JUN 10, 2015 11:00 AM PDT

Managing Laboratory Utilization

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  • Senior Administrative Director, Laboratory Services, HealthPartners.Park Nicollet
      Rick has been involved in a variety of laboratory management positions for over 30 years. His most recent positions include

      President of Laboratory Services, Fairview Health Services (1994-2006)
      CEO, American Red Cross, North Central Blood Services (2006-2008)
      Vice President of Laboratory Services, Allina Health, (2008-2012)
      Director, Business Development for Shared Clinical Services, Fairview (2012-2015)
      Senior Administrative Director, Laboratory Services, HealthPartners.Park Nicollet, present

      Rick has been active professionally throughout his career. He has been a member of CLMA since 1984 and served as state president in 1990. He has also been active through his career, since 1975, in ASCLS serving in a variety of positions including:

      ASCLS-MN president, 2001-2002
      Region V director, 2004-2007
      ASCLS President, 2008-2009
      Minnesota Laboratory Licensure Coalition (2006-2014)
      Chair, Government Affairs committee 2010-present
      ASCLS representative to the Coordinating Council on the Clinical Laboratory Workforce (including serving as past chair)
      Chair of the Advanced Management Institute planning committee: 2014 and 2015

      Rick has concentrated on process improvement (Lean and Six Sigma), laboratory standardization and integration, professional advocacy and utilization management.

    Appropriate utilization of laboratory testing is important for the quality and safety in the healthcare system and to assist in the control of unnecessary costs in the healthcare system. Performing the right testing, on the right patient at the right time might be an overused phrase, but it succinctly describes the purpose of utilization management. Performing additional laboratory tests, appropriately can avoid more expensive diagnostic exams or unnecessary procedures, while performing unnecessary tests can not only add to cost, but can result in anemia due to excessive blood collection and may actually result in unnecessary testing in the future. This session will summarize a number of existing, successful strategies to assure more appropriate utilization of laboratory testing. Some of these strategies include developing a laboratory test formulary, following diagnostic testing algorithms, utilizing data to identify ordering physician outliers and the powerful use of tools in the electronic medical record (or health record) to assist in the appropriate ordering of laboratory tests. Learning Objectives: Describe the use of a laboratory test formulary to assist in appropriate utilization of laboratory testing. Describe the importance of information technology (Laboratory information systems and EMR/HER systems) in enabling appropriate utilization of laboratory testing. List three effective strategies to reduce unnecessary test utilization

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