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Cost avoidance and outcome improvement by implementing a test utilization strategy for molecular microbiology tests

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dc.contributor.author Ricaldi, Jessica
dc.contributor.author Racsa, Lori
dc.contributor.author Pusch, Tobias
dc.contributor.author Gander, Rita M.
dc.contributor.author Southern, Paul
dc.contributor.author Cavuoti, Dominick
dc.contributor.author Byrd, Linda
dc.contributor.author Alatoom, Adnan
dc.date.accessioned 2020-06-10T18:11:34Z
dc.date.available 2020-06-10T18:11:34Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/7993
dc.description.abstract Test utilization is an essential strategy in the clinical laboratory, especially with increasing numbers of tests and health care costs. We designed a triage system for molecular microbiology tests ordered from 2007 through 2010 to assess their appropriateness before they were sent out to a reference laboratory for testing. The number of tests ordered and approved and the number with positive results were calculated during the study period. Cost avoidance was subsequently calculated. A total of 13,839 tests were ordered, averaging 3,335 tests/year. The overall approval rate was 76%, ranging from 72% in 2007 to 81% in 2010. With the exception of cytomegalovirus (CMV) and BK virus PCR, the numbers of all tests decreased in 2010 compared to 2007. The total savings over 4 years was $374,791, with an average cost avoidance of $93,698/year. Pathologists and microbiologists should design a utilization system for laboratory testing to avoid unnecessary cost and improve patient care. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Clinical Microbiology Newsletter
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Article en_US
dc.subject BK virus en_US
dc.subject clinical laboratory en_US
dc.subject cost control en_US
dc.subject Cytomegalovirus en_US
dc.subject health care utilization en_US
dc.subject laboratory diagnosis en_US
dc.subject microbiological examination en_US
dc.subject molecular diagnosis en_US
dc.subject polymerase chain reaction en_US
dc.subject unnecessary procedure en_US
dc.title Cost avoidance and outcome improvement by implementing a test utilization strategy for molecular microbiology tests en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.clinmicnews.2014.11.004
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.01
dc.relation.issn 1873-4391


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