Expert opinions are used to modify the redundancy “cut off” windows

Slides:

Advertisements

Similar presentations

The Problem Health Care Providers are seeing an increased number of patients with more complex problems. Health Care Providers are seeing an increased.

Advertisements

What IMPACT Means to Physicians November 2014 Physician Champion: William Bradshaw, MD, FACS.

Computerization of the practice Grzegorz Margas, M.D., Ph.D. Department of Family Medicine Jagiellonian University Medical College.

Capture, Analysis, and Management of Patient Wait Times for Outpatient Phlebotomy Pathology Informatics 2010 Kavous Roumina, Ph.D. Richard Hill, M.B.A.

Safety, Quality and Information Technology and NHII David W. Bates, Medical Director of Clinical and Quality Analysis, Partners Healthcare Chief, Division.

Introduction. Lectures Display wall Visualization projects Mid-term Final project Office hours Communication Course structure.

Clinical & Systems Transformation Overview Date Name and Title of Presenter.

Medication Reconciliation Physician/Provider Workflow 3/7/13.

Reduction of Contaminated Blood Cultures

Enabling a Medical Home With a Patient Communication Strategy Jeanette Christopher Northwest Primary Care Group, P.C.

Introduction to the Principles of Laboratory Medicine Photos by Theresa Kristopaitis, MD.

Electronic Health Records Based on Alliance for Health Reform Toolkit on Health Information Technology Narrated by Leonel V. Baliton.

The influence of Breast Cancer Pay for Performance Initiatives on breast cancer survival and performance measures: a pilot study in Taiwan Raymond NC Kuo,

Improving prescribing using a rule-based prescribing system C Anton 1, PG Nightingale 2, D Adu 3, G Lipkin 3, RE Ferner 1 1.West Midlands Centre for Adverse.

© VANDERBILT UNIVERSITY 2009 B I O M E D I C A L I N F O R M A T I C S A System to Improve Medication Safety in the Setting of Acute Kidney Injury Intervention.

Penn State Hershey Medical Center. Penn State Hershey Medical Center Outpatient Pre Arrival Services l Presenters n Mary Stephens, Manager, Inpatient.

A COMPREHENSIVE APPROACH TO DELIRIUM ELLEN BARRINGTON, MSN, RN, BC.

Improving Medication Prescribing Through Computerized Physician Order Entry Team Membership: Loyola University Physician Foundation, Department of Nursing,

Can the Use of One-Way Communication Using Alphanumeric Paging Lead to Problems in Patient Care and Communication? Sasa Espino BA, Diane Cox MD, Brian.

UNIT 5 SEMINAR.  According to your text, in an acute care setting, an electronic health record integrates electronic data from multiple clinical systems.

Florida Agency for Health Care Administration Florida Center for Health Information and Policy Analysis Florida Public Health Association - Medical Director’s.

Timeliness of Cancer Registry Reporting Ali Johnson, CTR Vermont Cancer Registry Vermont Explor Annual Data Meeting May 1, 2006.

Nicole Sutherlin Brianna Mays Eliza Guthorn John McDonough.

Results Compliance with Breast Cancer Screening Guidelines in the HIV Clinic: A Quality Improvement Tool E. Patrozou M.D., E. Christaki M.D., L. Hicks.

Jessica Jacobs September 15, Ambulatory providers are physicians who perform the majority of their services outside the hospital – No more than.

Phlebotomy Positive Patient ID

Digital Imaging in Pathology Bruce E. Dunn, M.D. Milwaukee VA Medical Center

An anatomical pathology technicians (APTs) role is to provide assistance to a pathologist in conducting post mortems. This is a vital area of work as.

ASSESSING THE FEASIBILITY OF ANTIBIOTIC MANAGEMENT SERVICES THROUGH PROSPECTIVE EVALUATION ABSTRACT PURPOSE: The inappropriate and unnecessary use of antibiotics.

Multidisciplinary Diabetes Team Activities in a 196 Bed Community Hospital Robin Southwood, Pharm.D, CDE and Beth Melvin, RD, MS, CDE.

Validation and Refinement of a Prediction Rule to Identify Children at Low Risk for Acute Appendicitis Kharbanda AB, Dudley NC, Bajaj L, et al; Pediatric.

Using Data To Drive Practice Faith Muigai Jacaranda Health.

THE COMMONWEALTH FUND Figure 1. Only 28 Percent of U.S. Primary Care Physicians Have Electronic Medical Records; Only 19 Percent Have Advanced IT Capacity.

Computerized Physician Order Entry (CPOE), Process, Costs and Benefits Joe Shaffer, MS Alberto Coustasse, DrPH, MD Graduate School of Management, College.

