patiently pumping ice-cold potable water into his canteen. Sheepishly, we approached him for help.

"Sure," he replied with a grin. "I ought to charge you though." It occurred to me, there in the Appalachian wilderness, that Casey had taken the time to specialize, and despite the additional weight and effort his equipment entailed, he now had what we all wanted...and was poised to make a killing.

Similarly, in a changing medical landscape, physicians willing to specialize their practices are the ones who'll succeed. Though evolving technology and its subsequent improvements in patient patient care have brought substantial changes to the medical sector, an era of economic uncertainty and fiscal instability may wring just as prescient an effect. According to an article by Ben Brown, MD, reductions in Medicare contract payments (some as much as 21.3%) and physician reimbursements from insurers might result in critical decreases in physician salaries, medical profits and general revenue www.PhysiciansOfficeResource.com

for a practice. What proves even more concerning for physicians and patients alike, is a present medical landscape of high healthcare costs, an everincreasing need for healthcare options and diminishing resources. Furthermore, caring physicians want to be effective providers for their patients, but they also want the appreciation and financial compensation for their profession demands.

In this regard, many physicians, Urologists, Oncologists, Gastroenterologists and Dermatologists for example, have made conscious efforts to optimize their practices in an effort to generate other streams of ancillary income. One specializing measure has been opening in-office testing labs (POL's) directly at their office location.

These labs, carefully stocked and equipped to run routine (but important) procedural tests, provide real life "one stop shop" scenarios for patients with busy schedules and limited funds, and can quickly develop into thriving profit centers for small practices...but before opening up a lab, let's talk some basics.

Physicians have a number of options when it comes to medical testing. The first, and least efficient, is for them to refer patients to a hospital or an off-site lab for their tests. This method, though convenient for practices with a high volume of appointments, generally proves inconvenient for the patient, who has to make an additional trips for a singular medical problem. Additionally, it yields a low (virtually non-existent) financial return for the physician.

Another "off-site testing" option for physicians is to take the samples in the office, and then send them to an off-site lab for analysis. Commercial Reference Labs (CRL), like Quest Diagnostics, Laboratory Corporation of America Holdings and BioReference Medical Labs, have carved a space in physician circles as adept facilities that aid practices by doing the testing work for them. Still, the method is not without its downsides as it creates another process "step" for physicians who must take the test

“Someone’s going to run and get paid for these tests.

It might as well be you.”

Dylan Chadwick

samples in-house, and then send them off-site before a further diagnosis can be made. Turn-around times increase as patients and physicians wait for their samples, shipping expenses must be considered and again, since Commercial Reference Labs are compensated for their lab work, financial returns for the actual physician are low.

In the immediate sphere, these off-site methods may take stones from practices' proverbial backpack as they're "freed up" to see more patients, but in more pressing ways they're potentially yanking dollars from a practice's proverbial wallet.

A viable route for physicians is to run the testing themselves using products that have been specifically waived by the Clinical Laboratory Improvement Amendments (CLIA).

Established in 1988, the CLIA sets standards and issues certifications for clinical laboratory testing, with an emphasis on ensuring accuracy, reliability and timeliness. Using CLIA waived products keeps the testing inhouse, and can generate much-needed revenue for a physician by steering testing and procedural fees directly to the practice. However, testing done on CLIA waived products isn't always the most extensive and can be limited in scope.

In an efforts to generate additional income for their practice, and to creating an efficient and allencompassing experience for their patients, physicians may be better advised not to stop simply at CLIA products, but to establish an entire CLIA certified lab in their office.

In his article Oncologists Advised to Build Their Own In-Office Clinical Labs Michael McBride cites an anecdote by Tim Dumas, a lab scientist and POL consultant, when he says "someone's going to run and get paid for these tests. It might as well be you." In the article, Dumas references a three doctor Oncology practice in Raleigh North Carolina that generates an additional $400,000 annually with their own Physician office lab. He even predicts that a ten to twelve doctor practice can look at $7-800,000 a year in additional revenue if they implement such a facility.

Besides the extra cash flow, inhouse Physician Office Labs usher in various benefits for small and midlevel practices. For one, waiting games and turn around time between specimen collection, analysis and patient follow up are diminished.

Since tests don't need to be sent…

Read the rest of this and other articles at www.PhysiciansOfficeNews.com 33

2019 - Issue 1

PRODUCTFOCUS #5669

Portable, Single Click Operation Spirometer From MicroDirect

PHYSICIANS office RESOURCE

The Micro Direct SpiroUSB many features include single click operation of all main functions, full ATS/ERS test quality checks, real time Flow/Volume and Volume/Time traces, a choice of child incentive displays, choice of predicted values, estimated lung age, pre/post bronchodilator comparisons and can be used on multiple PC’s with dongle software protection key. The child incentive display and ATS quality checks ensure maximal results every time. Use with a laptop for true portability.

View Brochures, Videos & More at: POR.io Enter Number 5669 in the Search Area

Histofreezer® Portable Cryosurgical System From OraSure - Histofreezer

#5670

Histofreezer® Portable Cryosurgical System offers medical professionals an easy and effective method to treat nine different types of skin lesions, including common, plantar and genital warts and other common benign skin lesions. Medical professionals in primary care, internal medicine, podiatry, ob/gyn and dermatology areas of care have either added Histofreezer® to their practice offering or replaced more invasive and less tolerated procedures with Histofreezer®.

View Brochures, Videos & More at: POR.io Enter Number 5670 in the Search Area

#5374

#5671

Ultra hCG Combo Test From Sekisui Diagnostics

The OSOM® Ultra hCG Combo test is a simple immunoassay for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine for the early confirmation of pregnancy. Internal studies have confirmed that the OSOM® Ultra hCG Combo test does not have a false negative result from hCG variants providing physicians with a higher level of confidence.

