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Utilization and Other Resource Management in Clinical Chemistry

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Utilization Management in the Clinical Laboratory and Other Ancillary Services
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Abstract

The clinical chemistry laboratory within typically has the largest volume of testing, the most analytical equipment, highest budget for expenses, and largest numbers of personnel performing tests. Therefore, a program for the effective management of laboratory resources from within the chemistry laboratory division has the potential to have more of a significant impact on the clinical laboratory with regard to costs for delivering services than in other divisions. Utilization management can take one of two forms: eliminating unnecessary tests or decreasing the unit cost of tests that are performed by implementing process improvements. The most optimal strategy should incorporate both of these approaches to achieve the greatest overall impact on cost, efficiency, and clinical service.

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References

  1. Wu AHB, Lewandrowski KB, Gronowski A, Grenache D, Sokoll S, Magnani B. Antiquated tests within the clinical laboratory. Am J Manag Care. 2010;16:e220–7.

    PubMed  Google Scholar 

  2. Pysher TJ, Bach PR, Lowichik A, Petersen MD, Shields LH. Chemistry test ordering patterns after elimination of predefined multitest chemistry panels in a children’s hospital. Pediatr Dev Pathol. 1999;2:446–53.

    Article  CAS  PubMed  Google Scholar 

  3. Kaplan IV, Levinson SS. When is a heterophile antibody not a heterophile antibody? When it is an antibody against a specific immunogen. Clin Chem. 1999;45:616–8.

    CAS  PubMed  Google Scholar 

  4. Mitchell DR, Parvin CA, Gronowski AM. Rules-based detection of discrepancies between TSH and free T4 results. Clin Chim Acta. 2003;332:89–94.

    Article  CAS  PubMed  Google Scholar 

  5. Petersen PH, Fraser CG, Jorgensen L, Brandslung I, Stahl M, Gowans E, Libeer JC, Ricos C. Combination of analytical quality specifications based on biological within- and between-subject variation. Ann Clin Biochem. 2002;38:543–50.

    Article  Google Scholar 

  6. Pantanowitz L, Henricks WH, Beckwith BA. Medical laboratory informatics. Clin Lab Med. 2007;27:823–43.

    Article  PubMed  Google Scholar 

  7. Miles RR, Boberts RF, Putnam AR, Roberts WL. Comparison of serum and plasma samples for measuring chemistry analytes. Clin Chem. 2004;50:1704–5.

    Article  CAS  PubMed  Google Scholar 

  8. Burmester JK, Sedova M, Shapero MH, Mansfield E. DMET microarray technology for pharmacogenomics-based personalized medicine. Methods Mol Biol. 2010;632:99–124.

    Article  CAS  PubMed  Google Scholar 

  9. Brown SH, Lincoln MJ, Groen PJ, Kolodner RM. VistA-US Department of Veterans Affairs national-scale HIS. Int J Med Inform. 2003;69:135–6.

    Article  PubMed  Google Scholar 

  10. Kim JY, Dzik WH, Dighe AS, Lewandrowski KB. Utilization management in a large urban academic medical center. Am J Clin Pathol. 2011;135:108–18.

    Article  PubMed  Google Scholar 

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Correspondence to Alan H. B. Wu .

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Wu, A.H.B. (2017). Utilization and Other Resource Management in Clinical Chemistry. In: Lewandrowski, K., Sluss, P. (eds) Utilization Management in the Clinical Laboratory and Other Ancillary Services. Springer, Cham. https://doi.org/10.1007/978-3-319-34199-6_9

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  • DOI: https://doi.org/10.1007/978-3-319-34199-6_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34197-2

  • Online ISBN: 978-3-319-34199-6

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