Operational Examples

Lab Project Examples

The following is a representative example of the type consulting engagements completed by Nexus over the last three years.  Due to confidentiality and non-disclosure requirements, client details and project specifics are not provided.  However, client references can be provided as requested.   

Regional Reference Laboratory

  • Client Description:  Reference facility with three separate operational divisions covering a five state area providing services to skilled nursing facilities, physician offices, hospitals, clinics, outpatient/same day services, and corporations.
  • Project Specifics:  Nexus conducted a comprehensive strategic and tactical analysis of entire operation, developed project plan, provided implementation guidance, and on-going consulting support.  Operation realized an EBITDA improvement of almost 15%.  The following areas / elements were included in the project:
  • Project Scope:  Assist client to increase efficiency and profitability (15% EBITDA) across all divisions by incorporating Lean and “Smart Design” principles into its laboratory operations. 

-   Sample Transport / Courier Network

-   Client Services / Call Center

-   Specimen Processing / Pre-Analytical

-   Lab Practices

-   Bar Coding Technology

-   Laboratory Automation

-   Supply Management

-   Organizational Structure / Communication 

National Reference Laboratory – Transfusion Medicine

  • Client Description:  National Donor Testing Services (DTS) operation with multiple laboratory locations.  Blood specimens transported via airline to regional hub operations where they are processed utilizing state of the art technology with FDA licensed test kits and reagents.
  • Project Specifics:  Nexus conducted in-depth analysis of current automated testing platforms and provided comprehensive recommendations regarding quantity, SOPs, physical configuration, and staffing models designed to maximize operational efficiency.
  • Project Scope:  Assist client to “Right Size” testing automation, develop Best Practices and Standard Operation Procedures (SOPs) and design enhanced laboratory layout utilizing Lean principles. 

International Testing Laboratory – Clinical Trials

  • Client Description:  One of the largest and most comprehensive international drug development services companies with annual revenues greater than $1.7 billion, global operations in more than 25 countries, and more than 9,800 employees worldwide.  Offering drug development solutions from preclinical through commercialization.
  • Project Scope:  Lead the client’s Business Redesign Team with the implementation of a new Enterprise Resource Planning (ERP) System.  Client used the introduction of new ERP System as driver for the redesign of clinical trial management and lab operations.  Primary goal for the project was to increase productivity, efficiency, capacity, and accuracy
  • Project Specifics:  Nexus provided Lean training and led an international Business Redesign team in the acquisition of operational data and the development of current state maps across the entire organization.  Data was gathered at international locations via direct observations and targeted interviews of client staff conducted by Nexus.  Future State Maps were then developed based upon operational realities, customer service needs, and ERP system requirements.  Nexus and client teams then established an implementation and rollout plan of the new business model based on the projected future state.

Major Metropolitan Hospital – Diagnostic Laboratory

  • Client Description:  Major West Coast hospital with new diagnostic lab.  Earthquake damage required both the clinical lab and transfusion medicine lab to occupy new lab space. 
  • Project Scope:  Complete workflow analysis of transfusion medicine lab and recommend new floor plan to emphasize safety and throughput.  Provide recommendation on feasibility of establishing new reference lab.
  • Project Specifics:  Nexus completed a re-design of transfusion medicine lab and a re-organization of clinical lab which facilitated improved workflow.  Nexus provided data supporting the establishment of an off-site reference lab and the changeover of the existing lab to a rapid response facility.