Clinical Pathology Quality Dashboard March 2013

Clinical Pathology Patient Care Quality Blood Bank

Clinical Pathology Patient Care Quality Chemistry Goal: Inpatient/Outpatient STATs=60 minutes; Internal project to reach 45 minutes. Routines=120 minutes.

Clinical Pathology Patient Care Quality Hematology

Clinical Pathology Patient Care Quality Microbiology Goal≤1 hour

Clinical Pathology Patient Care Quality Phlebotomy *Data compiled using PT/PTT, WBC, Gluc data, which are components of high volume testing. Draws begin at 4am. Mott draws begin at 6am.

Clinical Pathology Efficiency * Cost/adjusted discharge is the average cost per inpatient & outpatient discharge. Forty outpatient visits~ 1 hospital discharge. Pathology costs include: AP, Autopsy, blood products, specimen procurement, and Pathology Informatics. The Pathology percentage is the cost of an adjusted discharge that is contributed to by Pathology expenses.

Clinical Pathology Financials

Clinical Pathology QA Meeting Highlights In June 2012, we expanded and corrected our reporting process to be more specific to whether an RN or RT was notified of critical values. A department meeting was held to discuss changes and how best to improve the error rate. In the meantime, individual techs were counseled if their documentation error rate was excessive. Since that practice was started, correction rates have steadily declined to a point almost equal to May 2012.The response from the techs has been positive, they appreciate the monthly updates on their progress. Pediatric Blood Gas Lab-Addressing Documentation Errors

The Mlabs Call Center has a goal of answering 90% of calls within 30 seconds or less. In the past year several issues including additional work processes related to a particular client as well as staffing have affected this metric. These two factors have been eliminated, however the metric has not returned to it’s normal status. Analysis as to the root cause of this are being investigated. It has been observed that the length of individual calls has increased most likely due to the increased number of molecular clients with more complex questions. Continued efforts to improve continue by analyzing several potential contributing factors. and interfacing with clients have been used in an attempt to reduce the call traffic and respond within the desired time frame.

Clinical Laboratory News, Notes, and Kudos Labs that are working on process improvement projects that would like to display data can contact Kristina Martin for future Kudos Dr. Lina Shao (Cytogenetics) has implemented an assay platform for array-based Comparative Genomic Hybridization (array CGH) studies. The Clinical Cytogenetics Lab will offer this analyses for oncology cases. Christine Shaneyfelt has developed a fully functional and robust system for tracking capital equipment requests and acquisitions. Beth Lawless-(Specimen Procurement- Sendout Lab) has provided consistent and high quality data in support of the UMHS Laboratory Formulary Committee.