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Management & Finance
 Fiscal Year 2006 Proposed Budget

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SECTION G -- HUMAN SERVICES
PUBLIC HEALTH SERVICES

LABORATORY

PROGRAM MISSION: To prevent the spread of disease and minimize adverse health outcomes by providing accurate, timely and cost-effective laboratory services.

Laboratory
FY 2004 FY 2005 FY 2006 % Change:
Actual Adopted Proposed '05 to '06
Personnel $504,248 $507,583 $513,452 1%
Non-Personnel 73,165 72,470 77,470 7%
Total Expenditures 577,413 580,053 590,922 2%
State Share 130,789 224,025 233,738 4%
Net Tax Support $446,624 $356,028 $357,184 -
Authorized FTEs 8.2 8.2 8.2
Funded FTEs 8.2 8.2 8.2

SIGNIFICANT BUDGET HIGHLIGHTS:

  • Non-Personnel increased ($5,000) to reflect rising costs of Laboratory testing supplies.
  • State Share increased ($9,713) to reflect additional Virginia Department of Health Cooperative funds expected in FY 2006.

PERFORMANCE MEASURES:

FY 2002
Actual
FY 2003
Actual
FY 2004
Actual
FY 2005
Estimate
FY 2006
Estimate
FY 2006
Goal
Mission Outcome Measures
Average turn-around-time (TAT) for time sensitive tests in-house <10 Minutes <10 Minutes <10 Minutes <10 Minutes <10 Minutes <10 Minutes
Average TAT for time sensitive tests at contract laboratory 24 Hours 24 Hours 24 Hours 24 Hours 24 Hours 24 Hours
Average score for main lab proficiency testing of four specialty areas (industry benchmark is 80%) 100% 100% 98.5% 98% 98% 98%
Average score for Stambaugh Building lab proficiency testing of two specialty areas (industry benchmark is 80%) 100% 100% 100% 98% 98% 98%
In compliance with Clinical Laboratory Improvement Amendments (CLIA) regulations Yes Yes Yes Yes Yes Yes
Customer Measures
Percent from Communicable Disease Bureau satisfied with laboratory services (Annual Survey) N/A N/A N/A 80% 80% 90%
Percent of customers from Family Health Services Bureau satisfied with laboratory services (Annual Survey) N/A N/A N/A 80% 80% 90%
Percent of customers from Occupational Health satisfied with laboratory services (Annual Survey) N/A N/A N/A 80% 80% 90%
Workload Measures
Total test units 79,574 80,460 79,879 74,000 74,000 74,000
Communicable disease result test units 20,202 20,123 18,110 15,000 15,000 15,000
Clinical (non-communicable disease) result test units 24,487 24,874 24,588 25,000 25,000 25,000
Support test units 34,885 35,463 37,181 34,000 34,000 34,000
Efficiency Measures
Average cost per test in-house $4.10 $4.51 $4.76 $4.70 $4.70 N/A
Average cost per same test at contract lab $6.39 $5.85 $6.66 $6.59 $6.59 N/A
  • Lab services are provided in the main lab at the Edison complex (next to Virginia Hospital Center – Arlington), and at a satellite lab at the Warren G. Stambaugh Human Services Center in Clarendon.
  • The laboratory workload measure is the test unit. A test unit is a completed unit of service; it may take numerous Quality Assurance procedures, Quality Control tests and interim examinations or tests to arrive at the final reportable result. This completed report is a result test unit. While test units are primarily completed test results, they also include support units (phlebotomy, specimen dispatch and infectious waste decontamination). All test units are chargeable services in the private sector. Test units decline in FY 2005 due to changes in communicable tests ordered by the Family Planning Clinic.
  • The laboratory efficiency measure is the turn-around-time (TAT) for a test. This is the time required from specimen collection until a final result is reported to the clinic.
  • The average cost per test fluctuates year to year based on the number of tests performed and the cost of the supplies, reagents, and personnel required to perform the tests.
  • The cost per test at the contract laboratory fluctuates due to statewide pricing and volumes of tests. Cost per test is based on total test volumes.
  • Customer survey results will be available beginning FY 2005.