id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-018335-4l7scdqk	Kiechle, Frederick L.	Utilization Management in a Large Community Hospital	2016-12-01		.txt	text/plain	11062	549	40	In preparation for the shift from fee-for-service to a valuebased payment system [ 15 ] large community hospitals have been actively engaged in three enterprises which will impact laboratory test utilization: buying physician practices, increasing the use of hospitalists and consolidation of hospitals. Certainly, utilization management of POCT programs will require investigations to determine the relationship between total laboratory turn-around time for results, patient outcome and hospital costs using cost effectiveness analyses [ 36 ] . As technology advances, the traditionally " agrarian society " of the laboratory is becoming more industrialized with the implementation of automation, molecular based testing, and use of mass spectrometry ( MALDI-TOF -Matrix-Assisted Laser Desorption Ionization-Time of Flight). However, all of these technological advances are shortening the time for a laboratory diagnosis and ultimately maximizing the impact to patient care and how physicians at a large community hospital will utilize the more rapid microbiology laboratory services.	./cache/cord-018335-4l7scdqk.txt	./txt/cord-018335-4l7scdqk.txt