Mapping Pathology Work Associated With Precision Oncology Testing.

Abstract

Background: Management of precision oncology testing imposes a substantial burden on pathology departments. As the number of tests continue to grow, developing more efficient processes will become even more important.

Observations: A consult process for anatomic pathology molecular testing offers a way to maximize efficiency. While use of such a consult has been reported, detailed descriptions of the steps involved to facilitate adoption and adaptation at prospective sites is lacking. This article describes a consult process that was implemented at the Kansas City Veterans Affairs Medical Center in 2021. Areas of inefficiency are identified and a target process map is presented.

Conclusions: The proposed consult process increases test utilization, ensures appropriateness of orders, standardizes reporting, and improves efficiency. Laboratory understaffing and growing demand for testing necessitate more efficient processes for pathology to manage the workload and maintain the highest quality of cancer care.