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JOHN HILDEBRANDT Strategic Workflow Consultant
New Analytics & Automation in Limited Spaces:
Principles for Best Practice Lab Design
Success depends on adoption
by the whole team
PEOPLE
Best Practice Lab Design
Critical Design Considerations
He who touches least wins......Maybe
Creating & moving information is the job,
optimizing delivery of service is the goal
PROCESS
INFORMATION
BEST
Key Objectives
Best Practice Lab Design
Balancing
CAPACITY,
CAPABILITY, AND
FLOW
Managing
THE PEOPLE SIDE
OF THE CHANGE
Delivering
THE RIGHT
INFORMATION IN
THE RIGHT TIME
Improving
DELIVERY OF
SERVICE
KEY
OBJECTIVES
Key Objectives
Best Practice Lab Design
Balancing
CAPACITY,
CAPABILITY, AND
FLOW
Managing
THE PEOPLE SIDE
OF THE CHANGE
Delivering
THE RIGHT
INFORMATION IN
THE RIGHT TIME
Improving
DELIVERY OF
SERVICE
KEY
OBJECTIVES
Dagen Högertrafik
The day in 1967 that Sweden changed from driving on the left-hand side of the road to the right.
Are We Ready for Change?
The Impact of Change on ROI
How Much of Your Success is Dependent on Operator’s Adoption?
Low High
High
Achievement
of Expected
Outcome
Complexity of Change for Your Staff
Changing to
Cheaper
Barcode Labels
Changing
Processes Around
New
Instrumentation
Based on *Prosci Model
Adapted from Prosci’s ROI of Change Management
The ADKAR Model
Organizational Change is the Sum of Individual Change
Awareness Desire Knowledge Ability Reinforcement Change
Adapted from Prosci- ADKAR OCM
Frustration Awareness Knowledge Ability Reinforcement
Confusion Awareness Desire Ability Reinforcement
Anxiety Awareness Desire Knowledge Reinforcement
Desire Knowledge Ability Reinforcement False Starts
Awareness Desire Knowledge Ability Regression
Key Objectives
Best Practice Lab Design
Balancing
CAPACITY,
CAPABILITY, AND
FLOW
Managing
THE PEOPLE SIDE
OF THE CHANGE
Delivering
THE RIGHT
INFORMATION IN
THE RIGHT TIME
Improving
DELIVERY OF
SERVICE
KEY
OBJECTIVES
he who
touches least
wins!
The Art of Optimizing Workflow
Reduce TAT and Errors
TAT
Errors
Multiple Touches, Multiple Steps
Managing Capacity, Capability, & Flow
Analytics, Automation, & Floor Plan
1 2 3 4
Analytics &
Consolidation Lean Flow Automation &
Functionality
Floor Plan &
Configuration
Horsepower &
Capacity:
Can the Consolidated
Analyzers Deliver the
Needed TAT with Your
Volume & Test Mix,
Maintenance Schedule,
& Growth Profile?
Directional Flow:
Highest Volume, Most
Automated Analytics
to Lowest Volume
Manual Testing
Capability vs. ROI:
Can the System
Automate All of the
Tasks You Require
With the TAT to
Support Your Service
Delivery Demands?
Trade Offs:
Can You Tolerate the
Trade Offs Among
Configuration, Space
Limitations, &
Functionality?
