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Clinical PathologyQuality Dashboard
September 2010
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
Inpatient Phlebotomy Draws
Clinical Pathology Quality Dashboard
Clinical Pathology Quality Dashboard
Turnaround Times
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
Clinical Pathology Quality Dashboard
Molecular Diagnostic Laboratory Specimens Received and TATJan 2002 - July 2010
Clinical Pathology Quality Dashboard
Chemistry Lab Turnaround Times
UMHS Blood Product Utilization
Clinical Pathology Quality Dashboard
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
Clinical Pathology Quality Dashboard
Clinical Laboratory Service Enhancements
• Prostate Cancer Antigen 3 (PCA3) is available through the CLIA-licensed laboratory section of the Michigan Center for Translation Pathology.
• The HLA Laboratory has submitted flow cytometry crossmatch data to the American Society for Histocompatibility and Immunogenetics (ASHI) for final validation.
• Daniel Ramon, Ph.D. formerly of Northwestern University, has joined the Department of Pathology as an Assistant Professor and Director, HLA Laboratory.
Clinical Pathology Quality Dashboard
Clinical Laboratory Operations Initiatives
• Recipients (licensed care providers) of Critical Value Callbacks will be ascertained by new CareWeb application – beginning October 11 – 15 will constitute an audit period.
• The new web-based Department of Pathology Employee Recognition Program is live. This site is accessible via the Department of Pathology Home Page.
• The Department of Pathology proposed to create a Blood Donation Unit on-site at UMHS. If fully implemented, this initiative will increase blood donations in Southeastern Michigan and will reduce annual blood product costs to the UMHS.
Clinical Pathology Quality Dashboard
Kudos
To the Clinical Laboratory staff for preparedness and professionalism during the recently completed laboratory tour by Dr. Ora Pescovitz, UMHS EVPMA.