anatomic pathology faculty meeting · surgical pathology 4. anatomic pathology 2009 recruitment –...
TRANSCRIPT
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
FY2009:Successes, Opportunities &
Challenges
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
FY2009:Successes, Opportunities &
ChallengesDISCLAIMER
high level overviewdata accuracy dictated by available systems
inherent risk of operator error
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
Our PlayersOur Patients
ResearchEducation
Safety, Quality & InnovationFY2010 Goals
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our PlayersOur Players
LostLostRobert Ruiz
Mohammad Yousef
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our PlayersOur Players
LostLost GainedGainedRobert Ruiz Mohammad Yousef
Mohammad Yousef Xin JingStewart Knoepp
[Raja Rabah][Michael Roh][Angela Wu]
Jeff HodginRaj Patel
Mike Caplan
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Work Our Work -- RVUsRVUs
5.0%
0
45,000
90,000
135,000
180,000
FY05 FY06 FY07 FY08 FY09
Tota
l RVU
s
0%
3%
6%
9%
12%
% A
nnua
l Inc
reas
e
Annual Growth Rate 5.0%Annual Growth Rate 5.0%(37.6% in 5 years)(37.6% in 5 years)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Work Our Work -- RVUsRVUs
Total RVUs Expressed as 12 month Rolling Average, FY2002 - FY2009
7,500
8,500
9,500
10,500
11,500
12,500
13,500
Jun-01Dec-0
1Jun-02
Dec-02
Jun-03Dec-0
3Jun-04
Dec-04
Jun-05Dec-0
5Jun-06
Dec-06
Jun-07Dec-0
7Jun-08
Dec-08
Jun-09
Tota
l RVU
s/m
onth
12,829 RVUs/month
7,780 RVUs/month, Jun-01
13,465 RVUs/month
Total RVUs Expressed as 12 month Rolling Average, FY2002 - FY2009
7,500
8,500
9,500
10,500
11,500
12,500
13,500
Jun-01Dec-0
1Jun-02
Dec-02
Jun-03Dec-0
3Jun-04
Dec-04
Jun-05Dec-0
5Jun-06
Dec-06
Jun-07Dec-0
7Jun-08
Dec-08
Jun-09
Tota
l RVU
s/m
onth
12,829 RVUs/month
7,780 RVUs/month, Jun-01
13,465 RVUs/month
Annual Growth Rate 5.0%Annual Growth Rate 5.0%(37.7% in 5 years)(37.7% in 5 years)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Players & Our Work Our Players & Our Work –– “Productivity”“Productivity”
RVUs per Clinical FTE (12 month rolling average)
400
450
500
550
600
Jul-01Jan-02
Jul-02Jan-03
Jul-03Jan-04
Jul-04Jan-05
Jul-05Jan-06
Jul-06Jan-07
Jul-07Jan-08
Jul-08Jan-09
RVU
s/FT
E/m
onth
437 JUN08
497 JUN09
Annual Increase 13.7%Annual Increase 13.7%(0.4% in 5 years)(0.4% in 5 years)
495 JUN04
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Recruitment Recruitment –– JAN06 thru AUG09JAN06 thru AUG09
IncrementalIncremental ReplacementReplacementDan Visscher Jeffrey MyersJon McHugh Xin JingJeff Jentzen Stewart Knoepp
Angela Wu
Jeff Hodgin Steve OlsenRaj Patel Michael Roh
Mike Caplan Raja Rabah
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Recruitment Recruitment –– JAN06 thru AUG09JAN06 thru AUG09
Breast pathology 1Cytopathology 3Dermatopathology 2Forensic pathology 1GU pathology 1Head & neck pathology 1Pediatric pathology 2Pulmonary pathology 1Renal pathology 1Surgical pathology 4
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Recruitment Recruitment –– JAN06 thru AUG09JAN06 thru AUG09
Breast pathology 1Cytopathology 3Dermatopathology 2Forensic pathology 1GU pathology 1Head & neck pathology 1Pediatric pathology 2Pulmonary pathology 1Renal pathology 1Surgical pathology 4
4 subspecialties accounted for greatest number of new hiresnew hires (+ neuropath) and unfilled unfilled positionspositions (+ cardiac path) in 2005 APC survey
0
4
8
12
16
surgpath
cyto-path
heme-path
derm peds GI &liver
GYN renal breast neuro-path
pulm GU0%
20%
40%
60%
80%
100%*
*
* **
67%
Recruited to• 4 of the 5 subspecialties for which there was the
greatest demand based on survey of journal† ads (OCT-DEC07) for 66 academic positions
†AJSP, AJCP, APLM, HP, MP
0
4
8
12
16
surgpath
cyto-path
heme-path
derm peds GI &liver
GYN renal breast neuro-path
pulm GU0%
20%
40%
60%
80%
100%*
*
* *** * * *
Recruited to• 4 of the 5 subspecialties for which there was the
greatest demand based on survey of journal† ads (OCT-DEC07) for 66 academic positions
• 8 of 12 specified subspecialties
†AJSP, AJCP, APLM, HP, MP
We continue to recruit the best and the
brightest to keep pace with clinical demand.
