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Improved implementation of medical tests – a new quality improvement project for the laboratory


November 8th, 2023

[EST: 7:00 AM, CET 1:00 PM, CST 8:00 PM]

The purpose of the Committee for the Value Proposition in Laboratory Medicine (C-VPLM) is to demonstrate ways to identify the value of medical tests, particularly using measures that have a financial or economic dimension. This includes applying the concept of a value proposition to tests based on the unmet clinical need being met through use of the test in a defined clinical pathway. Delivering the value proposition of a test includes two separate processes called adoption and implementation. The webinar will highlight the differences between these two processes, including the different types of evidence that are required in adoption and implementation. The focus of the Committee’s work is on the latter because the importance of implementation is poorly appreciated and when performed badly contributes to the poor value of testing including variation in utilisation and the incorrect use of test results. The webinar will highlight a process of implementation that will address these problems including the identification of stakeholders in the clinical pathway, the measurement of the benefits and disbenefits to the different stakeholders and the measurements that are necessary to monitor the implementation process. All of these aspects will be illustrated through reference to specific tests with the aim that improved test implementation – namely the way tests are introduced by any laboratory or pathology provider – should be viewed as an exercise in quality improvement of the care pathway.


This webinar comprises of three following presentations of 20 min each followed by 20 min of panel discussion at the end.

Chair: Dr. Robert Christenson

Talk 1- "The value of effective test implementation" -  Dr. Andrew St John

Talk 2- "Key concepts associated with test implementation" - Prof. Chris Price

Talk 3- "How to conduct a quality improvement project for test implementation?"- Dr. Maurice O’Kane


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Presenters:

Presenter
Dr. Robert Christenson
Professor of Pathology and Medical and Research Technology
University of Maryland School of Medicine, Baltimore, Maryland USA
Presenter
Dr Andrew St John
Clinical Biochemist
Drajon Healthcare, Australia
Presenter
Prof. Chris Price
Clinical Biochemist
University of Oxford, UK
Presenter
Dr. Maurice O’Kane
Consultant chemical pathologist
Clinical Chemistry Laboratory, Altnagelvin Hospital, Londonderry, Ireland