Project Plan for STAT Laboratory in FSCU Healthcare

This project plan outlines the establishment of a STAT laboratory in FSCU Healthcare, focusing on the satellite laboratory distribution. It includes background information, problem statement, project description, solution description, cost/benefit analysis, implementation timeline, critical assumptions, and risk assessments.

Running head: PROJECT PLAN
Advanced Medical Informatics and Laboratory Management
Name of the Student
Name of the University
Author note

1PROJECT PLAN
Executive Summary
FSCU healthcare is a start-up biomedical organisation, which currently focuses on the
pathological and laboratory tests. FSCU is currently focusing on the satellite laboratory
distribution. The aim of this particular project is to establish a new STAT lab for first time in
a moderately sized pathology service located adjacent to ICU. In this project plan
background, situational and problem statement, project description, solution description,
cost/benefit analysis, implementation timeline, critical assumptions and risk assessments has
been done followed by the conclusion and recommendation.

2PROJECT PLAN
Table of Content
Executive Summary...................................................................................................................1
Background................................................................................................................................3
Problem statement......................................................................................................................4
Project description......................................................................................................................4
Solution description...................................................................................................................5
Cost Benefit analysis..................................................................................................................5
Implementation Timeline...........................................................................................................8
Critical assumptions...................................................................................................................8
Risk assessment..........................................................................................................................9
Conclusion and Recommendation............................................................................................10
References................................................................................................................................12

3PROJECT PLAN
Background
STAT laboratory tests and services are required for managing medical emergencies
through laboratory based pathological assessment. The term TAT stands for Turnaround
Times, that implies the time required to fetch the sample, process the test and generate the
report. In Latin, the term ‘Statam’ means ‘immediately’ and therefore the immediate libratory
testing facility is called Statam Turnaround Time or STAT (1). STAT test are highly
acclaimed clinical laboratory based assessment process in any healthcare industry, which
allows rapid assessment with detailed pathological analysis. Most of the cases, the STAT
laboratories are connected with acute care and critical care department of any healthcare
organisation that could need urgency basis pathological laboratory test at any time. Hence,
another essential factor of STAT laboratory is 24x7 hours service. It is a critical laboratory
test unit that is vital to patient management, requiring adherence to a defined rapid
turnaround time from test ordering to results reporting. Results are reported to a responsible,
licensed care giver.
FSCU healthcare is a start-up biomedical organisation, which currently focuses on the
pathological and laboratory tests. After initial establishment of the institution in 2015, the
strategic positioning of this company has been leading to high reputation and market
competency. Currently after initial deployment of telemedicine facility across the local or
regional zones, FSCU is focusing on the satellite laboratory distribution. The aim of this
company is now to increase the number of satellite laboratory across the nation. Satellite
laboratory is a facility that allows point to point emergency based care without losing
additional money and tome for transpiration and intermediately processing. As discussed
earlier, because of being a start-up company, starting up a new and advance facility like
STAT would cost more than the company can expect. Hence, relaying on the current market

4PROJECT PLAN
reputation FSCU investing their money and workforce very precisely and accurately to
develop STATs as cost efficiency as possible.
Problem statement
Some of the semi urban areas in NSW, especially Western New South Wales,
Western Sidney and other Local Health Districts are facing some issue regarding their patient
pathology and physiological assessment delay (2). This lacking performance is also
increasing the total number of mortality and fatality which could be avoided through rapid
pathology testing services. STAT can provide the exact provision that current this healthcare
regions are seeking. At the same time, NSW annual healthcare facility report (2018), also
shows that very few STAT pathology laboratory centres are available in local health districts
(3). The situation is same for national level as well. On the other hand, FSCU biomedical
company needs a strategic advantage to push their business forward from regional level to
national level, which requires innovative business strategies as well as enough revenue for
further expansion.
Project description
The aim of this project is to create a large number of satellite laboratories across the
nation. The new satellite sections will be close to the intensive care unit of a hospital to
provide a STAT lab. Currently the focus of the STAT lab will be ‘Clinical Biochemistry’
based hospital pathology services. Being closer to the intensive care unit of the hospitals the
satellite laboratories will allow point to point emergency based care without losing additional
money and tome for transpiration and intermediately processing. However, in this particular
project a new STAT lab will be formed for first time in a moderately sized pathology service
located adjacent to ICU. Currently a moderately sized pathology facility is located near the
ICU, hence the constructional work will not be required. Hence, the project needs to consider

