The Test Ordering Program modules cover a broad array of tests used by primary care practitioners and specialists. When viewing the modules, viewers may identify analytes that a health care team can target for improvement. Questions are provided for each module to reinforce the lessons learned. The impact analysis portion of the module is designed to guide users through straightforward calculations that can help pathologists demonstrate the economic value of their interventions. Finally, each module has a handout component that complements the full module, which pathologists may share with their clinician colleagues.
B-Type Natriuretic Peptide (BNP) or N-Terminal-ProBNP (NT-proBNP)
BNP is frequently used in the evaluation of dyspnea and to assess risk and prognosis of patients with congestive heart failure (CHF). While useful for differentiating pulmonary causes from cardiac causes of dyspnea, repeat inpatient BNP testing may not be valuable.
Cardiac Marker Testing Practices
Cardiac troponin (cTn) is often cited in guidelines as the preferred marker for acute myocardial injury (AMI). The evaluation methodology in this module may be applied to other markers of AMI such as creatinine kinase MB (CK-MB), too.
Appropriate Testing for Hepatitis C Virus (HCV) Infection
Are positive serologic HCV assays being repeated? Is the same patient having HCV genotyping tests repeated without evidence of a new infection?
Red Blood Cell Folate Testing
Testing serum folate levels is the preferred method for detecting nutritional folate deficiency. Serum folate levels may be preferred over RBC folate testing to assess patient status. This module addresses issues to achieve reliable, conclusive results.