实验室医学的需求层次需要一种基础护理提供模式

Melody Boudreaux Nelson , Michelle F. Lamendola-Essel , Aaron Odegard , Stephanie Whitehead , Dana Powell Baker , Joy Nakitandwe
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引用次数: 0

摘要

在检验量不断增长、人员编制紧张和医疗保险报销额度削减的多重压力下,一种以增强为基础的替代性支付结构很有吸引力,这种结构侧重于通过设定基准来奖励实验室在护理服务方面所做的努力。然而,要实现以价值为基础的支付模式,需要制定一个包容性的实验室护理服务模式(LCDM)框架。目前,还没有一个全面、实用的实验室医疗服务提供模式(LCDM)框架。然而,这种框架的建立对于建立统一的价值追踪实践准则至关重要,通过这种准则可以得出标准化的关键绩效和人口健康指标。LAB-CARES 是制定 LCDM 的第一步,其主要目标是定义和简化必要的流程和策略,以便在整个医疗保健系统中提供和阐明卓越诊断的价值。LAB-CARES 的目标是最大限度地提高效率、提升质量、传播临床专业知识、加强患者安全并促进综合实践。LAB-CARES 旨在改善患者个人的生活质量(纵向化验结果--超出一次化验的范围)及其周围社区的生活质量(例如,通过监测和预防--超出一名患者的范围)。要将 LAB-CARES 作为一种正式的结构纳入医疗保健领域,进一步的专业对话和努力至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The hierarchy of needs for laboratory medicine requires a foundational care delivery model

Under the collective weight of growing test volume, staffing constraints, and Medicare reimbursements cuts, an enhancement-based, alternative payment structure focused on rewarding the laboratory's care delivery efforts via benchmarking is appealing. However, achieving a value-based payment model requires the development of an inclusive laboratory care delivery model (LCDM) framework. Today, a holistic, practical LCDM framework for laboratory medicine does not exist. However, such creation is essential for establishing unifying tenants of practice for value-tracing by which standardized key performance and population health indicators can be derived. LAB-CARES is the first step in formulating an LCDM with the primary objective of defining and streamlining the processes and strategies necessary to deliver and articulate the value of diagnostic excellence across the healthcare system. The goal of LAB-CARES is to maximize efficiencies, enhance quality, disseminate clinical expertise, increase patient safety, and promote integrative practice. LAB-CARES is designed to improve an individual patient's quality of life (longitudinal laboratory results – beyond one test) and their surrounding communities (e.g., through surveillance and prevention – beyond one patient). Further professional conversation and efforts are paramount to integrate LAB-CARES as a formalized structure within the healthcare landscape.

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来源期刊
Dialogues in health
Dialogues in health Public Health and Health Policy
CiteScore
0.70
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134 days
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