Elizabeth Kenimer Leibach, Ed.D., M.S., CLS, MT, SBB Professor and Chair Medical College of Georgia

Transcription

1 2009 Southeastern Area Blood Bankers Elizabeth Kenimer Leibach, Ed.D., M.S., CLS, MT, SBB Professor and Chair Medical College of Georgia

2

3 Here from There The Timeline Greene County HS 42 years M.S. Cell and Molecular Biology 33 Years Doctor of Education 10 Years PhD-CLS?? B.S. Medical Technology 39 Years Specialist in Blood Banking 28 Years

4 Contribution of Blood Bank Education to Global Healthcare Mores

5 Blood Banking Education in a Post- Modern World

6 Growing the Blood Banking Workforce

7 Integration of the New Quality Systems in Transfusion Services Delivery

8 Contribution of Blood Bank Education to Global Healthcare Mores - OR - Emerging Role of Blood Banking in Quality Clinical Laboratory Services Delivery

9 Prepare practitioners to refocus on appropriate use of health care services: As much as 93% of objective data in the clinical record is contributed by the laboratory An estimated 50-60% of all laboratory orders may be inappropriate Most (68-87%) of laboratory errors are non-analytical Clinical Laboratory Science Profession has claimed and accepted responsibility for the quality of the information provided by the clinical laboratory and for assuring its effective use in patient care.

10 Raise the visibility of the laboratory and Profession through a direct patient care role: Identify, describe, measure, provide for, and improve the ordering, dissemination, and utilization of medically effective and cost-efficient laboratory information Provide the critical interface across the health care system to assure improved patient outcomes and cost effective patient care The creation and integration of the DCLS completes the CLS career ladder with positions identified to address all areas of the laboratory industry including its leadership

11 Blood Banking Education and Practice in a Post- Modern World - OR - The Blood Banking Practice Role Envisioned by the Clinical Laboratory Science Profession

12 Establish a leadership role for CLS in the laboratory industry: Work in the clinical laboratory is performed by non-physician scientists who report diagnostic information directly Need for consultation in narrative interpretations of complex and diverse laboratory test options and results Need for development and interpretation of practice guidelines and the collection and utilization of outcomes data The DCLS will re-define existing relationships with other health care providers through consultation in a variety of new, non-traditional practice venues

13 DCLS Practice Clinical Assess the effects of laboratory information on patient outcomes Monitor effectiveness of clinical laboratory interventions Translational (Evidence Based Practice) Capture evidence Write protocols Monitor metrics Communicate

14 DCLS Practice Venues Education for clinical practice Applications: Academe Administration Clinical / Safety and Quality Government / Governance Industry Private Laboratory / Entrepreneur Public Health

15 Growing the Blood Banking Workforce - OR - Blood Banking at the Doctoral Level

16 DCLS Requires BS-CLS Foundation Biomedical Science Patient Interactions CLS Diagnostics Research Services Delivery Clinical Chemistry, Hematology, Immunohematology, Microbiology, Immunology/Serology, Coagulation, Molecular, Emerging Diagnostics, Test System Evaluation, Algorithm Interpretation, Decision-Making, QA/QI, Education, Communications, Management, Finance, Information Management, Research, Ethics BS-CLS Foundation

17 The CLS Career Ladder PhD / DCLS Post-Prof MS MS CLS / MT BS CLS / MT BS Non- CLS / MT CLS / MT

18 Integration of the New Quality Systems in Transfusion Services Delivery - OR - How We Get There from Here

19 DCLS ad hoc Committee 2009 Focus When gold argues the cause, eloquence is important. Publilius Syrus, Moral Sayings (first century BC)

20 The CLS Scope of Knowledge is defined, standardized, protected, and transferred through formal education programs Need partnerships among academic institutions, clinical providers, and industry to create formal programs and hire graduates Involvement in our professional organizations is critical

21 To Partner in Clinical Laboratory Leadership Whoever controls guidelines controls medicine. Eddy, D (1990). Clinical decision making: from theory to practice. Practice policies: what are they? JAMA 263: