Optimal Utilization of Laboratory Testing

Introduction

November 2011

Welcome to Mayo Medical Laboratories' Hot Topics. These presentations provide short discussions of current topics and may be helpful to you in your practice.

Our presenter for this program is Dr. James Hernandez, Medical Director of Laboratories and chair of the Division of Laboratory Medicine at Mayo Clinic in Scottsdale, Arizona. Dr. Hernandez is also an Assistant Professor of Laboratory Medicine and Pathology at Mayo Clinic. Dr. Hernandez will discuss misordered tests and working with your medical staff to improve and optimize test utilization patterns. If you have any questions, please email us at mmlhottopics@mayo.edu. Thank you Dr. Hernandez.

Thank you, Sharon, for that introduction.

Introduction

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Jump to section:

• Objectives
• Assumptions to Forego
• Roger's Adopter Categories Based on Degree of Innovativeness¹
• Changes to Manual Requisitions^2,7
• Is This Test Misused?
• Overused/Misused Tests: Good Literature Support
• Bleeding Time³
• Anti–Single–Stranded DNA: Another Misused Test^4,5,6
• Use of Algorithms
• Laboratory Test Utilization
• Thyroid Testing Guidelines
• Thyroid Function Ordering Algorithm
• Pernicious Anemia Testing Guidelines
• Pernicious Anemia Testing Cascade
• Diarrhea Work Up Guidelines
• Parasitic Investigation of Stool Specimens Algorithm
• Obsolete Tests: Laboratory Directors' Opinions⁷
• Overused/Misused Tests — Opinion
• Frequency of Testing
• Newer Tests and Panels on the Horizon
• Hints on Improving Lab Utilization
• Hints on Improving Lab Utilization (2)
• Interventions to Improve Lab Utilization⁷
• Algorithm for Assessing Send–out Tests
• Improved Test Utilization: Assistance from Clinical Practice Committee
• Other Benefits of Clinical Practice Committee
• Summary
• References
• I Welcome Your Questions
• Questions?