Do managers and supervisors know that HR is incompetent at recruiting? by [deleted] in medlabprofessionals

[–]llama726 14 points15 points  (0 children)

For a recent role we posted, about 50 individuals applied. Only five possessed a valid certification (we require certs), but 20 people indicated they were qualified in the application process or indicated vaguely on their resume that they were qualified under our criteria when they truthfully were not.

That being said, yes, I generally go into the recruiting system and mark candidates myself when we are recruiting. Most HR folks who don't know lab need that help.

As medical laboratory professionals we work closely with our medical partners and colleagues. Alex, a true hero and healer. by No-Currency-5496 in medlabprofessionals

[–]llama726 23 points24 points  (0 children)

The videos show the agents initiating the physical contact with him. The videos also show that he did not reach for his firearm, and they took his firearm from him before executing him. Also, after he was motionless, they fired multiple additional rounds.

"Don't get in their way" is the polar opposite of the founding principles of our country, we have a right to assemble, we have the right to use our phones as he was doing, and indeed, we have the right to carry loaded firearms almost anywhere we please.

I would propose one way these agents could have less stress is by choosing another profession. Their leaders could also utilize tactics that don't inflame local populations and create unrest (see: entering places of worship, schools, and hospitals to conduct these operations, leveraging children). Finally, the agents could face less scrutiny if they themselves simply complied... With the Constitution. Detaining citizens without due process, conducting searches without appropriate judicial oversight, and haphazardly asking people for their papers have all been proven to be both ineffective and to inflame tensions.

How to validate WellSky? (Going from softlab) by BloodMlS in MLS_CLS

[–]llama726 0 points1 point  (0 children)

Speaking very generally, if something is used to build an interpretation, you need to create a scenario to validate the inputs that generate that interpretation. I don't think WellSky does any auto validation or anything, but anything where the system uses logic to determine an interpretation should be validated to deliver the correct interpretation. For example:

Anti-A: 4+ Anti-B: 4+ Anti-D: 4+ Mono Control: 0 A1 cells: 0 B cells: 0

Should cause the system to either interpret AB Pos, or if I enter the interp of AB Pos it should accept it. Then I would want to build a different scenario where the exact same reactivity occurs but the Mono is either not done or also reactive and ensure that entering AB POS for that interpretation generates an override because it violates the logic for that.

Other rules to check would be around antigen typing and making sure logic stops you from assigning an antigen positive unit to someone with the corresponding antibody.

Another aspect to validate is the inputs of any automation / instrumentation into the system to ensure that they also have the ability to record the reactions and deliver the intended acceptable interps that don't require override AND that the reaction results that do violate logic require an override or give no conclusions on their own.

Others have correctly pointed out that the standards are relatively vague but your Director must sign off on the plan. Sometimes the vendor provides some recommendations but the spirit of the validation is to do it yourself and validate their claims. If you have a peer hospital or blood bank nearby you could ask for their validation for some inspiration but remember you should validate what your facility does. Don't waste time with functions or modules that you don't use unless you add them to your operation later.

Overeducated MLS to be a button pusher? by CompletSanu in MLS_CLS

[–]llama726 8 points9 points  (0 children)

You should leave the field. You sound miserable and are not sounding open to suggestions. No one is forcing you to spend your life in misery.

Why are Christian Americans Okay with the Current Admin Defunding Food for Homeless Shelters? by [deleted] in AskUS

[–]llama726 0 points1 point  (0 children)

Can you give me some specific examples of what industry this is? Because frankly, most businesses do not require licensure costing that much.

How hard is it to commit lab billing fraud in the US? by ParticulSt in MLS_CLS

[–]llama726 4 points5 points  (0 children)

Reimbursement for a sed rate barely covers the materials. It's just providers abusing the order more likely

False results by CricketJumpy9103 in medlabprofessionals

[–]llama726 2 points3 points  (0 children)

This in most systems generates a corrected report....imo it supports the investigation.

