Bookmark and Share


Laboratory System Improvement Program (L-SIP)






Welcome to the City of Milwaukee Health Department’s web site dedicated to the Laboratory System Improvement Program (L-SIP). The purpose of this site is to support our collective efforts to assess the performance of the Local Public Health Laboratory (LPHL) System in Milwaukee. The web site will also fulfill an ongoing role by providing a platform for communication about system improvement efforts that will follow the assessment.

Milwaukee’s L-SIP is a part of a larger national effort designed to strengthen state laboratory systems around the country. The City of Milwaukee is the first municipality to adapt and apply the program at the local level.  There are several links on this site to the Association of Public Health Laboratories (APHL), the developer of L-SIP.  These links will direct you to more detailed information about the program, public health laboratory systems, and the work of other localities who have been involved in L-SIP.

L-SIP is a collaborative effort of the Association of Public Health Laboratories and the Centers for Disease Control and Prevention. L-SIP was inspired and influenced by the National Public Health Performance Standards Program which was established in 2002. L-SIP represents the work of laboratories around the country who were involved in developing, reviewing, testing and refining materials through pilot and field testing and focus groups.

This site is designed to provide information about our scheduled L-SIP assessment, resources and contacts.  After the assessment is completed on November 18, 2010 we will post the assessment results. As we move into the improvement phase, we will make available our strategic plans and information on the work of potential subcommittees. 

We are pleased to offer this web site as an important tool in support of our collaborative efforts to strengthen the laboratory system in Milwaukee and to assure the protection the public’s health.


Best Regards,

Steve Gradus signature

M. Steve Gradus, Ph.D., D(ABMM)

Laboratory Director




The purpose of the Laboratory System Improvement Program (L-SIP) is to improve the quality of public health laboratory practice and performance.  The first step is to assess the strengths and weaknesses of the laboratory system as a basis for quality improvement efforts. Milwaukee’s assessment - also referred to as the stakeholder meeting - is scheduled to take place on Thursday, November 18, 2010.

L-SIP is a program of the Association of Public Health Laboratories (APHL), an organization that represents the interests of public health laboratories nationally and internationally.

A two page overview of the L-SIP can be found here.

An update on Milwaukee's L-SIP is depicted in the poster presentation developed for the APHL national meeting in June of 2011.


What is the Laboratory System? 

The Local Public Health Laboratory System (LPHL System) consists of all the organizations that participate in or otherwise support public health laboratory testing and includes those who initiate testing and those who ultimately use the test results. In Milwaukee this includes organizations in the city and county and extends into southeast Wisconsin. The LPHL System includes all public, private and voluntary entities that contribute to public health laboratory activities.  LPHLSystem members and stakeholders operate in an interconnected and interdependent way to facilitate the exchange of information, optimize laboratory services and control and prevent disease and public health threats. Click here for a description of the LPHLS.

Mission and Vision of L-SIP

Mission: To establish a system that measures the performance of state and local public health laboratory systems and supports their continuous improvement.

Vision: A healthy world though improved public health practice and highly functioning and effective laboratory systems.


Why Participate in L-SIP?

L-SIP provides a number of benefits to all of the stakeholders that make up Milwaukee’s public health laboratory system, including:

• Strengthening relationships between the partners that comprise the local laboratory system;

• Improving the performance of the local public health laboratory system;

• Educating system partners, elected officials and the public about the laboratory system and the role each organization fulfills; and

• Identifying areas in need of strengthening through advocacy and increased resources.

What other States Participate?

A map displaying the states that have completed the L-SIP Assessments can be found here.  Nearly 30 states have completed the assessment and most are engaged in system improvement activities. The City of Milwaukee is the first and only municipality to adapt and apply L-SIP at the local level