ACL Laboratories A Current and Future View

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ACL LaboratoriesA Current and Future View

• Barbara Bigler, President
• July 26, 2011

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Overview

• My first six months
• ACL overview and fun facts
• Accomplishments first half of 2011
• Where is this taking us?
• Questions / Comments / Rumors

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A bit about me . . .

The Biglers
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• Now, on to an ACL Overview

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ACL Laboratories Core Service Area
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ACL Governance
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ACL Laboratories Organization Structure

• ACL Laboratories (ACL) is a joint management
  agreement for laboratory services between Aurora
  and Advocate Health Care systems
• Agreement signed in May 2000
• Governed by Lab Oversight Committee
• ACL directly manages 2 Central labs 22
  Hospital Rapid Response labs 50 Clinic based
  labs 30 Patient Service Centers (draw locations)
• Does not include laboratory sites we service
  without staff on-site i.e. Advocate BroMenn,
  Advocate Eureka, Aurora Psych, etc.
• No separate legal structure, tax ID or separate
  employees
• Staff employed by Aurora (1,397 FTEs) and
  Advocate (1,125 FTEs)

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A2CL Services, LLC Organization Structure

• A2CL Services, LLC is the Commercial Laboratory
  (Outreach) jointly owned by Advocate and Aurora
• Formed in 2007
• Equal membership units of Aurora Ventures and
  Advocate Network Services, Inc. (100 each)
• Purchases lab testing services from ACL
  Laboratories
• Independent clients account for 15 of total
  laboratory volume
• Separate tax ID
• For Profit Status
• Required to process Medicare/Medicaid billings
  for physician practices as performing laboratory
  (AMG Lakeshore)
• Also markets sells laboratory testing to
  non-affiliated entities
• Performs non-hospital billings (third party and
  direct client billings) for Outreach clients

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Advocate 11 Hospitals 2 Childrens
Hospitals 3,361 Beds 5,600 Physicians Advocate
Medical Group Dreyer Medical Group Advocate
Physician Partners 30,000 Employees 4.5 Billion
Revenue Largest Health System in IL
Aurora 15 Hospitals 3,000
Beds 4,000 Physicians Aurora Medical
Group Aurora Advanced Medical Group
Lakeshore Medical Group 30,000
Employees 4.0 Billion Revenue Largest Health
System in WI
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ACL Laboratories Profile

• One of the largest hospital system laboratories
  in the US
• Fifth largest operating expense compared to IL
  hospitals second in WI
• Provides services to 26 Hospitals 2 Central
  Laboratories 110 Clinic settings Patient
  Service Centers (PSC)
• ACL if pulled out is a 2B company generating
  700M in new revenue for systems
• Saves an annual 54M due to lower RVU
• 2,500 Associates/Caregivers
• 82 Pathologists MDP (IL) GLP (WI)
• 20M laboratory tests performed annually (50k a
  day)
• 4,000 Clients outside of our systems
• Couriers 80 vehicles, gt 3.6 million miles
  annually
• Client Services handles 1000 in-bound calls day

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Product Lines

• Hospital Services
• Ambulatory Services
• Nursing Homes
• Anatomic Pathology
• Forensic Toxicology
• Heavy Metal Testing
• Molecular Diagnostics
• Cytogenetics

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• Accomplishments in first half . . .

( just a portion of the great work)
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• Where is this direction taking us?

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The future is here and how to be a part of it

• Pathology and Clinical Laboratory Medicine are
  pulled to the forefront of integrated patient
  diagnostic information (order, interpret,
  diagnose, recommend treatment options)
• An organization where
• Physicians want to provide care
• Patients want to receive care
• Staff feel a sense of purpose, of doing
  worthwhile work and of making a difference
• High reliability organization (Hardwiring
  Excellence Quint Studer)
• Advocate Experience / Patient Experience

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Advocate and Aurora Health Care

• ACL exists to support Advocate and Aurora
• All decisions within ACL, should be driving us to
  the overall benefit of our 2 systems
• They drive our priorities too even if that
  means pacing ourselves to them
• The patients physicians are looking to us for
  the integration of Pathology and Laboratory
  information tell them what it means help guide
  treatment plans
• The systems are looking to ACL to provide
  laboratory utilization information related to
  physician ordering practices - are the providers
  ordering the right tests in the right place?

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Laboratory culture which displays high
reliability performance in standard process and
delivery of safe patient care

• Lean
• Root Cause Analysis (RCA)
• Rapid Improvement Events (RIE)
• CAP 15189 (ISO standards) ???
• Standard process
• Consistent reliable accountable care
• Pathologists are central to our organizational
  success

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1. What do you see the future being of Health Care?
2. How can ACL best support you in this enhanced
   patient care and patient leadership role?

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• Question / Comments

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• Summary

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ACL Strategic Priorities - Summary

• The Patients we serve and those caring for them
• Advocate and Aurora Health Care
• Pathologists providing patient diagnosis and
  integrated laboratory information (AP, Clinical,
  Molecular Pathology)
• Staff is trained in a standardized way with
  supporting ongoing competency training
• ACL is seen as the provider of education and
  interpretation of laboratory information
• Laboratory culture which displays high
  reliability performance in standard process and
  delivery of safe patient care

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• Thank You

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