Utilization management in the clinical laboratory: An introduction and overview of the literature

Clinica Chimica Acta

Volumn 427, Issue , 2014, Pages 111-117

  Huck, Amelia ^a   Lewandrowski, Kent ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Clinical laboratory; Literature review; Utilization management

Indexed keywords

ABNORMAL LABORATORY RESULT; ARTICLE; CLINICAL LABORATORY; CONSULTATION; CONTINUING EDUCATION; COST BENEFIT ANALYSIS; COST CONTROL; FINANCIAL MANAGEMENT; GOOD LABORATORY PRACTICE; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HOSPITAL INFORMATION SYSTEM; HOSPITAL MANAGEMENT; HOSPITAL ORGANIZATION; LABORATORY TEST; MEDICAL EDUCATION; MEDICARE; MOTIVATION; PATHOLOGY; PATIENT CARE; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; REIMBURSEMENT; SCREENING TEST; UTILIZATION REVIEW; DIAGNOSTIC PROCEDURE; ECONOMICS; HUMAN; LABORATORY DIAGNOSIS; ORGANIZATION AND MANAGEMENT; UTILIZATION;

CLINICAL LABORATORY SERVICES; CLINICAL LABORATORY TECHNIQUES; HUMANS;

EID: 84888867981     PISSN: 00098981     EISSN: 18733492     Source Type: Journal    
DOI: 10.1016/j.cca.2013.09.021     Document Type: Article

References (42)

