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       Headlines - December 10, 2007
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R. Lewis Dark: Building the Better Mousetrap for Lab Outreach

IS THERE A BLUEPRINT for building a thriving, successful hospital outreach program in a new market? If so, it would certainly be a best seller among hospitals seeking new sources of revenues and profits from outreach testing.

While it's not exactly a blueprint, Pathology Associates Medical Laboratories (PAML) of Spokane, Washington, has developed both a unique strategy and the “better mousetrap” for hospitals wanting to create a new lab outreach program or significantly expand an existing outreach program. At the same time, PAML demonstrates that it is possible to build a series of long-lasting laboratory joint ventures with hospitals—joint ventures that grab market share from national labs and return ample cash distributions to their partners.

This is significant for the laboratory industry. Lab executives universally recognize that hospital laboratory outreach programs can consistently compete with the best laboratory companies in the nation. That is, if they are properly capitalized, professionally managed, and good at both service and sales. What PAML has figured out is a way to offer precisely those four things to hospitals willing to partner with it in a laboratory joint venture.

Seen from this perspective, the newly-formed laboratory joint venture between PAML and two hospitals of the MountainStar Health Network in Salt Lake City, Utah, is the latest validation of PAML’s vision and business strategy. (See TDR, November 19, 2007.) As you will read in our interview with PAML executives on pages 10-16, PAML invested gobs of money on service enhancements and integrated software solutions that allow it to provide world-class levels of service to referring physicians—and install this same service infrastructure into its different laboratory joint ventures.

I believe PAML is creating a new business template for laboratory joint ventures between hospitals and independent lab companies. Its success over the past 12 years with multiple laboratory JVs indicates that the business model has staying power. But can other independent laboratories emulate the more successful aspects of PAML's approach to developing and managing laboratory JVs? If they can, then the stage would be set for more hospitals and health systems to participate in such laboratory outreach joint ventures. As that happened, it would also increase the number of local laboratory testing options for patients and physicians.



Busy Year Demonstrated By Top Ten Lab Stories

Lab industry’s Top Ten Stories for 2007 point to accelerating change in coming years

CEO SUMMARY: As it turns out, 2007 has been an actionpacked year with lots of events, plenty of changes, and the promise of even faster evolution across all sectors of the lab testing marketplace. THE DARK REPORT'S “Top Ten Lab Stories of 2007” show the full intensity and pace of activity within laboratory medicine. One big driver in these events is the tidal wave of investment money flowing into diagnostics and lab testing. It is a time of high expectations and confidence in the future of lab medicine.



Newsmaker Interview: How PAML Built a Major Business In Lab Joint Ventures with Hospitals

CEO SUMMARY: Earlier this month, MountainStar Healthcare Network of Salt Lake City, Utah, and Pathology Associates Medical Laboratories (PAML) of Spokane, Washington, announced a new laboratory joint venture, called MountainStar Clinical Laboratories, LLC. Two things are notable about this development. First, because MountainStar Healthcare Network is owned by Hospital Corporation of America (HCA), it represents a significant step by that for-profit hospital company to further expand its laboratory outreach programs. Second, with this agreement, PAML extends its track record as a joint venture partner in multiple laboratory outreach programs. In fact, not in two decades has the lab industry seen an independent laboratory company become a “serial joint venture partner” with so many different hospitals and health systems. In this exclusive interview with PAML CEO Thomas Tiffany, Ph.D., and Chief Marketing Officer Noel Maring, TDR Editor Robert L. Michel investigates the reasons behind PAML’s success in creating lab joint ventures.



Lab Market Trends: Medicare Demo Bidders' Meeting Reveals Many Problems Ahead



Integrated In Vivo-In Vitro: Is It Pathology’s Future?

Molecular pathologists and radiologists will share integration successes on February 5-6, 2008

CEO SUMMARY: Across the globe, forward-thinking pathologists and radiologists are taking steps to use molecular technologies in ways that combine in vivo and in vitro testing. As this happens, traditional roles for pathology and radiology are likely to evolve toward a more integrated diagnostic service. To learn more about this trend, Molecular Summit 2008 is bringing together the first movers in molecular imaging and molecular diagnostics to share early successes and lessons learned.


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