polqm conference oct 2015 baljit singh sept...
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Customer SatisfactionMonitoring and following through on Complaints, Concerns, Compliments
and Commitments within a Health Authority
Presented by: Baljit Singh, LM Labs
Lead, Laboratory Quality & Process Improvement
October 5th, 2016
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Lower Mainland Pathology & Laboratory Medicine
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Overview
• Current state of affairs
• Highlight our process and things that are going well
• Opportunities for improvement
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Lower Mainland Pathology and Laboratory Medicine
We provide testing services in 32 locations in 4 health authorities:
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Lower Mainland Laboratories (LM Labs) is a service of PHSA.
Lab staff who work physically in any of these 4 health
authorities are all PHSA employees.
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• Based on priorities set by Integrated LM Quality, all team
members will use 3 Pillar Approach to align with Quality
Framework.
LM Quality Team and 3 Pillar Approach
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Integrated LM Quality System
Medical Directors / Executive Directors
Lower Mainland Pathology and Laboratory Medicine
Quality Team
September 2016
LM
Quality Director
Anita Kwong
LM
Quality Lead
FH
Baljit Singh
LM
Quality Lead
BCCA and BCCDC(Temporary)
Vacant
LM
Quality Lead
C&W and PHC
Elsie Chan
LM
Quality Lead
VCH
Ada Leung
LM
Quality Coordinator
Nina Dhaliwal
LM
Quality Manager
Cathy Chong
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Customer Focus Policy
Section from the Customer Focus Policy:
The laboratory monitors customer satisfaction on an
ongoing basis through the use of :
• Customer feedback mechanisms
• Tracking of complaints and feedback
• Periodic customer satisfaction surveys
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Customer Focus Process
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Outpatient Satisfaction Survey Results
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Ease of Location Cleanliness Wait Times Courtesey Privacy Phlebotomy Patient
Instructions
Hours of
Operation
% a
cce
pta
ble
Outpatient Satisfaction Survey Results
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Customer Focus Process
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Patient Safety Learning System
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Patient Safety Learning System – Assigning Degree
of Harm
• 1 - No harm: An error or problem reached the person, but the
person was not harmed.
• 2 - Minor harm: An error or problem reached the person causing
temporary injury or mild harm, perhaps requiring minor
intervention.
• 3 - Moderate harm: An error or problem reached the person and
caused significant temporary or permanent harm, requiring
intervention.
• 4 - Severe harm: An error or problem reached the person and
resulted in physical or psychological injury that, on a permanent or
long-term basis, substantially interferes with the person's
functional abilities or quality of life
• 5 - Death: An event reached the person and resulted in their
immediate or eventual demise.
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Monitoring Data
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Monitoring Commitments
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Monitoring Commitments – TATs (Potassium –
Emergency Department)
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Hospital A
Hospital B
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Monitoring Commitments – TATs (Hemoglobin –
Emergency Department)
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Hospital A - F
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Monitoring Commitments – TATs (Troponin –
Emergency Department)
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Hospital G - K
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Opportunity For Improvement – Capturing the
Everyday Concerns
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