1 / 24

OUTREACH by UNM Pathology ---and--- TriCore Reference Labs

OUTREACH by UNM Pathology ---and--- TriCore Reference Labs. Presented By: Brian Hjelle, MD, FCAP Medical Director, Genetics and Cytometry Laboratory TriCore Reference Laboratories Int. Chairman, UNM Pathology. OUTREACH. Residents/Fellows TriCore Hemepath OMI. OUTREACH.

griselda
Download Presentation

OUTREACH by UNM Pathology ---and--- TriCore Reference Labs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. OUTREACH by UNM Pathology---and---TriCore Reference Labs Presented By: Brian Hjelle, MD, FCAP Medical Director, Genetics and Cytometry Laboratory TriCore Reference Laboratories Int. Chairman, UNM Pathology

  2. OUTREACH Residents/Fellows TriCore Hemepath OMI

  3. OUTREACH Pathology Clinical Fellowships Hematopathology Forensic Pathology Cytopath Molecular Genetic Pathology Surgpath Transfusion Medicine Research Fellows Usually about 6 Grad Students Usually 10-12

  4. OUTREACH –resident alumni

  5. UNM Department of Pathology 58 faculty members, including 27 MDs 21 PhDs 5 MD-PhDs 5 Others An MLS (med lab sciences) program

  6. Braggin’ Rights NCI: Comprehensive Cancer Center Roadmap Initiative/Flow Cytometry SEER site 33rd highest NIH-funding for Path Depts T32 Training grant Office of Medical Investigator Top-tier residency w/broad training HTR, microscopy, FISH TriCore

  7. History of TriCore • Created in 1998 • University of New Mexico Hospital Health Sciences Center • Presbyterian Healthcare Services • The Reference Laboratory (TRL) • St. Vincent’s Medical Center (Santa Fe)

  8. University of New Mexico Hospital Health Sciences Center • Affiliated with only medical school in New Mexico • Pathologists university employed and faculty at UNM SOM • Diagnostic services • Research • Teaching – medical students and residents; medical technicians • Cancer Center • Level I Trauma Center • Transplant Center

  9. TriCore Structure • Independent not-for-profit entity • Sponsors (Presbyterian, University Hospital) comprise Board of Directors • Lab staff to be employed by TriCore • Non-urgent testing consolidated at Core lab • Histology and cytology consolidated at Core lab • Two pathologist groups to be contracted for medical directorship, technical oversight and anatomic path • TriCore-hired CEO and CMO

  10. New Building • Consolidated Core lab opened January 2004 • 1,000 TriCore employees at Core lab, in sponsor hospital labs, branch labs, patient draw sites • Service in New Mexico, El Paso, and southern Colorado • National consult service in hemepath, flow cytometry, cytogenetics

  11. HISTORY

  12. Hemepath and Related Services

  13. HISTORY

  14. Flow Cytometry Case Volume 2003-2006

  15. Consult Case Volume 2000-2007 (projected)

  16. Total Cytogenetics Tests 2000-2007 (projected)

  17. The Players • M Kathy Foucar, MD • Director of HemePath and Vice Chair for Clinical Affairs • John Hozier, PhD • Pioneering cytogenetics/FISH clinical investigator • Kaari Reichard, MD • Helped initiate FISH service • Mohammad Vasef, MD • Seasoned Molecular Onc, started MolPath fellowship • Carla Wilson, MD, PhD • Established leukemia “template” system for efficiency • Qian Zhang, MD, PhD • Kristin Hunt, MD

  18. Office of the Medical Investigator (OMI)

  19. New Mexico Office of the Medical Investigator • Centralized, statewide, university-based • 8 forensic pathologists • 10 central and 130 field investigators • Administers University Hospital autopsy service • Trains fellows & pathology residents

  20. New MexicoOffice of the Medical Investigator • Authorized by legislated state statute • Investigates violent, sudden, suspicious, unexplained & unnatural deaths • Determines: condition of body cause/manner of death • Investigates ~5100 of 14000 deaths/year • Performs ~2100 autopsies/year (>95% of NM autopsies)

  21. New MexicoOffice of the Medical Investigator • Comprehensive autopsy report & computerized database • Retrospective analyses/prospective coding for epidemiology & research • Organization: statewide population-based surveillance • UNM tie: consultation/collaboration, enhanced diagnostic accuracy, research

  22. Participation in National Surveillance Systems • National Violent Death Reporting System • Conjunction with crime lab, vital records, state health dept., & police agencies • Surveillance & granular epidemiology for all homicides, suicides & unintentional firearm fatalities • CDC funded • Drug Abuse Warning Network • Tracks all substance abuse (licit and illicit) deaths • SAMHSA funded

  23. Anthrax Med-X Surveillance Model for Bioterrorism & ID Mortality • Developed model for Medical Examiner ID surveillance with CDC funding • Uses antemortem symptoms to capture potential cases • Pathology-based syndromic reporting standards • Organism & toxin specific diagnoses • SLD NM Dept of Health • CDC - ID Pathology Activity - enhanced diagnostic capacity • Now implemented: NH, OR, MN, GA Nolte KB, et al: Hum Pathol, 38:718-725, 2007

  24. Some Summary Comments • We have pioneered in regional laboratory models • We have a model ME office • We have strong leadership in forensic path, hemepath, cancer biology • We have steady growth in hemepath, surgpath, molecular, cytogenetics, FISH, many other areas • Good old fashioned leadership and outreach..

More Related