The Centers for Disease Control and Prevention and the Association of Public Health Laboratories co-sponsor the Laboratory Efficiencies Initiative (LEI), which is working to ensure a sustainable public health laboratory system. The group considers interstate test service sharing to be one of the most promising strategies for improving efficiency at public health laboratories. To assist laboratory directors and their colleagues who are considering sharing test services with each other, LEI recently published the Policy Guide for Public Health Laboratory Test Service Sharing. The guide is based on the actual experiences of 17 public health laboratory directors. It presents practical information to address common issues in sharing agreements, like liability concerns and exchange of funds.
Available online (pdf): http://www.aphl.org/AboutAPHL/publications/Documents/LEI-Policy-Guide_April2014.pdf
It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.
- Background / History: The guide discusses that most labs have experience in doing testing for each other so sharing is not a novel concept.
- Fiscal and Service Issues: The guide discusses payment for laboratory services in sharing agreements.
- Governance: The guide discusses the specific 1) Authority to participate in test service sharing, 2) Payment for services, 3) Risk management, 4) Privacy, 5) Certification, 6) Specimen usage, and 7) Disease reporting regulations for several states.
- Legal Issues: The guide discusses two legal concerns identified as the most problematic for development of formal test service sharing agreements — liability and exchange of funds.
- Preparedness / Emergency Response: The guide discusses shared lab testing for emergency response.
- Research and Evaluation: The guide discusses the research process used for developing this guide and recommendations.
This resource contains tools that are linked to the Roadmap. Select a link below to read more about each area.
- Tool 1: Checklist for Assessment of Test Service Sharing Laws and Legal Considerations (page 43). This tool pertains to the following Roadmap phases:
- Tool 2: Self-Assessment of Laws and Policies Pertinent to Interstate Test Service Sharing (page 45). This tool pertains to the following Roadmap phases:
- Tool 3: Selected Test Service Sharing Agreements (i.e., copies of memoranda of understanding and contracts) (page 47). This tool pertains to the following Roadmap phase:
- Tool 4: Selected Provisions of Service Sharing Agreements (i.e., Express Authority for Test Service Sharing; Authority for General Emergency Mutual Aid; Joint Powers Agreements; Payment for Shared Test Services; Risk Management; Privacy Protection; Certification and Licensure; Specimen Management and Use; and Disease Reporting) (page 49). This tool pertains to the following Roadmap phases: