clinical pathology quality dashboard april 2010. clinical pathology quality dashboard inpatient...

14
Clinical Pathology Quality Dashboard April 2010

Upload: gervase-bates

Post on 18-Dec-2015

218 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical PathologyQuality Dashboard

April 2010

Page 2: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Draws

Page 3: Clinical Pathology Quality Dashboard April 2010. 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

Page 4: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Inpatient Phlebotomy Draws

Clinical Pathology Quality Dashboard

Page 5: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

Turnaround Times

Page 6: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

Specimen Processing Turnaround TimeAverage Daily Turnaround Time + 1 standard deviation

for Inpatient Specimens going to Chemistry

September 2006 - July 2007

0:00

0:14

0:28

0:43

0:57

1:12

Sep-06 Oct-06 Nov-06 Dec-06 Jan-07 Feb-07 Mar-07 Apr-07 May-07 Jun-07

Tu

rnar

ou

nd

Tim

e in

Min

ute

s

Page 7: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

Molecular Diagnostics Laboratory

0

1

2

3

4

5

6

7

8

9

10

0

200

400

600

800

1000

1200

1400

January 2002

July 2002

January 2003

July 2003

January 2004

July 2004

January 2005

July 2005

January 2006

July 2006

January 2007

July 2007

January 2008

July 2008

January 2009

July 2009

January 2010

TAT

(day

s)

Spe

cim

ens

Rec

eive

d pe

r M

onth

Month/Year

Specimens Received and Turnaround TimeJanuary 2002 - March 2010

# Specimens TAT Linear (# Specimens) Linear (TAT)

Shift in client testing

Page 8: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

Chemistry In-Lab Turnaround Times

0

5

10

15

20

25

30

Per

cen

tag

e

Oct 07 - Mar 2010

Sample Turn-Around Time

Routine > 60 min stat > 45 min inpt stat > 45 min outp stat

Page 9: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

UMHS Blood Product Utilization

Clinical Pathology Quality Dashboard

Page 10: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

CAP Proficiency Testing

3rd Quarter FY 2010

Clinical Pathology 53 = Number of Challenges 100% = Satisfactory ResultsAnatomic Pathology 0 = Number of Challenges N/A = Satisfactory ResultsDepartment Total 53 = Number of Challenges 100% = Satisfactory Results

9799.5 99 100

92

9998

100

50

60

70

80

90

100

0

100

200

300

400

500

600

4th Qtr 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr 1st Qtr 2nd Qtr 3rd Qtr

Per

cen

t S

atis

fact

ory

Nu

mb

er o

f C

hal

len

ges

Clinical Pathology Scores

FY2008 FY2009 FY2010

Page 11: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Pathology Quality Dashboard

CP Financial Measures

*excludes Blood Bank and Phlebotomy

Page 12: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Laboratory Operations Initiatives

 • Immunopathology Laboratory has nearly

completed clinical laboratory validation of a new Graft-versus-Host Disease predication panel (elafin, IL-2Rα, TNFR1). This panel was developed by Drs. Sophie Paczesny, James Ferrara, and colleagues from the Universities of Michigan and Washington.

 • Effective June 7, 2010, the Michigan

Medical Genetics Laboratory will offer inhouse cystic fibrosis diagnostic mutation testing (60 mutations). This testing will complement prenatal CF mutation screening currently offered by the Molecular Diagnostics Laboratory.

Page 13: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Clinical Laboratory Service Enhancements

• The Clinical Laboratories have developed a Pending “Overdue” Test Result monitoring system that encompasses all workcenters. This system will improve the robustness of laboratory testing.

Page 14: Clinical Pathology Quality Dashboard April 2010. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws

Kudos

• Congratulations and thank you to all Clinical Laboratory personnel, supervisors, and chief technologists for successful completion of our biannual CAP self-inspection.