Essential role of laboratory physicians in transformation of laboratory practice and management to a value-based patient-centric model

Church, Deirdre L.; Naugler, Christopher

doi:10.1080/10408363.2020.1720591

Cited by 5 publications

(2 citation statements)

References 170 publications

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“…8 , 14 , 21 Comprehensive analysis of test utilization can provide the objective evidence needed for improving testing algorithms and ordering practices. 16 …”

Section: Discussionmentioning

confidence: 99%

Laboratory Interventions to Eliminate Unnecessary Rapid COVID-19 Testing During a Reagent Shortage

Wulff¹,

Qiu

et al. 2022

American Journal of Clinical Pathology

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Objectives In the fall of 2020, US medical centers were running out of rapid coronavirus disease 2019 (COVID-19) tests. The aim of this study is to evaluate the impact of an intervention to eliminate rapid test misutilization and to quantify the effect of the countermeasures to control rapid test ordering using a test utilization dashboard. Methods Interventions were made to preserve a severely limited supply of rapid diagnostic tests based on real-time analysis of a COVID-19 test utilization dashboard. This study is a retrospective observational study evaluating pre- and postintervention rates of appropriate rapid test use, reporting times, and cost/savings of resources used. Results This study included 14,462 severe acute respiratory syndrome coronavirus 2 reverse transcriptase polymerase chain reaction tests ordered during the study period. After the intervention, there was a 27.3% decrease in nonconforming rapid tests. Rapid test reporting time from laboratory receipt decreased by 1.47 hours. The number of days of rapid test inventory on hand increased by 39 days. Conclusions Performing diagnostic test stewardship, informed by real-time review of a test utilization dashboard, was associated with significantly improved appropriate utilization of rapid diagnostic COVID-19 tests, improved reporting times, implied cost savings, and improved reagent inventory on hand, which facilitated the management of scarce resources during a pandemic.

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“…8 , 14 , 21 Comprehensive analysis of test utilization can provide the objective evidence needed for improving testing algorithms and ordering practices. 16 …”

Section: Discussionmentioning

confidence: 99%

Laboratory Interventions to Eliminate Unnecessary Rapid COVID-19 Testing During a Reagent Shortage

Wulff¹,

Qiu

et al. 2022

American Journal of Clinical Pathology

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“…The work of medical scientists in Australia is critical to the healthcare system, and therefore providing HR analytics data on these workers, work processes and related HR outcomes should be considered by management as “a vital part of the continuum of patient care” (Church and Naugler, 2020, p. 324). The nature of medical scientists' work has changed drastically in recent decades through technological advancement, automation, increased work volume, budget constraints, efficiency drives and diversified work hours (DHHS Victoria, 2018; Plebani et al.…”

Section: Introductionmentioning

confidence: 99%

Health services in Australia and the impact of antiquated rostering practices on medical scientists: a case for HR analytics and evidenced-based human resource management

Cavanagh

Walker

Pariona‐Cabrera

et al. 2022

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PurposeThe purpose of this study is to examine the rostering practices and work experiences of medical scientists at four health services in the Australian public healthcare sector. There are over 16,000 medical scientists (AIHW, 2019) in Australia responsible for carrying out pathology testing to help save the lives of thousands of patients every day. However, there are systemic shortages of medical scientists largely due to erratic rostering practices and workload issues. The purpose of this paper is to integrate evidence-based human resource management (EBHRM), the LAMP model and HR analytics to enhance line manager decision-making on rostering to support the wellbeing of medical scientists.Design/methodology/approachUsing a qualitative methodological approach, the authors conducted 21 semi-structured interviews with managers/directors and nine focus groups with 53 medical scientists, making a total 74 participants from four large public hospitals in Australia.FindingsAcross four health services, manual systems of rostering and management decisions do not meet the requirements of the enterprise agreement (EA) and impact negatively on the wellbeing of medical scientists in pathology services. The authors found no evidence of the systematic approach of the organisations and line managers to implement the LAMP model to understand the root causes of rostering challenges and negative impact on employees. Moreover, there was no evidence of sophisticated use of HR analytics or EBHRM to support line managers' decision-making regarding mitigation of rostering related challenges such as absenteeism and employee turnover.Originality/valueThe authors contribute to HRM theory by integrating EBHRM, the LAMP model (Boudreau and Ramstad, 2007) and HR analytics to inform line management decision-making. The authors advance understandings of how EBHRM incorporating the LAMP model and HR analytics can provide a systematic and robust process for line managers to make informed decisions underpinned by data.

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Physician Leadership in the Employed Universe

Salenger

Martin

2021

Hospital Topics

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Essential role of laboratory physicians in transformation of laboratory practice and management to a value-based patient-centric model

Cited by 5 publications

References 170 publications

Laboratory Interventions to Eliminate Unnecessary Rapid COVID-19 Testing During a Reagent Shortage

Laboratory Interventions to Eliminate Unnecessary Rapid COVID-19 Testing During a Reagent Shortage

Health services in Australia and the impact of antiquated rostering practices on medical scientists: a case for HR analytics and evidenced-based human resource management

Physician Leadership in the Employed Universe

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