Powering Advantaged Workflows at Adventist Health

When the laboratory team at Adventist Health and Rideout, a 221-bed level 3 trauma center located north of Sacramento, faced workflow inefficiencies, staffing issues, and space constraints, they turned to Beckman Coulter. Their CAP-accredited laboratory is responsible for 90% of the facility’s blood draws and performs over 4.4 million billable tests annually, with 120,000 tests dedicated solely to CBCs with differentials.¹ The team needed the right equipment to help support efficiency and standardization—and the right workflows to help them take their performance to the next level.

Adventist Health chose the DxH 900 Hematology Analyzer and Scopio Digital Cell Morphology X100 HT System from Beckman Coulter, and in the process, they learned the power of Advantaged Workflows—a unique combination of products, services, and expertise that accelerates more precise clinical decision-making.

The Challenges

Before implementing new solutions, the Adventist Health team faced challenges typical of many clinical laboratories:

• Manual workflow inefficiencies: Increasing CBC volumes and labor-intensive manual processes involving multi-step smear reviews resulted in time delays, limited opportunities for collaboration, and did not support varying staff skill levels

   

• Staffing issues: The laboratory worked to increase productivity and output with its 120 staff members, including 32 medical laboratory scientists and technicians, while navigating a competitive hiring environment and adjusting to impending retirements

   

• Physical infrastructure: The laboratory was situated within the oldest part of the hospital, with space restrictions and infrastructure challenges that narrowed equipment choices

Margot LeClair, Director of Global Product Marketing, Hematology and Urinalysis at Beckman Coulter, explains how the Adventist Health team has implemented key tenets of Advantaged Workflows—and how they have made a difference for the organization.

“We see challenges like this at many clinical laboratories, and there is no single ‘best practice’ that will address them for everyone,” says LeClair. “Our philosophy of Advantaged Workflows takes that into account—finding the right technology, support, and workflow for each customer.”

Solution and Implementation

Adventist Health incorporated DxH 900 Hematology Analyzers and the Scopio Digital Cell Morphology X100 HT System to address these challenges. The Scopio system offers full-field digital cell morphology analysis, which allows laboratories to view and share digitized samples to help improve efficiency and support patient care goals.

The Results: Advantaged Workflows Power Hematology Testing and More

The introduction of these tools brought about several significant improvements and benefits:

• Standardization and efficiency: Despite a significant increase in testing volumes (the need for manual differentials almost doubled between July 2024 and January 2025) the laboratory successfully maintained its target turnaround times. This achievement was primarily attributed to the enhanced standardization and efficiency of the new technology. Integrating automated processes—including CBC analysis, slide preparation, and slide staining—meant that more tests could be processed in less time without compromising quality or accuracy.

   

• Small size and footprint: The standalone Scopio X100HT system's small size and compact footprint made it an ideal fit within the Adventist Health laboratory's small space

   

• Enhanced collaboration: The Scopio X100HT’s digital capabilities facilitated remote collaboration among staff, supervisors, medical directors, and pathologists, reinforcing diagnostic confidence and decision-making

   

• Facilitating training among new hires: The ability to store and access digital images promoted training, standardization, and proficiency throughout all processes, and strengthened quality and consistency in test results

“The efficiency gains are plain to see, but what sets these workflows apart is the clinical confidence and collaboration that come along with them,” says LeClair. “Full-field digital cell morphology analysis has enabled the Adventist team to collaborate remotely, giving them additional confidence in their diagnoses and decisions. This is a powerful example of what makes an Advantaged Workflow special.”

With Advantaged Workflows, the laboratory maintained targeted turnaround times while accommodating double the number of manual differential requests.

Read the Full Case Study to Learn More

Download the full case study to dive deeper into Adventist Health’s experience with Beckman Coulter hematology solutions—including insights from Laboratory Director Brystal Romero, MBA, PMP, CLS, MLS(ASCP)^CM and two case studies of patients they helped diagnose.