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the adequate staffing for the stat lab in Clinical Biochemistry area, infrastructure (equipment)
and kind of service (routine clinical biochemistry).
Solution description
As discussed earlier the current STAT facility will be developed in a moderately sized
pathology service located adjacent to ICU, hence some facility modification could be
required. The following STAT routine clinical biochemistry tests will be done by this new
satellite laboratory:
STAT Tests
Na, K, CI, HCO3 Intraoperative Parathyroid Hormone
BUN, Creatinine Rapid Creatinine, whole blood
ALT, AST, Alk Phos Urinary drug screen
Amylase Acetaminophen
Glucose, protein Digoxin
Iron (overdose only) Routine urinalysis
Calcium, Magnesium Routine Hematology CBC
Blood Gases Coagulation test
Apart from that, the facility will also require adequate human resource such as
Pathologist, Scientists, Clinical Technicians, Cleaners and Clerical officer (4). Throughout
the process the monitoring and controlling will be required with proper communication
process as well as evaluation framework.
Cost Benefit analysis
Cost Benefit analysis is an essential part of any business plan will allows feasibility
and reliability assessment considering the expenditure required to develop and operate the
business and the potential profit or returned revenue from the business. In this project the
potential benefit could be gathered from service price payed by the consumers. It can be

6PROJECT PLAN
estimated that 30 sample test will be required per day. In the following table the potential
revenue per year generated from the consumer’s payment is presented.
Cash from consumers Per day
unit
Per year unit Per unit revenue Yearly revenue
Na, K, CI, HCO3 2 730 $500 $365,000
BUN, Creatinine 2 730 $300 $219,000
ALT, AST, Alk Phos 2 730 $340 $248,200
Amylase 2 730 $200 $146,000
Glucose, protein 2 730 $250 $182,500
Iron (overdose only) 2 730 $400 $292,000
Calcium, Magnesium 2 730 $350 $255,500
Blood Gases 2 730 $550 $401,500
Intraoperative
Parathyroid Hormone
2 730 $450 $328,500
Rapid Creatinine,
whole blood
2 730 $550 $401,500
Urinary drug screen 2 730 $850 $620,500
Acetaminophen 2 730 $350 $255,500
Digoxin 2 730 $450 $328,500
Routine urinalysis 2 730 $550 $401,500
Routine Hematology
CBC
2 730 $750 $547,500
TOTAL 30 10950 $4,993,200
The cost of this new project can be divided into two sections, namely the initial cost
and operational cost. Initial cost will be the required expenditure to develop the STAT facility
for the very first time through installing new equipments. However, operational cost is
continuous, which will be required for every year to operate the business efficiently.
Units Per unit cost Year 1 Year 2
Initial Cost
Major laboratory equipments 6 $50,000 $300,000
Refrigeration system 3 $30,000 $90,000
Reusable small equipments 25 $5,000 $125,000
Facility modification 1 $50,000 $50,000
$565,000
Operational Cost

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Physical asset cost
Fixation & Specimen Transport $11,500 $11,500
Autopsy, Dissection & Grossing $32,500 $32,500
Cassettes & Accessories $12,200 $12,200
Reagents $151,000 $151,000
Paraffin & Embedding $24,000 $24,000
Microtomy $25,600 $25,600
Microscope Slides & Coverslips $34,000 $34,000
Stains $38,000 $38,000
Control Slides $25,000 $25,000
Histology Equipment $42,000 $42,000
Cytology $21,000 $21,000
$416,800 $416,800
Human resource
Pathologist 5 $200,000 $1,000,000 $1,000,000
Scientists 8 $80,000 $640,000 $640,000
Clinical Technicians 4 $60,000 $240,000 $240,000
Cleaners 2 $45,000 $90,000 $90,000
Clerical officer 2 $55,000 $110,000 $110,000
$2,080,000 $2,080,000
Others
Electric bill $1,200 $1,200
Internet System $6,000 $6,000
Telecommunication $8,000 $8,000
Maintenance $36,000 $36,000
Marketing promotion $75,000 $75,000
Taxation $8,200 $8,200
Licensing $12,000 $12,000
$146,400 $146,400
TOTAL EXPENSE $3,208,200 $2,643,200
Revenue $4,993,200 $4,993,200
Benefit $1,785,000 $2,350,000
From the above cost estimation, benefit projection shows a positive numeric at benefit
calculation. Hence, it can be said that the business will be really profitable. However, due to
the initial development cost the benefit of first year will be lower than the second year.

