ARUP Consultative Services: Laboratory Stewardship

Laboratory Stewardship

Laboratory Stewardship

Our approach encompasses the entire continuum of care—from patient to provider to pathologist.

I want to…

Laboratory Stewardship Program Development

We don’t just study stewardship—we live it.

We’ve experienced the trial and error of implementing stewardship programs first hand, both in our own organization and with our clients. We know how to help you position your program for success the first time around.



Let our experts take care of the time-consuming task of mining your lab data for valuable insights.



Create buy-in from the top down with a comprehensive governance structure and roadmap.



We’ll help you identify next steps and prioritize opportunities for implementation.



Apply evidence-based guidelines and interventions where they’re needed most.



Stay on top of your data with AnalyticsDx™ and adjust your strategy as needed with our proprietary resources and tools, including Analyzing Test Ordering Patterns™ (ATOP®).


  • Expertise outside of your organization, from pathologists to laboratorians to data analysts
  • Guidance to organize your planning and steering committees
  • An in-depth analysis of utilization data


Our ever-growing benchmarking database provides reliable data that promotes quality outcomes. The data we collect compares annual test volumes with peer-like providers, giving you the tools needed to work collaboratively with physicians to identify opportunities to help identify opportunities for improvement.


  1. How are you performing relative to your peers?
  2. What utilization management techniques are being used by your peers?
  3. What are best practices in organizations with established lab stewardship programs?
  4. Which methods produce the best patient outcomes?

Utilization Analysis

Our unique, customized approach evaluates your organization’s utilization patterns to deliver highly valuable, evidenced-based recommendations. We’ll review 12 months of data from various sources and bring it all together in one convenient report, identifying your top opportunities for streamlined processes, cost reduction, test management, and optimal patient care.

We review:

  • Duplicate testing
  • Unnecessary repeat testing (testing intervals)
  • Reflex testing
  • Inappropriate and over-utilization

Ask your local account representative
how to stay updated on ordering patterns.

Test Interval Guidance

Provide accessible, understandable information for physicians at the point of care while empowering your lab to embrace cost-containment without sacrificing quality and efficiency. Our test interval database is built on peer-reviewed research and is continuously updated to include additional test applications. In addition to access to our database, we’ll help you determine the best ways to develop and implement interventions while creating executive buy-in.

Our experts provide:

  • Research evidence for five client-selected target tests
  • An evaluation of pre-intervention data and projected cost savings
  • Post-implementation analysis and cost-savings calculations

Order Set Analysis

Make it easier and more efficient to give patients the care they need with standardized test ordering procedures. From best practices to subcommittee formation, our expert review gives your team the knowledge and tools to eliminate variations in care.

Standardize your:


Order Sets

Group of physician orders used to standardize and expedite the ordering process


Standing Orders

Order to expedite the delivery of patient care in well-defined clinical scenarios in which there is evidence supporting the intervention. Typically used in ED’s and Rapid Response



Allows nurse, pharmacist, other licensed medical professional to start/stop orders on behalf of the protocol

Lab/Pharmacy Workflow and Budget Planning

There are many drugs that require the monitoring of lab test results, and drug administration schedules often affect specimen collection schedules.

Our experts provide guidance for workflow standardization, proven methods to enhance opioid/antibiotic stewardship, and techniques to better plan for drug/lab budgets.

Collaboration brings:

  • Increased workflow efficiency
  • Organizational alignment for budget planning 
  • Enhanced continuity of care

Emerging Approaches to Therapeutic Drug Monitoring Review

Many lab tests (drug concentrations, CBCs, genetic profiles) are ordered by pharmacists and providers to aid in therapeutic drug monitoring (TDM). When pharmacy and lab collaborate on TDM, patient care is enhanced, time to therapeutic results decreases, and drug-related lab stewardship improves.

Our experts provide:

  • Updated TDM methodologies
  • Cutting-edge techniques for implementing pharmacogenomics in practice
  • Methods for enhancing opioid and antibiotic stewardship initiatives

Clinical Pharmacogenetics Implementation Assessment

Pharmacogenetics is an aspect of precision medicine that is becoming a standard of care at top health systems across the United States. Learn how to integrate pharmacogenetics with therapeutic drug monitoring to better predict patient response to treatment and place them on the right drug and right dose at the right time.

Gain access to:

  • Expertise in pharmacogenomics and precision medicine
  • Cutting-edge techniques for implementing pharmacogenomics in practice
  • Connections to support population health initiatives

Sandy Richman, MBA, C(ASCP)

“We show our clients how to convert their data into action.”

Sandy Richman, MBA, C(ASCP)
Director of Consultative Services