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Clinical Pathology Quality Dashboard
Inpatient Phlebotomy First AM Blood Draws
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May0%
20%
40%
60%
80%
100%
University Hospital
8am 9am
10am
2009 2010
Drawn by
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May0%
20%
40%
60%
80%
100%
Mott Hospital
8am
9am
10am
2009 2010
Drawn by
Clinical Pathology Quality Dashboard
Inpatient Phlebotomy First AM Blood Test Results:
PT/PTT, CBCP, and Comprehensive Panel
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May0%
20%
40%
60%
80%
100%
0
100
200
300
University Hospital
8am
9am
2009 2010
Avg
Dai
ly V
olu
me
Results by
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May0%
20%
40%
60%
80%
100%
0
1
2
3
4
5
6
7
8
Mott Hospital
8am
9am
10am
2009 2010
Avg
Dai
ly V
olu
meResults by
Inpatient Phlebotomy Draws
Clinical Pathology Quality Dashboard
May June July Aug Sep Oct Nov Dec Jan Feb Mar Apr May0
5,000
10,000
15,000
20,000
25,000
30,000
20,98621,651 22,073
22,675
20,208
22,942
21,65020,940
22,907
20,934
23,27422,544 22,848
2009 2010
Clinical Pathology Quality Dashboard
Turnaround Times
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0
20
40
60
80
100
120
140
CSF Gram StainVolume and Turnaround Time
> 1 hour
30 min-1 hour
<30 minutes
2009 2010
Mo
nth
ly V
olu
me TAT
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0
200
400
600
800
1000
1200
1400
Emergency Department Cardiac MarkerVolume and Turnaround Time
> 2 hours
1-2 hours
<1 hour
2009 2010
Mo
nth
ly V
olu
me TAT
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
May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-100:00
0:14
0:28
0:43
0:57
1:12
May 2009- May 2010
Tu
rna
rou
nd
Tim
e in
Min
ute
s
Clinical Pathology Quality Dashboard
Molecular Diagnostics Laboratory
April 2
008
May
2008
June
2008
July
2008
Augus
t 200
8
Septem
ber 2
008
Octobe
r 200
8
Novem
ber 2
008
Decem
ber 2
008
Janu
ary 2
009
Febru
ary 2
009
Mar
ch 20
09
April 2
009
May
2009
June
2009
July
2009
Augus
t 200
9
Septem
ber 2
009
Octobe
r 200
9
Novem
ber 2
009
Decem
ber 2
009
Janu
ary 2
010
Febru
ary 2
010
Mar
ch 20
10
April 2
010
May
2010
0
200
400
600
800
1000
1200
1400
0
1
2
3
4
5
6
Molecular Diagnostics LaboratorySpecimens Received and TAT
April 2008 - May 2010
Series1 Linear (Series1)
Month/Year
# o
f S
pec
imen
s re
ceiv
ed
TA
T (
day
s)
Clinical Pathology Quality Dashboard
Chemistry In-Lab Turnaround Times
0
5
10
15
20
25
30
Per
cen
tag
e
Oct 07 - Mar 2010
Sample Turn-Around Time
Routine > 60 min stat > 45 min inpt stat > 45 min outp stat
UMHS Blood Product Utilization
Clinical Pathology Quality Dashboard
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
1.3
1.4
1.5
1.6
1.7
1.8
1.9
Crossmatch/Transfusion Ratio
2009 2010
Threshold
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1.8%
2.0%
Wasted RBC
2009 2010
Threshold
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0%
1%
2%
3%
4%
5%
Wasted Platelets
2009 2010
Threshold
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0%
1%
2%
3%
4%
5%
6%
Wasted Plasma
2009 2010
Threshold
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0%
5%
10%
15%
20%
25%
Wasted Cryoprecipitate
2009 2010
Threshold
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
0
1000
2000
3000
4000
5000
6000
7000
8000
0
1000
2000
3000
4000
5000
6000
7000
8000Blood Product Utilization
Series1
Random Platelets
Allo RBC Units
Plasma Units
Cryo Units
Partial Units
SD Platelets
2009 2010
Pat
ien
t P
op
ula
tio
n
AdjustedDischargesUnits Used
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
Clinical Pathology Quality Dashboard
CP Financial Measures
*excludes Blood Bank and Phlebotomy
3853
4
3862
6
3871
8
3880
8
3889
9
3899
1
3908
3
3917
3
3926
4
3935
6
3944
8
3953
9
3963
0
3972
2
3981
4
3990
4
3999
5
4008
7
4017
9
4026
9$4
$5
$6
$7
$8
$9
$10
$11
Clinical Path Expense per Test*
3853
4
3859
6
3865
7
3871
8
3877
7
3883
8
3889
9
3896
1
3902
2
3908
3
3914
2
3920
3
3926
4
3932
6
3938
7
3944
8
3950
8
3956
9
3963
0
3969
2
3975
3
3981
4
3987
3
3993
4
3999
5
4005
7
4011
8
4017
9
4023
8
4029
9
1,000
1,200
1,400
1,600
1,800
2,000
275,000
300,000
325,000
350,000
375,000
400,000
425,000
Clinical Path Tests per FTE and Total Tests By Month
Tests per FTE Linear (Tests per FTE)Total Tests
Te
st
pe
r F
TE
To
tal T
es
ts
May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May1,000,000.00
1,050,000.00
1,100,000.00
1,150,000.00
1,200,000.00
1,250,000.00
1,300,000.00
1,350,000.00
1,400,000.00
1,450,000.00
0
2000
4000
6000
8000
10000
12000
Blood Costs vs. Total Blood Products Used
Units
Cost
2009 2010
Do
llars
(m
illio
ns)
pai
d t
o S
E
Mic
h A
mer
ican
Red
Cro
ss
Blo
od
Pro
du
ct U
nit
s (t
-h
ou
san
ds)
• The Safety Committee, led by Brenda Schroeder, has started a robust Safety Inservice curriculum. This activity promises to dramatically raise our “safety quotient”.
• Congratulations and thank you to all for successful completion of our biannual CAP self-inspection (May, 2010.)
Clinical Pathology Quality Dashboard
Kudos