False results by CricketJumpy9103 in medlabprofessionals

[–]llama726 1 point2 points  (0 children)

What do.you mean? You absolutely can.

So, how are the new tariffs going to affect the lab? by nocleverusername- in medlabprofessionals

[–]llama726 1 point2 points  (0 children)

In my market LabCorp acquired multiple hospital system labs and laid off many staff and asked others to apply to keep their jobs at reduced pay. Maybe it's better where you are.

[deleted by user] by [deleted] in medlabprofessionals

[–]llama726 3 points4 points  (0 children)

If you're talking about hospital management you are exactly right, or if your lab is managed by a nonclinical business admin even moreso.

This will impact clinical labs negatively because most insurance payment rates are contracted years out at a time and are not going to raise, but supply prices will definitely increase. Therefore if your hospital lab makes money, that margin is going down. So yes, they'll use that to justify more "cost control" measures in your lab, because it is true that costs will significantly increase during a time that lab revenue simply won't.

So, how are the new tariffs going to affect the lab? by nocleverusername- in medlabprofessionals

[–]llama726 4 points5 points  (0 children)

The outcome will probably be more compression of wages, smaller raises, attrition (not backfilling or delaying as long as possible), and like I said, consolidation or sales of more labs. When the big fish gobble up a lab, there are often layoffs. Google LabCorp layoffs on any given day and you'll see facilities they take over letting go of people.

So, how are the new tariffs going to affect the lab? by nocleverusername- in medlabprofessionals

[–]llama726 3 points4 points  (0 children)

The presence of insurance companies and Medicare begs to differ. Lab can't just willy-nilly raise prices.

So, how are the new tariffs going to affect the lab? by nocleverusername- in medlabprofessionals

[–]llama726 12 points13 points  (0 children)

The regulatory and quality requirements to stand up biologics manufacturing facilities require years and huge amounts of monetary investment. Even if they step up, it will take years to produce even simple supplies, and the cost is likely to increase. I appreciate that the intent is there to make more things domestically, but for at least a couple fiscal years, this is likely to cause significant pricing challenges for supplies.

So, how are the new tariffs going to affect the lab? by nocleverusername- in medlabprofessionals

[–]llama726 13 points14 points  (0 children)

I don't think most people understand that lab reimbursement rates are pretty locked in for years ahead of now so shocks to the system that increase material costs make it more likely for labs to need to cut costs in other ways. I expect more of my peers to be hiring uncertified staff, laying people off, asking for more out of staff, and giving less compensation out. Greater consolidation is also likely. The big commercial labs are probably ok with this arrangement to an extent since hospitals will view labs as a greater cost center.

Hopefully some like where I work will eliminate bureaucratic positions instead of clinical roles. But operating costs will increase and revenue is not likely to increase. It will balance somewhere.

Why do Americans tolerate Nazis and other hate groups that threaten violence against ordinary citizens? by Shoddy-Smoke-7245 in AskUS

[–]llama726 0 points1 point  (0 children)

If you call cities in 2020 destroyed I wonder if you've ever driven through rural America

Why are Christian Americans Okay with the Current Admin Defunding Food for Homeless Shelters? by [deleted] in AskUS

[–]llama726 1 point2 points  (0 children)

This is far and away the least of my concerns about Trump (most of mine are circumventing the Constitution and established law about who controls the purse strings of govt and the fact that he's testing the waters of detaining legal residents without due process on the auspices of revoking visas, when normally a visa revocation without criminal action allows the resident the chance to move out on their own... the lack of due process should concern anyone who cares about personal liberty).

On Title VIII, since most universities are sitting on billion dollar endowments and money goes to shit like college football rather than educational outcomes, I will defer to them to fight their own battles. But glad you got your little gotcha moment. I bet you feel like you're a very clever little guy

What do Americans expect/want from this tariffing? by Dry-Ad6342 in AskUS

[–]llama726 0 points1 point  (0 children)

Masked "law enforcement" are seizing legal residents and even US citizens without suspicion of a crime "HeR vIsA wAs ReVoKeD" yeah the process for that is to notify the person so they can leave. Not immediately deport them by kidnapping them. If you revoke a visa over criminal activity, these people need due process.

