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Histology Workflow Annamarie Dockery Christopher Scano Craig Dise MD Joe Immordino PowerPoint Presentation
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Histology Workflow Annamarie Dockery Christopher Scano Craig Dise MD Joe Immordino Marilyn Ilvento Michael Overa Nancy Mitchell Ron Delacruz Veronica Fraser . 99 Beauvoir Avenue Summit, NJ 07901 (T) 908-522-2194 (F) 908-522-2320. Abstract Goals:

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Histology Workflow Annamarie Dockery Christopher Scano Craig Dise MD Joe Immordino


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    1. Histology Workflow Annamarie Dockery Christopher Scano Craig Dise MD Joe Immordino Marilyn Ilvento Michael Overa Nancy Mitchell Ron Delacruz Veronica Fraser 99 Beauvoir Avenue Summit, NJ 07901 (T) 908-522-2194 (F) 908-522-2320 • Abstract • Goals: • Decrease the time it takes to process pathology slides • Increase our Z score to at least 3.38 • Reduce our DPMO to 30,396 • Reduce average time to slide availability to 120 minutes from the current 232 minutes • Create continuous flow processing • Implement rapid tissue processor • Reduce overtime • Methodologies utilized: • Six Sigma • We implemented changes in 2 phases • Phase 2 included the addition of the rapid tissue processor • Our process capability improved dramatically. • We reduced the number of defects by 67% • Results/Changes • Adjusted staff schedules • Reallocated tasks • Reorganized tech workflow to accommodate new rapid tissue processor • Reorganized case priority • Utilize partially full racks • Added a third shift • Adjusted Transcription and Pathology Assistant hours • Increased process batches from one to four per day • The overnight run has a larger volume and consists of mostly major • specimens versus biopsies. • Decreased utilization of xylene, alcohol and paraffin • Decrease in Overtime • Decreased turn around time from 232 minutes to an average of 117 minutes. • Since results are available within the same day the specimen is received, • physicians can make same • day diagnosis. • Reduced the total number of steps to process slides. (red steps were eliminated) • Instead of one batch overnight. Slides are processed continuously throughout the day. • Introduction • Project Objective: To create a continuous flow process • to improve overall turn around time, patient care, and • physician and patient satisfaction. • Problems/Opportunities • The single batch overnight process ran approximately 12 hours and did not include the final phase of slide preparation for pathology review • Pathologists and physicians are unable to make a diagnosis and treat the patient in a timely manner due to the delays and turn around time of the current process • Improve efficiency and increase employee satisfaction • Current process and turn around time differs dramatically at the two hospitals. Standardize processes and decrease turn around time • Average turn around time was 232 minutes • Standard deviation was 44 minutes • DPMO was 986,257 • Z score was 0 • Conclusion • Staff is empowered • Processing time has decreased • Increased efficiency • Overtime has decreased