Managing Capacity, Capability, & Flow
Analytics, Automation, & Floor Plan
1
Lean Flow
Directional Flow:
Highest Volume, Most
Automated Analytics
to Lowest Volume
Manual Testing
Managing Capacity, Capability, & Flow Lean Flow in the non-Automated Lab
IN/O
UT
In
/Out B
ench
Hig
h V
olu
me
Technical
Low
Volu
me
Sample Analysis
Non-Technical
Central Processing
RECV
SORT
SPIN
SHIP
STORE RETRIEVE
REG
COE
QA
PHLEB
Managing Capacity, Capability, & Flow Lean Flow in the non-Automated Lab
IN/O
UT
In
/Out B
ench
Hig
h V
olu
me
Technical
Low
Volu
me
Sample Analysis
Non-Technical
Central Processing
RECV
SORT
SPIN
SHIP
STORE RETRIEVE
REG
COE
QA
PHLEB
Opportunity Optimize Staff Allocation, ID & Minimize Wait States, Drive
Visual Controls & Leverage LOS to Eliminate Batch Process
Managing Capacity, Capability, & Flow
Analytics, Automation, & Floor Plan
2
Analytics &
Consolidation
Horsepower &
Capacity:
Can the Consolidated
Analyzers Deliver the
Needed TAT with Your
Volume & Test Mix,
Maintenance Schedule,
& Growth Profile?
Managing Capacity, Capability, & Flow
Analytic Consolidation, TAT, & Horsepower
Analytic Consolidation
Touches, Cost, & Space- More Analyzers Means More of Each
Vendor Standardization- Same as Above w/ Single Contact Point
Analytic Horsepower
On Board Turn Around Time
Test Mix & Capacity at Receipt
12 Min at the 90th Percentile
Managing Capacity, Capability, & Flow
Analytic Consolidation, TAT, & Horsepower
Analytic Consolidation
Touches, Cost, & Space- More Analyzers Means More of Each
Vendor Standardization- Same as Above w/ Single Contact Point
Analytic Horsepower
On Board Turn Around Time
Test Mix & Capacity at Receipt
Capacity When it is Needed
Peak Hours
12 Min at the 90th Percentile
2 Line System Capacity
Managing Capacity, Capability, & Flow
Analytic Consolidation, TAT, & Horsepower
Analytic Consolidation
Touches, Cost, & Space- More Analyzers Means More of Each
Vendor Standardization- Same as Above w/ Single Contact Point
Analytic Horsepower
On Board Turn Around Time
Test Mix & Capacity at Receipt
Capacity When it is Needed
Peak Hours
1 Line Down
2 Line System Capacity
1 Line Down
Managing Capacity, Capability, & Flow
Analytic Consolidation, TAT, & Horsepower
Analytic Consolidation
Touches, Cost, & Space- More Analyzers Means More of Each
Vendor Standardization- Same as Above w/ Single Contact Point
Analytic Horsepower
On Board Turn Around Time
Test Mix & Capacity at Receipt
Capacity When it is Needed
Peak Hours
1 Line Down
Maintenance Schedule
2 Line System Capacity
1 Line Down
Managing Capacity, Capability, & Flow
Analytic Consolidation, TAT, & Horsepower
Analytic Consolidation
Touches, Cost, & Space- More Analyzers Means More of Each
Vendor Standardization- Same as Above w/ Single Contact Point
Analytic Horsepower
On Board Turn Around Time
Test Mix & Capacity at Receipt
Capacity When it is Needed
Peak Hours
1 Line Down
Maintenance Schedule
Growth
2 Line System Capacity
1 Line Down
Challenge Detailed Quantitative Analysis and Simulations are Necessary
to Tailor the Analytic Solution to Your Specific Objectives
Managing Capacity, Capability, & Flow
Analytics, Automation, & Floor Plan
3
Automation &
Functionality
Capability vs. ROI:
Can the System
Automate All of the
Tasks You Require
With the TAT to
Support Your Service
Delivery Demands?
Managing Capacity, Capability, & Flow
Automation Functionality
Capabilities: Every Touch Drives TAT, Quality, Productivity & Design Space
In Lab Receipt- Does the Automation & Your IT Infrastructure Support?
Multiple Disciplines- Chem, Heme, Coag, & Reference?
Multiple Sample Types- Serum, Plasma, PPP, Whole Blood, & Body Fluids?
Multiple Tube Sizes- Choose One or Support All?
Screw & Push Cap Recapping- In lab storage vs. Full Send-Out Processing?
Stat Processing- Both Automation & Analytics?
