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Point of Care Testing

See the bigger picture with ideas and solutions that can help benefit your practice.

In-office testing is becoming an increasingly important diagnostic and management tool for practices seeking to improve patient care, quality outcomes and maximize office efficiencies. More and more emphasis of care is shifting toward prevention and early detection of disease, as well as management of multiple chronic conditions. Point-of-care testing gives immediate results in patient care  settings to support more patient-centered approaches to healthcare delivery.

Moore Medical LLC offers a full portfolio of fast and reliable in-office tests available to help meet your practice's evolving needs.

Real-time diagnostics allow practices to:

  • Dianose patient conditions faster
  • Develop immediate treatment plans
  • Efficiently monitor treatment regimens
  • Adjust medications
  • Improve outcomes and patient compliance
  • Improve patient safety & satisfaction
  • Eliminate time spent preparing labs for transport
  • Improve workflow and efficiencies with same-day, actionable patient results
  • Rapid Diagnostics

    Rapid tests combine accuracy, speed, and ease of use, allowing for better patient management decisions and enhanced office efficiencies.

    Moore Medical LLC offers a full portfolio of products from leading manufacturers that aid in the diagnosis of several disease or condition states, including influenza, RSV, fecal occult blood, strep testing, pregnancy, urinalysis, drug testing, bacterial vaginosis, infectious mononucleosis, H. pylori, and HIV.

    We also offer our own line of top quality and value MooreBrand® rapid diagnostics for strep and pregnancy testing.

    Advantages of rapid diagnostic tests:

    1. Easy to use, with minimal training required
    2. Fast results, same-day actionable patient results and quicker treatment
    3. Limited or no need for instrumentation


    VIEW PRODUCTS

  • CLIA-Waived Testing

    What is a Waived Test?

    Clinical Laboratory Improvement Amendments 1988 (CLIA ‘88) establishes quality standards for all laboratory testing to provide accuracy, reliability and timeliness of patient test results regardless of where the test was performed. As defined by CLIA, waived tests are categorized as “simple laboratory examinations and procedures that have an insignificant risk of an erroneous result.” By the CLIA regulations, certificate of waiver laboratories perform only tests that are determined by FDA or CDC.

    The most commonly performed CLIA waived tests are geared to monitoring chronic conditions such as diabetes and heart disease. The most commonly performed waived tests in physician’s office are:, waived chemistry panels, cholesterol and lipid panel, prothrombin time (PT/INR), urinalysis, diabetes monitoring and A1c testing*

    *Source: Physician office laboratory markets, Kalorama Information, Table 5-3, bases on CMS data, November, 2010, HIDA Physician Report,  2012

     

    The certificate of waiver laboratories must meet the following requirements under CLIA:

    1. Enroll in the CLIA program;
    2. Pay applicable certificate fees biennially; and
    3. Follow manufacturers’ test instructions.


    To Begin a Waived Testing Program in your practice:

    1. Apply for a CLIA Certificate of Waiver using form, CMS-116
    2. Submit CMS-116, plus any state specific paperwork, to your practices local state agency
    3. Pay any applicable fees to Center for Medicare & Medicaid Services (CMS)


    For a list of waived tests sorted by the test categorization date and by the test system name, visit the FDA website at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfClia/testswaived.cfm.

    Best Practices for Performing Waived Tests

    1. Keep the manufacturer's current product insert and instructions for the laboratory test in use and be sure it is available to the testing personnel for reference.
    2. Follow the manufacturer's instructions for specimen collection and handling.
      • A) Are specimens stored at the proper temperature?
      • B) Are the appropriate collection containers used?

    3. Create a procedure manual to ensure personnel understand and follow instructions for performing tests.
    4. Properly identify the patient.
      • A) Does the name on the test requisition (or prescription) match the patient's name?
      • B) Does the name on the patient's chart match the name on the patient's identification?

    5. Be sure to label the patient's specimen for testing with an identifier unique to each patient.

    6. Inform the patient of any test preparation such as fasting, clean catch urines, etc.

    7. Read and understand the manufacturer's product insert and instructions prior to performing a test.
      • A) Become familiar with the test procedure and perform each step in the proper order.
      • B) Know the time required for performing the test and achieving the optimal result.
      • C) Prepare to have all of the required reagents and equipment ready before performing the test.
      • D) Be able to recognize when the test is finished
      • E) Follow the manufacturer's instructions for all steps in the testing process including specimen collection and handling and performing quality controls.

    8. Follow the storage requirements for the test kit and be certain to not mix component of different kits

    9. Record the patients' test results in the patient record, such as the patient's chart, laboratory test log or electronic health record.
      • A) Record the results according to the instructions in the manufacturer's product insert.
      • B) If it's a qualitative test, spell out positive/negative or pos/neg as symbolic representations can be altered.
      • C) Include the name of the test, the date the test was performed, and the initials of the testing personnel in the test record. Include the calendar year in the date.
      • D) If the same test is performed on a patient multiple times in one day, include the time of each test.

    10. Perform any instrument maintenance as directed by the manufacturer.
  • Analyzers

    5 Tips for choosing a new analyzer:

    1. Assess your practice needs and decide which tests are most beneficial for your patients
    2. The volume of tests your practice will perform will likely determine your choice of waived or non-waived analyzers. For example, five chemistry profiles can easily be performed on a small waived analyzer. Once you increase your volume, ie. 15-20 per day, time and cost become a factor in considering a non-waived analyzer.
    3. The analyzer’s ability to connect and interface with lab information software and electronic health records to enable quick, accurate information flow and reduce transcription errors.
    4. Size and space requirements. There is growing demand for small easy to use and maintain systems. Most modern analyzers are designed to be relatively compact and come in bench top models that require about two square feet of space or less. Analyzers may be sensitive to temperature and humidity ranges. Consider the location of your analyzer to ensure proper air ventilation in your lab area.
    5. Cost. Consider the overall operating cost of your analyzer in a given year and your projected revenue to determine your return on investment. Factors include, the analyzer purchase cost, reagent costs on a cost per test unit, any disposable items required to run the tests such as pipettes, cuvettes or controls.

You can reach us Monday - Friday, 8:00am - 5:00pm by calling 1.800.234.1464, or complete and submit the form below and we will contact you at a time that is convenient for you.


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