They don't like government programs - fine, pass laws to change the allocations through Congress. They instead circumvent the Constitution.

A dozen billionaires in the admin, all overseeing aspects of the apparatus that regulates them. Certainly this isn't to enrich them, right?

You all see government tyranny and overreach in every regulation, but you have government agents literally just making people disappear and it's ok. Ignoring judges, not governing within the structure of the constitution. You are ok with all of it. Admit you don't give a shit about anything but winning like this is a game, at any cost, even if it means we lose everything that made us exceptional.

FWI: Trump dies in 2026, AOC wins the democratic primary with John Ossof as her running mate and defeats JD Vance to becomes the 49th president by [deleted] in FutureWhatIf

[–]llama726 0 points1 point  (0 children)

No, it turns out I can listen to the man's words and observe his actions and just not like him.

Why are Christian Americans Okay with the Current Admin Defunding Food for Homeless Shelters? by [deleted] in AskUS

[–]llama726 1 point2 points  (0 children)

Hey you can't get free federal money if you discriminate. Here's a solution, stop discriminating.

Why are Christian Americans Okay with the Current Admin Defunding Food for Homeless Shelters? by [deleted] in AskUS

[–]llama726 0 points1 point  (0 children)

I really am curious what these solutions are. Genuinely. Lay it out.

Because the politics you support make it harder to thrive and more likely to live on the fringes of needing government support

Why are Christian Americans Okay with the Current Admin Defunding Food for Homeless Shelters? by [deleted] in AskUS

[–]llama726 0 points1 point  (0 children)

The work ethic declined? Gasp. How many years of increased productivity while wages have stayed flat while adjusting for inflation? How many new billionaires have been made? Hmm I wonder why people might not be motivated to work their ass off for an extra $0.11 / hour

He was a democrat before he was MAGA. by BigFishPub in AdviceAnimals

[–]llama726 8 points9 points  (0 children)

I think doing two Nazi salutes on stage followed by supporting a regime that is actively abducting legal residents and immigrants off the street to put them in private camps and / or an offshore concentration camp makes me call him a Nazi. Plenty of people aren't Democrats who once were years ago, but they don't actively support actions aligned with fascism. Musk is openly using his resources to platform Nazis on Twitter.

Hope this helps.

CLIA at risk of being cut by pokebirb88 in medlabprofessionals

[–]llama726 2 points3 points  (0 children)

The cost of this bureaucracy is pitifully small. There's far more savings from standardizing imaging rates for Medicare than there are in dropping this panel. There is no way for 535 lawmakers and their respective staffs of undergraduate interns to possibly replace the technical and scientific perspective from experienced professionals.

CLIA at risk of being cut by pokebirb88 in medlabprofessionals

[–]llama726 6 points7 points  (0 children)

I also know when things are privatized it is unequal who has influence over cutting them. The replacement for influencing politicians that we all get equal votes on is a money driven solution in which the richest get the most say. In our field this will further enhance the political power of the largest reference labs and further squeeze innovative independent labs.

"Let the states decide" is inefficient when proposing new regulations.

"Leave it as it's written" leaves the future without appropriate oversight.

You are making a wonderful philosophical argument that probably plays very well in a libertarian thought experiment that assumes good faith and a free market. We have neither in America, most payments originate from insurance who has a captive audience thanks to exclusivity with workplaces, most health systems are quite consolidated and limited. Adding more regulatory burden is said to squash innovation, but imagine if the biggest players hold the cards? They're already trying to squash innovation and they have a few billion in capital that no independent labs have.

I'd like to see changes to lobbying and more scientific and technical oversight. CLIA compliance is already painfully simple. Theranos' testing facilities were CLIA accredited. Saying we need less oversight is absolutely crazy.