View Brochures, Videos & More at: POR.io Enter Number: 5671 in the Search Area

34

www.PhysiciansOfficeResource.com

#5672

#5673

#5674

#5675

#5676

35

#5677

Drugs of Abuse Testing and Routine Chemistry Panels on a Single Analyzer From Carolina Liquid Chemistries

PHYSICIANS office RESOURCE

2019 - Issue 1

PRODUCTFOCUS

Carolina Liquid Chemistries Corp. announces the successful launch of Medica Corporation’s high-speed benchtop analyzer, the EasyRAŽ.

The updated analyzer now operates at a photometric rate of up to 240 tests per hour or up to 480 tests per hour with ISE. The EasyRA urine drug screening and general chemistry reagents are CLIA categorized as moderately complex. This all-in-one system allows clinical laboratories to screen for drugs of abuse in urine while also allowing healthcare providers to assess routine chemistry panels on a single analyzer.

View Brochures, Videos & More at: POR.io Enter Number 5677 in the Search Area

#5678

The OraQuick ADVANCE Rapid HIV-1/2 Antibody Test From OraSure

The OraQuick ADVANCE Rapid HIV-1/2 Antibody Test is an FDA-approved point of care screening test for the detection of IgG and IgM antibodies with results comparable to 3rd generation automation. The test, for use with oral fluid, fingerstick or venous whole blood, and plasma, has 99% accuracy and can be done in 3 simple steps with less than 1 minute of hands on time.

View Brochures, Videos & More at: POR.io Enter Number: 5678 in the Search Area

#5679

OTO FOR CLINICIANS From BIONIX

Oto for Clinicians easily captures, views, and shares high quality images of the tympanic membrane for clinical collaboration and patient engagement, medical education, and workflow integration in a HIPAA compliant web platform.

View Brochures, Videos, & More at: POR.io Enter Number: 5679 in the Search Area

36

www.PhysiciansOfficeResource.com

CHOOSING THE RIGHT SPIROMETER CAN BE QUITE CONFUSING. Hand-held? Tabletop? PC-based? Which is best for my unique needs?

#5681

#5680

Micro Direct has been your spirometry expert for over 20 years, now we’re your source for the latest information on asthma, COPD, smoking cessation and carbon monoxide poisoning.

#5682

Twice each month, our e-blast highlights the latest information on lung disease.

Many different models to choose from, each with a choice of disposables; inexpensive cardboard mouthpieces, one-way mouthpieces or full protection pulmonary filters.

At micro Direct our mission is clear - to provide innovative, high-quality products at a fair price... and the customer support and great service you expect.

#5683

Visit www.mdspiro.com to learn more about Micro Direct, register for our free newsletter and learn about our current special offers.

or Call Now: 1-888-287-8556

#5684

Micro Direct, Inc. 803 Webster Street Lewiston, ME 04240

www.mdspiro.com sales@mdspiro.com

!37

2019 - Issue 1

PRODUCTFOCUS

Win a FREE iPad Mini!

PHYSICIANS office RESOURCE

As a Thank You for taking part in our brief survey you will be entered in our periodic drawing to win a FREE Apple iPad mini, which you may gift to someone or keep for yourself. The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

www.survey.por.io Additional details on page 25

#5685

OraQuick® HCV Rapid Antibody Test From OraSure

The OraQuick® HCV Rapid Antibody Test is the FIRST and ONLY FDAapproved, point of care test for the detection of HCV antibodies. This CLIA-waived platform delivers an accurate diagnosis in 20 minutes. The test can be completed in 3 simple steps from fingerstick or venous whole blood with less than 2 minutes of hands on time. It is ideal for testing programs in both clinical and non-clinical settings, as well as outreach events.

View Brochures, Videos & More at: POR.io Enter Number: 5685 in the Search Area

#5686

First Ever CLIA Waived Hematology Analyzer From Sysmex

Faster test results, clinical decisions and greater practice efficiency are coming to physicians’ offices with the first CLIA-waived CBC analyzer. Hematology diagnostics leader Sysmex is bringing more lab testing to the point of care. One of the most common blood tests can be conducted reliably and accurately on-site, in as few as three minutes. The device’s ease of use and innovative technology means in-house staff can operate it in just a few easy steps, without lengthy certification and training. The new Sysmex XW-100 will improve health care efficiency and patient care.

View Brochures, Videos, & More at: POR.io Enter Number 5686 in the Search Area 38

www.PhysiciansOfficeResource.com

#5689

#5687

#5690

#5688

Exam Tables

#5691

#5692

#5694

#5693

Pediatric Tables

#5695

#5696

#5697

#5698

Power Tables

#5699

#5700

#5701

#5702

Cabinets and Stools

#5703

#5704

#5705

#5706

!39

It's flu season.

Which test are you using?

Simplify workflow, results and patient management.

The CLIA-Waived BD Veritor™ Plus System for Rapid Detection of Flu A+B simplifies workflow and provides clear and quick results for appropriate patient management within the same visit.

• One button functionality, easy to use and implement • Unambiguous digital flu result in under 11 minutes* • Demonstrated performance compared to molecular tests1 • Low cost of ownership

Simply the right POC test for influenza, Group A Strep and RSV.†

#5707

Request a demo today at go.bd.com/VeritorPOR *Results after 10-minute incubation period for Flu A+B and RSV; after 5-minute incubation period for Group A Strep † RSV- Respiratory Syncytial Virus References: 1. BD Veritor System for Rapid Detection of Flu A+B, CLIA-waived kit package insert, 8087667 (14) 2018-06.

BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10.

BD, 7 Loveton Circle, Sparks, MD 21152-0999 USA USA Tel: Tel:1.800.638.8663 1.888.211.6980 © 2018 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.

40

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