Improving Transitions of Care from Hospital to Home: A Health Care Reform Priority Gina Gill Glass, MD, FAAFP Barbara J. Roehl, MD, MBA, CAQ Geriatrics.

Improving Medication Prescribing Through Computerized Physician Order Entry Team Membership: Loyola University Physician Foundation, Department of Nursing,

Emergency Department Admission Refusals Requiring Readmission at an Academic Medical Center David R. Kumar MD, Adam E. Nevel MD/MBA, John P. Riordan MD.

Reduction of Peripheral Blood Culture Contamination Team Membership Sandra Chakonas MBA, MS, MT(ASCP),Laboratory Manager Theresa Pavone RN, MSN Nursing.

Department of Pathology & Laboratory Medicine

Background Methods Results Discussion Conclusion

Background On the Rochester RHIO October 2014

Clinical Pharmacists' Recommendations in Critical Care Areas of an Egyptian Tertiary Care Hospital: Interventions Analysis and Effect on Direct Drug Cost.

Better Utilization of Lab Testing to Reduce Medical Costs; A Quality Improvement Project to Reduce BMP and CBC Utilization Among Medical Residents at Mount.

Health Literacy at Robert R Leverence MD FACP

Dawn Drahnak, DNP, RN, CCNS, CCRN, Courtney Boast, BS

Ann Intern Med. 2014;160(11): doi: /M Figure Legend:

Reducing Charting Time at Lakelands Family Health Team

Financial Analysis Of Electronic Health Records (EHR’s)

L. V. Luna Diaz1,2, I. Iupe2, B. Zavala2, K. Balestrini1, A. M

Poster Title Author Name

STUDENT POSTER EXAMPLE

Paul Melinkovich, MD Toni Lyles, RN

Sarah Siddiqui, MD, MPH University of Texas Medical Branch

Comparing automated mental health screening to manual processes in a health care system Josh biber.

CAP Test Ordering Program

Using clinical decision support to improve imaging appropriateness

Nicholas D Hartman, M. D. , M. P. H. 1, Kim L. Askew, M. D. 1, David E

Prior authorization and patient cost-sharing are least likely to be seen as effective in reducing unnecessary care. “How effective do you think each of.

Strategic Operating Model Prioritized Initiatives

Using clinical decision support to improve imaging appropriateness

POINT: Does the United States Need More Intensivist Physicians? Yes

Adam A Vukovic, MD, MEd1, 2; Corrie Berry, RN, MMHC, BSN, CPEN2

Denmark Leads the Way In IT and Patient-Centered Primary Care 2006: An Example of High Performance Highest public satisfaction with health system among.

Health Information Systems: Functional Capacity

CS581 Electronic Health Records Term Project

Creating a Quality Improvement Program

Reporting of critical potassium results reporting in hyperkalaemia: Audit and survey of practice in Scotland Neil Greig 24/04/17.

Registered Nurse’s Use of HIT, 2006: Findings from a National Survey

Presentation transcript:

Expert opinions are used to modify the redundancy “cut off” windows Reducing Lab Costs: A Novel Opportunity Nila Radhakrishnan MD1; Nikhil Agrawal MD1; Rohit Bishnoi MD1; Ahmad Ahmad1; Neil Harris MD, MB, ChB2 ; Stacy Beal MD2; Kenneth Rand MD2; Robert Leverence MD1 1Division of Hospital Medicine, Department of Medicine 2Department of Pathology, Immunology, and Laboratory Medicine University of Florida College of Medicine, Gainesville, FL Methods Background Duplicate lab testing is often unnecessary and adds burden to the health care system Redundant testing can lead to increased cost, unnecessary phlebotomy, decreased patient satisfaction, and iatrogenic anemia 17 tests and redundancy windows are short listed by a team of Internists and Pathologists Expert opinions are used to modify the redundancy “cut off” windows Retrospective data collected from a range of two weeks to six months. An IRB waiver was obtained. Duplicate testing was manually counted for each individual test and that information was extrapolated to the year Costs per test were provided by the lab and used to estimate the annual cost of this redundancy. Objective Form a multidisciplinary team to look at reducing lab tests costs Identify the most common inpatient tests Develop consensus on a time frame defining a lab test s duplicate or redundant Collect data on incidence of duplicate lab testing Estimate annual cost of this redundancy $ , Conclusion Duplicate laboratory tests represent a large cost and an opportunity for savings. Often, tests are duplicated because physicians did not know about tests that were previously ordered or resulted. The electronic medical record and computerized physician order entry allow us an opportunity to decrease duplicate laboratory testing. In the next phase of this project, we plan to implement a clinical decision support tool to alert physicians when a duplicate test is being ordered We hope this will decrease the number of duplicate tests ordered and result in a cost savings. This may also reduce unnecessary phlebotomy which may also improve patient satisfaction.