Utilization management in microbiology.
The available literature concerning utilization management in the clinical microbiology laboratory is relatively limited compared with that for high-volume, automated testing in the central Core Laboratory. However, the same strategies employed elsewhere in the clinical laboratory operation can be applied to utilization management challenges in microbiology, including decision support systems, application of evidence-based medicine, screening algorithms and gatekeeper functions. The results of testing in the microbiology laboratory have significant effects on the cost of clinical care, especially costs related to antimicrobial agents and infection control practices. Consequently many of the successful utilization management interventions described in clinical microbiology have targeted not just the volume of tests performed in the laboratory, but also the downstream costs of care. This article will review utilization management strategies in clinical microbiology, including specific examples from our institution and other healthcare organizations.
Department of Pathology, Massachusetts General Hospital and Harvard Medical School, United States.
John A
JA
Branda
Kent
K
Lewandrowski
D064790:Clinical Laboratory Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D019411:Clinical Laboratory Techniques / Q000706:statistics & numerical data*; D006801:Humans; D008828:Microbiological Techniques / Q000706:statistics & numerical data*
Antimicrobial stewardship; Decision support; MALDI-TOF mass spectroscopy; Microbiology; Utilization management