Provider Report Cards: Outpatient Applications in Laboratory Utilization

Presented by Dr. Kim Riddell, Medical Laboratory Director, Group Health

This presentation describes how the physician report cards achieved and maintained decrease in routine ordering of common tests (comprehensive metabolic profile, TSH and complete blood counts) for 11 years in a regional, 17 clinic, and outpatient family practice network. It describes how the problem was identified, how the report was designed and the necessary steps to illicit support from medical leaders. It also shows examples of de-identified report cards and the benchmark measures, with mention as to how the measures were defined. The data shows examples on how ordering practice changed with additional information showing drill-down analysis that can used to identify outlier practice, local cultural norms and the effect of reminder letters. Finally, information is shown how these changes affect out of pocket costs to consumers.

Learning Objectives

  • Name five essential elements of the report card
  • Name strategies that maintain feedback
  • Describe how lab mis-ordering can affect patients
  • Name an example where the report card may not be the best intervention

Continuing Education
1.0 Continuing Education Unit

Body of Knowledge Learning Domains

  • Business and Clinical Operations

Content Level

  • Essential


  • Free for Professional Plus, Developing Professional, and Student Members
  • $29 for Professional Members
  • $49 for Non-Members