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
Our PlayersOur Patients
66,883 68,295 69,991 72,280
80,120
0
20,000
40,000
60,000
80,000
2005 2006 2007 2008 2009
Tota
l Cas
es
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
Ann
ual G
row
th R
ate
Annual Growth Rate 10.8%Annual Growth Rate 10.8%(24.2% in 5 years)(24.2% in 5 years)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients -- CasesCases
FY08FY08 FY09FY09 % change% changeinsideinside 51,763
6,3615,8818,275
72,280
56,391 8.9%
MLabsMLabs 7,829 23.1%transfertransfer 7,633 29.8%
consultsconsults 8,267 (0.1%)TOTALTOTAL 80,120 10.8%
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients -- CasesCases
8,267
7,829
7,633
56,391 insideMLabstransferconsults
inside + transfers=
80% of cases
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Surgical Surgical
PathologyPathology
FY08FY08 FY09FY09increase increase
(decrease)(decrease) % change% changebreastbreast 2,147 2,492 345 16.1%
GIGI 15,672 16,199 527 3.4%GUGU 2,261 2,233 (28) (1.2%)
GYNGYN 5,680 5,690 10 0.2%PedsPeds 1,562 1,562
36,98336,983(66%)(66%)
Room 1Room 1 9,372 8,807 (565) (6.0%)
ANATOMIC PATHOLOGY ANATOMIC PATHOLOGY 20092009
Our Patients Our Patients –– Pediatric Pediatric PathologyPathology
112
138 142
108122
136 131
106
147132
155
133
0
40
80
120
160
Jul-08Aug-08
Sep-08Oct-08
Nov-08Dec-08
Jan-09Feb-09
Mar-09Apr-09
May-09Jun-09
# of
Cas
es p
er M
onth
0
1
2
3
4
Mea
n TA
T (d
ays)
# of cases TAT (days)
Raja Rabah, DirectorMike Caplan Dave LucasJon McHugh Jeff Myers
Raj Shah Dan Visscher
FY08FY08 FY09FY09increase increase
(decrease)(decrease) % change% changebreastbreast 2,147 2,492 345 16.1%
GIGI 15,672 16,199 527 3.4%GUGU 2,261 2,233 (28) (1.2%)
GYNGYN 5,680 5,690 10 0.2%PedsPeds 1,562 1,562
Room 1Room 1 9,372 8,807 (565) (6.0%)PedsPeds + + RmRm 11 9,372 10,369 997 10.6%
ANATOMIC ANATOMIC PATHOLOGY 2009PATHOLOGY 2009
Our Patients Our Patients –– Surgical Surgical PathologyPathology
FY08FY08 FY09FY09increaseincrease
(decrease)(decrease) % change% changeIDID 11,744 13,551 1,807 15.4%
MDMD 4,936 6,519 1,583 32.1%TDTD 1,952 2,019 67 3.4%DPDP 2,856 2,274 (582) (20.4%)
TOTALTOTAL 21,488 24,363 2,875 13.4%13.4%
ANATOMIC ANATOMIC PATHOLOGY 2009PATHOLOGY 2009
Our Patients Our Patients --DermatopathologyDermatopathology
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients -- NeuropathologyNeuropathology
FY08 FY09increase
(decrease)%
changeNFNF 679 719 40 5.9%IBIB 206 205 (1) (0.5%)
MMMM 171 174 3 1.8%ConsultsConsults 149 137 (12) (8.1%)
TOTAL NPTOTAL NP 1354 1372 18 1.3%
Growth in surgical neuropathologyGrowth in surgical neuropathology
FY08FY08 FY09FY09increaseincrease
(decrease)(decrease) % change% change
renalrenal 666 656 (10) (1.5%)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Renal PathologyRenal Pathology
Renal Biopsy Service, FY06-FY09 (12 mo rolling avge)
0
20
40
60
80
100
Jul-05Jan-06
Jul-06Jan-07
Jul-07Jan-08
Jul-08Jan-09
Cas
es p
er m
onth
Placenta (Pl) Cases, FY05 - FY09
Avg=110.5
UCL=194.4
LCL=26.7
-50
0
50
100
150
200
250
Jul-04 Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09
Cas
es p
er m
onth
FY2008FY2008 FY2009FY2009increaseincrease
(decrease)(decrease) % change% change
PlacentasPlacentas 1,255 1,212 (43) (3.4%)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– PlacentasPlacentas
placenta practice relatively stable!placenta practice relatively stable!
