Clinical Pathology Quality Dashboard September 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 4th Quarter FY 2009 Clinical Pathology 91 = Number of Challenges 92% = Satisfactory Results Anatomic Pathology 0 = Number of Challenges N/A = Satisfactory Results Department Total 91 = Number of Challenges 92% = Satisfactory Results

Clinical Pathology Quality Dashboard CP Financial Measures

Lean Process Improvements – Many! Board access H1N1 influenza testing program Clinical Pathology Quality Dashboard Clinical Laboratory Operations Initiatives

Design and implementation of new requisition for complex, multiple-site, multiple-times Interventional Radiology blood samples – by Chemistry Outstanding improvements in ED turnaround times for troponins, CBCs, basic panels, and urine analysis - by Chemistry Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements

Congratulations and Thank You to the entire Blood Bank/Transfusion Medicine group for a very successful rigorous FDA on-site inspection with “no observations”. Kudos to the Microbiology Laboratory (especially Marc Deroo and Jeana Vandorp) for “above and beyond” support of Pediatrics Critical Care Medicine patient in early September. Kudos to Duane Newton, Ph.D. (Director, Microbiology Laboratory) for his tireless and expert support of UMHS preparation for H1N1 influenza. Kudos to Steven Mandell, M.D. for his leadership in helping to develop a “Better Specimen Box”. Dr. Mandell organized a team of 25 people – including nurses, managers, phlebotomists, pathologists, housekeepers, and others – to create what is now officially called a “unit- based specimen drop box”. Clinical Pathology Quality Dashboard Kudos