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CHI Health Laboratory Notifications


Change in Reflex Urine Culture Criteria Urinalysis (UA) with Culture
September 1, 2015

  • Change refers to orders for urinalysis (UA) with culture, if indicated.
  • Sole UA criterium for performing a reflex urine culture is now dipstick leukocyte esterase positive (greater than trace) with greater than 10 WBC/high power field on microscopic exam.
  • All other criteria (odor, bacteriuria, etc.) are discontinued.
  • Rationale is to reduce unnecessary urine cultures with concomitant reduction in the inappropriate treatment of asymptomatic bacteriuria
  • Urinalysis and urine culture may still be ordered separately


  • New eGFR Equation and Reference Range
    July 21, 2015


    On July 21, 2015 the CHI Health Laboratory switched to an IDM-traceable Creatinine assay as announced in the July Lab Update. This prompted some confusion with the new estimated GFR (eGFR) equation and reference range.  Below explains why patients previously reported as > 60 ml/min and normal, will now flag as low unless > 90 ml/min.

    Read more...


    New Test Methodology: Creatinine
    July 21, 2015


    CHI Health Omaha labs including Schuyler, Missouri Valley and Corning will be switching to an IDM-traceable Creatinine assay. GFR’s will be calculated using the 2009 CKD-EPI equation and GFR’s will be reported to 90 mL/min/1.73 m2 New GFR equation GFR = 141 × min (creat /k, 1)a × max(creat /k, 1)-1.209 × 0.993Age × 1.018 [if female] ×1.159 [if black]
    k=0.7 if female
    k= 0.9 if male
    a= -0.329 if female
    a= -0.411 if male

    CPT Code: 82565
    Methodology: Enzymatic
    Reference Range: Female: 0.5 – 1.1 mg/dl Male: 0.6-1.3 mg/dl
    Specimen Type: One 5 mL serum separator tube (gold) or one 3 mL plasma separator tube-light green (Min: 1.0 mL whole blood)
    Container Type: Serum separator tube-gold or PST-green
    Stability: Room Temp: 8 hours; Refrig 7 days; Frozen (-20 °C) for 6 months months
    Test Schedule: Saturday -Sunday
    Turnaround Time: Same Day
    Start Date: July 21, 2015
    EPIC ORDERABLE: Creatinine, Serum
    Fee Change: No Change
    Special Handling: No Change

    Now Performed at CHI Health F Street Lab: Homocysteine
    July 7, 2015

    Homocysteine will be performed at CHI Health Lab.

    CPT Code: 83090
    Methodology: Nephlometric
    Reference Range: 3.2 – 10.7 µmol/L
    Specimen Type: Serum or Plasma immediately placed in an ice bath
    Container Type: SST/PST
    Stability: Refrigerated: 7 day Frozen: 3 months
    Test Schedule: Sunday-Saturday
    Turnaround Time: Same Day
    Start Date: Tuesday, July 7, 2015
    EPIC ORDERABLE: Homocysteine, Serum
    Fee Change: No Change

    Specimen Handling: To minimize synthesis of homocysteine in erythrocytes after drawing, prepare the patient samples as follows:

    1. Store blood samples (serum and plasma) on ice immediately following venipuncture.
    2. Do not store blood samples at room temperature prior to centrifugation.
    3. Centrifuge within one hour to separate the serum or plasma from the blood cells.

    Now Performed at CHI Health F Street Lab: Hepatitis B Core Total Antibodies
    July 7, 2015


    Hepatitis B Core Total Antibodies will be performed at CHI Health Lab.

    CPT Code: 86704
    Methodology: Chemiluminescent
    Reference Range: Non-reactive
    Specimen Type: 1 mL serum or plasma at 2-8 C. (Min: 0.5 mL)
    Container Type: One 5 mL serum separator tube-gold or one 3 mL plasma separator tube-light green (Min: 1.0 mL whole blood)
    Stability: Rm Temp 12 hours; Refrig 3 days; Frozen (-20 °C) 6 month
    Test Schedule: Sunday-Saturday
    Turnaround Time: Same Day
    Start Date: Tuesday, July 7, 2015
    EPIC ORDERABLE: Hepatitis B Core Antibody, Total
    Fee Change: No Change

    Remarks: Testing on patients <10 years old is performed at a separate reference laboratory so please allow an additional 24-48 hours for results.