Seeking volunteers!Seeking volunteers!Seeking volunteers!
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– PlacentasPlacentas
FY08FY08 FY09FY09 % change% changeinsideinside 51,763
6,3615,8818,275
72,280
56,391 8.9%
MLabsMLabs 7,829 23.1%transfertransfer 7,633 29.8%
consultsconsults 8,267 (0.1%)TOTALTOTAL 80,120 10.8%
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our PatientsOur Patients
MLabs + consults=
20% of cases
8,267
7,829
7,633
56,391 insideMLabstransferconsults
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Consultation CasesConsultation Cases
5,6576,083
7,361
8,275 8267
-0.1%
0
3,000
6,000
9,000
2005 2006 2007 2008 2009-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
46.1% increase(FY2005 - FY2009)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Consultation CasesConsultation Cases
Avg=513.4
UCL=649.4
LCL=377.4
89
189
289
389
489
589
689
Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09
Cas
es p
er m
onth
FY07FY07 FY08FY08 FY09FY09
% change, FY07% change, FY07--FY09FY09
4,188 4,865 5,821annual % changeannual % change 16.2% 19.7%
39.0%
Consultation cases transcribed in UH office suite continue to be area of active growth!
Consultation cases transcribed in UH office suite continue to be area of active growth!
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– CytologyCytology
FY08FY08 FY09FY09increaseincrease
(decrease)(decrease) %change%changeTOTALTOTAL 54,659 52,565 (2,094)
(2,214)4179
(44)122
1
(3.8%)GynGyn TotalTotal 43,119 40,905 (5.1%)NonNon--GynGyn 9,204 9,245 0.5%ASPASP 2,336 2,415 3.3%
ASP 1†ASP 2‡ASP 3
1,029945362
9851,067363
(4.3%)12.9%0.3%
†assisted FNAs‡pathologist performed FNAs (Cancer Center)
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Autopsy & ForensicsAutopsy & Forensics
293269 249
297 292
-1.7%
0
100
200
300
FY05 FY06 FY07 FY08 FY09
Auto
psie
s pe
r ye
ar
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
20.0%
Ann
ual %
Cha
nge
Washtenaw Washtenaw CtyCty ME cases = 94 (32%)ME cases = 94 (32%)
FY2010 FY2010 –– full integration of full integration of WCMEWCME
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Our Patients Our Patients –– Autopsy & ForensicsAutopsy & Forensics
23.0%
19.0%
23.0%
21.0%
19.0%
0
50
100
150
200
250
300
FY05 FY06 FY07 FY08 FY09
Aut
opsi
es p
er y
ear
15%
20%
25%
UH A
utop
sy R
ateUH autopsy rates declining
FY2010 goal to increase
Our practice is growing and changing (i.e. it’s
about more than just the numbers!).
