How to extend standardization outside the lab

Contributing lab leaders: Eyas M. Hattab and Michelle Barthel

top half of infographic on bringing people into the process
Bottom half of infographics on how to extend standardization outside the lab


  1. Health Care Payment Learning & Action Network. Measuring Progress: Adoption of Alternative Payment Models in Commercial, Medicaid, Medicare Advantage, and Medicare Fee-for-Service Programs. October 22, 2018. Available at:
Infographic highlights
  • As the healthcare industry shifts from its traditional fee-for-service payment system to models of reimbursement that reward providers for care quality and value, laboratory standardization is proving vital to success. 
  • Consolidating multiple labs to a single site can help pathologists and their teams work more efficiently. It can also help them to eliminate redundancies, which is critical as health systems look to reduce and control costs. 
  • And finally, it can lead to better patient outcomes—but only if the right stakeholders are engaged in the process.

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Here's a look at who those stakeholders are and how Laboratories can work with them to ensure end to end quality across the continuum of care.

Definition: value-based care

Testing should be limited to patients with clinically significant diarrhea, using the following criteria:

  • 34% - percent of total US Healthcare payments tied to value-based, Alternative payment models apms in 2017
  • 23% - percent of total US Healthcare payments tied to value-based Alternative payment models apms in 20161


The C-suite

Health system leaders are laser focused on reducing cost, but they're also interested in any new project that can improve care quality. work closely with Executives to ensure your interests are aligned.

“Alignment of vision between the organization leadership and the laboratory leadership is exceptionally important.”

- Eyas Hattab, MD, MBA, Chair of Pathology and Laboratory Medicine, A.J. Miller Endowed Chair in Pathology, University of Louisville


The clinical team

Because physicians and clinical staff have direct contact with patients, it's important that standardization initiatives include them in all stages of the planning and implementation process. Understand the clinical team’s needs so that you know where to focus your improvement efforts.

“Make sure you have a seat at the table in interdisciplinary meetings. It's important to have your lab team sitting on committees with other departments.”

- Michelle Barthel, MT(ASCP), MHA, System Director of Laboratory Services, Regional Healthha


The IT department

Information technology is important to any laboratory's success. Communicate with IT leaders so they know exactly what technologies your lab needs to work efficiently and effectively.

“I personally believe that for a laboratory to be successful, you have to…be assertive [with it] and say, ‘Well this is what we need in the laboratory. These are our own priorities.’”

- Eyas Hattab, MD, MBA, Chair of Pathology and Laboratory Medicine, A.J. Miller Endowed Chair in Pathology, University of Louisville


The path to success

Prioritize and organize

Make a list of your Laboratories needs and determine what additions and investments will help your team achieve its goal.



Take part in interdisciplinary meetings to learn how you can help others in your health system improve patient outcomes.



Ask leaders in the c-suite and in it for the resources you need to be successful.


Report on successes

Let physician and c-suite leaders know where your lab is making improvements, and how these improvements should impact them.


Build and improve

Continually refine your laboratory operations to improve efficiencies and meet clinical needs.