The members of the Pathology and Laboratory Medicine Quality Improvement and Clinical Innovation are a dedicated group focused on directing Quality Improvement activities within the department. The department has a large footprint in clinical service with over 6 million tests (3.1 million inpatient tests) performed annually and over 200,000 surgical pathology/cytology cases annually. We have seen a greater than 3% (~200,000 tests) increase in 2014 alone. We have expanded our service area to South Bay, Palos Verdes, Simi Valley and Santa Clarita Valley, and includes the Entertainment Industry Medical Group (EIMG). With over 500 staff and 85 faculty members involved in clinical activities, we have introduced the UCLA MOVERS strategy which focuses on optimizing test utilization, result reporting, and improving access to care.
Resident Education Quality Improvement
The purpose of REQIPP (Resdient Education Quality Improvement Program - Pathology & Laboratory Medicine) is to actively engage residents and fellows in the evaluation and development of the pathology and laboratory medicine quality improvement programs while facilitating the departments’ quality improvement priorities. Our trainees are encouraged to participate in both departmental and multidisciplinary projects. The program will assist in the identification of new quality improvement initiatives in an effort to standardize care and improve outcomes for UCLA patients all while achieving the ACGME and ABP Pathology Milestones.
The programs curriculum includes QStream a quality improvement focused mobile software implemented for UCLA Housestaff and focused lecture series.
Our trainees also have the opportunity to present their QI projects during our annual Quality and Clinical Innovation Day. Abstract submission and publication are also encouraged.
Our goal is to standardize transfusion practices, reduce routine 2U RBC orders and avoid transfusion at Hb ≥ 8g/dL in stable patients.
Our strategy is to implement CPOE best practice alerts (BPA) triggered based on patient Hgb and physician order, provide timely, data-driven feedback and targeted education, and forming a multi-disciplinary team consisting of hospitalists, transfusion medicine (transfusion safety officer), nursing, and IT.
HPV Turn Around Time (HPV TATs)
By steamlining our process for specimen hand-offs and aliquoting, we have been able to significantly reduce the TATs on HPV testing.
Quality Improvement through Electronic Crossmatch
UCLA uses the electronic crossmatch (EXM) as a safe and efficient alternative to a serologic crossmatch method to ensure ABO compatibility for patients with no previous or current history of clinically significant antibodies. Following implementation of CareConnect and computerized physician order entry (CPOE), the blood bank observed inefficiencies associated with increased duplicate and excess orders where many blood units prepared were never requested (issued) for transfusion. To address the workload and blood inventory constraints associated with these inefficiencies, we implemented a new policy where orders from patients eligible for EXM are pended until actual issue requests were received. This policy reduced the number of crossmatched units that were never issued from 840 to 300 units/month, improved work place efficiency and improved inventory management, while maintaining clinically acceptable issue turn-around-time.
Quality in the Ambulatory Point–of–Care (POC) Testing program
Point of Care (POC) tests are laboratory tests performed directly in the physician office and are of extreme value in providing an immediate result that can be directly acted upon by the provider. These tests are built to be easy to perform, however still require quality control to ensure the test kit provides accurate results and that the person performing the test understands the test’s performance limitations. As the majority of POC tests are performed outside of the traditional laboratory setting, the goal of the POC Quality program is to improve quality of the POC testing within the UCLA Health System. This endeavor, in conjunction with Ambulatory Care Nursing, is being implemented through education of test reliability, standardization of POC tests performed, standardization of operator training, and through implementation of quality control guidelines.
The Radpath program is a collaboration between radiology and pathology. Our goal is to provide an integrated radiology and pathology report. The integrated report provides the following advantages:
For more information about Quality Improvement and Clinical Innovation, contact:
Romney Humphries, PhD or 310-794-3614.