By Kent Lewandrowski, Patrick M. Sluss
This booklet is the 1st entire textual content on usage administration within the medical laboratory and different ancillary providers. It presents an in depth review on tips on how to identify a profitable usage administration software, targeting such matters as management, governance, informatics, and alertness of usage administration instruments. the quantity additionally describes how you can determine usage administration courses for a number of specialties, together with anatomic pathology and cytology, hematology, radiology, medical chemistry, and genetic checking out between different specialties. various examples of particular usage administration projects also are defined that may be imported to different heath care firms. A bankruptcy on usage administration in Canada can be included.
Edited by way of a longtime nationwide chief in usage administration, Utilization administration within the medical Laboratory and different Ancillary Services is a useful source for physicians, pathologists, laboratory administrators, medical institution directors, and medical health insurance execs seeking to enforce a usage administration program.
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This publication is the 1st entire textual content on usage administration within the medical laboratory and different ancillary companies. It presents an in depth evaluate on how you can determine a profitable usage administration application, targeting such concerns as management, governance, informatics, and alertness of usage administration instruments.
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Additional info for Utilization Management in the Clinical Laboratory and Other Ancillary Services
Utilization management in a large urban academic medical center: a 10-year experience. Am J Clin Pathol. 2011;135:108–18. MacMillan D, Lewandrowski E, Lewandrowski K. An analysis of reference laboratory (send out) testing: an 8-year experience in a large academic medical center. Clin Leadersh Manag Rev. 2004;18:216–9. Liu Z, Abdullah A, Baskin L, Lewis G, Kelter G, Naugler C. An intervention to reduce laboratory utilization of referred-out tests. Lab Med. 2012;43:164–7. Durand-Zaleski I, Roudot-Thoraval F, Rymer JC, Rosa J, Revuz J.
6. Walraven C, Naylor D. Do we know what inappropriate laboratory utilization is: a systematic review of laboratory clinical audits. JAMA. 1998;280:550–8. 7. Hauser R, Shirts B. Do we know what inappropriate laboratory utilization is: an expanded systematic review of laboratory clinical audits. Am J Clin Pathol. 2014;141:774–83. 8. Grumet G. Health care rationing through inconvenience. NEJM. 1989;321:607–11. 9. Zhao J, Liberman A. Pathologists role in clinical utilization management: a ﬁnancing model for managed care.
It also assumes that all of the volunteers are indeed normal and healthy. Another approach that has been used is to take samples from presumptively healthy blood donors, but this also introduces certain population biases. If a reference range is not properly established, normal patients will exhibit abnormal laboratory values which may prompt further testing and intervention. Also, truly abnormal test results may be inappropriately designated as normal. As one illustration of this, we had long experienced a higher than expected rate of borderline hypokalemia.
Utilization Management in the Clinical Laboratory and Other Ancillary Services by Kent Lewandrowski, Patrick M. Sluss