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Pathology: Tackling Unwarranted Variation

Pathology: Tackling Unwarranted Variation. Dr Bernie Croal RCPath Vice-President. The Diagnostic Atlas of Variation. Data Quality ?. Variation Justified ? Casemix Guidelines PCT Policy. Inappropriate Requesting. Financial efficiency. Optimising Patient Care. Inappropriate Requesting.

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Pathology: Tackling Unwarranted Variation

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  1. Pathology:Tackling Unwarranted Variation Dr Bernie Croal RCPath Vice-President

  2. The Diagnostic Atlas of Variation Data Quality ? • Variation Justified ? • Casemix • Guidelines • PCT Policy Inappropriate Requesting

  3. Financial efficiency Optimising Patient Care Inappropriate Requesting Over Requesting Under Requesting • - Awareness • Availability • (Postcode Diagnostics)

  4. Solutions 1. Education - Undergrad/Postgrad/”On-the-Job” 2. Demand Management - Pathology Demand Optimisation Group 3. IT Support - Intelligent Requesting – Support/Blocks/Pathways - NLMC – Common Language 4. Politics/Policy - Commissioning/Reconfiguration/Providers

  5. National Initiatives Pathology Demand Optimisation Group • - Main Pathology Stakeholders • - Define New Demand Management Toolkit • - Minimum Retesting Intervals (MRIs) • - Incorporate into Culture/Policy

  6. Demand Management Toolkit

  7. Minimum Retesting Intervals

  8. Solutions 1. Education - Undergrad/Postgrad/”On-the-Job” 2. Demand Management - Pathology Demand Optimisation Group 3. IT Support - Intelligent Requesting – Support/Blocks/Pathways - NLMC – Common Language 4. Politics/Policy - Commissioning/Reconfiguration/Providers Right Test, Right Patient, Right Time

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