How Laboratory Test Utilization Strategies Can Increase Revenue and Improve Patient Outcomes

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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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  • 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
  • Add Arrow (in Red) shows that it goes throughout the process.
  • Change to individual pillars and animate.
  • 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.
  • How Laboratory Test Utilization Strategies Can Increase Revenue and Improve Patient Outcomes

    1. 1. How  Laboratory  Test  Utilization   Strategies  Can  Increase  Revenue  and   Improve  Patient  Outcomes Tim  Kuruvilla Co-­founder  and  CCO
    2. 2. Who  is  Viewics Viewics  provides  healthcare  leadership  unprecedented   access  to  disparate  data,  unlocking  insights  of  high  impact   and  value.
    3. 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. 4. Mandates  organizations  to  substantiate  the  medical   necessity,  appropriateness,  and  efficiency  of  laboratory   services  for  their  patients. Utilization  Management Overutilization   & Underutilization
    5. 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. 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
    7. 7. Utilization  Management  Roadmap Image courtesy of
    8. 8. Analytics Image courtesy of
    9. 9. Analytics  Challenges Quality   Information   Data  Integration Real-­time   Analytics
    10. 10. Analytics  Solution
    11. 11. Conclusion Right  Test for Right  Patient at Right  Time Watch  the  on-­demand  webinar

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