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Utilization management in the core laboratory.

Valerie L Ng1

  • 1Department of Laboratory Medicine, School of Medicine, University of California San Francisco, San Francisco, CA, United States; Laboratory Medicine & Pathology, Highland General Hospital, Alameda Health System, Oakland, CA, United States; Clinical Laboratory, Highland General Hospital, Oakland, CA, United States.

Clinica Chimica Acta; International Journal of Clinical Chemistry
|October 2, 2013
PubMed
Summary
This summary is machine-generated.

Appropriate utilization management of diagnostic testing is crucial. Classifying laboratory tests by ordering appropriateness and frequency aids electronic rule-based logic for clinical indications.

Keywords:
Core laboratoryLaboratory managementTest utilization

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Area of Science:

  • Clinical Chemistry
  • Laboratory Medicine
  • Diagnostic Testing

Background:

  • Effective utilization management of diagnostic testing is vital.
  • Core laboratories handle the majority of tests, emphasizing high throughput and cost-efficiency.
  • Current practices necessitate better strategies for test ordering and frequency.

Purpose of the Study:

  • To establish a framework for appropriate utilization management of diagnostic tests.
  • To categorize laboratory tests based on necessity and reasonable ordering frequency.
  • To enable electronic rule-based systems for clinical indication-based test selection.

Main Methods:

  • Categorization of core laboratory tests.
  • Classification based on whether tests should be ordered at all.
  • Defining appropriate ordering frequency (e.g., daily, weekly, yearly).

Main Results:

  • A classification system for diagnostic tests was developed.
  • Tests were categorized by their necessity and appropriate ordering frequency.
  • This classification supports the development of electronic decision support tools.

Conclusions:

  • Classifying diagnostic tests by ordering appropriateness and frequency is key for utilization management.
  • This approach facilitates the implementation of electronic rules for appropriate test ordering.
  • Optimizing diagnostic test utilization improves healthcare efficiency and patient care.