Centrifugation- Chemistry & Coagulation?
Sample Quality- Tube/ Test Match & Hemolysis, Icterus, and Lipemia?
Add-On & Refrigerated Storage- One Choice or Two?
Capacities & TAT: The Same Detailed Quantitative Analysis and Simulations
are Necessary to Tailor the Automation Solution to Your Specific Objectives
Managing Capacity, Capability, & Flow
Automation Functionality
Capabilities: Every Touch Drives TAT, Quality, Productivity & Design Space
In Lab Receipt- Does the Automation & Your IT Infrastructure Support?
Multiple Disciplines- Chem, Heme, Coag, & Reference?
Multiple Sample Types- Serum, Plasma, PPP, Whole Blood, & Body Fluids?
Multiple Tube Sizes- Choose One or Support All?
Screw & Push Cap Recapping- In lab storage vs. Full Send-Out Processing?
Stat Processing- Both Automation & Analytics?
Centrifugation- Chemistry & Coagulation?
Sample Quality- Tube/ Test Match & Hemolysis, Icterus, and Lipemia?
Add-On & Refrigerated Storage- One Choice or Two?
Capacities & TAT: The Same Detailed Quantitative Analysis and Simulations
are Necessary to Tailor the Automation Solution to Your Specific Objectives
Opportunity Careful Design that Exploits the Available Capabilities Can
Liberate Existing Workstation Space for Use w/ Automation
Managing Capacity, Capability, & Flow
Analytics, Automation, & Floor Plan
4
Floor Plan &
Configuration
Trade Offs:
Can You Tolerate the
Trade Offs Among
Configuration, Space
Limitations, &
Functionality?
26
kg
29
kg
42
kg
38
kg
17
kg
20
kg
20
kg
18
kg
89
kg
75
kg
39
kg
47
kg
66
kg
73
kg
58
kg
53
kg
35
kg
32
kg
33
kg
30
kg
43
kg
34
kg
40
kg
33
kg
86
kg
95
kg
73
kg
66
kg
96
kg
64
kg
28
kg
42
kg
15
kg
13
kg
57
kg
76
kg
26
kg
23
kg
69
kg
51
kg
36
kg
35
kg
39
kg
40
kg
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg43
kg
34
kg
40
kg
33
kg
TL
J
30
0
12
kg
27
kg
28
kg
13
kg
Managing Capacity, Capability, & Flow Floor Plan & Configuration Trade Offs
Trade Offs: Automation Systems Specifications
Service Space
Track Lengths
Connection Points
Direction of Flow
43
kg
34
kg
40
kg
33
kg
86
kg
95
kg
73
kg
66
kg
96
kg
64
kg
28
kg
42
kg
RSS AOB OBS
cobas 8100
output station
43
kg
34
kg
40
kg
33
kg
RSF
Challenge Each of These Categories, Common to All Manufacturers, Can
Present Significant Trade Offs to Space and Flow
4'-6
5/1
6"
4'-8 1/2"
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
ES
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
SP-50
DI-60
XN-10
XN-10
PTS
Co
ba
s-1
Co
ntr
olle
r
Co
ba
s-2
Co
ntr
olle
r
18
00
TU
L1
80
0 T
UL
600 TUL 1800 TUL
300
PP# 4
PP# 1 PP# 2
Managing Capacity, Capability, & Flow Floor Plan & Configuration: Example Design Challenge
Expansion Plans Driving Even More Growth
Needs to Fully Standardize Pre-Analytics
4'-6
5/1
6"
4'-8 1/2"
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
ES
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
SP-50
DI-60
XN-10
XN-10
PTS
Co
ba
s-1
Co
ntr
olle
r
Co
ba
s-2
Co
ntr
olle
r
18
00
TU
L1
80
0 T
UL
600 TUL 1800 TUL
300
PP# 4
PP# 1 PP# 2
Managing Capacity, Capability, & Flow Floor Plan & Configuration: Example Design Challenge Designed Process Flow
Expansion Plans Driving Even More Growth
Needs to Fully Standardize Pre-Analytics
4'-6
5/1
6"
4'-8 1/2"
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
ES
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
SP-50
DI-60
XN-10
XN-10
PTS
Co
ba
s-1
Co
ntr
olle
r
Co
ba
s-2
Co
ntr
olle
r
18
00
TU
L1
80
0 T
UL
600 TUL 1800 TUL
300
PP# 4
PP# 1 PP# 2
Managing Capacity, Capability, & Flow Floor Plan & Configuration: Example Design Challenge Actual Process Flow
Challenge Outgrew Design Capacity In 5 yrs.
