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.
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.
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