Improving the Delivery of Healthcare through Clinical Diagnostic Insights: A Valuation of Laboratory Medicine through “Clinical Lab 2.0”

Swanson, Kathleen M.; Dodd, Monique; VanNess, Richard; Crossey, Michael J.

doi:10.1373/jalm.2017.025379

Cited by 11 publications

(5 citation statements)

References 20 publications

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“…85,86 Table 1 provides examples of laboratory-led population health initiatives, which have provided quantitative evidence of realized value in improving patient outcomes and the cost of delivering health care. [87][88][89][90][91][92] For those individuals engaged in such projects, the feeling is that we have only scratched the surface of what is possible in this 21st century.…”

Section: Improving Health-care Outcomesmentioning

confidence: 99%

The Value Proposition for Pathologists: A Population Health Approach

Ducatman

Crawford

et al. 2020

Academic Pathology

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The transition to a value-based payment system offers pathologists the opportunity to play an increased role in population health by improving outcomes and safety as well as reducing costs. Although laboratory testing itself accounts for a small portion of health-care spending, laboratory data have significant downstream effects in patient management as well as diagnosis. Pathologists currently are heavily engaged in precision medicine, use of laboratory and pathology test results (including autopsy data) to reduce diagnostic errors, and play leading roles in diagnostic management teams. Additionally, pathologists can use aggregate laboratory data to monitor the health of populations and improve health-care outcomes for both individual patients and populations. For the profession to thrive, pathologists will need to focus on extending their roles outside the laboratory beyond the traditional role in the analytic phase of testing. This should include leadership in ensuring correct ordering and interpretation of laboratory testing and leadership in population health programs. Pathologists in training will need to learn key concepts in informatics and data analytics, health-care economics, public health, implementation science, and health systems science. While these changes may reduce reimbursement for the traditional activities of pathologists, new opportunities arise for value creation and new compensation models. This report reviews these opportunities for pathologist leadership in utilization management, precision medicine, reducing diagnostic errors, and improving health-care outcomes.

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Section: Improving Health-care Outcomesmentioning

confidence: 99%

The Value Proposition for Pathologists: A Population Health Approach

Ducatman

Crawford

et al. 2020

Academic Pathology

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“…Publications describing this work also cite the challenges associated with conducting this valuebased analysis, including the key requirement of laboratory information systems and other IT infrastructure that are fit for purpose, and the need for laboratory professionals to have data analysis skills. 11,12 These challenges are common to the whole area of value-based laboratory medicine and will be discussed further in the concluding section of this review.…”

Section: Clinical Lab 20mentioning

confidence: 99%

The Pursuit of Value in Laboratory Medicine – Progress and Challenges

John¹

2020

CBR

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The pressure on healthcare budgets including laboratory medicine is relentless and the focus on activities and costs remains the dominant funding model of laboratory medicine everywhere. The limitations of this model are well documented and for a decade or more laboratory professions worldwide have started looking at alternative models where the value of laboratory medicine and its impact on patient outcomes are the predominant driving force. There are multiple ways to determine the value of a medical test, particularly if one takes into consideration its impact upon the complete clinical pathway. Thus various approaches to value determination are being explored by a number of international organisations. These organisations will be reviewed below, including one which uses the concept of a value proposition that describes in detail how a test should be implemented by measuring its clinical, operational and economic impact. All approaches for determination of value require professional leadership. There is a need for research of varying types including that related to translating global evidence into local practice, a key challenge facing laboratory medicine and healthcare generally. Another challenge is to think and act beyond the silo of the laboratory to achieve greater collaboration with those colleagues more directly involved in patient care.

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“…Publications describing Clinical Lab 2.0 concepts have highlighted the laboratory's role in population health and chronic disease management in support of value-based health care. Authors have demonstrated how laboratory data can contribute to clinical decision support, and actionable patient data, 6,7 provide value for health plans monitoring chronic conditions such as diabetes, 8 and apply laboratory analytics to support disease surveillance. 9 These examples describe how the laboratory can collaborate to create clinical strategies for early disease identification, monitor chronic conditions, and support new disease management methods with clinical interventions to mitigate clinical and financial risk.…”

mentioning

confidence: 99%