Clinical PathologyQuality Dashboard

April 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 QualityHematology

Clinical Pathology Patient Care Quality

Microbiology

Goal≤1 hour

Clinical Pathology Patient Care QualityPhlebotomy

*Data compiled using PT/PTT, WBC, Gluc data, which are components of high volume testing. Draws begin at 4am.

Clinical Pathology Efficiency

Clinical Pathology Financials

Clinical Pathology QA Meeting HighlightCytogenetics Laboratory

Determination of Cultural Artifact vs. True Mosaicism

CP Process Improvement Monthly Highlight

Chemistry-PTHI Testing

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.

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

Clinical Laboratory News, Notes, and Kudos------------------------------------------------------------------------------------• Labs that are working on process improvement projects that

would like to display data can contact Kristina Martin (martkris@umich.edu) for future dashboards.

KudosTo 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 RequirementsThursday• 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

Clinical Laboratory News, Notes, and Kudos------------------------------------------------------------------------------------• Labs that are working on process improvement projects that

would like to display data can contact Kristina Martin (martkris@umich.edu) for future dashboards.

KudosTo 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.

Clinical Laboratory News, Notes, and Kudos------------------------------------------------------------------------------------• Labs that are working on process improvement projects that

would like to display data can contact Kristina Martin (martkris@umich.edu) 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.