LABORATORY

MANAGEMENT

Prepared by:
Aura Luna-Posada, RMT, MSHSM
Course Description

➢ The course deals with the study of

integration and coordination of
organizational resources

➢ This involves the knowledge and

understanding of the basic concept
of management skills
 Student Learning Outcome
➢ Apply knowledge and skills in Clinical
Laboratory Management
➢ Demonstrating technical competence in the
performance of laboratory test.
➢ To know what are the process of
accreditation, how to apply and process in
managing laboratory
➢ To have knowledge on how to handle and
perform the patient safety.
➢ Perform and adapt the Quality
Management in the Laboratory and
improving the performance of the
Laboratory by applying standard processes
Definitions of Management:

1. Coordination and integration of resources

2. It is a social process comprised of an actions.

3. “ Getting from where we are to where you want

to be

4, It is the universal process of efficiently getting

activities completed.
On a consensus definition:

Management is the guiding of human and

physical resources into dynamic or organization
units that achieve their objectives to the
satisfaction of those served and with a high
degree of morale and sense of attachment on
the part of those rendering the service.
 4-BASIC
ELEMENTS OF MANAGEMENT
NATURE OF MANAGEMENT
A. Information Age: Management has changed from supervision of "factory"
workers to coordination of knowledge workers.
B. Organizational Structure:

OLD NEW
HOSPITAL ADMINISTRATOR HOSPITAL ADMINISTRATOR
-

PATHOLOGIST ANCILLARY SERVICES PATHOLOGIST

MANAGER
CHIEF MED TECH

SUPERVISOR
INDIVIDUAL DISCIPLINE

MED TECH
MANAGEMENT PROCESSES

A. Managerial Roles and Functions

1. Managerial functions:

• Planning
• Organizing
• Directing
• Decision
• Making/problem solving
• Coordinating, and communicating.
CONTINUTATION: Managerial roles and functions

2. Managerial roles include:

a. Represent the organization

b. Hold formal authority
c. Develop and implement strategies to
accomplish mission and goals of the
organization
d. Manage personnel
1) Evaluations
2) Hiring
3) Promoting
CONTINUTATION: Managerial roles and functions
e. Manage financial responsibilities
1) Budget
a. Capital
b. Operating
2) Revenue
3) Expenses
f. Facilitate communication: Employees, supervisors/team leaders, colleagues,
and patients
g. Motivate: Employees, supervisors/team leaders, colleagues, and self
h. Implement time management strategies
i. Oversee customer service
j. Implement innovative ways to expand services, expand customer base, and
fulfill the bottom line
B. Planning (Managerial Process)
1 . Develop a pathway(s) to accomplish the organization's mission and
vision to achieve goals thru resources and time
2. In planning- must first determine organization stands.
A SWOT analysis is needed to determine both:
a. Internal factors
1) S: Strengths of the organization
2) W: Weaknesses of the organization
b. External factors
1) O: Opportunities available to the organization
2) T: Threats to the organization
Continuation: B. Planning (Managerial Process)
3. SWOT - complete, plan the course of action for organization and accomplish
its goals align with mission and vision
4. Formulating goals
a. Written goals –cascaded to all employees, towards to a common goal
b. Goals should be broad; objectives are written to achieve specific tasks.
5. Writing objectives / goals (SMART)
✓ Specific,
✓ Measurable
✓ Attainable
✓ Relevant
✓ Time-bound
Continuation: B. Planning (Managerial Process)
6. Types of plans
ACCREDITATION AND
REGULATORY
COMPLIANCE
ACCREDITATION AND REGULATORY COMPLIANCE

• Laboratory services are regulated at the DOH level.

• The regulations are more stringent than the other agencies

• The designated government or agencies that conduct periodic

and unannounced on-site inspections of laboratories.

