POCT Revenue
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For those in hospitals, does your POCT department capture all the revenue as well as cover the cost for inventory (equipment) and supplies?
Do the performing nursing units just capture the statistics for their productivity?
Historically, our testing units have captured the revenue and we allocate the cost of equipment and supplies back to those departments but this has not always been easy to manage.
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I have been a POCC for a long time. Ages ago, I was told that CMS wanted to see "who paid for the reagent got the "revenue" (such as that "revenue" may or may not be)
Consequently, in all jobs I have had, units pay for their ISTAT and AVOX, lab buys reagent and charges come to lab through Cerner. An exception to this is RT. They buy instruments and reagent and receive revenue as the gases count for their productivity. POCC is their "consultant" and the front person for inspections.
"Productivity" on the nursing side for glucose has really never been considered in any place that I have ever worked.
I have done the "charge back" system in one lab, but it was deemed too cumbersome. Also, the tracking of lot numbers (this was prior to barcodes on the ISTAT cartridges-told you it has been a while...!) was very difficult with 4 hospitals.
Deanna Bogner
210-297-9657
For inpatient units, the lab buys the instruments and some of the reagents. We supply the QC for all the POCT, the ABL reagents, the Sig Elite and istat cartridges. We get the revenue (whatever it is) for the Istats and the Sigs. The other POCT is not charged.
For our Satellite practices, the lab buys the instruments but the site purchases the reagents and QC. They charge for their outpatient tests under their back order office orders.
In our facility each department pays for their reagents and supplies, etc. We have RT pay for their iSTAT's and their cartridges, the ED pays for their iSTAT's and chem 8, CTNI , B-hCG cartridges. We have a Coumadin Clinic in which Pharmacy pays for the CoaguCheks and strips. I also oversee clinics that use Cliniteks, DCA's and AccuCheks. Each department receives revenue from their own production. The only source of income for the lab(and my position) is all the AccuCheks and revenue from the glucoses. I am not sure if that revenue actually pays for my position or if the Lab Director just feels my position is necessary to make sure everyone is in compliance.
Rosemary Gray