Clinical Pathology Quality Dashboard October 2009

Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Test Results: PT/PTT, CBCP, and Comprehensive Panel

Inpatient Phlebotomy Draws Clinical Pathology Quality Dashboard

Turnaround Times Point of Care service began

Clinical Pathology Quality Dashboard Specimen Processing Turnaround Time Average Daily Turnaround Time + 1 standard deviation for Inpatient Specimens going to Chemistry

Clinical Pathology Quality Dashboard Molecular Diagnostics Laboratory

Clinical Pathology Quality Dashboard Chemistry In-Lab Turnaround Times

UMHS Blood Product Utilization Clinical Pathology Quality Dashboard

CAP Proficiency Testing 1st Quarter FY 2010 Clinical Pathology 318 = Number of Challenges 99% = Satisfactory Results Anatomic Pathology 0 = Number of Challenges N/A = Satisfactory Results Department Total 318 = Number of Challenges 99% = Satisfactory Results

Clinical Pathology Quality Dashboard CP Financial Measures *excludes Blood Bank and Phlebotomy

Build of non-Mayo sendouts as “orderables” Re-start lost/misplaced specimen initiative Urinalysis “positive” result link to trigger urine culture: a “new test” Multidepartment initiative to improve mail-in process for monitored anti-rejection transplantation medications Clinical Pathology Quality Dashboard Clinical Laboratory Operations Initiatives

Establishment of uniform and improved result-reporting convention for fecal occult blood testing in Health Centers Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements

Congratulations and Thank You to the entire Blood Bank/Transfusion Medicine group for a very successful AABB inspection. Kudos to all Clinical Laboratories for improvement in CAP Proficiency Testing performance (up to 99% satisfactory in first quarter of FY10). Selection of “Lab Error Reduction – A Lab Ambassador Success Story” poster to be feted on October 27-28, 2009 as part of the UMHS Quality Month Celebration. Team members: Jennifer Andreoli, RN; Kathleen Gower, LT; Susan Clozza, CT(ASCP). Clinical Pathology Quality Dashboard Kudos