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In the 'hub and spoke' model, costs of administration and identifying/specimen reception are incurred in both spoke laboratories (i.e., cytology laboratories) and the hub laboratory (HPV laboratory).
A cost questionnaire was devised to assess the potential additional costs of HPV testing for the 'Sentinel Site' laboratories not performing HPV testing, the spoke laboratories.
Record sheets were developed to record the amount of staff activity related to HPV testing in spoke laboratories.
With the assistance of the spoke staff, a telemedicine neurologist evaluates the patient, reviews relevant laboratory and CT images, formulates a plan of care with the spoke care team, completes an electronic note for the chart, and in some instances arranges transfer to the hub if higher level of care is indicated.
The 'integrated HPV/Cytology' laboratory leads to lower total staff costs for administration, identifying samples/specimen reception than that of 'hub-and-spoke' model.
In the 'hub and spoke model', cytology laboratories without HPV testing facilities onsite, were considered as spokes.
Eisenhower spoke.
Spoke intemperately.
Beverly Sills spoke.
Neither spoke.
Spoke wryly of success.
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CEO of Professional Science Editing for Scientists @ prosciediting.com