1. Clinical Pathology Quality Dashboard
April 2013

2. Clinical Pathology Patient Care Quality Blood Bank

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

4. Clinical Pathology Patient Care Quality Hematology

5. Clinical Pathology Patient Care Quality Microbiology
Goal≤1 hour

6. 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.

7. Clinical Pathology Efficiency

8. Clinical Pathology Financials

9. Clinical Pathology QA Meeting Highlight
Cytogenetics Laboratory
Determination of Cultural Artifact vs. True Mosaicism

14. CP Process Improvement Monthly Highlight Chemistry-PTHI Testing
How we know it worked and ramifications of the Change: Physicians changed workflow patterns due to testing being available 24/7 and had expectations for a one hour TAT . Results were to be available before morning rounds. Chemistry staff responded by becoming aware of the change in the customers expectations and now monitor the TAT of this assay more closely.
TAT expectations have been maintained to date. Interferences and other workflow inefficiencies resultant from using the prior platforms are now eliminated.
Date Solution Implemented: January 8, 2013
Description of Problem: Chemistry performed PTHI testing on several platforms. These platforms were susceptible to heterophile interferences. Additionally, testing was not performed on the automation line and therefore was a batched assay. Impact of Problem: Potential interferences, rejection due to transport stability if not received on ice. The test is not available 24/7 for treatment decisions. Description of Solution: Change the PTHI platform to the Centaur that is attached to the automation line. The test can be performed on the primary tube, does not require storage before testing and has greater stability. The test is now available 24/7.

15. 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 dashboards.
Kudos
To all of the Pathology Staff presenting at the 2013 ASCLS-Michigan Annual Meeting.
Wednesday
Carol Young- Respiratory Specimens-What Should We Be Doing?
Harry Neusius-Managing for Engaged Employees
Matt Elkins-The Science Behind Hemolysis Labs.
Kristina Martin-A3 Structured Problem Solving
Thomas Wilson-Personalized Genomics –Next Generation Sequencing.
Suzanne Butch-CLIA, CAP, AABB-Meeting the More Challenging Requirements
Thursday
David Keren-Capillary Electrophoresis New Advancements
Marc DeRoo-Microbiology Case studies
Don Giacherio- Secondary Thyroid Function Testing
LouAnn Dake-Bone Marrow Transplant: Current Concept & Transfusion Guidelines
Eric Vasbinder-Of Mice & Men: Hamma’s Heterophiles & Other Immunoassay Interferences

16. 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 dashboards.
Kudos
To all of the Pathology Staff presenting at the 2013 ASCLS-Michigan Annual Meeting.
FRIDAY
Michael Imperiale- Biosafety & Biosecurity in the Clinical Lab
Terry Downs- Massive Transfusion Protocols
Jeff Warren- Clinically Unsuspected Cryoglobulinemia
Mike Bachman- The Principles and Practice of Molecular Biology
Jeana Houseman-MALDI-TOF Microbial Identification System for the Future
Carl Byington- Implications of Indirect vs. Direct Electrolyte Measurements.
Linda Brish & Colleen ????? For pulling together and searching through the Immunology laboratory for additional sample required to complete a kidney transplant cross match for a 7yo girl.

17. 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 dashboards.
Kudos
Linda Brish & Colleen McDermott For pulling together and searching through the Immunology laboratory for additional sample required to complete a kidney transplant cross match for a 7yo girl.
“Collaboration like this is what contributes to patient excellence” -Tim Williams-HLA Laboratory
HLA Laboratory-Pulling together as a team to handle a water leak and maintain operations during the chaos.