• The inspections serve to document performance compliance

with standards.
 REQUIREMENTS OF DOH REGULATIONS
➢ The management team must be
aware of government (federal, state,
and local)
✓ Regulations (LTO)

✓ Accreditation (EQAS)

✓ Standards (Guidelines and WI)

✓ Institutional policies. (Hospital

Policy)
➢ The performance requirements apply to a
laboratory activities:
✓ Personnel (JDs)

✓ Safety reports (Incidence, RCA and

improvement or changes)

✓ Records- (Patient records or Medical

record)

✓ Claims billing (Ex: SSS, Philhealth and

refunds from billing)

✓ Management waste disposal (process

on how to dispose waste)
INSPECTION
 PREPARATION FOR INSPECTION
➢ Unannounced inspection for licensure is a routine practice.
➢ The laboratory management team must produce numerous test
procedures and quality report records that demonstrate performance
over a 1-2 year period.
➢ It requires a standard practice of documentation and maintaining
records of:
▪ Test and instrument performance
▪ Quality Control
▪ Written procedures, and reviews
▪ And these can be readily produced at the time of inspection.
 COLLABORATION WITH INSTITUTIONAL
DEPARTMENTS
➢ The laboratory test result report is a medicolegal document
and this applies to all information contained on the report, not
just the test results.
➢ Statements that are simple and clear in everyday
communication may not meet those legal standards in a
court of law.
➢ As test result reports are created or revised, the management
team is responsible for assuring that these documents are
properly reviewed and approved.
 Clinical Laboratory Law
Administrative Order No.
2007-0027

“Revised Rules and Regulations

governing the licensing and
regulation of clinical laboratories
in the Philippines”
 Republic Act 4688
• Approved: June 18, 1966
• Regulate the operation and maintenance of
clinical laboratory
• Require the registration with DOH
• Penalties for violation
Bureau of Research and Laboratories:
– In charged in responsibility of strictly enforcing of this Act
– Issue rules and regulations as may be necessary
Good management requires that the leadership team understand the state laws
as well as the accreditation standards established by the inspecting agencies.
It is the leadership team’s responsibility to assure that actual laboratory practice
complies with both legal regulations and accreditation requirements.
Failure to do so may lead to consequences ranging from almost nothing to the
catastrophic for the laboratory service:
for example, from a substandard performance that requires a repeat
inspection to unacceptable performance with suspension of license and
testing.
1. One of the basic elements of management; Guiding, leading and directing
those professionals “feel a sense of responsibilities and attained achievement”
A. Through media
B. Through environment
C. Through People
D. None of the Above

2. “Revised Rules and Regulations governing the licensing and regulation of

clinical laboratories in the Philippines” What law is this?
A. HIV LAW
B. Clinical Laboratory Law
C. Blood Bank Law
D. None of the above
Continuation:
3. And what is the Republic Act?
A. Republic Act 4688
B. Republic Act 4667
C. Republic Act 4658
D. Republic Act 4648

4. Who is in in charged in enforcing this Act?

A. DOH-NBVSP
B. Bureau of Research and Laboratories
C. Philippine Society of Pathology
D. None of the above
Continuation:
5. ________ is the guiding of human and physical resources into
organization units that achieve their objectives to the satisfaction of who
served.
A. Process
B. Objective
C. Management
D. None of the above

6. As one of the basic elements; "Goal and purposes with efficient delivery
of quality services"
A. Toward Objectives
B. Through People
C. Using Techniques
D. In an Organization
Continuation:
7. As an elements it is a physical resources like; laboratory equipment,
computers and space:
A. Through People
B. Using Techniques
C. In an Organization
D. Elements

8. As an elements also, Into dynamic groups, units implying the specialization,

protocols and functional processing units.
A. Toward Objectives
B. Using Techniques
C. In an Organization
D. None of the above
Continuation:
9. An inspector was conducting an accreditation inspection. What is the
discrepancy that the inspector noted for:
A. Experience of the supervisor in the Job Description.
B. Age of the supervisor in the Job Description
C. Gender of the supervisor in the Job Description
D. None of the above

10. _______inspection for licensure is a routine practice.

A. Instrument performance
B. Unannounced
C. Discrepancy
D. All of the above