A TEN-CENTER PROTOTYPE ACO MODEL EXAMINING THE ACCESSIBILITY OF CLINICAL LABORATORY SERVICES TO URBAN PRIMARY CARE CLINICS
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Abstract
Background Patients are guaranteed all-encompassing care in a comfortable setting in primary healthcare centres (PHCs), which include promotion and prevention, treatment, rehabilitation, and palliative care. To aid in the attainment of specialist healthcare equity, it is planned to give first-contact, ongoing, thorough, and coordinated patient care. The Accountable Care Organisations (ACO) concept is now being implemented in Saudi Arabia's healthcare system. The Kingdom of Saudi Arabia (KSA) must prioritise the enhancement of PHCs' quality and use if it is to accomplish its transformational healthcare ambitions. The laboratory services are included in this service as an essential component. Methods A pilot programme for primary health centres' (PHCs') laboratory services in metropolitan areas is detailed in this article. The approach relied on the FOCUS-PDCA quality improvement method, which targeted the pre-analytical phase of laboratory testing. It also took into account the preparedness and gap analysis inside the 10 basic healthcare centres that were piloted by the Saudi Central Board for Accreditation of Healthcare Institutes (CBAHI). Final Product Results from the selected key performance indicators (KPIs) (lower turnaround times (TAT) for test results, high rejection rates) and staff competency demonstrated poor service quality as a result of inconsistencies in practice, according to the Gap analysis. After the interventions were implemented and some of the ACO Laboratory tactics were used, the KPI rates were improved, and our outcomes surpassed the first-year targets we had set for ourselves. In addition to streamlining other processes, the introduction of electronic connectivity enhanced the TAT KPI. Final thoughts Based on our findings, most regular laboratory testing was both enhanced and made more affordable once PHC centralised its laboratory service with an established reference laboratory and adopted the national accreditation requirements. In addition, the model highlighted the significance of staff competency and utilisation, the impact on cost reduction, and the critical pre-analytical phase of the laboratory quality improvement process. Health care, clinical laboratory, accountable care organisation, centralization, quality, laboratory utilisation, and key performance indicators are all terms that can be used to describe this topic.
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