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Clinical Pathology Quality Dashboard March 2010

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Clinical PathologyQuality Dashboard

March 2010

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Draws

0%

20%

40%

60%

80%

100%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

University Hospital

8am

9am

10am

Drawn by

0%

20%

40%

60%

80%

100%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Mott Hospital

8am

9am

10am

Drawn by

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Test Results:

PT/PTT, CBCP, and Comprehensive Panel

0

100

200

300

400

0%

20%

40%

60%

80%

100%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Av

g D

ail

y V

olu

me

2009 2010

University Hospital

8am

9am

10am

Results by

0

1

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9

0%

20%

40%

60%

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100%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Avg

Da

ily

Vo

lum

e

2009 2010

Mott Hospital

8am

9am

10am

Results by

Inpatient Phlebotomy Draws

Clinical Pathology Quality Dashboard

19,598 19,795

21,992 21,71420,986

21,65122,073

22,675

20,208

22,942

21,65020,940

22,907

20,934

0

5,000

10,000

15,000

20,000

25,000

30,000

Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Jan Feb

2009 2010

Clinical Pathology Quality Dashboard

Turnaround Times

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1400

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Mo

nth

ly V

olu

me

2009 2010

Emergency Department Cardiac MarkerVolume and Turnaround Time

> 2 hours

1-2 hours

<1 hour

TAT

Point of Care service began

0

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120

140

160

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Mo

nth

ly V

olu

me

2009 2010

CSF Gram StainVolume and Turnaround Time

> 1 hour

30 min-1 hour

<30 minutes

TAT

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

rnaro

un

d T

ime i

n M

inu

tes

0:00

0:14

0:28

0:43

0:57

1:12

Jan-09 Feb-09 Mar-09 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10

Tu

rnaro

un

d T

ime in

Min

ute

s

January 2009- February 2010

Clinical Pathology Quality Dashboard

Molecular Diagnostics Laboratory

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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)

Sp

ecim

ens

Rec

eive

d p

er M

on

th

Month/Year

Specimens Received and Turnaround TimeJanuary 2002 - February 2010

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

Shift in client testing

Clinical Pathology Quality Dashboard

Chemistry In-Lab Turnaround Times

0

5

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25

30

Pe

rce

nta

ge

Oct 07 - Feb 2010

Sample Turn-Around Time

Routine >60 min stat >45 Inpt stat >45 Outpt stat

UMHS Blood Product Utilization

Clinical Pathology Quality Dashboard

0

1000

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7000

8000

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1000

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7000

8000

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

Pa

tie

nt

Po

pu

lati

on

2009 2010

Blood Product Utilization

Random Platelets

Allo RBC Units

Plasma Units

Cryo Units

Partial Units

SD Platelets

AdjustedDischarges

Units Used

1.3

1.4

1.5

1.6

1.7

1.8

1.9

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Crossmatch/Transfusion Ratio

Threshold

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Wasted RBC

Threshold

0%

1%

2%

3%

4%

5%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Wasted Platelets

Threshold

0%

1%

2%

3%

4%

5%

6%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Wasted Plasma

Threshold

0%

5%

10%

15%

20%

25%

30%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb

2009 2010

Wasted Cryoprecipitate

Threshold

Clinical Pathology Quality Dashboard

CAP Proficiency Testing

2nd Quarter FY 2010

Clinical Pathology 126 = Number of Challenges 98% = Satisfactory ResultsAnatomic Pathology 0 = Number of Challenges N/A = Satisfactory ResultsDepartment Total 126 = Number of Challenges 98% = Satisfactory Results

100

9799.5 99 100

92

99 98

50

60

70

80

90

100

0

100

200

300

400

500

600

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

Per

cen

t S

atis

fact

ory

Nu

mb

er o

f C

hal

len

ges

Clinical Pathology Scores

FY2008 FY2009 FY2010

Clinical Pathology Quality Dashboard

CP Financial Measures

0

2

4

6

8

10

12

1.00

1.05

1.10

1.15

1.20

1.25

1.30

1.35

1.40

1.45

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb

Blo

od

Pro

du

ct

Un

its (

tho

usan

ds)

Do

lla

rs (

mil

lio

ns)

paid

to

SE

Mic

h

Am

eri

can

Red

Cro

ss

2009 2010

Blood Costs vs. Total Blood Products Used

Units

Cost

$4

$5

$6

$7

$8

$9

$10

$11 Clinical Path Expense per Test*

* Excludes Blood Bank and Phlebotomy

275000

300000

325000

350000

375000

400000

425000

1,000

1,200

1,400

1,600

1,800

2,000

To

tal T

ests

Tes

t per

FT

E

Clinical Path Tests per FTE and Total Tests By Month

Tests per FTE Total Tests

• Chemistry Lab has achieved targeted turnaround times by over 95% in every category (routine, inpatient STAT, outpatient STAT) since June, 2009!

 • Jerry Davis provided a spectacular power

point presentation that chronicles the service-friendly, cost-effective “Retraction of a Clinical Satellite Hematology Laboratory”. Great work by our Hematology Lab team!

Clinical Pathology Quality Dashboard

Clinical Laboratory Operations Initiatives

• Jerry Davis provided a spectacular power point presentation that chronicles the service-friendly, cost-effective “Retraction of a Clinical Satellite Hematology Laboratory”. Great work by our Hematology Lab team!

Clinical Pathology Quality Dashboard

Clinical Laboratory Service Enhancements

• Blood Bank/Transfusion Medicine, in conjunction with the Transfusion Committee, has led a reduction in monthly blood product cost from $1.3 M/month to $1.1M/month.

• Congratulations and thank you to all for great turnout and participation in the March 2, 2010 All Staff Meeting.

Clinical Pathology Quality Dashboard

Kudos