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Arch Pathol Lab Med. 2019 Mar;143(3):299-304. doi: 10.5858/arpa.2018-0375-RA. Epub 2018 Dec 10.

In Vivo and Ex Vivo Microscopy: A Business Plan to Justify the Introduction of Similar Emerging Technologies Into Pathology Practice.

Author information

1
From the Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Dartmouth's Geisel School of Medicine, Lebanon, New Hampshire (Dr Wells and Mr Harhen); the Department of Pathology and Genomic Medicine, Houston Methodist Hospital Research Institute, Houston, Texas (Dr Thrall); the Department of Pathology, Weill Cornell Medical College, New York, New York (Dr Shevchuk); and the Wellman Center for Photomedicine (Dr Tearney), Department of Pathology (Drs Tearney and Hariri), Massachusetts General Hospital, Harvard Medical School, Boston.

Abstract

CONTEXT.—:

Our patients are now demanding value for their medical diagnoses and treatment in terms of optimal costs, quality, and outcomes. The financial justification for the introduction of new emerging technologies that may better meet these needs will depend on many factors, even if there is an established reimbursement code. In vivo and ex vivo microscopic technologies (IVM and EVM, respectively) will be used as examples of potentially transforming technologies.

OBJECTIVE.—:

To describe the components of a business plan that ensures all of the ramifications of introducing a new technology into pathology practice have been considered. As well as the financial justification, such a plan should include strategic vision and congruence, the advantages and drawbacks of introducing such technology, and how plans for marketing, implementation, and verification can be operationalized.

DATA SOURCES.—:

Unlike many pathologists, administrative directors in clinical laboratories already know the components of a financially sound business plan. In addition to the financial justifications, other considerations of such a plan include expense reductions, multiyear buildups in revenue generation, the replacement of other technologies, improved productivity and workflows, additional space, new capital, retrained personnel, and the impact on other departments.

CONCLUSIONS.—:

Pathologists will learn a business plan format to improve their confidence in making the sound financial justifications needed to consider the introduction of an emerging technology into pathology practice, even when there is initially no obvious revenue stream because formal reimbursement codes have not been established.

PMID:
30525933
DOI:
10.5858/arpa.2018-0375-RA

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