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Clinical Pathology Quality Dashboard. September 2009. 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 .

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Clinical Pathology Quality Dashboard

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September 2009 dashboard

Clinical Pathology

Quality Dashboard

September 2009


September 2009 dashboard

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Draws


September 2009 dashboard

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy First AM Blood Test Results:

PT/PTT, CBCP, and Comprehensive Panel


September 2009 dashboard

Clinical Pathology Quality Dashboard

Inpatient Phlebotomy Draws


September 2009 dashboard

Clinical Pathology Quality Dashboard

Point of Care service began

Turnaround Times


September 2009 dashboard

Clinical Pathology Quality Dashboard

Specimen Processing Turnaround Time

Average Daily Turnaround Time + 1 standard deviation

for Inpatient Specimens going to Chemistry


September 2009 dashboard

Clinical Pathology Quality Dashboard

Molecular Diagnostics Laboratory


September 2009 dashboard

Clinical Pathology Quality Dashboard

Chemistry In-Lab Turnaround Times


September 2009 dashboard

Clinical Pathology Quality Dashboard

UMHS Blood Product Utilization


September 2009 dashboard

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


September 2009 dashboard

Clinical Pathology Quality Dashboard

CP Financial Measures


September 2009 dashboard

Clinical Pathology Quality Dashboard

Clinical Laboratory Operations Initiatives

  • Lean Process Improvements – Many!

  • Board access H1N1 influenza testing program


September 2009 dashboard

Clinical Pathology Quality Dashboard

Clinical Laboratory Service Enhancements

  • 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


September 2009 dashboard

Clinical Pathology Quality Dashboard

Kudos

  • 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”.


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