Hi Rick
Its not so easy to get this data off our system and the hours spent are a subjective assessment.
How hard do you want the data. Is a guess ok?
Mike
-----Original Message-----
From: IT working group of the Association of Clinical Biochemists [mailto:[log in to unmask]] On Behalf Of Rick Jones
Sent: 10 May 2006 17:37
To: [log in to unmask]
Subject: Re: Costs of Report Comments - invitation to share info
OK so lots of reaction but so far no spreadsheets - I'm happy to work on a show me yours and I'll show you mine basis - anyone up for an exchange.
Rick
Dr Rick Jones
Clinical Biochemistry & Immunology
Leeds Teaching Hospitals Trust
Leeds General Infirmary
Great George St
Leeds LS1 3EX
[log in to unmask]
[log in to unmask]
Trust: 0113 392 2340
Univ: 0113 343 8033
Fax: 0113 392 5174
LS1 3EX
http://www.ychi.leeds.ac.uk
http://www.thehungersite.com
>>> [log in to unmask] 09/05/2006 16:36 >>>
Does that have enough data to get started?
Jonathan
Begin forwarded message:
> From: Brian Shine <[log in to unmask]>
> Date: 9 March 2006 22:52:44 GMT
> To: [log in to unmask]
> Subject: Re: Interpretative comments
> Reply-To: Brian Shine <[log in to unmask]>
>
> This paper is interesting. There was a lowish response rate in
> both surveys (about 50 %). Respondents were offered only yes/no
> options in the initial survey. The reduction in errors could be
> due to a lot of factors other than the presence of an
> interpretation service. The main question could only be answered
> by a properly randomised trial. What I have seen so far would not
> convince me that it was worth spending a lot of expensive expert
> time (and, in particular, my time) on producing individualised
> comments. As someone who has come almost full circle from no
> comments to lots of comments to almost none, I feel that the only
> cost-effective solutions are interventions at the requesting stage
> (using smart computerised requesting) and links so that clinicians
> can find their own interpretations, with live experts being
> available to answer questions about results or subjects that do not
> fit into neat categories.
> To take our situation, we get about 150,000 thyroid function
> requests per year from a population of 600,000+. About 75% come
> from GPs. About 13% are "complicated" - from Endocrinology,
> Paediatrics, toxic, on thyroxine. Of the rest, about 87% have a
> TSH between 0.20 and 5 mU/L and get no further tests. If the TSH
> is outside these limits, we do a FT4 ± FT3. If we looked at and
> commented on all results, and allowed 10 seconds per sample, this
> would equate to about 0.25 of a person's time. Looking at all the
> "complicated" results and those samples where additional tests were
> done, about 36,000 samples, would take several hours a week
> (assuming that 10 seconds per sample is sufficient for this task).
> Even this may not be a good use of our time!
> In the long run, time spent educating doctors and especially
> clinicians, who are getting quite a lot of experience of looking at
> thyroid function test results since on average they order about 0.2
> tests per patient per year, as to what the results mean and where
> they can get help (through web links or e-mail or live
> conversation) if they need it may add more value.
>
> Best wishes,
> Brian
On 8 May 2006, at 16:21, Rick Jones wrote:
> Dear ACB-IT,
> I'm interested in working out what it costs labs to manually put
> clinical comments on reports principally to see what the relative
> economic value of a more automated approach might be.
>
> I've developed an excel model to try to work this out in relation to
> staff time and report volumes.
>
> If anyone were interested in using this to capture & share data about
> their own service or indeed in refining the model I'd be pleased to
> hear
> from you.
>
> If we were to get a number of estimates I'd be happy to put them
> together and share the info after suitable anonymisation.
>
> With best wishes
>
>
>
> Dr Rick Jones
> Clinical Biochemistry & Immunology
> Leeds Teaching Hospitals Trust
> Leeds General Infirmary
> Great George St
> Leeds LS1 3EX
> [log in to unmask]
> [log in to unmask]
> Trust: 0113 392 2340
> Univ: 0113 343 8033
> Fax: 0113 392 5174
> LS1 3EX
>
> http://www.ychi.leeds.ac.uk
> http://www.thehungersite.com
>
> <reportcostmodel.xls>
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