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Benchmarking in pathology: development of a benchmarking complexity unit and associated key performance indicators.
MedLine Citation:
PMID:  23222245     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIMS:: This paper details the development of a new type of pathology laboratory productivity unit, the Benchmarking Complexity Unit (BCU). The BCU provides a comparative index of laboratory efficiency, regardless of test mix. It also enables estimation of a measure of how much complex pathology a laboratory performs, and the identification of peer organisations for the purposes of comparison and benchmarking. METHODS:: The BCU is based on the theory that wage rates reflect productivity at the margin. A weighting factor for the ratio of medical to technical staff time was dynamically calculated based on actual participant site data. Given this weighting, a complexity value for each test, at each site, was calculated. The median complexity value (number of BCUs) for that test across all participating sites was taken as its complexity value for the Benchmarking in Pathology Program. RESULTS:: The BCU allowed implementation of an unbiased comparison unit and test listing that was found to be a robust indicator of the relative complexity for each test. Employing the BCU data, a number of Key Performance Indicators (KPIs) were developed, including three that address comparative organisational complexity, analytical depth and performance efficiency, respectively. Peer groups were also established using the BCU combined with simple organisational and environmental metrics. CONCLUSIONS:: The BCU has enabled productivity statistics to be compared between organisations. The BCU corrects for differences in test mix and workload complexity of different organisations and also allows for objective stratification into peer groups.
Authors:
Amanda Neil; Sally Pfeffer; Leslie Burnett;
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-6
Journal Detail:
Title:  Pathology     Volume:  -     ISSN:  1465-3931     ISO Abbreviation:  Pathology     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0175411     Medline TA:  Pathology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*Consultant Health Economist, Brisbane, Queensland †Centre for Clinical Epidemiology and Biostatistics, Faculty of Health, The University of Newcastle ‡Benchmarking in Pathology QA Program, Kurri Kurri §PaLMS, Pathology North, Royal North Shore Hospital, St Leonards ||Sydney Medical School, University of Sydney, Royal North Shore Hospital, St Leonards ¶Benchmarking in Pathology Advisory Committee ('BiPAC'), RCPA Quality Assurance Programs Pty Ltd, Surry Hills, New South Wales, Australia.
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