Re: [Histonet] Cost per test averages

[Joe W. Walker, Jr. via Histonet]

Well, the formatting of the table went awry.  Contact me personal for it.  

Joe W. Walker, Jr. MS, SCT(ASCP) 
Anatomical Pathology Manager
joewal...@rrmc.org, www.rrmc.org

-Original Message-
From: Joe W. Walker, Jr. via Histonet  
Sent: Thursday, November 29, 2018 3:03 PM
To: Rene J Buesa ; Terri Braud 
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Cost per test averages

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This is very true, Rene but lab costs can vary widely due to group purchasing 
contracts and other negotiations that are slightly outside of the lab's 
control.  When we performed this analysis, we look at consumable costs in 
addition to technologist's salary cost to figure out total cost per test/CPT 
code that we bill.  For salary costs we utilized the following table with 
calculations (numbers are fictitious).  The % per day is the total number of 
hours worked for 2 people divided by the hours/day.  The % of salary is the FY 
salary divided by the %/day.  The Salary/task is simply a division of the 
%salary by the FY volume for the task.   Your consumable costs should be fairly 
easy to calculate based on what you pay for slides, cassettes, prefilled 
formalin, etc.We matched all of this up to our various CPT codes as a 
comparison to potential reimbursements.  It may not be perfect but it gave us a 
pretty close guestimate and a tool to negotiate with vendors to help lower our 
costs against our reimbursement margin.




Hours/Day

%/Day

FY Volume

% of Salary

Salary/Task

Embed

2.5

15.6

11920

$15,625.00

 $   1.31

Microtomy

4.5

28.1

11920

$28,125.00

 $   2.36

Gross

3.0

18.8

11920

$18,750.00

 $   1.57

IHC/Special

2.0

12.5

2968

$12,500.00

 $   4.21

nonproductive time

4.0

25.0



$25,000.00



Total

16.0

100.0








FY Salary

$  100,000.00

Total for 2 people

16






Joe W. Walker, Jr. MS, SCT(ASCP)

Anatomical Pathology Manager

joewal...@rrmc.org, 
https://na01.safelinks.protection.outlook.com/?url=www.rrmc.orgdata=02%7C01%7Cjwwalker%40rrmc.org%7C76e6f15dbc9b4708e7fe08d65635ee26%7C0e55647d438e4a448437e959c3cf2240%7C0%7C0%7C636791186961127622sdata=DTOV84zW9bAhJ5G8vHX40ww3dJbiyWF68W6wLxUxMZY%3Dreserved=0



-Original Message-
From: Rene J Buesa via Histonet 
Sent: Monday, November 12, 2018 11:28 AM
To: 'histonet@lists.utsouthwestern.edu' ; 
Terri Braud 
Subject: Re: [Histonet] Cost per test averages



Terri:

All you wrote is absolutely true BUT has nothing to do with the "negotiating" 
aspect Charlie us asking about.He asked about the price he wants to pay and 
that will depend on his purchase volume that could determine, if his' is large 
enough, may entice the seller to reduce his profit margin.

René

On Monday, November 12, 2018, 9:57:37 AM EST, Terri Braud via Histonet 
mailto:histonet@lists.utsouthwestern.edu>> 
wrote:



 I find it very peculiar to be lectured by a Roche representative on including 
reagent management when calculating stain costs, considering Roche's yearlong 
ongoing issues with reagent supply problems and massive recalls.  I've yet to 
have one month with no reagent supply problems from Roche/Ventana.  Failed 
dispensers, multiple recalls, major delays in deliveries of supplies (the most 
recent was a TWO MONTH BACKORDER on a routinely run antibody) and the list goes 
on.

Roche needs to get their own house in order before they come on a technical 
list-serve to lecture.

Just saying...



Terri L. Braud, HT(ASCP)

Anatomic Pathology Supervisor

Laboratory

Holy Redeemer Hospital

1648 Huntingdon Pike

Meadowbrook, PA 19046

ph: 215-938-3689

fax: 215-938-3874

Care, Comfort, and Heal



Today's Topics:

Message: 2

Date: Sat, 10 Nov 2018 14:54:19 -0500

From: "Frazier, John" mailto:john.fraz...@roche.com>>

To: Charles Riley mailto:cri...@dpspa.com>>

I?m a vendor that sells an H staining product, so I?m not going to attempt to 
give you what the average cost per of a H stained slide.

What I will tell you is that when looking at cost per slide you need to 
calculate more than your consumables. Those are going to be your capital cost. 
You also need to calculate in your labor cost. Those are gonna be your 
operational dollars.

The reason why I say that is that some strainers are more efficient than other 
stainer. Not just in the staining process itself but in the overall 
maintenance, reagent management and waste control cost.

Remember when using labor dollars you want to calculate that using fully 
burdens dollars.

Be complete in the way that you calculate your overall cost per slide



John Frazier, MBA, MT(ASCP)

Strategic Workflow Consulting

Roche Diagnostics







___

Re: [Histonet] Cost per test averages

[Joe W. Walker, Jr. via Histonet]

This is very true, Rene but lab costs can vary widely due to group purchasing 
contracts and other negotiations that are slightly outside of the lab's 
control.  When we performed this analysis, we look at consumable costs in 
addition to technologist's salary cost to figure out total cost per test/CPT 
code that we bill.  For salary costs we utilized the following table with 
calculations (numbers are fictitious).  The % per day is the total number of 
hours worked for 2 people divided by the hours/day.  The % of salary is the FY 
salary divided by the %/day.  The Salary/task is simply a division of the 
%salary by the FY volume for the task.   Your consumable costs should be fairly 
easy to calculate based on what you pay for slides, cassettes, prefilled 
formalin, etc.We matched all of this up to our various CPT codes as a 
comparison to potential reimbursements.  It may not be perfect but it gave us a 
pretty close guestimate and a tool to negotiate with vendors to help lower our 
costs against our reimbursement margin.