Added IA Analyzers for ID Testing
Expansion Plans Driving Even More Growth
Needs to Fully Standardize Pre-Analytics
SP-50
DI-60
XN-10
XN-10
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
PTS
26
kg
29
kg
42
kg
38
kg
17
kg
20
kg
20
kg
18
kg
12
kg
27
kg
28
kg
13
kg
10
kg
10
kg
10
kg
10
kg
TLJ
900
89
kg
75
kg
39
kg
47
kg
66
kg
73
kg
58
kg
53
kg
BC
LA
QM
35
kg
32
kg
33
kg
30
kg
SCM
43
kg
34
kg
40
kg
33
kg
86
kg
95
kg
73
kg
66
kg
96
kg
64
kg
28
kg
42
kg
RSS AOB OBS
15
kg
13
kg
57
kg
76
kg
26
kg
23
kg
69
kg
51
kg
IPBHS
36
kg
35
kg
39
kg
40
kg
DSP
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
43
kg
34
kg
40
kg
33
kg
RSF
43
kg
40
kg
10
kg
8
kg
18
kg
14
kg
81
kg
87
kg
43
kg
40
kg
10
kg
8
kg
18
kg
14
kg
81
kg
87
kgTL
J
30
0
12
kg
27
kg
28
kg
13
kg
96
kg
64
kg
28
kg
42
kg
35
kg
35
kg
30
kg
30
kg
31
kg
30
kg
30
kg
29
kg
TL
J
30
0
12
kg
27
kg
28
kg
13
kg
12
kg
27
kg
28
kg
13
kg
10
kg
10
kg
10
kg
10
kg
TL
J
90
0
12
kg
27
kg
28
kg
13
kg
14
kg
39
kg
34
kg
13
kg
TL
J
21
00
48
kg
41
kg
41
kg
50
kg
44
kg
45
kg
45
kg
46
kg
77
kg
84
kg
34
kg
34
kg
41
kg
41
kg
28
kg
27
kg 77
kg
72
kg
24
kg
25
kg
133
kg
118
kg32
kg
31
kg
38
kg
39
kg
17
kg17
kg122
kg
137
kg
19
kg
19
kg
37
kg
37
kg
31
kg
30
kg
128
kg
120
kg
148
kg
16
kg
17
kg
144
kg
21
kg
22
kg
48
kg
41
kg
41
kg
50
kg
44
kg
45
kg
45
kg
46
kg
77
kg
84
kg
34
kg
34
kg
41
kg
41
kg
28
kg
27
kg 77
kg
72
kg
24
kg
25
kg
133
kg
118
kg32
kg
31
kg
38
kg
39
kg
17
kg17
kg122
kg
137
kg
19
kg
19
kg
37
kg
37
kg
31
kg
30
kg
128
kg
120
kg
148
kg
16
kg
17
kg
144
kg
21
kg
22
kg
Managing Capacity, Capability, & Flow Floor Plan & Configuration: New Design Example Lab
SP-50
DI-60
XN-10
XN-10
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
PTS
26
kg
29
kg
42
kg
38
kg
17
kg
20
kg
20
kg
18
kg
12
kg
27
kg
28
kg
13
kg
10
kg
10
kg
10
kg
10
kg
TLJ
900
89
kg
75
kg
39
kg
47
kg
66
kg
73
kg
58
kg
53
kg
BC
LA
QM
35
kg
32
kg
33
kg
30
kg
SCM
43
kg
34
kg
40
kg
33
kg
86
kg
95
kg
73
kg
66
kg
96
kg
64
kg
28
kg
42
kg
RSS AOB OBS
15
kg
13
kg
57
kg
76
kg
26
kg
23
kg
69
kg
51
kg
IPBHS
36
kg
35
kg
39
kg
40
kg
DSP
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
43
kg
34
kg
40
kg
33
kg
RSF
43
kg
40
kg
10
kg
8
kg
18
kg
14
kg
81
kg
87
kg
43
kg
40
kg
10
kg
8
kg
18
kg
14
kg
81
kg
87
kgTL
J
30
0
12
kg
27
kg
28
kg
13
kg
96
kg
64
kg
28
kg
42
kg
35
kg
35
kg
30
kg
30
kg
31
kg
30
kg
30
kg
29
kg
TL
J
30
0
12
kg
27
kg
28
kg
13
kg
12
kg
27
kg
28
kg
13
kg
10
kg
10
kg
10
kg
10
kg
TL
J
90
0
12
kg
27
kg
28
kg
13
kg
14
kg
39
kg
34
kg
13
kg
TL
J
21
00
48
kg
41
kg
41
kg
50
kg
44
kg
45
kg
45
kg
46
kg
77
kg
84
kg
34
kg
34
kg
41
kg
41
kg
28
kg
27
kg 77
kg
72
kg
24
kg
25
kg
133
kg
118
kg32
kg
31
kg
38
kg
39
kg
17
kg17
kg122
kg
137
kg
19
kg
19
kg
37
kg
37
kg
31
kg
30
kg
128
kg
120
kg
148
kg
16
kg
17
kg
144
kg
21
kg
22
kg
48
kg
41
kg
41
kg
50
kg
44
kg
45
kg
45
kg
46
kg
77
kg
84
kg
34
kg
34
kg
41
kg
41
kg
28
kg
27
kg 77
kg
72
kg
24
kg
25
kg
133
kg
118
kg32
kg
31
kg
38
kg
39
kg
17
kg17
kg122
kg
137
kg
19
kg
19
kg
37
kg
37
kg
31
kg
30
kg
128
kg
120
kg
148
kg
16
kg
17
kg
144
kg
21
kg
22
kg
Managing Capacity, Capability, & Flow Floor Plan & Configuration: New Design Example Lab
SP-50
DI-60
XN-10
XN-10
S
S
SS
S
S
S
S E
W
E
W
FDV FSP
RWL
S
S
S
SSS
S
S
S S
S
T.S.
S
DWAU
TO
CL
AV
E
DR
YE
R
FDFD
FD
FD
FD
FD
Table
4'x2.5'
DI Report printer
9kg
8kg
15kg
13kg
#4
Total System Heat Load,
BTU/Hr (values rounded)
143,162
PTS
26
