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Am J Clin Pathol. 2013 Mar;139(3):289-97. doi: 10.1309/AJCP4G6UAUXCFTQF.

Laboratory test utilization program: structure and impact in a large academic medical center.

Author information

1
Department of Pathology, University of Michigan, M5242B Medical Science I, 1301 Catherine St, Ann Arbor, MI 48109, USA. warren@med.umich.edu

Abstract

In 2008, the University of Michigan Health System (UMHS) created a Laboratory Test Utilization Program that included the establishment of a Laboratory Formulary Committee under the imprimatur of the Faculty Group Practice, the Office of Clinical Affairs, the Department of Pathology, and UMHS hospital administration. A critical component of the program is UM-CareLink, an order entry system for inpatients and inpatient-like venues. UM-CareLink allows very basic decision support comment prompts. Through the application of peer-reviewed medical evidence, input by medical content experts, excellent cooperation by medical staff, and close oversight by Pathology of the Sendout Laboratory, this program has led to a robust process of test utilization oversight, excellent communication with clinical services, and significant UMHS activity-adjusted reductions in laboratory expense.

PMID:
23429364
DOI:
10.1309/AJCP4G6UAUXCFTQF
[Indexed for MEDLINE]

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