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  • Title: Evolution beyond the shared services model of consolidated hospital clinical laboratories.
    Author: Fattal GA, Tanasijevic MJ, Winkelman JW.
    Journal: Arch Pathol Lab Med; 1995 Aug; 119(8):701-5. PubMed ID: 7646326.
    Abstract:
    OBJECTIVE: To compare the operational and financial outcomes of the transition from shared laboratory services to a recentralized model, in a consolidated hospital system. SETTING: United Health Services Hospitals (Binghamton General, Wilson Memorial, and Ideal hospitals, New York State). INTERVENTION: Consolidation of hospital services and recentralization of laboratory testing to a single site (Wilson Memorial Hospital). MAIN OUTCOME MEASURES: Laboratory workload, testing efficiency, personnel and nonpersonnel expenses, analytic error rate, turnaround time, and proficiency-testing scores. RESULTS: The postintervention period (1988 to 1992) was characterized by a 51% and a 10% increase in the out- and inpatient workloads, respectively, with a concomitant 24% increase in testing efficiency. The salary expenses were 26% lower, while the total true cost savings ranged from $1,544,000 (11.6%) to $2,500,000 (21.9%) compared with the shared services model. The recentralization produced decreased analytic error rates and improved testing turnaround time. CONCLUSIONS: The total costs per test have been lowered in the recentralized model. Recentralization may provide further true cost savings over the shared services model while maintaining high-quality service.
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