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Business Case for Services

 The cost of validation is planned and controllable. The cost of inadequate validation is often unexpected, disruptive, and substantially higher." 

What is it costing your laboratory every week that the service isn't live

  Cost of delay

  1. Staff time
  2. Referral testing
  3. Reagent/analyser under-utilisation
  4. Project management time
  5. Repeat validation work
  6. Delayed clinical pathway
  7. Delayed patient results
  8. Lost service capacity

  

ISOCHECKS investment

                       ↓

Faster, controlled implementation

                       ↓

Earlier clinical service delivery

                       ↓

Earlier return on laboratory investment


The Cost of Poor or Delayed Validation to Organisations

Cost incurred to correct mistakes to the health services

Cost incurred to correct mistakes to the health services

Cost incurred to correct mistakes to the health services

Failure to validate a diagnostic service properly can expose laboratories to significant financial, operational, regulatory, and clinical risks.

  

A robust validation programme typically costs a fraction of the expenses associated with remediation, regulatory findings, or delayed implementation.

Minor Compliance Gap

Cost incurred to correct mistakes to the health services

Cost incurred to correct mistakes to the health services

  1. Additional  staff time to generate missing evidence
  2. Repeat  validation studies
  3. Documentation  updates
  4. Corrective  action plans
  5. UKAS  non-conformity response 

  

Typical Cost: £2,000 to £10,000

Delayed Service Implementation

Cost incurred to correct mistakes to the health services

Delayed Service Implementation

  1. Project delays
  2. Lost referral income
  3. Extended reagent evaluations
  4. Additional training requirements
  5. Delayed patient access to testing

  

Typical Cost: £10,000 to £50,000+

Major Validation Deficiency

Failed New Technology Implementation

Delayed Service Implementation

  1. Full revalidation of the service
  2. Consultant and specialist support
  3. Repeat method comparisons and statistical analysis
  4. Additional UKAS assessment activity
  5. Service  suspension or restricted accreditation scope

  

Typical Cost: £25,000 to £100,000+

Patient Safety Incident

Failed New Technology Implementation

Failed New Technology Implementation

  1. Investigation  costs
  2. Repeat  patient testing
  3. Clinical  review and governance processes
  4. Legal  and indemnity costs
  5. Reputational  damage
  6. Service redevelopment 

  

Typical Cost: £50,000 to £500,000+

Failed New Technology Implementation

Failed New Technology Implementation

Failed New Technology Implementation

  1. Instrument      underutilization
  2. Wasted procurement investment
  3. Delayed commissioning
  4. Additional  validation and verification work
  5. Loss  of business case benefits

 Typical Cost  : £100,000 to £1M+ 

Validation Cost-Impact Matrix

This matrix can be used to help laboratories quantify the business risk associated with inadequate or delayed validation activities. 

ISO 15189 Compliance

 Medium Risk: Non-conformity requiring corrective action (£5k-15k).

 Severe Risk:  Loss of accreditation or suspended service (£50k+).

Staff Resource Impact

 Medium Risk: Repeat validation studies (£5k-20k) 

 Severe Risk: Dedicated recovery project (£50k+) 

Service Implementation Delay

 Medium Risk:  1-3 months (£10k-30k)  

 Severe Risk: Project failure or cancellation (£100k+) 

Revenue & Referrals

 Medium Risk: Loss of referrals (£25k-100k)   

 Severe Risk: Contract loss or service decommissioning (£100k+) 

Patient Safety Risk

 Medium Risk:  delay in diagnosis 

 Severe Risk:  Potential diagnostic error. Significant incident requiring investigation.


 If external specialist support gets your service live weeks earlier, the investment in validation can be small compared with the cost of delay.   

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