Utilization Management in the Clinical Laboratory and Other Ancillary Services

ISBN-13: 9783319817002 / Angielski / Miękka / 2018 / 303 str.

Opis

This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included.Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.

Recenzje

"The purpose is to bring together a wealth of information and experience on utilization management in a single resource. This is a worthy objective well met by this book. This is intended for anyone interested in utilization management. ... This is a great resource for replicating the case studies and experimenting with improving utilization management in your healthcare setting. Get it!" (Valerie L. Ng, Doody's Book Reviews, March, 2017)

Spis treści

1 Healthcare Reform and its Impact on Medical Reimbursement

Luis Ticona 

2 Utilization management in the clinical laboratory: an introduction and overview

Kent Lewandrowski, Jason Baron, Anand Dighe

3 Effective Governance Structure and Management of Utilization Programs

Jeffrey S. Warren

4 Informatics, Analytics and Decision Support in Utilization Management

Jason Baron

5 Utilization Management Employing Test Interpretations and Algorithms

Elizabeth M. Van Cott

6 Calculating Costs and Savings in Utilization Management

Patrick M. Sluss

7 Benchmarking and Management Metrics in Utilization Management

Ida Bixho, Stacey E.F. Melanson

8 Laboratory Formularies

Petr Jarolim

9 Utilization and Other Resource Management in Clinical Chemistry

Alan H.B. Wu

10 Utilization Management in the Routine Hematology Laboratory

Joseph Rudolf, Kent Lewandrowski

11 Patient Blood Management

Cyril Jacquot, Evan M. Bloch

12 Utilization Management of Blood Derivatives

Stephan Kadauke

13 Utilization Management in the Clinical Microbiology Laboratory

Kent Lewandrowski, Eric S. Rosenberg, John A Branda

14 Utilization Management in a Large Community Hospital

Frederick L. Kiechle, Rodney C. Arcenas

15 Utilization Management: The Role of Reference Laboratories

Brian Jackson 

16 Utilization Management in Anatomic Pathology

Kent Lewandrowski

17 Utilization Analysis in Hematopathology

Annette S.  Kim, Claudia A. Mosse, Aaron C. Shaver, Adam C. Seegmiller 

18 Laboratory Utilization

Daniel Dante Yeh

19 Test Utilization: Controlling costs in Reference Laboratory Testing

Valerie L. Ng

20 Utilization Management of Genetic Testing

Jane A. Dickerson, Jessie H Conta, Christina M Lockwood

21 The Use of Physician Profiling and Prior Approval (Gatekeeping) in Utilization Management in the Clinical Laboratory

Kent Lewandrowski, Jason Baron

22 Test utilization: The Essential Role of the Clinical Consultant

Elizabeth Stewart, Valerie L. Ng

23 The Role of the Genetic Counselor in Utilization Management

Kelly Branda

24 Utilization Management in Radiology

Garry Choy, Alexander Ryu

25 Strategies for the Clinical and Financial Management of Drug Utilization

Christopher Fortier, Nathan Thompson, Prabashni Reddy, Andy Pulvemacher

26 Laboratory Utilization Management in Canada

Christopher Naugler

27 Utilization Management Initiatives That Can Be Imported into Health Care Systems

Patrick M. Sluss 

O autorze

Kent Lewandrowski, M.D. is the Director of Pathology Laboratories and Molecular Medicine and Associate Chief of Pathology at the Massachusetts General Hospital. He is also director of the hospital point-of-care program and the Quality Chair of the Department of Pathology. He is a Professor at Harvard Medical School with research interests in the evaluation of point-of-care technologies and outcomes studies concerning implementation of point-of-care testing. Dr. Lewandrowski was trained in anatomic and clinical pathology at the Massachusetts General Hospital and has been on the staff of the department of Pathology since 1991. He is also editor in chief of the medical journal "Point of Care: The Journal of Near Patient Testing Technologies."