kg
29
kg
42
kg
38
kg
17
kg
20
kg
20
kg
18
kg
12
kg
27
kg
28
kg
13
kg
10
kg
10
kg
10
kg
10
kg
TLJ
900
89
kg
75
kg
39
kg
47
kg
66
kg
73
kg
58
kg
53
kg
BC
LA
QM
35
kg
32
kg
33
kg
30
kg
SCM
43
kg
34
kg
40
kg
33
kg
86
kg
95
kg
73
kg
66
kg
96
kg
64
kg
28
kg
42
kg
RSS AOB OBS
15
kg
13
kg
57
kg
76
kg
26
kg
23
kg
69
kg
51
kg
IPBHS
36
kg
35
kg
39
kg
40
kg
DSP
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
76
kg
73
kg
49
kg
52
kg
43
kg
30
kg
20
kg
27
kg
ACU with ACB
43
kg
34
kg
40
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33
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RSF
43
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40
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10
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8
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18
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14
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81
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87
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43
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10
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18
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81
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87
kgTL
J
30
0
12
kg
27
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28
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13
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96
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64
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28
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42
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35
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35
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30
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30
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31
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30
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30
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29
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TL
J
30
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90
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TL
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21
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48
kg
41
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41
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50
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44
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45
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45
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77
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34
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41
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kg 77
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148
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144
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21
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Managing Capacity, Capability, & Flow Floor Plan & Configuration: New Design Example Lab
Capabilities: Every Touch Drives TAT, Quality, Productivity & Design Space
In Lab Receipt- Transitioned to a New LIS w/ Unique ID & All Inpatient to are pre-Accn’d.
