02 Sep Literature review of platelet aggregation testing (2015)
The Department of Health engaged HealthConsult to undertake a literature review and costing analysis of platelet function testing. The purpose of the literature review was to determine clinical best practice relating to platelet aggregation tests. The literature review involved a comprehensive literature search and preparation of a summary document outlining the findings from published systematic reviews and recommendations from recent clinical practice guidelines. A detailed activity based costing analysis of platelet aggregation testing was also undertaken through consultation with four pathology laboratories in tertiary teaching hospitals. From the site visits, process maps were developed that identified the key activities in performing a platelet function test and the relevant resources units used, from which an estimated cost per test was derived. Based on this analysis recommendations regarding the suitability of the current Medicare Benefits Schedule (MBS) fee for service were provided. The project was undertaken to inform discussions at the meeting of the Pathology Services Advisory Committee (PSAC) in July 2015. The project commenced in May 2015 and was completed in July 2015.