Hours/Day

%/Day

FY Volume

% of Salary

Salary/Task

Embed

2.5

15.6

11920

$15,625.00

 $   1.31

Microtomy

4.5

28.1

11920

$28,125.00

 $   2.36

Gross

3.0

18.8

11920

$18,750.00

 $   1.57

IHC/Special

2.0

12.5

2968

$12,500.00

 $   4.21

nonproductive time

4.0

25.0



$25,000.00



Total

16.0

100.0








FY Salary

$  100,000.00

Total for 2 people

16






Joe W. Walker, Jr. MS, SCT(ASCP)

Anatomical Pathology Manager

joewal...@rrmc.org, www.rrmc.org



-Original Message-
From: Rene J Buesa via Histonet 
Sent: Monday, November 12, 2018 11:28 AM
To: 'histonet@lists.utsouthwestern.edu' ; 
Terri Braud 
Subject: Re: [Histonet] Cost per test averages



Terri:

All you wrote is absolutely true BUT has nothing to do with the "negotiating" 
aspect Charlie us asking about.He asked about the price he wants to pay and 
that will depend on his purchase volume that could determine, if his' is large 
enough, may entice the seller to reduce his profit margin.

René

On Monday, November 12, 2018, 9:57:37 AM EST, Terri Braud via Histonet 
mailto:histonet@lists.utsouthwestern.edu>> 
wrote:



 I find it very peculiar to be lectured by a Roche representative on including 
reagent management when calculating stain costs, considering Roche's yearlong 
ongoing issues with reagent supply problems and massive recalls.  I've yet to 
have one month with no reagent supply problems from Roche/Ventana.  Failed 
dispensers, multiple recalls, major delays in deliveries of supplies (the most 
recent was a TWO MONTH BACKORDER on a routinely run antibody) and the list goes 
on.

Roche needs to get their own house in order before they come on a technical 
list-serve to lecture.

Just saying...



Terri L. Braud, HT(ASCP)

Anatomic Pathology Supervisor

Laboratory

Holy Redeemer Hospital

1648 Huntingdon Pike

Meadowbrook, PA 19046

ph: 215-938-3689

fax: 215-938-3874

Care, Comfort, and Heal



Today's Topics:

Message: 2

Date: Sat, 10 Nov 2018 14:54:19 -0500

From: "Frazier, John" mailto:john.fraz...@roche.com>>

To: Charles Riley mailto:cri...@dpspa.com>>

I?m a vendor that sells an H staining product, so I?m not going to attempt to 
give you what the average cost per of a H stained slide.

What I will tell you is that when looking at cost per slide you need to 
calculate more than your consumables. Those are going to be your capital cost. 
You also need to calculate in your labor cost. Those are gonna be your 
operational dollars.

The reason why I say that is that some strainers are more efficient than other 
stainer. Not just in the staining process itself but in the overall 
maintenance, reagent management and waste control cost.

Remember when using labor dollars you want to calculate that using fully 
burdens dollars.

Be complete in the way that you calculate your overall cost per slide



John Frazier, MBA, MT(ASCP)

Strategic Workflow Consulting

Roche Diagnostics







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[Histonet] Ortho-keratotic Mineralizing Odontogenic Cyst

[Sandra Cheasty via Histonet]

Hello all,
Does anyone have any ideas on de-mineralizing an 
ortho-keratotic, mineralizing, odontogenic cyst? It is so hard the pathologist 
cannot cut it into small enough pieces to fit into a cassettes. (It's been in 
decal for days with no change.) I was thinking of taking one of the chunks and 
putting it in potassium hydroxide under the hood, and monitoring every half 
hour or so. Anyone have any other ideas?
Cheers,
Sandy

Sandra J. Cheasty, HT (ASCP)
Histology & Necropsy Supervisor
UW-Madison, School of Veterinary Medicine

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[Histonet] Our lab rocks.

[Lester Raff MD via Histonet]

Today's blog posting is celebrating the lab, but the link is not postable here.

If you have any interest in reading, email me at lr...@uropartners.com and I 
will send the link.

Thanks,

Lester J. Raff, MD MBA
UroPartners
Medical Director Of Laboratory
2225 Enterprise Dr. Suite 2511
Westchester, Il 60154
Tel: 708-486-0076
Fax: 708-492-0203

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Re: [Histonet] AB

[WILLIAM DESALVO via Histonet]

Helen, I have experience with both. Feel free to contact me directly with 
questions or we can arrange a call. More than happy to help

William DeSalvo
wdesalvo.cac@outlook. Com
480-622-1337

William DeSalvo


From: Helen via Histonet 
Sent: Thursday, November 29, 2018 9:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] AB


Hi there

I would like to know a Histology laboratory user experience of Tracking 
systems. Specifically vantage versus AB?
Any advice would be great.

Thanks
Helen



Helen Hegarty
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[Histonet] AB

[Helen via Histonet]

Hi there

I would like to know a Histology laboratory user experience of Tracking 
systems. Specifically vantage versus AB? 
Any advice would be great.

Thanks
Helen 



Helen Hegarty 
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