In an increasingly competitive environment in which value-based care is the foundation, the need for efficiency has become more strategic and complex. Opportunities exist to solve for both over- and underutilization, resulting in high-quality, cost-effective patient care. Reliable data is critical for the success of any utilization management initiative, from eliminating waste caused by unnecessary laboratory testing, to reducing quality lapses with send-out tests, to preventing inpatient stays by making sure tests aren’t missed.
Join Viewics as we share the outcomes of three real-world use cases, and see how our customers have improved their lab test utilization strategies.
You will learn how customers:
- Realized significant cost savings by replacing two older, unnecessary tests with one newer, more cost-effective, and diagnostically more accurate alternative
- Standardized quality medical processes, including incorrect test ordering, which wastes valuable resources and can lead to dangerous clinical interventions for patients
- Used concrete metrics to continually assess and avoid overutilization of costly lab tests
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How Laboratory Test Utilization Strategies Can Increase Revenue and Improve Patient Outcomes
1. How Laboratory Test Utilization
Strategies Can Increase Revenue and
Improve Patient Outcomes
Tim Kuruvilla
Co-founder and CCO
2. Who is Viewics
Viewics provides healthcare leadership unprecedented
access to disparate data, unlocking insights of high impact
and value.
3. Changing Healthcare Trends
Volume-Driven
Healthcare
Value-Driven
Healthcare
Cost
Quality
• Larger percentage of hospital
revenue is coming from
value-based contracts
• Hospitals expect revenue
from value-based contracts to
reach more than 50% within 2
years
4. Mandates organizations to substantiate the medical
necessity, appropriateness, and efficiency of laboratory
services for their patients.
Utilization Management
Overutilization
&
Underutilization
5. Why the Waste
Minimal lab training in Medical School
Only 9% of medical schools have a
well-defined course in laboratory
medicine
On average, only 10 hours of
medical school are spent teaching
lab selection and interpretation
In many institutions, training is less
than 5 hours
“Putting the Patient First – Using the Expertise of Laboratory Professionals to Produce Rapid and Accurate Diagnoses”
– Laposata, Michael MD, PhD
6. The Opportunity
~$1.7 Million
wasted on inappropriate testing at labs
each year*
Overutilization
*Institute of Medicine of the National Academies
33%
Of tests that could potentially be
useful aren’t being ordered*
Underutilization
*Study performed at Beth Israel Deaconess Medical Center
Talk of shift to value based care. - outside resources
“Rather than a focus on reimbursement per lab test, the lab’s future role lies in the support of a rapid, accurate diagnosis that becomes a part of the overall cost of doing business in healthcare.” May 2014 Orchard Software Corp. Effective test Utilization: A Lab’s first step in contributing to the new healthcare model.
“More testing does not equate to better testing (or appropriate testing)
Utilization Management is at the core of providing value-based care for laboratories.
According to a well-published study performed at Beth Israel Deaconess Medical Center in which they analyzed over 1.6 million lab results for the most commonly ordered tests, nearly one-third of all laboratory testing is unnecessary. Concurrently, approximately the same number of tests that could potentially be useful are not being ordered
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Realized significant cost savings by replacing two older, unnecessary tests with one newer, more cost-effective, and diagnostically more accurate alternative
Standardized quality medical processes, including incorrect test ordering, which wastes valuable resources and can lead to dangerous clinical interventions for patients
Used concrete metrics to continually assess and avoid overutilization of costly lab tests
…and to do it accurately while being cognizant of costs and resources.