BookKent Lewandrowski, editor ; Patrick M. Sluss, associate editor.
Summary: 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. .
Contents:
Healthcare Reform and its Impact on Medical Reimbursement
Utilization management in the clinical laboratory: an introduction and overview
Effective Governance Structure and Management of Utilization Programs
Informatics, Analytics and Decision Support in Utilization Management
Utilization Management Employing Test Interpretations and Algorithms
Calculating Costs and Savings in Utilization Management
Benchmarking and Management Metrics in Utilization Management
Laboratory Formularies
Utilization and Other Resource Management in Clinical Chemistry
Utilization Management in the Routine Hematology Laboratory
Patient Blood Management
Utilization Management of Blood Derivatives
Utilization Management in the Clinical Microbiology Laboratory
Utilization Management in a Large Community Hospital
Utilization Management: The Role of Reference Laboratories
Utilization Management in Anatomic Pathology
Utilization Analysis in Hematopathology
Laboratory Utilization
Test Utilization: Controlling costs in Reference Laboratory Testing
Utilization Management of Genetic Testing
The Use of Physician Profiling and Prior Approval (Gatekeeping) in Utilization Management in the Clinical Laboratory
Test utilization: The Essential Role of the Clinical Consultant
The Role of the Genetic Counselor in Utilization Management
Utilization Management in Radiology
Strategies for the Clinical and Financial Management of Drug Utilization
Laboratory Utilization Management in Canada
Utilization Management Initiatives That Can Be Imported into Health Care Systems. .