MSgt Christopher BartleyMSgt Kara Dubin

The main use, Total RT (Section 1-1), is used in the manpower calculation (AFMS 5512)

Data comparison between labs of similar size.

RT/FTE (Section 1-1) is a gauge of how over/underworked personnel are.

$/RT (Section 1-1) can indicate need for a new/modified reagent contract.

The individual RTs (Section 1-2) show how your Total RT breaks down

Section 1-3 shows Clinical, Cytology and Histology Civilian/Military Reference Lab Costs/Totals

An increase here could indicate a need for a new/modified testing contract, a need to refer test(s) to a military reference lab, or a need to bring a test in-house.

Section 2-1 provides the same data for Histology (Total RT and Civilian/Military Reference Lab)

Section 2-2 provides the same data for Histology (RT/FTE, $/RT and Individual RT)

Section 3-1 provides the same data for Cytology (Total RT and RT/FTE)

Section 3-2 provides the same data for Cytology ($/RT)

It also can indicate a QA issue (Unsat, Limited, QA) showing a need to evaluate technique/additional training

FY09 – as of 29 Jan 10Base 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Annual

Charleston 100% 100% 33% 100% 83%

Dover 100% 100% 100% 100% 100%

Fairchild 100% 100% 100% 100% 100%

Ft Dix 100% 66% 100% 100% 92%

Grand Forks 100% 100% 100% 100% 100%

Little Rock 100% 100% 66% 0% 67%

MacDill 100% 100% 33% 33% 67%

McConnell 100% 100% 100% 100% 100%

Pope 100% 100% 100% 100% 100%

Scott 0% 0% 0% 0% 0%

Travis 0% 0% 0% 0% 0%AMC 82% 79% 67% 67% 73%

FY09 – as of 11 Mar 10Base 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Annual

Charleston 100% 100% 100% 100% 100%

Dover 100% 100% 100% 100% 100%

Fairchild 100% 100% 100% 100% 100%

Ft Dix 100% 66% 100% 100% 92%

Grand Forks 100% 100% 100% 100% 100%

Little Rock 100% 100% 100% 100% 100%

MacDill 100% 100% 100% 66% 92%

McConnell 100% 100% 100% 100% 100%

Pope 100% 100% 100% 100% 100%

Scott 100% 100% 100% 100% 100%

Travis 100% 100% 100% 100% 100%AMC 100% 97% 100% 97% 98%

FY10 – as of 29 Jan 10Base 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Annual

Charleston 100% 25%

Dover 66% 17%

Fairchild 100% 25%

Ft Dix 100% 25%

Grand Forks 33% 8%

Little Rock 0% 0%

MacDill 0% 0%

McConnell 100% 25%

Pope 100% 25%

Scott 0% 0%

Travis 0% 0%AMC 55% 14%

FY10 – as of 11 Mar 10Base 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Annual

Charleston 100% 33% 33%

Dover 100% 0% 25%

Fairchild 100% 33% 33%

Ft Dix 100% 0% 25%

Grand Forks 100% 33% 33%

Little Rock 100% 33% 33%

MacDill 100% 0% 25%

McConnell 100% 33% 33%

Pope 100% 33% 33%

Scott 100% 33% 33%

Travis 100% 33% 33%AMC 100% 24% 31%

CLMI email update form

Type only in the areas designated for data entry. Your reply will be automatically processed. Therefore, it is important that the form or the message is not altered in any other way. For more information about filling out this form, see the following:

Facility ID:

Type any combination of numbers and letters up to 50 characters.

End Date (Last Day of Month, ex. 7/31/2009):

Type either a date, a time, or a combination of both in the following format: 3/9/2010

Month (1-12):

Type a numeric value.

Year (Format: XXXX, ex. 2009):

Type a numeric value.

Quarter (1-4, Oct-Dec=1, Jan-Mar=2, Apr-Jun=3, Jul-Sep=4):

Type a numeric value.

Chemistry, In-House:

Type a numeric value.

Chemistry, Pathology Consult:

Type a numeric value.

Chemistry, Shipped-In:

Type a numeric value.

Unbundled Chemistry:

Type a numeric value.

Hematology, In-House:

Type a numeric value.

Hematology, Pathology Consult:

CMS currently recognizes seven chemistry panelsHepatic-80076Basic Metabolic w/Calcium, Ionized-80047Basic Metabolic w/Calcium, Total-80048Comprehensive Metabolic-80053Renal Function-80069Lipid-80061Electrolyte-80051

Unbundled chemistry data

Data collected since 2005Calculations not updatedCLMI reported bundled chemistry number

All formulas updatedReport shows which areas use unbundled

data

Compare data entered each monthUse instrument test counts (if your

instrument keeps this data) to validate test counts on the SDR

Use the Issue/Turn-In Summary Report in DMLSS to validate supply charges

Use current recall roster to validate number of military personnel/ranks

Talk to person in charge of timecards to validate number of civilian personnel/GS levels

Linear Equation using Reportable Test VolumeStep 1. Refer to the standard manpower

equation for formulaFormula: X + Y + (R/1100) = Authorizations

Step 2. Determine positions requirements Base Cost (X) based on MTF Peer Group start-up costPeer 1 Facilities: 2 authorizationsPeer 2 & 3 Facilities: 3 authorizations Peer 4 Facilities: 4 authorizations Peer 5 Facilities: 7 authorizations

Peer Rating comes from Max Available Enrollment's

ClinicsPG 1 - less than 10,000 PG 2 - 10,000 - 15,000PG 3 - greater than 15,000

Bedded FacilitiesPG 4 - Non-GME HospitalsPG 5 - Grad Med Ed Hospitals

Step 3. Determine positions requirements earned from Additives (Y)Overseas: 1 authorization (overseas readiness manpower

additive)Isolation/BAT: 1 authorization (high readiness/BAT in isolation,

Kunsan only)Split Operations: In-house: 1 authorization (open door cost),

maximum of 2 labs24 hr STAT Lab: 3 authorizations (open door cost), maximum of 1

labShared Ops: 1 authorization (tech commitment to sharing facility)Free Standing Lab: 2 authorizations (open door cost - outside main

MTF), maximum of 4 labsActive BDC: 4 authorizations open door cost + 1/50 units monthlyConsultant/Flt CC: 1 authorization (activities must consume >50%

of time), maximum 1/MTF

Step 4. Obtain a 12-month average for Reportable Tests (R) using data from the Clinical Laboratory Management Indicators (CLMI)

Step 5. Compute authorizations using the equation

Step 6. MAJCOMs may submit proposed variances to AFCQMI for review

When do I bring a test in-house or decide to refer it out?$/RTProductivity (RT/FTE)Add/reduce authorizations (RT)

InstrumentationAll tests counted equal

Changes to authorizations start with Sq/CC