Utilization Management in the Clinical Laboratory and Other Ancillary Services

Utilization Management in the Clinical Laboratory and Other Ancillary Services is a comprehensive reference focused on the appropriate and effective use of clinical laboratory testing and other ancillary healthcare services. The book provides practical guidance on establishing utilization management programs, covering organizational, administrative, technological, and clinical considerations that influence how diagnostic services are ordered and used.

The volume brings together concepts such as leadership, governance, informatics, and utilization management tools, while also demonstrating how these principles can be applied across different medical specialties. With more than 900 pages, it provides an extensive resource for healthcare professionals interested in improving the use of diagnostic services, managing healthcare resources, and supporting efficient clinical decision-making.

About the Book

Utilization management has an important role in healthcare because diagnostic services need to be used appropriately while maintaining quality patient care. This book provides a structured overview of how organizations can develop utilization management programs and adapt them to different clinical and laboratory environments.

Establishing a Utilization Management Program

The book explains important considerations involved in developing a successful utilization management program. It addresses leadership, governance, informatics, and the practical application of utilization management tools, providing readers with a framework for approaching these programs within healthcare organizations.

Laboratory and Diagnostic Services

The book focuses on utilization management in the clinical laboratory while extending its discussion to other ancillary services. This broader approach helps readers understand how utilization strategies can be applied across different diagnostic disciplines.

Specialty-Specific Applications

Dedicated discussions address utilization management in areas such as:

• Anatomic pathology and cytology
• Hematology
• Radiology
• Clinical chemistry
• Genetic testing
• Other ancillary healthcare services

These examples demonstrate how utilization management principles can be adapted to the specific requirements of different specialties.

Practical Examples and Initiatives

A valuable feature of the book is its collection of examples of specific utilization management initiatives. These examples provide practical models that healthcare organizations can study and potentially adapt to their own operational environments.

Utilization Management in Canada

The book also includes a dedicated chapter addressing utilization management in Canada, adding an international perspective to the discussion and illustrating how utilization management can operate within a different healthcare system.

Healthcare Resource Management

Effective utilization management involves more than simply reducing the number of laboratory tests or diagnostic procedures. It requires appropriate decision-making, organizational oversight, and the use of information systems and management tools to encourage clinically appropriate utilization.

By bringing together laboratory medicine, healthcare administration, informatics, and utilization strategies, this book provides a multidisciplinary perspective on an increasingly important area of healthcare management.

Who Should Use This Book?

• Physicians involved in utilization management
• Pathologists and clinical laboratory specialists
• Laboratory directors and managers
• Hospital administrators
• Healthcare management professionals
• Medical insurance and utilization management professionals
• Healthcare organizations developing laboratory utilization programs
• Professionals interested in appropriate diagnostic test utilization

Final Thoughts

Utilization Management in the Clinical Laboratory and Other Ancillary Services provides an extensive introduction to the principles and practical implementation of utilization management in laboratory medicine and other diagnostic services. Its coverage of leadership, governance, informatics, specialty-specific programs, and real-world initiatives makes it a useful reference for professionals working to improve the appropriate use of healthcare resources and diagnostic services.

Book Information

Title: Utilization Management in the Clinical Laboratory and Other Ancillary Services
Publisher: Springer
Publication Date: November 29, 2016
Edition: 1st ed. 2017
Language: English
Print Length: 922 pages
ISBN-13: 978-3319341996
ASIN: B01NCER45K
Subjects: Utilization Management, Clinical Laboratory Management, Laboratory Medicine, Diagnostic Testing, Healthcare Management, Healthcare Administration, Laboratory Utilization, Anatomic Pathology, Cytology, Hematology, Radiology, Clinical Chemistry, Genetic Testing, Healthcare Informatics, Medical Insurance

Utilization Management in the Clinical Laboratory and Other Ancillary Services is a comprehensive reference for developing and implementing utilization management programs across clinical laboratories and other diagnostic healthcare services.