Below describes some of the specialized services MuirLab offers:
Dr. Christine Cesca
With the diagnostic skills she developed from her specialized training in dermatopathology, Dr. Cesca offers a range of diagnostic expertise that includes a variety of inflammatory and neoplastic skin conditions. In addition, her training at Stanford included a particular emphasis on lymphoproliferative disorders, especially mycosis fungoides, of which she saw numerous cases. Dr. Cesca regularly rotated through dermatology clinics during her training, including many specialty clinics at Stanford, and participated in weekly clinical grand rounds on difficult dermatology cases. In light of such, Dr. Cesca has the ability to make clinicopathologic correlations that are often critical for accurate histologic diagnosis. On a daily basis, she makes special efforts to correlate histologic findings with the clinical history, and attempts to maximize the information from each biopsy. Lastly, for those particularly difficult cases, Dr. Cesca seeks expert consultation and enjoys the academic connection and dialogue this provides.
Dr. Christine Cesca grew up in northern Virginia and went to the College of William and Mary 1991-1995, followed by Medical School at the Medical College of Virginia, in Richmond, from 1995-1999. She completed her base Anatomic and Clinical Pathology training at the Medical College of Virginia from 1999-2003, and then moved to California, where she finished a surgical pathology fellowship at Stanford 2003-2004, and a dermatopathology fellowship 2005-2006, also at Stanford. In between fellowships she served as a clinical instructor in the surgical pathology department. She is currently Board Certified in Dermatopathology as well as Anatomic and Clinical Pathology.
Horizon Lab Web Outreach
Horizon Lab Web Outreach (HLWO) is an internet enabled program that allows physician offices to register patients, order tests, transport specimens, check the status of an order, review results, and trend or graph those results.
HLWO uses the Horizon Lab tables. The User Table, Test Table, Specimen Table, and ICD9 Table are examples of the Horizon Lab tables that are used by HLWO. By using the same tables, we avoid the need to maintain separate HLWO tables. HLWO also uses the Master Patient Index (MPI) that resides in HLab and STAR.
HLWO allows the user to place future orders up to 90 days in advance. This is of value for patients who will be having annual physicals for which they need to have lab tests performed just in advance of the physical.
HLWO also provides a way for the user to "police" whether they have provided an acceptable diagnosis (ICD9 code) for the tests that they have ordered on a Medicare patient. It also provides the user a way to print an Advanced Beneficiary Notice (ABN) if there is no acceptable ICD9 code for a test ordered on a Medicare patient.
HLWO helps decrease the number of incorrectly ordered tests. The physician office staff actually orders the tests so there will be a decrease in the number of transcription errors.
HLWO allows the clinician to trend and graph repetitive laboratory results. This would be of value in monitoring glucose and Hgb A1C results on diabetic patients, or tumor marker results on chemotherapy patients, or protime results on patients on coumadin, etc.
If you have questions or need more information, please contact our client services department by calling (925) 692-5600 or (800) 677-4525 (toll-free) or contacting us online.