Laboratory Test Utilization Management : General Principles and Applications in Hematopathology - 02/03/16

Doi : 10.1016/j.path.2015.10.002

Kaaren K. Reichard, MD ^⁎ , Adam J. Wood, DO
Division of Hematopathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA

^∗Corresponding author. Division of Hematopathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, 200 First Street Southwest, Hilton 8-00C, Rochester, MN 55905.

Abstract

As the cost of health care continues to rise and reimbursement rates decrease, there is a growing demand and need to cut overall costs, enhance quality of services, and maintain as a top priority the needs and safety of the patient. In this article, we provide an introduction to test utilization and outline a general approach to creating an efficient, cost-effective test utilization strategy. We also present and discuss 2 test utilization algorithms that are evidence-based and may be of clinical utility as we move toward the future of doing the necessary tests at the right time.

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Keywords : Test utilization, Clinical value, Guidelines, Algorithms, Infrastructure, Multidisciplinary, Intervention, Strategy