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Related Experiment Videos

Improving laboratory testing: can we get physicians to focus on outcome?

E T Wong1

  • 1Department of Pathology and Laboratory Medicine, University of Southern California School of Medicine, Los Angeles, USA.

Clinical Chemistry
|August 1, 1995
PubMed
Summary

Managed care impacts healthcare financing, shifting to fixed pricing. Clinical laboratories must optimize test utilization to improve patient outcomes and demonstrate value in this evolving landscape.

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Area of Science:

  • Healthcare Management
  • Clinical Pathology
  • Health Economics

Background:

  • Managed care is altering healthcare financing with fixed pricing, impacting reimbursement models.
  • Hospital-based clinical laboratories face reevaluation of services to reduce costs and improve patient outcomes.
  • Optimizing laboratory test utilization is crucial for clinical laboratories within managed care settings.

Purpose of the Study:

  • To explore strategies for optimizing clinical laboratory test utilization in a managed care environment.
  • To demonstrate the clinical laboratory's contribution to improved patient outcomes through appropriate test ordering.
  • To highlight the importance of collaboration between clinicians and laboratory professionals.

Main Methods:

  • Implementation of utilization management strategies for specific laboratory test groups.

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  • Focus on thyroid function tests, myocardial infarction isoenzyme tests, and beta-human chorionic gonadotropin tests.
  • Review of stat laboratory services for emergency department utilization.

    • Main Results:

    • The clinical laboratory successfully implemented approaches to improve the utilization of selected laboratory tests.
    • Experiences suggest that the laboratory can play a key role in optimizing test utilization.
    • Effective utilization management requires collaboration between clinicians and laboratory staff.

    Conclusions:

    • Clinical laboratories can significantly contribute to optimizing test utilization in managed care.
    • Mutual cooperation between clinicians and laboratory professionals is essential for success.
    • Appropriate utilization of laboratory tests is key to optimizing clinical outcomes in managed care.