1. Smellie W.S.A. Demand management and test request rationalization. Ann Clin Biochem 2012, 49:323-336.
2. Jackson B.R. Managing laboratory test use: principles and tools. Clin Lab Med 2007, 27:733-748.
3. Ezzie M.E., Aberegg S.K., O'Brien J.M. Laboratory testing in the intensive care unit. Crit Care Clin 2007, 23:435-465.
4. Rao G.G., Crook M., Tillyer M.L. Pathology tests: is the time for demand management ripe at last?. J Clin Pathol 2003, 56:243-248.
5. Larsson A., Palmer M., Hultén G., Tryding N. Large differences in laboratory utilisation between hospitals in Sweden. Clin Chem Lab Med 2000, 38:383-389.
6. van Walraven C., Naylor C.D. Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical audits. JAMA 1998, 280:550-555.
7. Benson E.S. The responsible use of the clinical laboratory. Clin Biochem 1986, 19:262-270.
8. Lewandrowski K. Managing utilization of new diagnostic tests. Clin Leadersh Manag Rev 2003, 17:318-324.
9. Young D.W. Improving laboratory usage: a review. Postgrad Med J 1988, 64:283-289.
10. Wickizer T.M., Lessler D. Utilization management: issues, effects, and future prospects. Annu Rev Public Health 2002, 23:233-254.
11. Fryer A.A., Smellie W.S.A. Managing demand for laboratory tests: a laboratory toolkit. J Clin Pathol 2013, 66:62-72.
12. Emerson J.F., Emerson S.S. The impact of requisition design on laboratory utilization. AJCP 2001, 116:879-884.
13. Miyakis S., Karamanof G., Liontos M., Mountokalakis T.D. Factors contributing to inappropriate ordering of tests in an academic medical department and the effect of an educational feedback strategy. Postgrad Med J 2006, 82:823-829.
14. Tierney W.M., Miller M.E., McDonald C.J. The effect on test ordering of informing physicians of the charges for outpatient diagnostic tests. N Engl J Med 1990, 322:1499-1504.
15. M.E., Wang T.J. A utilization management intervention to reduce unnecessary testing in the coronary care unit. Arch Intern Med 2002, 162:1885-1890.
16. Qureshi A.I., Suri M.F., Guterman L.R., Hopkins L.N. Ineffective secondary prevention in survivors of cardiovascular events in the US population: report from the third national health and nutrition examination survey. Arch Intern Med 2001, 161:1621-1628.
17. McConnell T.S., Berger P.R., Dayton H.H., Umland B.E., Skipper B.E. Professional review of laboratory utilization. Hum Pathol 1982, 13:399-403.
18. Forsman R.W. Why is the laboratory an afterthought for managed care organizations?. Clin Chem 1996, 42:813-816.
19. Lundberg G.D. The modern clinical laboratory: justification, scope, and directions. JAMA 1975, 232:528-529.
20. Salisbury A.C., Reid K.J., Alexander K.P., et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med 2011, 171:1646-1653.
21. Salisbury A.C., Alexander K.P., Reid K.J., et al. Incidence, correlates, and outcomes of acute, hospital-acquired anemia in patients with acute myocardial infarction. Circ Cardiovasc Qual Outcomes 2010, 3:337-346.
22. Winkelman J.W. Less utilization of the clinical laboratory produces disproportionately small true cost reductions. Hum Pathol 1984, 15:499-501.
23. The 'top 5' lists in primary care: meeting the responsibility of professionalism. Arch Intern Med 2011, 171:1385-1390.
24. Five things physicians and patients should question [Accessed April 24, 2013]. http://www.choosingwisely.org/doctor-patient-lists.
25. Moyer V.A. Screening for prostate cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012, 157:120-134.
26. Catalona W.J., D'Amico A.V., Fitzgibbons W.F., et al. What the U.S. Preventive Services Task Force missed in its prostate cancer screening recommendation. Ann Intern Med 2012, 157:137-138.
27. Wong ET M.M. Ordering of laboratory tests in a teaching hospital: can it be improved?. JAMA 1983, 249:3076-3080.
28. Larsson A., Blom S., Wernroth M., Hultén G., Tryding N. Effects of an education programme to change clinical laboratory testing habits in primary care. Scand J Prim Health Care 1999, 17:238-243.
29. Kumwilaisak K., Noto A., Schmidt U.H., et al. Effect of laboratory testing guidelines on the utilization of tests and order entries in a surgical intensive care unit. Crit Care Med 2008, 36:2993-2999.
30. Bunting P.S., van Walraven C. Effect of a controlled feedback intervention on laboratory test ordering by community physicians. Clin Chem 2004, 50:321-326.
31. Solomon D.H., Hashimoto H., Daltroy L., Liang M.H. Techniques to improve physicians' use of diagnostic tests: a new conceptual framework. JAMA 1998, 280:2020-2027.
32. Warren J.S. Laboratory test utilization program: structure and impact in a large academic medical center. Am J Clin Pathol 2013, 139:289-297.
33. Kim J.Y., Dzik W.H., Dighe A.S., Lewandrowski K.B. Utilization management in a large urban academic medical center: a 10-year experience. Am J Clin Pathol 2011, 135:108-118.
34. 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, 18:216-219.
35. 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, 43:164-167.
36. Durand-Zaleski I., Roudot-Thoraval F., Rymer J.C., Rosa J., Revuz J. Reducing unnecessary laboratory use with new test request form: example of tumour markers. Lancet 1993, 342:150-153.
37. Grisson R., Kim J.Y., Brodsky V., et al. A novel class of laboratory middleware promoting information flow and improving computerized provider order entry. AJCP 2010, 133:860-869.
38. Thomas Hindmarsh J., Lyon A.W. Strategies to promote rational clinical chemistry test utilization. Clin Biochem 1996, 29:291-299.
39. Kratz A., Laposata M. Enhanced clinical consulting-moving toward the core competencies of laboratory professionals. Clin Chim Acta 2002, 319:117-125.
40. Laposata M.E., Laposata M., Van Cott E.M., Buchner D.S., Kashalo M.S., Dighe A.S. Physician survey of a laboratory medicine interpretive service and evaluation of the influence of interpretations on laboratory test ordering. Arch Pathol Lab Med 2004, 128:1424-1427.
41. Health care costs: a primer - Kaiser Family Foundation [Accessed April 24, 2013]. http://www.kff.org/insurance/7670.cfm.
42. Song Z., Safran D.G., Landon B.E., et al. Health care spending and quality in year 1 of the alternative quality contract. N Engl J Med 2011, 365:909-918.