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DEPARTMENT OF HUMAN SERVICES
LABORATORY
PROGRAM MISSION:
To prevent the spread of disease and minimize adverse health outcomes by
providing accurate, timely and cost-effective laboratory services.
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Laboratory
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FY 2002
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FY 2003
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FY 2004
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% Change:
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Actual
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Adopted
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Proposed
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'03 to '04
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Personnel
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$412,255
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$450,889
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$460,438
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2%
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Non-Personnel
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81,347
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81,630
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72,470
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-11%
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Total Expenditures
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493,602
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532,519
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532,908
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-
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State Share
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165,990
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189,095
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187,363
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-1%
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Net Tax Support
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$327,612
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$343,424
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$345,545
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1%
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Authorized FTEs
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8.2
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8.2
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8.2
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Funded FTEs
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8.2
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8.2
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8.2
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SIGNIFICANT BUDGET HIGHLIGHTS:
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Non-Personnel expenditures decrease ($9,160) due to the
completion of payment in lease purchase charges for a replacement autoclave.
PERFORMANCE MEASURES:
Objective: Accurate and timely completion of
laboratory studies, as measured by average score on the College of American
Pathology Proficiency Testing (minimum score required to maintain proficiency
is 80 %) and turn-around-time (TAT) for time sensitive tests.
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FY
2001
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FY
2002
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FY
2003
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FY
2004
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FY
2004
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Actual
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Actual
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Estimate
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Estimate
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Target
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Mission Outcome Measures
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Average turn-around-time (TAT) for time
sensitive tests in-house
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<10 Minutes
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<10 Minutes
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<10 Minutes
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<10 Minutes
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<10 Minutes
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Average TAT for time sensitive tests at
contract laboratory
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24 Hours
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24 Hours
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24 Hours
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24 Hours
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24 Hours
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Average score for main lab proficiency testing
of four specialty areas (industry benchmark is 80%)
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100%
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100%
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98%
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98%
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98%
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Average score for Clarendon lab proficiency
testing of two specialty areas (industry benchmark is 80%)
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100%
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100%
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98%
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98%
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98%
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In compliance with Clinical Laboratory
Improvement Amendments (CLIA) regulations
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Yes
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Yes
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Yes
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Yes
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Yes
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Lab services are provided in the main lab at the Edison
complex (next to Virginia Hospital Center – Arlington), and at a satellite lab
at the Warren G. Stambaugh Human Services Center in Clarendon.
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CLIA inspections occur biannually.
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FY
2001
Actual
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FY
2002
Actual
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FY
2003
Estimate
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FY
2004
Estimate
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FY
2004
Target
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Workload Measures
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Total
test units
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79,441
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79,574
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83,000
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83,000
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83,000
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Communicable disease result
test units
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19,753
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20,202
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21,000
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21,000
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21,000
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Clinical (non-communicable disease) result test
units
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25,966
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24,487
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27,000
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27,000
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27,000
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Support test units
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33,722
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34,885
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35,000
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35,000
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35,000
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Efficiency Measures
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Average cost per test
in-house
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$4.02
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$4.10
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$3.97
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$3.97
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N/A
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Average cost per same test
at contract lab
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$7.26
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$6.39
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$6.08
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$6.08
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N/A
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The
laboratory workload measure is the test unit.
A test unit is a completed unit of service; it may take numerous Quality
Assurance procedures, Quality Control tests and interim examinations or tests
to arrive at the final reportable result.
This completed report is a result test unit. While test units are primarily completed test results, they also
include support units (phlebotomy, specimen dispatch and infectious waste
decontamination). All test units are
chargeable services in the private sector.
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The
laboratory efficiency measure is the turn-around-time (TAT) for a test. This is the time required from specimen
collection until a final result is reported to the clinic.
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The average
cost per test fluctuates year to year based on the number of tests performed
and the cost of the supplies, reagents, and personnel required to perform the
tests.
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The cost
per test at the contract laboratory is estimated to be lower in FY 2003
due to recent price decreases. Cost per
test is based on total test volumes.
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