    Specimen Requirement Change: Clozapine
    July 1, 2015


    The specimen container for Clozapine will change from the current lavender top-tube (EDTA) to a red top-tube.

    Test Lab: PAML (No Change)
    CPT Code: 80342
    Specimen Type: new Red-Top Tube (previous Lavender)
    Turnaround Time: new 1-3 days (previous1-4 days)
    Preferred Volume: 0.5 ml (previous 1.0 ml)
    Effective Date: July 1
    EPIC ORDERABLE: Clozapine


    Reference Range Change: Cortisol
    June 15, 2015

    A new antibody pool for Cortisol started to be used that changed the lower end of the reference range for both the AM and PM testing.

    CPT Code: 82533
    Methodology: Chemiluminescent
    Reference Range: Specimens drawn outside the listed times do not have a reference range. Drawn between 0700 - 0900: 5.3 - 22.4 ug/dl Drawn between 1500 - 1700: 3.4 - 16.7 ug/dl
    Specimen Type: Serum
    Container Type: Serum Separator tube (gold)
    Stability: Rm Temp 8 hours; Refrig: 2 days; Frozen: (-20°C) 6 months
    Test Schedule: Sunday-Saturday
    Turnaround Time: Same Day
    Start Date: Monday, June 15, 2015
    EPIC ORDERABLE: Cortisol, Random Cortisol, AM Cortisol, PM
    Fee Change: No Change

    Specimen Handling: Allow serum tube to clot completely at room temperature. Centrifuge within 2 hours of collection to separate serum from cells. Suggested collection time for Cortisol 7AM-9AM if drawn during this time order as Cortisol AM and 3PM-5PM if drawn at this time order Cortisol PM.


    MICROBIOLOGY: BioFire Blood Culture “No Organism Detected” Results
    June 1, 2015


    The BioFire Blood Culture Identification system (BCID) is capable of detecting 24 microorganism targets, and 3 antibiotic resistance genes from a positive blood culture. Although these 24 microorganisms are the most commonly isolated pathogens from positive blood cultures, there are many organisms that may be present that cannot be detected by BioFire. Thus a result of “no organism detected” indicates a microorganism, not on the BCID target list, is growing in the blood culture. The identity of other microorganisms will be revealed by the conventional culture.

    Read more...



     

    Contact List

    Mailing Address

    CHI Health Laboratory
    4955 F Street
    Omaha, NE 68117

    Customer Service/Lab Results

    Phone: (402) 717-5227 Press Option 1
    Fax: (402) 717-5252

    Courier Service

    Phone: (402) 717-5227, Press Option 2

    Lab Supplies

    Phone: (402) 717-5227, Press Option 3
    Fax: (402) 717-5262

    Billing Services

    Phone: (402) 717-5227, Press Option 4
    Fax: (402) 717-5262

    Information Services

    Phone: (402) 717-2547
    Fax: (402) 717-5262

    Customer Representatives

    Connie Peppard
    Office: 402-717-2814
    Fax: 402-717-2839
    Cell: 402-690-1388

    Karynn Kucera
    Office: 402-717-5214
    Fax: 402-717-2839
    Cell: 402-516-5532

    Diana Rogers
    Cell: 402-206-1884
    Fax: 402-717-2839

    Denise Durski
    Office: 402-717-5215
    Fax: 402-717-2839
    Cell: 402-306-6454

    Denise York
    Office: 402-717-2823
    Fax: 402-717-5252
    Cell: 402-350-7148

     

    Patient Instructions

    CHI Health Laboratory provides routine adult and pediatric specimen collections for diagnostic testing and screening. In addition to routine blood collection, you may drop off other types of specimens, stool, urine and semen specimens for analysis.

    Our skilled staff works diligently to provide each patient with prompt and professional service. We strive to make your experience at the lab as stress-free as possible with conveniently located facilities and hours of operation that accommodate your busy schedule. Our staff is committed to providing a professional environment for each patient during the specimen collection process. If you have any questions, please call our Customer Service Department at 402-717-5227 and we will be happy to assist you.

    Where can I have my blood drawn or drop off a specimen?

    CHI Health Laboratory offers primary and secondary patient service centers at many convenient metro Omaha and regional locations for specimen collection or drop off.

    Patient Service Centers

    We offer three Primary Patient Service Centers for your convenience. If you visit one of these centers, you will receive reference laboratory pricing.

