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Pathology Utilisation Medical Program
Brooke BerryPrincipal Business Analyst
B App Sc (App Chem), CHIA
2PUMP – Pathology Utilisation Medical Program
Pathology Utilisation Medical Program
• Clinical scenario
• PUMP introduction
• Support tools
• Analytics
• ICT journey
3PUMP – Pathology Utilisation Medical Program
clinical decision
4PUMP – Pathology Utilisation Medical Program
Ordering Support
1. Education
2. Clinical Pathways
i. Ordering guidelines
ii. Laboratory surveillance / triggers
iii. Information
3. Monitor Demand
i. Analytics
ii. Reporting / Dashboards
5PUMP – Pathology Utilisation Medical Program
Review
Analytics
6PUMP – Pathology Utilisation Medical Program
0
100000
200000
300000
400000
500000
600000
700000
800000
900000
2011 2012 2013 2014 2015 2016 2017
Hospital BenchmarkingPathology CRP Ordering
Large - 1 Large - 2 Mid-size - 1 Mid-size - 2 Mid-size - 3 Mid-size - 4 Specialist - 1 #N/A
What does this mean for Queensland?
• Re-test rules in AUSLAB
• Choosing Wisely program at Gold Coast (17 month project)
FY16/17 (*preliminary data)
7PUMP – Pathology Utilisation Medical Program
Patient
WAU*
11%
Path
Costs
1%
Path
Costs
3.5%
Path
Tests
1%GC
Qld
$2.8M
Qld $800,000
Data Elements
TestPath
EpisodesPrice list Wards
Testing labLab cost centres
Requesting Dr
Department
Panel of tests
Billing category
pub/private
HHS & Facility
Clinical Unit
8
9Change footer using instructions on slide 7
Standard Reporting
Example Report
10
Drill down
11Change footer using instructions on slide 7
Identifying Waste
• Behaviour • Training
Current development – Qlikview Dashboard
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Journey
QHEPS Reports
SAS BI Qlik Dashboard SPRData 5
Data 6
13PUMP – Pathology Utilisation Medical Program
Clinical Test Plans LIMS Re-test E-OrdersD4
Summary
statistics Benchmarking User friendly
Clinical data
linked
PreventionGuidanceEarlier
Prevention Best
Practice
DiagnosticsREACTIVE
PROACTIVE
14PUMP – Pathology Utilisation Medical Program
Acknowledgements
• Matt Ford, Central Laboratory Manager
(PUMP champion), Pathology Qld
• Malcolm Stringer, General Manager
Laboratory Operations, Pathology Qld
• Justin Stanislaus, BI Specialist HSQ-
Finance
• Andre Roberts, Business Performance
Manager HSQ-Finance
Contacts
15
