[Info Request] POCC staffing and workload

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Hi everyone,
 
Hoping to gather some info from fellow POCCs so I can compare with my own facility. Answers to any or all of these questions is much appreciated. 
 
  1. How many staff on your POC team?
  2. What are their position titles or equivalents (lead, supervisor, specialist, etc)?
  3. How many CLIA sites do you oversee?
  4. How big is your test menu?
  5. How much is your test volume?
 
Looking for staffing comparisons to justify additional team members and/or promotions. Want to see if I have a reasonable ask. 
 
Currently we are a team of 4 POCCs with bench CLS equivalent titles, oversee 27 CLIA sites, about 30 tests total, at a volume of over 40k results a month (mostly glucose).
 
I’m happy to compile all the answers in the end for all of you as well. 
 
Thank you in advance,

11 Replies

Stephen - I am in shock!

I have 3 on my team, including myself as Supervisor.  All of us are CLS.  We have 1 site, 500+ beds.  We have 11 tests over 7 platforms.  A total of 211 analyzers, mostly glucometers and I-stats.

My Network includes 13 sites with a total of 4 POC Supervisors, and 9 additional POCC's.  And we are all stretched extremely thin!  

Edited to Add:   test volumes approx 30K/month

Hello! I would love to see everyone's data compiled. We need FTE's for sure. 

1. We have 1.5 POCCs and a supervisor who oversees quality & compliance for CP & AP in addition to Point of Care
2. Point of Care Coordinators (1.5) and QA/POCT Supervisor (1)
3. 26 CLIAs(Accreditation, PPM (majority) and waivers) including 600+bed hospital plus clinics, pharmacy and Critical care transport totaling 90+ sites within these licenses
4.  5 PPM tests, 3 non waived test systems (iSTAT (8 different cartridges), AVOX, refractometer, soon to add TEG) and 18 waived test systems
5. 500,000-600,000 test volume, (most being glucose testing 35,000-40,000 tests/mo)

I have 200+ glucometers, 100+ iSTATs, and many many waived instrumentation like Hemocue, Lead, Cliniteks etc. 





Thank you Christina and Randi!

Hi Stephen
Great questions!! I would also like to ask how everyone that is in charge of the POCC program is titled--manager-supervisor-lead tech.  The title POC Coordinator is not what HR can compare to anything, so unless we fit into a new job description we will not easily get market increases. What is everyone is titled as?

       1. How many staff on your POC team? 3
       2.What are their position titles or equivalents (lead, supervisor, specialist, etc)?                               Me (POC Coordinator) and 2 POC consultants they both serve as technical consultants. 
       3. How many CLIA sites do you oversee? 11, ---- 6 hospitals, 2 medcenters with ED's, 3 waived only sites. We have not moved out to the ambulatory sites yet--there are about 150 of those waiting for our help in the future 
        4.How big is your test menu? 12 different tests/analyzer types. 100-iSTAT's  (5 different cartridges and 380 glucose analyzers 
        5.How much is your test volume? 800k a year
      We (POC) do in person training and competency for all of our moderate testing (1300 users)
      Also do all RALS work--upgrades/test builds/new locations

  1. How many staff on your POC team? 1
  2. What are their position titles or equivalents (lead, supervisor, specialist, etc)? POCC
  3. How many CLIA sites do you oversee? 6
  4. How big is your test menu? 24 test systems at 64 unit locations with 1400+ test operators
  5. How much is your test volume? 250k a year

How many staff on your POC team? 2 
What are their position titles or equivalents (lead, supervisor, specialist, etc)? POCT Coordinators - MT
How many CLIA sites do you oversee?  1 hospital (180 bed - 34 POCT locations) + 40 satellites practices 
How big is your test menu? 20 different tests, 13 different instrument types, almost 1800 operators
How much is your test volume? 130k/yr

1.  4.5 FTE on main campus and 1 POC coordinators at each facility,
  •  ~60 RN/RT "Technical Consultants" for non-waived recertification's, ~600 waived "Superusers'.  These are not lab staff but staff on the floors that have been recruited to help completed the Recertifications.  All non-waived review the process with myself prior to being added to the approved SuperUser list.  The waived are all recommended by the floor managers.
2.  System POC Manager, POC Coordinators,  4 year degree CLS/MT/ASCP required (Technical consultant qualifications)
3.  6 hospitals and 3 Free Standing ER's and growing yearly.  ~1,000 hospital beds
4. Nova Statstrip glucometers, Nova Prime Plus, Siemens Epocs, Abbott iSTAT, Medtronic HMS Plus, Haemonetics Teg 6s, UA HCG, UA dipstick, QuickStrip
5. ~80k per month


  1. How many staff on your POC team? 1 POCC, 1 lead MLS (I only get about 3 days a month with her due to staffing)
  2. What are their position titles or equivalents (lead, supervisor, specialist, etc)? Point of Care Coordinator - equivalent to technical specialist
  3. How many CLIA sites do you oversee? 9 (4 mod complex, 5 waived). 2 hospitals (>350 beds), surgery center, off-site NICU, 5 specialty clinics
  4. How big is your test menu? 5 waived tests, 3 mod complex, 150 instruments combined, >2000 operators
  5. How much is your test volume? 100,000/yr

I would caution using waived tests in your FTE needs calculations - or at least do not weight them the same as non-waived testing. For example - one healthcare system may have 200 locations all with their own CLIA - but if all they do is glucometer then one person could easily manage that POC program, and they could do it all remotely and probably part time.

Conversely, the more non-waived tests you perform within your POC program the higher the need for oversight due to the dramatic difference in regulatory requirements. Just saying my health system has XX number of CLIA's and does XXX number of tests per month is not enough information to decide the number of people needed to oversee that testing.

Hi

  1. How many staff on your POC team? 1 POCC 32 hr/week salaried - MLS
  2. What are their position titles or equivalents (supervisor, specialist, etc)? Point of Care Coordinator - equivalent to technical specialist, department Team Leaders, and LIS Coordinator.
  3. How many CLIA sites do you oversee? 1 <150 Hospital, 2-PPM, 1 -COC, 18 - COW (6 under TJC)
  4. How big is your test menu? 14 Waived tests, 3 mod complex, 63 instruments (Sofia2, Hemocues, glucometers (Bayer & NOVA StatStrip, DCA vantage, Cliniteks, Sysmex, NOVA Prime Plus) 500-600 operators.
  5. How much is your test volume?  75-80K/yr.

Did anyone else notice that when you figured this out and put it on paper ;) you felt a slightly bit overwhelmed!?

That's a great point Silka. 

Thank you,

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Stephen Wong
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