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
Our PlayersOur Patients
Research
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009ResearchResearch
15
13
15
13
0
2
4
6
8
10
12
14
16
Peer-reviewed publicationsAbstractsChapters
Doug Fullen
Tom Giordano Celina Kleer
Rajal Shah
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009ResearchResearch
Fiscal YearFiscal Year % change% change20072007 20082008 20092009 FY08FY08--0909
(7.5%)
10.8%
(5.4%)
(18.9%)
FY07FY07--0909peerpeer--
reviewed reviewed publicationspublications
159 186 172 8.2%
abstractsabstracts 77 83 92 19.5%
lectureslectures 93 129 122 31.2%
edit edit bdsbds 26 37 30 15.4%
> $1.3 million increase≈ 3.9 FTEs in recovered effort
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– FundingFunding
$4,457,606 $4,374,470
$3,018,472$3,258,603
$4,579,223
$0
$1,000,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
FY2005 FY2006 FY2007 FY2008 FY2009
Direct IndirectTotal
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– FundingFunding
FYFY # projects# projects # faculty# faculty awardsawards20072007 13 8 $ 92,12820082008 6 5 $ 28,36020092009 4 4 $ 11,800
TOTALTOTAL $132,288
FY2010: increase utilization of project funds
Promotion (September 2008)Thomas Giordano – ProfessorAndrew Lieberman – Associate Professor
Assoc American Physicians – Kathy ChoAm Soc Clin Invest – Andy Lieberman
Senior Editor, Cancer Research – Kathy ChoAssociate Editor, Lab Invest – Kathy Cho &
Kent Johnson
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– Academic RecognitionAcademic Recognition
Promotion (September 2008)Thomas Giordano – ProfessorAndrew Lieberman – Associate Professor
Assoc American Physicians – Kathy ChoAm Soc Clin Invest – Andy Lieberman
Senior Editor, Cancer Research – Kathy ChoAssociate Editor, Lab Invest – Kathy Cho &
Kent Johnson
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– Academic RecognitionAcademic Recognition
Promotion (September 2008)Thomas Giordano – ProfessorAndrew Lieberman – Associate Professor
Assoc American Physicians – Kathy ChoAm Soc Clin Invest – Andy Lieberman
Senior Editor, Cancer Research – Kathy ChoAssociate Editor, Lab Invest – Kathy Cho &
Kent Johnson
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– Academic RecognitionAcademic Recognition
ANATOMIC ANATOMIC PATHOLOGY 2009PATHOLOGY 2009
Research Research –– VisibilityVisibility
President, ASCPBarbara McKennaPresident, ASCPBarbara McKenna
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– VisibilityVisibility
NAMEPresident (2008) & Chair of Bd (2009)
Jeff Jentzen
NAMEPresident (2008) & Chair of Bd (2009)
Jeff Jentzen
29 abstractsproffered papers (4 moderators)
3 short courses (faculty)3 companion societies (speakers,
moderator)2 evening specialty conference
(speaker, panelist)
17 faculty9 residents6 fellows
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– VisibilityVisibility
America’s Best Doctors/Top Physicians
Joel Greenson
Lori Lowe
Rajal Shah
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Research Research –– VisibilityVisibility
We remain academically productive and are nationally and internationally visible.
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
Our PlayersOur Patients
ResearchEducation
14 AP faculty M1/M2 lectures
≈ 50 hours4 faculty M4 clerkship mentors
ANATOMIC PATHOLOGY ANATOMIC PATHOLOGY 20092009
Education Education –– UMMSUMMS24 AP faculty in M1 and/or M2 laboratories
≈ 386 contact hours
Department Graduate SchoolKathy Cho, Dave Gordon, Tom Giordano, Celina Kleer, Andrew Lieberman, Peter Lucas
postdoctoral fellowshipsresidencyAP fellowships
breast, cytopath, derm, GI, GU, pulmonary, surg path
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Education Education –– Graduate & PostgraduateGraduate & Postgraduate
Elizabeth C. Crosby AwardAndy Flint
Token of Appreciation from Medical Students (TAMS)
Andy FlintDave GordonSteve Ramsburgh
House Officer Teaching AwardSteve Olsen
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Education Education –– RecognitionRecognition
Galens Medical Society to,“a faculty member for
outstanding teaching of medical students in a basic
science area.”
GalensGalens Medical SocietyMedical Society to,“a faculty member for
outstanding teaching of medical students in a basic
science area.”
Elizabeth C. Crosby AwardAndy Flint
Token of Appreciation from Medical Students (TAMS)
Andy FlintDave GordonSteve Ramsburgh
House Officer Teaching AwardSteve Olsen
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Education Education –– RecognitionRecognition
Student Council for,“their significant
contributions to the success of students during their medical
school years.”
Student CouncilStudent Council for,“their significant
contributions to the success of students during their medical
school years.”
