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September 2009 Dashboard

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  • 1. Clinical Pathology Quality Dashboard September 2009
  • 2. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Draws
  • 3. Clinical Pathology Quality Dashboard Inpatient Phlebotomy First AM Blood Test Results: PT/PTT, CBCP, and Comprehensive Panel
  • 4. Inpatient Phlebotomy Draws Clinical Pathology Quality Dashboard
  • 5. Clinical Pathology Quality Dashboard Turnaround Times Point of Care service began
  • 6. Clinical Pathology Quality Dashboard Specimen Processing Turnaround Time Average Daily Turnaround Time + 1 standard deviation for Inpatient Specimens going to Chemistry
  • 7. Clinical Pathology Quality Dashboard Molecular Diagnostics Laboratory
  • 8. Clinical Pathology Quality Dashboard Chemistry In-Lab Turnaround Times
  • 9. UMHS Blood Product Utilization Clinical Pathology Quality Dashboard
  • 10. Clinical Pathology Quality Dashboard CAP Proficiency Testing 4th Quarter FY 2009 Clinical Pathology 91 = Number of Challenges 92% = Satisfactory Results Anatomic Pathology 0 = Number of Challenges N/A = Satisfactory Results Department Total 91 = Number of Challenges 92% = Satisfactory Results
  • 11. Clinical Pathology Quality Dashboard CP Financial Measures
  • 12.
    • Lean Process Improvements – Many!
    • Board access H1N1 influenza testing program
    Clinical Pathology Quality Dashboard Clinical Laboratory Operations Initiatives
  • 13.
    • Design and implementation of new requisition for complex, multiple-site, multiple-times Interventional Radiology blood samples – by Chemistry
    • Outstanding improvements in ED turnaround times for troponins, CBCs, basic panels, and urine analysis - by Chemistry
    Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements
  • 14.
    • Congratulations and Thank You to the entire Blood Bank/Transfusion Medicine group for a very successful rigorous FDA on-site inspection with “no observations”.
    • Kudos to the Microbiology Laboratory (especially Marc Deroo and Jeana Vandorp) for “above and beyond” support of Pediatrics Critical Care Medicine patient in early September.
    • Kudos to Duane Newton, Ph.D. (Director, Microbiology Laboratory) for his tireless and expert support of UMHS preparation for H1N1 influenza.
    • Kudos to Steven Mandell, M.D. for his leadership in helping to develop a “Better Specimen Box”. Dr. Mandell organized a team of 25 people – including nurses, managers, phlebotomists, pathologists, housekeepers, and others – to create what is now officially called a “unit-based specimen drop box”.
    Clinical Pathology Quality Dashboard Kudos