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COST BENEFIT ANALYSIS OF MEDICAL LABORATORY TESTS

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Introduction:Management in clinical diagnostic fields are frequently involved in cost analysis of new procedures due to the constantly changing science and technology. Also due to the health care organization especially the diagnostic division being tightly regulated by accreditation and regulatory bodies bringing a new procedure in-house requires in depth analysis prior to an any decision being taken.

Cost Object:In a clinical laboratory in a small community hospital we currently refer specimens for free PSA (prostatic specific antigen) to a large commercial laboratory. A prominent physician on staff has requested that us to start doing the test in-house to improve turnaround time. To do this, we would need to offer a total PSA and a …show more content…

The same can be done for processing costs. Pricing information for the consumables used is available from the utilization reports generated monthly by the finance department.

When calculating reagents costs, the cost of the reagent actually used to run a single test is easy to calculate based on the known volume of reagent used and the cost per volume. These numbers are available from information generated by vendors. The cost of calibrators and controls is also available, but the actual cost of these per test can be determined by using the following formula:Cost of total amount usedTotal number of tests performed (using a particular calibration and/or control run time-table).

E.g. Three levels of control are run once per shift for 9 tests including free PSA and the instrument uses 0.2 ml. of control, the cost of 0.2 ml of control solution is $.91 each.

($.91 X 3) = $ .309Note: Sometimes, when these numbers are very small, they can be included as a factor and not evaluated directly.

Factors used in Laboratory labor cost calculations in this laboratory include time required to perform the test as well s wage and benefit cost. The formula used isX +E.g. Free PSA test takes three minutes of a medical technologist's time to perform and report, the

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