Exploring New Ways to Deliver Value to Healthcare Organizations: Algorithmic Testing, Data Integration, and...

Area of Science:

• Clinical Pathology
• Health Services Research

Background:

• The US healthcare system is shifting to value-based care, necessitating new roles for laboratory medicine physicians.
• Adapting to fee-for-performance models requires demonstrating value and financial stability for the pathology profession.

Purpose of the Study:

• To improve the efficiency of laboratory testing within the specialist referral process.
• To develop a prototype diagnostic e-consult service for integrated patient care.

Main Methods:

• Implemented algorithmic testing and integrated clinical, laboratory, and imaging data.
• Developed structured consultation reports and established e-communication channels with providers.
• Utilized rheumatologic diseases as a model for the e-consult service.

Main Results:

• The diagnostic e-consult service prototype demonstrated value in facilitating provider workflow and increasing productivity.
• Provider surveys indicate positive reception and perceived value of the service.
• Training pathology residents and fellows in integrated diagnostic consulting was initiated.

Conclusions:

• Diagnostic e-consult services represent a novel approach for laboratory medicine to deliver value in a transforming healthcare landscape.
• This integrated model enhances collaboration and efficiency, supporting the financial viability of pathology.
• Further analysis of cost-effectiveness and value indicators is ongoing.