New Pathology Lab Presentation
New Pathology Lab Presentation
New Pathology Lab Presentation
Part 1
Presented By : Dr. Sagar N. Hingrajia.
Under guidance of : Dr. Neeru Dave.
Dr. Alpesh Chavda.
Introduction.
Setup of a new Pathology Lab is
complex process which requires
proper planning, study of market,
location, capital investments,
infrastructure, equipments and
qualified trained staff.
Identification
Direction and
of target
future
population
progress
and demand
Pathologist
Marketing Infrastructure
and Public and
relations. Equipments
Staff
management
First and most important step in establishment of Lab is
planning.
Planning must include following points
Knowing the target population and demands.
Scope and type of lab
Capital investment
Location
Lab can be independent or franchisee of well established lab.
There can be single owner or partnership with other Pathologist.
Estimated Capital Investment required
Depends on type of lab and scope of lab.
It is wise to gradually increase the investments.
Can start with minimum 15 – 20 lacs (all basic
hematology, clinical pathology and clinical
biochemistry tests).
Establishment can be done in rented place or
owned place.
Investment should be done keeping in mind
the worthiness of profit.
Self money, bank loan, investors, IPO
Types of Pathology Labs
According to NABL
Small : up to 100 patients per day
Medium : up to 101 – 400 patients per day
Large : above 400 patients per day.
According to ownership
Government
Private
Quasi Government (Trust run labs)
Types of Pathology Labs
According to lab services
Clinical pathology
Hematology
Histopathology
Cytopathology
Clinical biochemistry
Microbiology and Serology
Genetics
According to location
Hospital Attached
Stand alone
Steps involved in starting a diagnostics
center in India are as follows:-
Pre-examination processes
The laboratory shall have documented procedures for the proper
collection and handling of primary samples. Developed and
documented criteria for acceptance or rejection of samples are
applied.
Examination processes
Selection, verification, and validation of the examination procedures.
Devise a system that can constantly monitor the traceability of the
sample.
Post-examination processes
Storage, retention, and disposal of clinical samples.
Quality Assurance in Pathology lab
Release of results.
When examination results fall within established alert or critical intervals, immediately notify
the physicians.
The report should always contain
Correct patients details
Name of Primary or referring consultant
Brief clinical history
Name of test
Result of test
Reference range
Interpretation of test
Advice other investigations if necessary
Name of method used for test
Name of equipment used for test
Sign of Pathologist with date and time.
You can always communicate about clinical history of patient with the primary physician
whenever need arises.
Quality control in Pathology lab
Quality
control
Internal External
Quality Quality
Control Assurance
IQC EQA
Advantages
Reduces human errors
Live tracking of sample and tests
Patients Data management and storage
Enables data exchange
Paper less records
Reduces turn around time
Billing records
Telepathology
Telepathology in India is still in the evolving stages.
Requires virtual slide scanner machine.
Uses
Telelearning or distance learning
In remote diagnosis EQAS.
Teleconsultation in India is done with glass slide and static
telepathology images.
Websites such as telepathology.org.in have been very
successful in popularizing telepathology through quizzes
of interesting and rare cases.
Telepathology
Income/Expense records and Taxation
www.pubmed.gov
NABL112
www.mjpath.org.my
The most important point is to recognize the
needs of the client and be aware that
pathological diagnoses are always "the
final diagnoses".