CLMA - Integrated Diagnostics: Optimizing the Quality of Diagnostic Test Results Reported to Clinicians

Bruce A. Friedman, M.D.

CLMA Body of Knowledge Domains: Compliance Management, Quality and Safety, Medical Decision Support

This presentation addresses the issue of integrated diagnostics whereby pathology labs are encouraged to transition from the current practice of usually reporting clinical and anatomic pathology results to clinicians in series and as they are generated to more of a blended report, particularly for complex patients. The goal is for pathologists and other lab professionals to "predigest" some of the most complex results and provide more actionable items to provide clinicians, providing a faster path to a diagnosis. This type of reporting will be particularly important as emphasis is placed on value-based healthcare. At some later time, it is proposed that all diagnostic information including radiology results could be included in this effort. The presentation places particular emphasis on the role of information technology in the pursuit of integrated diagnostics.

Continuing Education Credits

  • P.A.C.E Contact Hours (CLMA): 1 hour(s)


  • Describe the dual process (order entry, result reporting) necessary to accomplish integrated diagnostics.
  • Discuss the current hospital organizational constraints that have served to delay the adoption of this plan.
  • Explain why CP/AP integration has been difficult and why value-based healthcare will accelerate this trend.
  • Explain why "discordance studies" between pathology and radiology reports provide an impetus for integrated diagnostics.
  • Discuss some of the information technology solutions that can enhance the reporting capabilities of the clinical labs.
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