Clinical Pathology Quality Dashboard June 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 Fiscal Year 2009 Clinical Pathology Quality Dashboard

Turnaround Times Point of Care service began

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 3 rd Quarter FY 2009 Clinical Pathology 24 = Number of Challenges 100% = Satisfactory Results Anatomic Pathology 0 = Number of Challenges N/A = Satisfactory Results Department Total 24 = Number of Challenges 100% = Satisfactory Results

Clinical Pathology Quality Dashboard CP Financial Measures

Clinical Pathology Quality Dashboard New Clinical Assays Added in Current Year Protein S activity Anti-Xa Arixtra (fondiparinux) assay Hexagonal phospholipid neutralization (HEXAG) assay Heparin – induced thrombocytopenia/thrombosis assay (improved IgG assay) Automated Urinalysis platform (IRIS) Rapid detection of Candida albicans and C. glabrata from blood cultures BRAF V600 Mutation Detection Clear Cell Sarcoma EWSR1/ATF1, t(12;22) Transcript Detection UroVysion FISH for Bladder Cancer KRAS Mutation Detection NPM1 Mutation Detection Warfarin Sensitivity Analysis

Improvement of Critical Value Callback process - Brenda Schroeder, lead Improvement of Communication with Patient Care Units - Beverly Smith and Brenda Schroeder, leads Customer Service Initiative - Beverly Smith, lead Lab Formulary Committee - Office of Clinical Affairs, FGP, Pathology Lean Process Improvement Projects – many! Job-specific safety signs Creation of Blood Product Utilization Lean Team - Tim Laing, MD, (OCA), lead Improvement of Blood Draw Wait Times - Cancer Center - Taubman 2 - Taubman 3 Clinical Pathology Quality Dashboard Clinical Laboratory Operations Initiatives

On-demand unit-specific antibiograms – 2/09 Expedited (rules-based) release of ANCs (absolute neutrophil counts) – 2/09 Integrated hematopathology reports – 2/09 Troponin point-of-care (ED) – 3/09 24/7 Microbiology Lab staffing Mycobacteriology culture – continuous monitoring Multiple new clinical assays (see list) Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements

Kudos Clinical Pathology Quality Dashboard Thank you to all personnel for our very successful biannual unannounced CAP Inspection of our laboratories on May 20 – 21, Thank you to the following group for their outstanding work with Ann Arbor Public School students who visited the Department of Pathology last month. Chemistry: Sheridan Mattson, Merry Muilenburg, Melissa Liebaert, Tony Sinay, Therese Horning, and Kevin Forbin. Microbiology: Michele Centi, Karen Machcinski and Robert Whitney Cytology: Brian Smola Histology: Chris White and Danielle Fritzsche Administration: Beverly Smith Many positive comments were received from these AAPS students. Examples: “I learned how to look for cancer cells – every day I was with four different people and ALL of them were helpful – I really learned a lot”. “I not only gained a lot of knowledge in the clinical labs – I became more confident. Sheridan…really encouraged me. Sheridan was very helpful.” “I learned a lot. I learned about influenza and I got to see bacteria on the microscope. There were a lot of helpful people that were happy to help me and spend time explaining everything.” “Got to see a wide variety of procedures…got a good glimpse of what these jobs entail and a good sense of the different jobs available.”