[LabUpdates] Laboratory Formulary Committee Updates: Testing Tiers rules and High Sensitivity Troponin Testing

[Matthew B. Elkins]

[cid:image001.jpg at 01D750B4.B0B11690]

Medicine and laboratory testing are constantly changing. In an attempt to keep us all on the same page, the Laboratory Formulary Committee will be regularly sending out emails with recent updates and guidances. Below are the short versions of relevant changes. Attached are more in-depth resources about the changes.

Testing Tier rules live: Starting June 7th, 2021, inpatient and ED laboratory tests classified as Tier 1 can be ordered in Epic by trainees.  Laboratory tests classified as Tier 2 or 3 will require a second sign by an attending physician, Physician's Assistant, or Nurse Practitioner.  Epic will alert the ordering trainee that a second sign is ordered and the order requiring a second sign are easily identified in the Epic chart.  Please see guidance at Ordering Tier 2/Tier 3 Lab Orders<https://urldefense.com/v3/__https://nam04.safelinks.protection.outlook.com/?url=https*3A*2F*2Fepic.upstate.edu*2Fdocuments*2Fintra*2Fordering_tier_2_tier_3_labs_upstate_system_update_bulletin.pdf&data=04*7C01*7CElkinsM*40upstate.edu*7Cd5d468ce38b7477b015a08d925f470fb*7C5cf50a665e2641dd89f883cf73ffee98*7C0*7C0*7C637582554744415474*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C1000&sdata=NdMZ2kpZx37cqnhgCt1dPsIXykYc8Fy3jzAHKxsG8e4*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJQ!!GobTDDpD7A!dAj_vUKLCE927xN5KEQNnfS-S97_9NFH3GuDh2ciUtbCQdo5KJvIU6nUkg5HPvmMNfy8dtee$ > and Second Signing Tier 2/Tier 3 Lab Orders<https://urldefense.com/v3/__https://nam04.safelinks.protection.outlook.com/?url=https*3A*2F*2Fepic.upstate.edu*2Fdocuments*2Fintra*2Fsecond_sign_tier_2_tier_3_labs_upstate_system_update_bulletin.pdf&data=04*7C01*7CElkinsM*40upstate.edu*7Cd5d468ce38b7477b015a08d925f470fb*7C5cf50a665e2641dd89f883cf73ffee98*7C0*7C0*7C637582554744420450*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C1000&sdata=LbnCXGN*2BkMHpHLOL6uvS9Re0ANKpoVNkiHcXcQzwcXE*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!GobTDDpD7A!dAj_vUKLCE927xN5KEQNnfS-S97_9NFH3GuDh2ciUtbCQdo5KJvIU6nUkg5HPvmMNX9IUJwE$ >.

High Sensitivity Troponin testing: Starting June 10th, the troponin testing performed at Upstate will be transitioned from the current troponin assay to the new 5th generation troponin.  Interpretation of this new testing is different from interpretation of the current troponins.  Please see the attached 8 slide ppt guidance for more information (a single page guidance is also attached for posting, if needed).

For prior guidances, please visit https://urldefense.com/v3/__https://upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges__;!!GobTDDpD7A!dAj_vUKLCE927xN5KEQNnfS-S97_9NFH3GuDh2ciUtbCQdo5KJvIU6nUkg5HPvmMNWosFyQP$ <https://urldefense.com/v3/__https:/upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges__;!!GobTDDpD7A!fMqwKEI3JlieL_eF-Vo4vMVj2PNzfXcL0GsxYMLCbL6cXpbRqzmyQKWIxbV1BBgJ8OlmOsFv$>

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