Main description:

This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included.

Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.

Contents:

1 Healthcare Reform and its Impact on Medical ReimbursementLuis Ticona
2 Utilization management in the clinical laboratory: an introduction and overviewKent Lewandrowski, Jason Baron, Anand Dighe
3 Effective Governance Structure and Management of Utilization ProgramsJeffrey S. Warren
4 Informatics, Analytics and Decision Support in Utilization ManagementJason Baron
5 Utilization Management Employing Test Interpretations and AlgorithmsElizabeth M. Van Cott
6 Calculating Costs and Savings in Utilization ManagementPatrick M. Sluss
7 Benchmarking and Management Metrics in Utilization ManagementIda Bixho, Stacey E.F. Melanson
8 Laboratory FormulariesPetr Jarolim
9 Utilization and Other Resource Management in Clinical ChemistryAlan H.B. Wu
10 Utilization Management in the Routine Hematology LaboratoryJoseph Rudolf, Kent Lewandrowski
11 Patient Blood ManagementCyril Jacquot, Evan M. Bloch
12 Utilization Management of Blood DerivativesStephan Kadauke
13 Utilization Management in the Clinical Microbiology LaboratoryKent Lewandrowski, Eric S. Rosenberg, John A Branda
14 Utilization Management in a Large Community HospitalFrederick L. Kiechle, Rodney C. Arcenas
15 Utilization Management: The Role of Reference LaboratoriesBrian Jackson
16 Utilization Management in Anatomic PathologyKent Lewandrowski
17 Utilization Analysis in HematopathologyAnnette S. Kim, Claudia A. Mosse, Aaron C. Shaver, Adam C. Seegmiller
18 Laboratory UtilizationDaniel Dante Yeh
19 Test Utilization: Controlling costs in Reference Laboratory TestingValerie L. Ng
20 Utilization Management of Genetic TestingJane A. Dickerson, Jessie H Conta, Christina M Lockwood
21 The Use of Physician Profiling and Prior Approval (Gatekeeping) in Utilization Management in the Clinical LaboratoryKent Lewandrowski, Jason Baron
22 Test utilization: The Essential Role of the Clinical ConsultantElizabeth Stewart, Valerie L. Ng
23 The Role of the Genetic Counselor in Utilization ManagementKelly Branda
24 Utilization Management in RadiologyGarry Choy, Alexander Ryu
25 Strategies for the Clinical and Financial Management of Drug UtilizationChristopher Fortier, Nathan Thompson, Prabashni Reddy, Andy Pulvemacher
26 Laboratory Utilization Management in CanadaChristopher Naugler
27 Utilization Management Initiatives That Can Be Imported into Health Care SystemsPatrick M. Sluss