Consolidation of the North Shore-LIJ Health System anatomic pathology services: the challenge of subspecialization, operations, quality management, staffing, and education

Am J Clin Pathol. 2013 Jul;140(1):20-30. doi: 10.1309/AJCPZHEYK8XF4FCK.

Abstract

Objectives: To describe our experience, both in meeting challenges and in reporting outcomes, of the consolidation of anatomic pathology services in the North Shore-LIJ Health System in February 2011.

Methods: We addressed issues of governance, personnel, physical plant, quality programming, connectivity, and education.

Conclusions: The highly regulated nature of the laboratory industry and the fact that patient care necessarily never pauses require that such a consolidation take place without a break in service or degradation in turnaround time and quality while engaging personnel at all levels in the extra duties related to consolidation. Subspecialization has allowed us to better meet the needs of our in-system health care community while increasing our access to the competitive outreach marketplace.

Keywords: Anatomic pathology; Consolidation; Governance; Quality assurance; Quality management; Subspecialization; Workforce integration.

MeSH terms

  • Delivery of Health Care / organization & administration
  • Efficiency, Organizational / standards*
  • Hospitals, University
  • Humans
  • Internship and Residency
  • Laboratories, Hospital / organization & administration*
  • Laboratories, Hospital / standards
  • Medical Informatics
  • Medical Laboratory Personnel / education*
  • New York
  • Pathology / education
  • Pathology / standards*
  • Pathology Department, Hospital / organization & administration*
  • Pathology Department, Hospital / standards
  • Pathology, Clinical / education
  • Pathology, Clinical / standards
  • Pathology, Surgical / education
  • Pathology, Surgical / standards
  • Quality of Health Care / standards*
  • Specialization
  • Tertiary Care Centers