Clinical Pathology Quality Dashboard

1. Clinical Pathology Quality Dashboard June 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. Clinical Pathology Quality Dashboard Inpatient Phlebotomy Draws Fiscal Year 2009

5. Clinical Pathology Quality Dashboard Point of Care service began Turnaround Times

6. Clinical Pathology Quality Dashboard Molecular Diagnostics Laboratory

7. Clinical Pathology Quality Dashboard Chemistry In-Lab Turnaround Times

8. Clinical Pathology Quality Dashboard UMHS Blood Product Utilization

9. Clinical Pathology Quality Dashboard CAP Proficiency Testing 3rd Quarter FY 2009 Clinical Pathology 24 = Number of Challenges 100% = Satisfactory Results Anatomic Pathology 0 = Number of Challenges N/A = Satisfactory Results Department Total 24 = Number of Challenges 100% = Satisfactory Results

10. Clinical Pathology Quality Dashboard CP Financial Measures

11. Clinical Pathology Quality Dashboard New Clinical Assays Added in Current Year Protein S activity Anti-Xa Arixtra (fondiparinux) assay Hexagonal phospholipid neutralization (HEXAG) assay Heparin – induced thrombocytopenia/thrombosis assay (improved IgG assay) Automated Urinalysis platform (IRIS) Rapid detection of Candidaalbicans and C.glabrata from blood cultures BRAF V600 Mutation Detection Clear Cell Sarcoma EWSR1/ATF1, t(12;22) Transcript Detection UroVysion FISH for Bladder Cancer KRAS Mutation Detection NPM1 Mutation Detection Warfarin Sensitivity Analysis

12. Clinical Pathology Quality Dashboard Clinical Laboratory Operations Initiatives • Improvement of Critical Value Callback process • - Brenda Schroeder, lead • Improvement of Communication with Patient Care Units • - Beverly Smith and Brenda Schroeder, leads • Customer Service Initiative • - Beverly Smith, lead • Lab Formulary Committee • - Office of Clinical Affairs, FGP, Pathology • Lean Process Improvement Projects – many! • Job-specific safety signs • Creation of Blood Product Utilization Lean Team • - Tim Laing, MD, (OCA), lead • Improvement of Blood Draw Wait Times • - Cancer Center • - Taubman 2 • - Taubman 3

13. Clinical Pathology Quality Dashboard Clinical Laboratory Service Enhancements • On-demand unit-specific antibiograms – 2/09 • Expedited (rules-based) release of ANCs (absolute neutrophil counts) – 2/09 • Integrated hematopathology reports – 2/09 • Troponin point-of-care (ED) – 3/09 • 24/7 Microbiology Lab staffing • Mycobacteriology culture – continuous monitoring • Multiple new clinical assays (see list)

14. Clinical Pathology Quality Dashboard Kudos • Thank you to all personnel for our very successful biannual unannounced CAP Inspection of our laboratories on May 20 – 21, 2009. • Thank you to the following group for their outstanding work with Ann Arbor Public School students who visited the Department of Pathology last month. • Chemistry: Sheridan Mattson, Merry Muilenburg, Melissa Liebaert, Tony Sinay, Therese Horning, and Kevin Forbin. • Microbiology: Michele Centi, Karen Machcinski and Robert Whitney • Cytology: Brian Smola • Histology: Chris White and Danielle Fritzsche • Administration: Beverly Smith • Many positive comments were received from these AAPS students. • Examples: • “I learned how to look for cancer cells – every day I was with four different people and ALL of them were helpful – I really learned a lot”. • “I not only gained a lot of knowledge in the clinical labs – I became more confident. Sheridan…really encouraged me. Sheridan was very helpful.” • “I learned a lot. I learned about influenza and I got to see bacteria on the microscope. There were a lot of helpful people that were happy to help me and spend time explaining everything.” • “Got to see a wide variety of procedures…got a good glimpse of what these jobs entail and a good sense of the different jobs available.”