Re: [Histonet] Cost per test averages
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 [External Email] This email originated from outside of the organization. Think before you click: Don’t click on links, open attachments or respond to requests for sensitive information if the email looks suspicious or you don’t recognize the sender. 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.org&data=02%7C01%7Cjwwalker%40rrmc.org%7C76e6f15dbc9b4708e7fe08d65635ee26%7C0e55647d438e4a448437e959c3cf2240%7C0%7C0%7C636791186961127622&sdata=DTOV84zW9bAhJ5G8vHX40ww3dJbiyWF68W6wLxUxMZY%3D&reserved=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&M staining product, so I?m not going to attempt to give you what the average cost per of a H&E 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 overa
Re: [Histonet] Cost per test averages
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&M staining product, so I?m not going to attempt to give you what the average cost per of a H&E 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu<mailto:Histonet@lists.utsouthwestern.edu> https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.utsouthwestern.edu%2Fmailman%2Flistinfo%2Fhistonet&data=02%7C01%7Cjwwalker%40rrmc.org%7C63642c620c254031b46708d648bbd1ba%7C0e55647d438e4a448437e959c3cf2240%7C0%7C0%7C636776368850257229&sdata=ogV6P6jJ7OXgFIhLXf2RN%2B5vNgCJmvFeXqk2gaAeR5Y%3D&reserved=0 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu<mailto:Histonet@lists.utsouthwestern.edu> https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Flists.utsouthwestern.edu%2Fmailman%2Flistinfo%2Fhistonet&data=02%7C01%7Cjwwalker%40rrmc.org%7C63642c620c254031b46708d648bbd1ba%7C0e55647d438e4
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 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" To: Charles Riley I?m a vendor that sells an H&M staining product, so I?m not going to attempt to give you what the average cost per of a H&E 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cost per test averages
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" To: Charles Riley I?m a vendor that sells an H&M staining product, so I?m not going to attempt to give you what the average cost per of a H&E 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cost per test averages
I’m a vendor that sells an H&M staining product, so I’m not going to attempt to give you what the average cost per of a H&E 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 > On Nov 9, 2018, at 14:54, Charles Riley wrote: > > What is a good cost per test average for a standard H&E slide? > > I am trying to see if I should be fighting for better prices or if my > current costs are below the average and am getting a good deal already. > (Obviously the lower i can go the better > > Also what is your average cost per test for IHC's ? > -- > > Charles Riley BS HT, HTL(ASCP)CM > > Histopathology Coordinator/ Mohs > ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Cost per test averages
Hi Mr. Riley, would you mind sharing your cost? Thank you E-van -Original Message- From: Charles Riley via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Friday, November 09, 2018 2:54 PM To: Histo List Subject: [Histonet] Cost per test averages What is a good cost per test average for a standard H&E slide? I am trying to see if I should be fighting for better prices or if my current costs are below the average and am getting a good deal already. (Obviously the lower i can go the better Also what is your average cost per test for IHC's ? -- Charles Riley BS HT, HTL(ASCP)CM Histopathology Coordinator/ Mohs ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Cost per test averages
What is a good cost per test average for a standard H&E slide? I am trying to see if I should be fighting for better prices or if my current costs are below the average and am getting a good deal already. (Obviously the lower i can go the better Also what is your average cost per test for IHC's ? -- Charles Riley BS HT, HTL(ASCP)CM Histopathology Coordinator/ Mohs ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
