1. Diagnostic Review Project Presented by Dr Peter Holloway 12 h February 2015 1

2. Diagnostic Review Project Project aims and objectives This project will focus on a review of diagnostics linking into the wider transformation of elective care and seeks to explore and identify opportunities for making the diagnostic elements of patient pathways more efficient. Produce referral criteria for the ICE system Reduce pathology activity by at least 5% 2

3. Diagnostic Review Project 3 TestAverage variance % (activity) Average variance % (financial) Chest X-ray 6% 13% Lumbar spine 31% Cervical spine 20% 21% X-ray - other 16% 10% Biochemistry tests 6% Microbiology tests 1% Haematology tests 7% Impact to date – Q2 vs Q3

4. 4 Biochemistry Test Price Examples Haematology Test Price Examples Microbiology Test Price Examples Pathology test prices

5. Diagnostics - Top tips Follow radiological guidelines for lumbar and cervical spine x-rays Follow the MSU protocol pathway COPD sputum culture – not routine Only order tests that you need e.g. multiples/ALT 5