clinical pathology quality dashboard september 2010

14
Clinical Pathology Quality Dashboard September 2010

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Page 1: Clinical Pathology Quality Dashboard September 2010

Clinical PathologyQuality Dashboard

September 2010

Page 2: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Draws

Page 3: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Test Results:

PT/PTT, CBCP, and Comprehensive Panel

Page 4: Clinical Pathology Quality Dashboard September 2010

Inpatient Phlebotomy Draws

Clinical Pathology Quality Dashboard

Page 5: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Turnaround Times

Page 6: Clinical Pathology Quality Dashboard September 2010

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

Page 7: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Molecular Diagnostic Laboratory Specimens Received and TATJan 2002 - July 2010

Page 8: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Chemistry Lab Turnaround Times

Page 9: Clinical Pathology Quality Dashboard September 2010

UMHS Blood Product Utilization

Clinical Pathology Quality Dashboard

Page 10: Clinical Pathology Quality Dashboard September 2010

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 September 2010

Clinical Pathology Quality Dashboard

CP Financial Measures

*excludes Blood Bank and Phlebotomy

Page 12: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Clinical Laboratory Service Enhancements

 • Prostate Cancer Antigen 3 (PCA3) is available through the CLIA-licensed laboratory section of the Michigan Center for Translation Pathology.

• The HLA Laboratory has submitted flow cytometry crossmatch data to the American Society for Histocompatibility and Immunogenetics (ASHI) for final validation.

• Daniel Ramon, Ph.D. formerly of Northwestern University, has joined the Department of Pathology as an Assistant Professor and Director, HLA Laboratory.

Page 13: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Clinical Laboratory Operations Initiatives

 • Recipients (licensed care providers) of Critical Value Callbacks will be ascertained by new CareWeb application – beginning October 11 – 15 will constitute an audit period.

• The new web-based Department of Pathology Employee Recognition Program is live. This site is accessible via the Department of Pathology Home Page.

• The Department of Pathology proposed to create a Blood Donation Unit on-site at UMHS. If fully implemented, this initiative will increase blood donations in Southeastern Michigan and will reduce annual blood product costs to the UMHS.

Page 14: Clinical Pathology Quality Dashboard September 2010

Clinical Pathology Quality Dashboard

Kudos

 To the Clinical Laboratory staff for preparedness and professionalism during the recently completed laboratory tour by Dr. Ora Pescovitz, UMHS EVPMA.