Pathology Demand Optimisation
The Benchmarking Partnership's Demand Optimisation work began as a research programme in 2006 to analyse the impact of appropriate testing on patient outcomes. Whilst contribution towards research still continues, the work has now also become a range of reports and programmes which have a proven track record of helping NHS pathology providers and their respective CCGs to generate significant savings to the health economy over recent years, through better patient management with appropriate and effective testing at the centre. Four main focus areas are available:
-o Demographic and Patient Pathway Outcomes Analyses - These CCG-specific reports do not require any data to be submitted to us, and are therefore available immediately to interested organisations. They provide detailed analyses of the demographics of the CCG (which have a significant impact both on admissions and pathology workload - our introductory paper on the impact of demographics is available to download below, free of charge). They also provide performance data on a range of key pathology impact pathways, including potential bed day cost savings analyses for each pathway to help identify priority focus areas for demand optimisation.
-o GP Test Rate Analyses - This report requires submission of a short raw data extract from the laboratory LIMS system (or GP IT system) and provides detailed analyses for a range of agreed key marker tests, including total volume, testing rate per relevant patient group, and normalised relative test rate analyses. It will help to identify potential areas of over and under-testing, as well as identifying areas where better standardisation or conformance with best practice might help generate additional cost savings.
-o HbA1c Testing for Better Management of Patients With Diabetes - This report requires a raw data extract from the laboratory LIMS system with individual (fully anonymised) patient level HbA1c data, and in return provides detailed analyses to calculate the optimum re-test interval for your diabetic population. It shows testing rates compared with guidance, and GP practice level performance data and information comparing testing rate, HbA1c severity and compliance with guidance to relevant demographics, patient management metrics and outcomes (including hospital admissions, length of stay and bed day costs for diabetes). This report will help you to identify where effective demand optimisation strategies could help to deliver better patient outcomes and, as a result, cost savings to the wider health economy.
-o Test Standardisation and Variation - this report requires a raw data download from the laboratory LIMS system showing the total volume of all tests done in the most recent full year. The report provides detailed analyses on test volumes and relative testing rates, and will highlight areas of potential over and under-testing, panel/profile standardisation analyses, and also indicate areas where better conformance with best practice could generate cost savings. This programme can also be performed across a whole network, where additional reports will also be provided around repatriation of work (highlighting areas where the network could save money by bringing work in-house, or better consolidating existing work).
We are also able to offer the above reports as a more fully fledged programme of work, in which we will also provide in-house workshops and presentations of the data to your team in order to help guide you towards implementing a successful demand optmisation strategy. The programmes include advice and guidance throughout the process, as we will share our knowledge and experience of working with other providers over the past decade to help you realise your demand optimisation goals. However, there are a very limited number of these available and are therefore provided on a first-come-first-served basis. Please contact us if you would like to discuss this further.
A range of information leaflets and data requirement guidance documents are available to download, which will help provide further information about each of the demand optimisation areas we cover. We are also in the process of building a repository of free demand optimisation guidance documents and papers, some of which are already available to download below.