Public Health Laboratories and Health System Change . Telephone Protocol for Public Health Laboratory Interviews

10/06/1997

For State Officials:

How many public health labs does your state operate?

What is the public health infrastructure with respect to public health labs (e.g., personnel, expenditures, other resources)?

What (if any) contractual arrangements exist between public health labs and MCOs, and to what degree do the functions of MCOs and public health laboratories overlap?

What effect is managed care having on disease reporting (e.g., effects on compliance, timeliness, and accuracy of reporting)?

To what extent is managed care having a disease-specific effect on disease reporting?

How has managed care's presence in the area of laboratory services changed or affected the practices and/or functions of public health laboratories?

How is information shared between the public health labs and MCOs (e.g., information systems)?

Have evolving relationships between MCOs and public health laboratories contributed to the development and utilization of laboratory information systems (LIS), and have these efforts resulted in cost savings?

For Federal And Private Sector Contacts:

What services do public health laboratories and MCOs provide to each other, what (if any) contractual arrangements exist between these organizations, and to what degree do the functions of MCOs and public health laboratories overlap?

Do MCOs generally conduct some of these lab functions in house, or contract with other private labs for most diseases? For exotic diseases, what are the contractual stipulations between MCOs and PHLs?

What effect is managed care having on disease reporting (e.g., effects on compliance, timeliness, and accuracy of reporting) as MCOs subsume some public health functions?

How has managed care's presence in the area of laboratory services changed or affected the practices and/or functions of public health laboratories?

Do they have any data on changes in national PHL lab capacity or budgets before and after introduction to managed care?

Have evolving relationships between MCOs and public health laboratories contributed to the development and utilization of laboratory information systems (LIS), and have these efforts resulted in any cost savings?

How many states have LIS systems in place? Are they centralized in some form?

Are there any public-private partnerships in LIS development? Who funds what portion? Impact?

Which states would be good candidates for case studies of managed care penetration and public health laboratory capacity? Why?

Should we also look to target diseases for specific states/regions?

Are there related topics you have observed in the marketplace with respect to emerging or existing relationships between MCOs and public health that you think would be particularly important for us to explore?

Is there any literature or organizational contacts which you feel would be timely or helpful to the project team?

specific gray literature that might inform us of trends

contacts within managed care organizations for specific states

any "partnerships" which may serve as models for how these organizations can work together

identify areas of potential "partnerships," and what each of the partners could bring to the table

identify barriers to collaboration