    Secondary Service Centers

    As an alternative, you may visit one of the Secondary Service Centers located at hospital diagnostic centers to have your lab work drawn, or to drop off a specimen. Please bring with you a laboratory requisition. Click here for examples of laboratory requisitions accepted at the Primary and Secondary Service centers. 

    What items do I need to take to the CHI Health Patient Service Center specimen collection lab?

    You should bring with you the following information:
    • A laboratory requisition provided to you by your health care professional requesting laboratory testing. Click here to see examples of requisitions that can be submitted to the reference laboratory.
    • A current insurance card (Medicare, Private Insurance or HMO/PPO)
    • A photo ID (for example, a driver's license or state issued identification card) Minors must be accompanied by their parent or legal guardian.

      If you are bringing a minor to a specimen collection lab and you are not that minor’s legal guardian, you may need to bring a notarized statement signed by a parent or legal guardian authorizing you to give permission for the collection and billing of the tests ordered by the minor's doctor.

    Are appointments required?

    Appointments are not required. Walk-ins are welcome. However, our locations are generally busiest from opening until 10:00 AM. If fasting is not required for your test, you may wish to come during off- peak hours.

    What should I expect when I have a lab test?

    Your role in the performance of a lab test is to provide a specimen that will be analyzed in a laboratory. The specimen you provide might be blood or urine or stool. You can be assured that Alegent staff will make the specimen collection process as safe, quick, and comfortable as possible while safeguarding your dignity and privacy. When visiting your physician, ask what test is being performed, why the test needs to be done, what you can expect the procedure to be like, when you can expect to hear about your test results, and how the test results will affect the course of your care.

    Do I need to do anything special to prepare for a lab test?

    Sometimes special preparation is required to improve the accuracy of a test. This may involve fasting (not eating any or certain foods) for several hours or even overnight, drinking more or less water than usual, or avoiding certain medications or vitamin and herbal supplements before the test. If you are delivering a specimen to the lab, there might be special instructions for transporting the specimen. Your physician should provide you with written instructions for preparing for your test. Follow those instructions exactly as they are written. If you are not certain if special preparation is required, or if you have questions about the instructions you were given, contact your physician’s office. If you did not follow the test preparation instructions you received from your physician, let the staff at the specimen collection lab know about this before your specimen is collected.

    Requesting Lab Results

    Patients may access their laboratory results by completing a medical records Release of Information form. Forms can be mailed to the address below or faxed to 402-398-6016:

    Bergan Mercy Medical Center
    Attention: Release of Information
    7500 Mercy Road
    Omaha, NE 68124

    If you have questions, or would like to receive a release of information form by mail, please call 402-717-5227. Note: You can expect to receive results within 30 days of our receipt of the form.

    Patient Instructions

    These patient instructions will guide you through the collection process.

    What is Fasting?
    Urine Collection - male
    Urine collection - female
    24-Hour Urine Collection
    Patient Instructions for Stool Collection
    Semen Analysis Collection - Fertility
    Semen Analysis Collection - Post-vasectomy

    Instrucciones Para el Paciente

    Traducir al español Estas instrucciones para el paciente que le guiará en el proceso de recolección.

    ¿Qué Significa Estar En Ayunas Y Debo Yo Ayunar?
    Recolección De Orina/Hombres
    Recolección De Orina/Mujer
    Instrucciones Para La Recolección De Orina De 24 Horas
    Instrucciones Para El/La Paciente Para La Recolección De Heces
    Análisis Semen - fertilidad - Español
    Análisis Semen - después de vasectomía - Español

    CHI Health Laboratory

    CHI Health Laboratory unites reference and hospital laboratories. This unique combination of management experience allows us to better understand and assist our clients in their delivery of patient care.

    CHI Health Laboratory's 250-member staff is comprised of highly trained medical directors, clinical laboratory scientists, technicians and support staff.

    We strive to be a leader in providing integrated high quality clinical laboratory and anatomical pathology testing services in state-of-the-art facilities that are backed by extensive quality assurance programs. Our information system shares data across the CHI Health system, providing continuity of patient care by delivering accurate laboratory information to the right place and person at the right time.

    CHI Health Laboratory maintains a current CLIA number through the United States Health and Human Services Centers Medicare & Medicaid Services (CMS). 

    CHI Health Laboratory is accredited by The College of American Pathologists and is HIPAA compliant. We also participate in extensive quality assurance programs.

    Certifications