meeting was held at the Hershey Medical Center with
Peter Gawron and Bette Seamonds, PhD as hosts.
The meeting was called to order at 0915 with
opening remarks made by Peter Gawron.
At this time Dr. Seamonds was recognized for her
help in organizing the meeting.
Also recognized were all vendors for their
participation and advocacy toward KEYPOCC.
Benefits of Point of Care INR Testing
Alan Jacobson (click here
for bio) presented on the Benefits of Point of Care
INR testing. He
began his presentation by discussing the challenges of
anticoagulation therapy. He further discussed the advantages and disadvantages of
three models of monitoring patient anticoagulation
therapy : Central laboratory testing with professional
management of results, Point of Care Testing with
professional management and Point of Care Testing with
Patient or Professional Management of results.
His discussion of these models was followed by
Dr. Jacobson’s presentation on an anticoagulation
management approach known as “”Systemic
The essence of such an approach is direct, active
management by a qualified healthcare provider ensuring:
patient scheduling and tracking
accurate and frequent PT testing
specific decision support and interaction
a context of ongoing patient education and QC
Jacobson concluded his presentation by discussing the
financial considerations of Systemic Anticoagulation
economic analysis discussed in Dr. Jacobson’s
presentation demonstrated that systemic anticoagulation
management is a more cost effective strategy than
routine medical care for patients on anticoagulant
savings under the Systematic Anticoagulation Management
strategy were achieved through the reduction of costs
associated with decreased thromboembolic and hemorrhagic
adverse events, although costs for drug monitoring were
greater under this strategy than for rationale
Impact on Patient Outcomes
on POCT Impact on Patient Outcomes was Gregory Shipp,
M.D. (click here for bio).
Gregory is the Vice President of Medical Affairs
for i-STAT Corporation.
Greg cited several studies of how positively POCT
impacts patient care outcomes.
He gave information of what is needed to perform
an outcome study:
- Do a true
the sources of variability
management algorithms that assure consistent
outcome measures that may be quantitated.
outcome variables whose values become determined in
close proximity to the testing event.
outcomes that may be surrogate names for long term
outcomes that have intrinsic financial value
specific factors that may have effected the results.
here to view presentation
on “Billing for POCT” was Joan Logue (click
here for bio).
Joan Logue is a principal with Health Systems
Concepts and its affiliated company Clinical Laboratory
discussed the cost considerations necessary when
undergoing the task of determining whether your
institution should bill for point of care testing.
- Estimate your
potential revenue by looking at your projected
volumes and at your payer mix.
Measurements of success would be to
evaluate the additional revenue captured and the
reduced cost of patient care.
Capturing Point of Care Testing charges
is dependent on the complexity of the clinical
setting, the availability of efficient communication
technology and a thorough understanding of the
various payment criteria.
Joan urged POCCs to ensure that the POC
laboratory tests that are performed by
non-laboratory departments, have CPT codes that are
consistent with the revenue codes of 300-309 (lab).
Investigate compliance issues such as
coding, medical necessity, documentation, National
Coverage Policies and Local Medical Review Policies.
added an interesting note: She stated that the goal for
waived testing on the Clinical Laboratory Fee Schedule
was to reduce payment.
There is a perception that waived POC Testing is
“simple” which translates to “pay less”.
an Italian lunch sponsored by Abbott Diagnostics KEYPOCC
held its Business Meeting.
discussed the Non-Profit Status of the group.
KEYPOCC must go thru an “advanced ruling
period” or probationary period, which will last four
the end of the four year period the “not for profit
status” will be finalized. The Constitution and By Laws were amended by the officers of
KEYPOCC on 9/17/02, under the advisement of Beverly
were made in regards to the organizations purpose,
maintenance of funds, and dissolution of the
further discussed the Treasurers Report.
She will begin looking for an interest bearing
account to help our funds grow.
and Election of 2003 Officers were discussed.
Wendy handed out ballots to all KEYPOCC members.
She announced that a mailing would go out to the
group informing all of the nomination process.
Nominations are being accepted up until November
1, 2002. After
all nominations are received Wendy will contact all
November 15th all willing nominees will be
placed on the election ballot which will be distributed
to the members of the group.
All election ballots must then be returned to
Wendy Van Dyke, secretary by December 1, 2002.
New officers will then be presented at the
December KEYPOCC meeting.
behalf on Jackie Kennedy, Dawn Earnest announced that
Roche will be sponsoring AACC Audioconferences which
will be held at Brady Hall located at Harrisburg
first two audioconferences will be held on November 13th
and November 20th.
More information will be sent to the group from
December Meeting plans were discussed.
The December meeting will focus on POL testing.
Perspective speakers are Dr. Robert Sautter
speaking on PMPP; Dr. Wallace Green from Hershey
speaking on Influenza Testing, and Dr. Arthur Crist from
York Hospital speaking on Rapid Strep Testing.
Dawn Earnest and Jen Barkman will host the
Meeting hosts were selected:
Espey and Melody Botterbusch
18 or 25
Karpovich and Wendy Van Dyke
packets were given to all new hosts to help them prepare
their upcoming meetings.
Evaluation of the meeting was
favorable and the meeting was adjourned at 1530.
respectfully submitted by Wendy Van Dyke