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However, through increasing the number of regular test samples by enhancing the consumer
base, the profit margin can be increased even further.
Implementation Timeline
From planning, establishment to meeting the revenue target this project requires many
times to be completed. The major milestones that should be accomplished by the project to be
successful are Decision making with stakeholders, Developing Implementable business plan,
Forecasting cost estimation and budgeting, Setting up location and facilitation, Marketing and
promotional activities, Meet revenue target.
Activity 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct 1-Nov 1-Dec 1Jun 1Feb
Decision making with
stakeholders
Developing Implementable
business plan
Forecasting cost estimation
and budgeting
Setting up location and
facilitation
Marketing and promotional
activities
Meet revenue target
From the above timeline it can be seen that this project will require at least 9 month to
be successfully completed.
Critical assumptions
Some critical assumptions can be made as per the current estimated status of this new
STAT laboratory. The laboratory initially will be requiring stipulated number of employees.
However, it can be estimated that in next 3 to 5 years with the increasing number of regular
test samples additional number of employees will be required. In marketing and promotion,

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the digital media based promotional strategies will be more effective than other terms of mass
Medias. Along with facilitation, investment and promotion to keep a sustainable performance
level, cultural competency and appropriate leadership will also be required for this project
(5).
Risk assessment
Risk assessment is one of the most essential parts of any business plan that allows the
project to take appropriate measure to face the risk and to minimise the likeliness of the risk
with proper activities. In this project from financial to physical resource, many potential risks
could be identified. The identified risks of this project are presented below with respective
likeliness an impact on business. The severity score was developed by multiplying the
likeliness and impact. The likeliness and impact scores were given out of 5, where 1 mean
very low risk and 5 means very high risk.
Type of risk Risk Likeliness Impact Severity
Financial Risk Cost estimation could be wrong and it
could lead to bankruptcy
2 5 10
Human resource
Risk
Lack of employees could be
experienced due to poor labour
market
3 3 9
Human resource
Risk
Physical, Chemical, Biological and
other kinds of Hazards may occur
3 5 15
Human resource
Risk
Employee dissatisfaction could lead
to poor performance, delay and
turnover
4 2 8
Physical
resource Risk
Natural disaster could occur 1 4 4
Physical
resource Risk
Fire or other man made destruction
could cause huge loss of physical
asset
1 5 5

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Non physical
resource
False or bad marketing could
decrease the market reputation
3 2 6
With the higher score in severity attribute, the priorities of the identified risks have
been made. To minimise the likeliness and impact the following action plans should be also
considered.
Priority Risk Action plan
1st Physical, Chemical, Biological and
other kinds of Hazards may occur
Proper hazard inspection should be made followed
by proper hazard mitigation arrangements and
trainings
2nd Cost estimation could be wrong
and it could lead to bankruptcy
Fund rising should be more strong with additional
back up monitory support
3rd Lack of employees could be
experienced due to poor labour
market
Proper relationship with labour market should be
built
4th Employee dissatisfaction could
lead to poor performance, delay
and turnover
Proper communication, transactional leadership and
cooperative environment should be made where the
employee’s opinion will also have a priority
5th False or bad marketing could
decrease the market reputation
Proper CSR activity and regular monitoring on
digital media will be required
6th Fire or other man made destruction
could cause huge loss of physical
asset
Proper insurance policy should be followed with
physical facilitation to avoid risk
Conclusion and Recommendation
From the above project plan it can be said that FSCU healthcare is a start-up
biomedical organisation, which currently focuses on the satellite laboratory distribution.
FSCU biomedical company needs a strategic advantage to push their business forward from
regional level to national level. Currently the focus of the STAT lab will be ‘Clinical
Biochemistry’ based hospital pathology services. The facility will also require adequate

11PROJECT PLAN
human resource such as Pathologist, Scientists, Clinical Technicians, Cleaners and Clerical
officer. Form the cost benefit analysis it can be said that the business will be really profitable.
It has been also found that in marketing and promotion, the digital media based promotional
strategies will be more effective than other terms of mass Medias. Along with facilitation,
investment and promotion to keep a sustainable performance level, cultural competency and
appropriate leadership will also be required for this project.

12PROJECT PLAN
References
1. Dolci A, Giavarina D, Pasqualetti S, Szőke D, Panteghini M. Total laboratory automation:
do stat tests still matter?. Clinical biochemistry. 2017 Jul 1;50(10-11):605-11.
3. health.nsw.gov.au. NSW Services and Facilities [Internet]. www.health.nsw.gov.au. 2018
[cited 25 May 2019]. Available from:
https://www.health.nsw.gov.au/publications/Publications/Annual-Report-2017-18/17-
Services-and-Facilities.pdf
2. Lidbury BA, Koerbin G, Richardson AM, Badrick T. Integration of ISO 15189 and
external quality assurance data to assist the detection of poor laboratory performance in
NSW, Australia. Journal of Laboratory and Precision Medicine. 2017 Dec 22;2(12).
4. Alpdemir M, Alpdemir MF, Temiz AR. Research Article Evaluation of biochemistry
laboratory quality indicators according to the national Laboratory Error Classification
System. Int J Med Biochem. 2018;1(2):65-71.
5. Kerzner H, Kerzner HR. Project management: a systems approach to planning, scheduling,
and controlling. John Wiley & Sons; 2017 Apr 3.