Posted by Dr. Vollmer on April 6, 2015
Ordering laboratory tests is an important part of my work as a physician. I prescribe drugs which require laboratory monitoring and as such, blood work is important for some of my patients. I write an order. The patient takes it to their lab of choice and results are sent to me. When it is urgent, I tell the lab, and results are given to me promptly. Sounds simple? Well, not so much. As the wheels of payment changes, as patients and physicians are being forced into specific ecosystems, the flexibility is lacking if a patient or a physician is not part of a larger group. Like a PC user who feels foreign in an IOS environment, so a patient that gets most of his healthcare at UCLA will have trouble integrating his medical record if he also goes to Cedars. Example. A patient needed a stat or urgent lab. I called the lab and they said that since I did not have a physician member number, they could do the lab, but they could not do it stat. “Isn’t that unethical?” I asked, wondering how the laboratory has the right to refuse a physician’s order. I got the repetitive answer that I had to sign up with that lab in order to get the blood result quickly. There are politics here, and payment streams and consumer manipulation, all of which I am not clear about, but a laboratory telling me that they refuse to do a stat lab because I am not a frequent flier, just seems wrong. Rant complete.