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Advent of Diagnostic
Laboratories and The Future
of Pharmacy
By
Philip (Scott) Wright
Intern
Diagnostic Industry
Diagnostics account for 4% of Health Care
Spending over 70% of all medial decisions
In the year 2000, 30 Billion was spent on
diagnostics, and an estimated 3% growth per
year
Testing is Primarily Clinical Laboratory
Testing, Esoteric testing, Molecular
Diagnostics, Anatomical Pathology and Drug
Testing
SIGNIFICANT HEALTH CARE
U.S. Health Care Spending -1998
100%= $1.1 Trillion
Other
Government
private health
insurance and
administration
4
5%
5
11
Healthcare/Nursing
Homes
11
30
Hospital Care
Rx Drugs and
Med. Supply.
34
MD services
POC
Improve convenience, accuracy, and patient compliance by for
health care providers
Products and Services that Empower People to Manage their Health
Opportunities in
Diabetes, HF, Dyslipidemia
 Diabetes

U.S. Market
• 15 million persons afflicted with diabetes
• Equipment (monitors and supplies) $1 billion
• Direct Medical Costs $42 billion
• Indirect medical costs $85 billion

International Market
• 135 million diabetics worldwide in 2000
• 225 million diabetics by 2025
New Health Care
Internet companies
35200
175
150
125
100
75
50
25
0
1995 1996 1997 1998 1999 2000
Heart Failure
5 million people in the US
450,000 new cases diagnosed annually
Leading cause of hospitalization of patients over 65
Worldwide market estimate: $2 billion
Laboratories comprise of Independent Clinical
Laboratories, Hospital Affiliated Laboratories,
Physician Hospital Laboratories
Disease Management System
Clinicians
MD, DO
Pharm. D.
Device
Patient
Hospital
Laboratory
www
Medical POC Triad
CLIA 88
Patient Disease Drugs and POC
Disease
Patient
POC
Drug
Pharmacist
QuestDirect
National Hematological and Urinary Diagnostic
QuestDirect™ is a service of Quest Diagnostics
• Over 250,000 physicians and more than two-thirds of U.S. hospitals
perform laboratory analyses for their patients
• An employer of 27,000 people nationwide, perform 80 million people
tests
• Testing an average of 400,000 specimens each a day
• Quest Diagnostics performs approximately 10 million tests each year.
• Net Revenue of 3.4 Billion
• 30 Major Laboratories and 150 Rapid response Laboratories 1,300
Patient Service Centers
QuestDirect
General Wellness
Women's Health Profile
Women's Health Profile Plus ORT
(Osteoporosis Risk Test)
Men's Health Profile
Men's Health Profile Plus PSA
(Prostate Specific Antigen)
CBC (Complete Blood Count)
Urinalysis
Specific Conditions
Allergy Panels
Anemia Screening Panel
Diabetes Monitoring Panel
Diabetes Screen
Gout Screening and Monitoring
Heart Risk Panel
Liver Health Panel
Osteoporosis Risk Test (ORT)
QuestDirect Cont.
Infections
STD Screen
Hepatitis C Screen
Hepatitis C (Home Testing Kit)
HIV (Home Testing Kit)
Blood Type
Drug Screen
Homocysteine
Pregnancy Test (blood)
THC Screen
THC Quantitative
PSYCHEMEDICS
The total annual market in the United States drug testing estimated at $800 - $900
million dollars
Normally, two or three days for urine 90 days with hair
Drugs abuse historic pattern of individual drug use
Ecstasy TST introduced
Pharmacia Diagnostics
Markets complete blood test systems to support the clinical diagnosis and monitoring
of allergy, asthma and autoimmune diseases
Supplying seven out of ten allergy laboratory tests worldwide
Over 3000 laboratories in 60 countries
Roche
CoaguChek, CoaguChek Pro and CoaguChek Pro DM
•are portable, battery-powered, measurement of the coagulation
status
CoaguChek (PT, anticoagulant therapy (oral)
CoaguChek Pro and CoaguChek PT,
•APTT activated partial thromboplastin time for heparin therapy
•ACT activated clotting time (high heparin dosage).
In 3 minutes
Roche
Blood gas, electrolyte, glucose and lactate STAT analyzer
Roche OMNI C
AVL OMNI
AVL COMPACT
AVL 9180
AVL 988
Roche
CARDIAC Reader System
Myoglobin, Troponin.
The TROPT sensitive test detects myocardial damage
•Inconjunction with analysis of prothrombin time (PT) as does the
CoaguCheck Pro/DM, which also measures activated partial
thromboplastin time (APTT)
Roche
Reflotron®
• 17 clinical parameters for a very wide range of indications.
• 2-3 minutes per parameter that the patient can wait for the result.
Therapeutic treatment without delay statistical calculation of
myocardial infarction risk
• integral LDL-cholesterol determination (completes lipid status)
Medical POC Triad
Patients
CLIA 88
Quest
Women's Health Profile
QuesTest™ Price $115.00
Results can provide information on or
about your
• Blood health
• Cardiovascular health
• Immune system
• Iron metabolism
• Kidney function
• Liver function
• Purine metabolism
• Sugar metabolism
• Thyroid function
• Homeostasis
Women's Health Profile Plus ORT (Osteoporosis Risk Test)
QuesTest™ Price $150.00
Results can provide information on or
about your
• Blood health
• Bone density
• Cardiovascular health
• Immune system
• Iron metabolism
• Kidney function
• Liver function
• Purine metabolism
• Sugar metabolism