Design and implementation of a combined influenza immunization and tuberculosis screening campaign with simulation modelling.

Rationale, Aims And Objectives: Design and implement a concurrent campaign of influenza immunization and tuberculosis (TB) screening for health care workers (HCWs) that can reduce the number of clinic visits for each HCW.

Method: A discrete-event simulation model was developed to support issues of resource allocation decisions in planning and operations phases.

Results: The campaign was compressed to100 days in 2010 and further compressed to 75 days in 2012 and 2013.

Improving the value of costly genetic reference laboratory testing with active utilization management.

Context: Tests that are performed outside of the ordering institution, send-out tests, represent an area of risk to patients because of complexity associated with sending tests out. Risks related to send-out tests include increased number of handoffs, ordering the wrong or unnecessary test, specimen delays, data entry errors, preventable delays in reporting and acknowledging results, and excess financial liability. Many of the most expensive and most misunderstood tests are send-out genetic tests.