Elizabeth C. Crosby AwardAndy Flint
Token of Appreciation from Medical Students (TAMS)
Andy FlintDave GordonSteve Ramsburgh
House Officer Teaching AwardSteve Olsen
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Education Education –– RecognitionRecognition
ANATOMIC PATHOLOGY ANATOMIC PATHOLOGY 20092009
Education Education –– CMECME25 AP and departmental faculty
2 guest speakers21 case presentations8 breakout sessions3 plenary lectures
web based registrationvirtual microscopy
slide/audio capture of presentationspublication of proceedings
“Great venue. Case presentation works well. I liked the length of the
meeting- 2.5 days in about right. I will definitely consider attending again!”
“UM Chief Resident is very friendly, generous, and hospitable (a quality guy).”
“The lectures were rapid fire- great-
hope the handouts have the salient
points.”
“It is well organized, practical topics discussed, and the
hand out printed material is superb. Keep it going.”
“Excellent content and quality of the info and staff.”
“Excellent timing of breaks between talks, organization and format; did not
feel the conference ‘dragged on’.”
“The breakout sessions allowed for a comfortable
environment for interaction between staff and
attendees.”
We are successful educators measured
across a broad range of students and target
audiences.
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFaculty Meeting, August 10, 2009Faculty Meeting, August 10, 2009
Our PlayersOur Patients
ResearchEducation
Safety, Quality & Innovation
Just-in-Time Built-in-Quality
QU
AN
TITY
QU
ALITY
MPQS
• Error Proof• Surface Problems• Stop and Respond
to Abnormalities• Solve Problems
at Root Cause
• Pacing by Demand• Continuous Flow• Pull Systems
Make Value Flow By Eliminating Errors and WasteSTA
BIL
ITY
MQS Methods (All Mission) Sources: J Shook J Billi J Liker S Hoeft Park-Nicollet /jmk 04 09 07
LeveledWorkload
Continuous Improvement(P-D-C-A) and Learning
StandardizedWork
Michigan Pathology Quality SystemQuality – Safety – Efficiency – Service – Satisfaction
CustomerDefines Value
Work Force- Skilled, Capable, Flexible- Engaged, Motivated- Design Work, Solve Problems
Technology and Equipment- Reliable, Tested- Serve People and Processes- Preventive Maintenance -TPM
Materials- Materials Readiness- Supplier involvement
Methods- Robust Processes- Organized Workplace (5S)- Visual Control
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009Safety & QualitySafety & Quality
AP OPS DASHBOARD7/17/09
Equipment Requests
Request # Item(s) Notes
1 Cassette labelers Problem log being maintained. Working on concrete implementation date.
2 Cytyc Imager Cytology Director and Supervisor to establish new ROI for consideration.
3 Processor Equipment ordered 6/24/09. Arrival date will be communicated.
Innovation Projects
Project # Name Notes
Michigan Slide Trays
Delivery of 7,000 trays to arrived July 15th. Market Lab photo shoot of product occurred 6/3/09 for cover of July catalog. Operational plan to remove current slide trays to go live July 20th.
Suncoast Software Some initial view graphs completed and under review. Bi-
weekly meetings began 4/30/09.
1WinscribeDigital Dictation
Stored procedure protocol sent to WinScribe 4/13/09. Development began 4/28/2009. Validation of script complete. GYN service selected for extended pilot from gross to sign-out.
2 Slide Tracking Tool
Presented at AP Ops 1/9/09. Modifications presented 1/23/09. Pilot to begin after presentation.
3 Online P&Ps
1
2
P&Ps implementation team being formed to assist AP Division laboratories enter and link to CAP checklists.
Project Management
Project # Name Notes
4 Automated slide sorter
Prototype has been created. Adjustments being made. Progress will be updated at future AP Ops meetings.
Sent to Campus construction services to determine project timeline. RFP and contractor selection to occur in about three weeks.
Processor & recycling room2
Updated AP Ops 9/12/08 re: progress. Specific issues being addressed to move recommendations forward.LARP4
Construction began 5/4/09. Punch-list walk through July 16th. Minor alterations to be performed. Equipment delivery scheduled for July 20th and 21st. Activation planned for July 27th. PA search continues. Meet with SON surgeons July 15th. Incremental histotech position posted and offer made. Operational task force began 6/12 to develop activation plan.
EAA frozen section4
Walk-in refrigerator/freezer installed. Possible complications to delay its use. Open-house scheduled for July 22nd. Activation date of July 23rd.
Morgue3
Sent to Campus construction services to determine project timeline. RFP and contractor selection to occur in about three weeks.
Grossing Room1
NotesNameProject #
Facilities Projects
Additional hardware installed. Pilot ongoing.5S Gyn Sign-out 5
Final flowchart solution presented at January Thoracic Faculty meeting. Solution supported.
