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Laboratory test utilization program: structure and impact in a large academic medical center.
1Department of Pathology, University of Michigan, M5242B Medical Science I, 1301 Catherine St, Ann Arbor, MI 48109, USA. warren@med.umich.edu
American Journal of Clinical Pathology
|February 23, 2013
Summary
The University of Michigan Health System implemented a Laboratory Test Utilization Program in 2008. This initiative successfully reduced laboratory expenses through evidence-based oversight and improved clinical communication.
Area of Science:
- Health Services Research
- Laboratory Medicine
- Clinical Pathology
Background:
- The University of Michigan Health System (UMHS) established a Laboratory Test Utilization Program in 2008.
- This program aimed to optimize laboratory test ordering and reduce associated costs.
Purpose of the Study:
- To describe the implementation and outcomes of the UMHS Laboratory Test Utilization Program.
- To evaluate the program's impact on laboratory expense and clinical communication.
Main Methods:
- Creation of a Laboratory Formulary Committee.
- Implementation of UM-CareLink, an electronic order entry system with decision support.
- Utilization of peer-reviewed medical evidence and expert input for test guidelines.
- Close oversight of the Sendout Laboratory by the Department of Pathology.
Main Results:
- Development of a robust test utilization oversight process.
- Establishment of excellent communication channels with clinical services.
- Significant activity-adjusted reductions in laboratory expenses for UMHS.
Conclusions:
- The UMHS Laboratory Test Utilization Program effectively reduced laboratory costs.
- The program fostered improved collaboration between laboratory services and clinical staff.
- Evidence-based guidelines and system implementation are key to successful test utilization management.
