Diagnostic Laboratory Stewardship in a Growing Integrated Delivery Network

J Appl Lab Med. 2025 Jan 3;10(1):36-47. doi: 10.1093/jalm/jfae133.

Abstract

Background: Many organizations institute laboratory diagnostic stewardship (DS) programs to improve the utilization of laboratory resources.

Methods: In this paper, we describe the road to implementing laboratory DS in a large, not-for-profit integrated delivery network located in the western United States.

Results: Program structure, projects, challenges, and future opportunities are discussed, providing tactics and opportunities that facilities can employ to maximize their initial foray into the DS landscape.

Conclusions: With effective planning and organization, laboratory DS can be implemented by any organization to realize resource optimization and financial benefits while maintaining high levels of patient care.

MeSH terms

  • Clinical Laboratory Services / organization & administration
  • Clinical Laboratory Services / standards
  • Delivery of Health Care, Integrated* / organization & administration
  • Humans
  • Laboratories, Clinical
  • United States