CVC frozen sections3
Final Phase 2 clean-up has been completed. Phase 3 to begin soon.5S AP asset areas2
Sent to Campus construction services to determine project timeline. RFP and contractor selection to occur in about three weeks.
Blockbusters1
NotesNameProject #
Lean Projects
TOTAL OT HOURS FY '06-'09AP DIVISION
Avg=528.3
UCL=918.7
LCL=137.9
-69.6
130.4
330.4
530.4
730.4
930.4
Jul-0
5Se
p-05
Nov-0
5Ja
n-06
Mar
-06
May
-06
Jul-0
6Se
p-06
Nov-0
6Ja
n-07
Mar
-07
May
-07
Jul-0
7Se
p-07
Nov-0
7Ja
n-08
Mar
-08
May
-08
Jul-0
8Se
p-08
Nov-0
8Ja
n-09
Mar
-09
May
-09
OT
HOUR
S
Anatomic Path Hospital Expense By Month
$0$100,000$200,000$300,000$400,000$500,000$600,000
Jul-05Sep -05Nov-05Jan-0 6Mar-0
6May-06
Jul-06Sep -06Nov-06Jan-0 7Mar-0
7May-07
Jul-07Sep -07Nov-07Jan-0 8Mar-0
8May-08
Jul-08Sep -08Nov-08Jan-0 9Mar-0
9May-09
Salaries and Wages Supplies Total Expense Linear (Total Expense)
Anatomic Path Hospital Expense per RVU By Month
$15
$20
$25
$30
$35
$40
$45
Jul-0
5Sep
-05Nov
-05Ja
n-06
Mar-06
May-06
Jul-0
6Sep
-06Nov
-06Ja
n-07
Mar-07
May-07
Jul-0
7Sep
-07Nov
-07Ja
n-08
Mar-08
May-08
Jul-0
8Sep
-08Nov
-08Ja
n-09
Mar-09
May-09
Controllable Cost per RVU
Anatomic Path Hospital Expense per CDM By Month
$10
$15
$20
$25
$30
$35
Jul-0
5Sep
-05Nov
-05Ja
n-06
Mar-06
May-06
Jul-0
6Sep
-06Nov
-06Ja
n-07
Mar-07
May-07
Jul-0
7Sep
-07Nov
-07Ja
n-08
Mar-08
May-08
Jul-0
8Sep
-08Nov
-08Ja
n-09
Mar-09
May-09
Controllable Cost per CDM
AP OPS DASHBOARD7/17/09
ANATOMIC PATHOLOGY 2009ANATOMIC PATHOLOGY 2009InnovationInnovation
“old” innovation
“new” innovation
We are passionately committed to safety and
continuous improvement with an eye toward innovative
solutions.
. . . a place that everyone, everywhere
imagines when considering excellence in academic anatomic
pathology.
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFY2010 GoalsFY2010 Goals
implement EAA frozen section practice
EAA Planning GroupJulie Jorns Celina Kleer
Craig Newman Christine RigneyTiffany Vail Dan Visscher*
Misty Wideman Angela Wu
ANATOMIC PATHOLOGYANATOMIC PATHOLOGYFY2010 GoalsFY2010 Goals
implement EAA frozen section practiceidentify and contract for new LIS
integrate UH autopsy and WCME servicesprogram plan for new location (TBD)
reformat quarterly QA/Lean meetings with broader staff/faculty participation
A. James French visiting professorshipannual AP research day
FY2010 GoalsFY2010 GoalsAP Research Day AP Research Day –– A ProposalA Proposal
WHY: spawn new ideas and foster collaboration for research projectsWHEN: 3rd Saturday in JanuaryWHERE: ??? (Alumni Center, BSRB, Palmer Commons, Campus Inn, . . . ?)TENTATIVE PROGRAM08:30 – 10:00 am poster session
two categories: posters recycled from national/international meetingsAP funded projects
10:00 – 10:30 am BREAK10:30 – 12:30 pm platform presentations
12:30 – 1:30 pm LUNCH1:30 – 2:30 pm Keynote speaker
Internationally/nationally recognized figure in anatomic and/or molecular pathology to present cutting edge observations of practical diagnostic value
2:00 pm ADJOURN
CONGRATULATIONSCONGRATULATIONSandand
THANK YOU!THANK YOU!