1. Clinical Pathology Quality Dashboard May 2009

2. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

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

4. Inpatient Phlebotomy Draws Fiscal Year 2009 Clinical Pathology Quality Dashboard

5. Turnaround Times

6. Clinical Pathology Quality Dashboard Molecular Diagnostics Laboratory

7. Clinical Pathology Quality Dashboard Chemistry In-Lab Turnaround Times

8. UMHS Blood Product Utilization Clinical Pathology Quality Dashboard

9. 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

10. Clinical Pathology Quality Dashboard CP Financial Measures

11. 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

12. 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

13. Clostridium difficile toxin screening algorithm – 1/09 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 (prototype) 24/7 Microbiology Lab staffing Mycobacteriology culture – continuous monitoring Multiple new clinical assays (see list) Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements

14. Kudos Clinical Pathology Quality Dashboard Thank you to the University of Michigan Department Pathology CAP Inspection Team for the successful completion of an off-site inspection in New York City on May 12-13, 2009. Team included: Bill LeBar, Brenda Schroeder, Craig Newman, Dan Visscher, Diane Roulston, Don Giacherio, Eric Vasbinder, Jeff Warren, Jenny Sanks, John Perrin, Kalyani Naik, Kathy Davis, Larry Bischof, Mary Jane Liu, Nancy Renner, Sara Gay, Sue Stern, Suzanne Butch, Terry Downs, and Usha Kota. Dr. Brad Eisenbrey (Gift of Life) also participated.