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首页> 外文期刊>Clinical leadership and management review: the journal of CLMA >A model for consolidation of clinical microbiology laboratory services within a multihospital health-care system.
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A model for consolidation of clinical microbiology laboratory services within a multihospital health-care system.

机译：在多医院卫生保健系统中整合临床微生物学实验室服务的模型。

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摘要

To determine the cost-effectiveness of consolidating clinical microbiology services in a three-hospital health-care network while maintaining high-quality laboratory services, a retrospective review of the total costs of maintaining separate clinical microbiology laboratories within our health-care system was compared to the cost of providing these services after consolidation. Turnaround times before and after consolidation were compared to assess efficiency of the consolidated services. Input of clinicians was also solicited to ensure that quality of services and customer satisfaction remained high. The results of the consolidation project show that the net fiscal saving because of consolidation of clinical microbiology services within our health-care system will be approximately 100,000 dollars per fiscal year. This value includes increased courier charges as well as personnel savings. Although fiscal savings are an integral part of any laboratory consolidation plan, the financial considerations must be balanced by quality of service. The response to consolidation from clinicians was decidedly mixed before implementation of the plan because of fear of increased turnaround times and limited access to laboratory information. The consolidation process, however, was smooth with few physician complaints. The consolidation of our clinical microbiology services illustrates that significant financial savings can be achieved without compromise of efficiency or quality of service.
机译：为了确定在三医院医疗保健网络中合并临床微生物学服务同时保持高质量实验室服务的成本效益，我们对在我们的医疗保健系统中维护独立临床微生物学实验室的总成本进行了回顾性回顾，与合并后提供这些服务的成本。比较了合并前后的周转时间，以评估合并服务的效率。还征求临床医生的意见，以确保保持较高的服务质量和客户满意度。合并项目的结果表明，由于我们的医疗保健系统中临床微生物学服务的合并，净财政节省约为每财政年度100,000美元。该价值包括增加的快递费用以及人员节省。尽管财政节省是任何实验室合并计划不可或缺的一部分，但财务考虑必须通过服务质量加以平衡。由于担心周转时间增加和访问实验室信息的机会有限，在实施该计划之前，临床医生对合并的反应显然参差不齐。但是，合并过程很顺利，几乎没有医生的抱怨。我们临床微生物学服务的整合表明，在不牺牲效率或服务质量的前提下，可以节省大量资金。

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