Multiple Disciplines- Consolidate and Expanded Chem, Heme Delivered in Analyzer Racks,
Coag Spun and Delivered, & Reference Testing Aliquotted, Labeled, Screw Capped for Tx.
Multiple Sample Types- Serum, Plasma, PPP, & Whole Blood.
Multiple Tube Sizes- 13x75mm up to 16x100mm Onboard.
Recapping- Push Caps for In lab storage & Screw Caps for Send-Outs.
Stat Processing- Multiple Levels on Automation & Analytics.
Centrifugation- Chemistry & Coagulation.
Sample Quality- Tube/ Test Match & Hemolysis, Icterus, and Lipemia. on Automation.
Add-On & Refrigerated Storage- Add-On Buffer Accommodates Rolling 8 Hour Availability.
Capacities & TAT: Extensive Modeling w/ Multiple, 5 Day LIS Data Sets to
Assess Capacity , Model Growth, & TAT
Key Objectives
Best Practice Lab Design
Balancing
CAPACITY,
CAPABILITY, AND
FLOW
Managing
THE PEOPLE SIDE
OF THE CHANGE
Delivering
THE RIGHT
INFORMATION IN
THE RIGHT TIME
Improving
DELIVERY OF
SERVICE
KEY
OBJECTIVES
Components of TAT
What Segments of TAT is your Design Controlling?
Receipt Onboard Auto to Result Release w/ Extensive Autoverification
Auto & Analytic TAT Receipt to Load on Auto or Analyzer
Post Analytic TAT Result Available to Release
Pre-Analytic TAT
Receipt to Load on Auto or Analyzer
Receipt to Result Release
LIS TAT
Components of TAT
What Segments of TAT is your Design Controlling?
Auto & Analytic TAT Receipt to Load on Auto or Analyzer
Post Analytic TAT Result Available to Release
Pre-Analytic TAT
Receipt to Load on Auto or Analyzer
Receipt to Result Release
LIS TAT
Manual Receipt to Result Release w/ Extensive Autoverification
Components of TAT
What Segments of TAT is your Design Controlling?
Auto & Analytic TAT Receipt to Load on Auto or Analyzer
Post Analytic TAT Result Available to Release
Pre-Analytic TAT
Receipt to Load on Auto or Analyzer
Receipt to Result Release
LIS TAT
Manual Receipt to Result Available
Components of TAT
What Segments of TAT is your Design Controlling?
Receipt Onboard Auto to Result Release w/ Extensive Autoverification
Auto & Analytic TAT Receipt to Load on Auto or Analyzer
Post Analytic TAT Result Available to Release
Pre-Analytic TAT
Receipt to Load on Auto or Analyzer
Receipt to Result Release
LIS TAT
Manual Receipt to Result Available Manual Receipt to Result Release w/ Extensive Autoverification Every Touch Drives Variation & Increased TAT
Drive to Receipt Onboard Automation & Maximum
Autoverification to Deliver Optimum TAT to Physicians
OPPORTUNITY
Gaining Control of TAT New Automation & Analytics Example- LIS Data Analysis
Background
3 M Chemistry & Immunoassay Tests per Year
Live on cobas 8100 & cobas 8000s ~ 10 months
ED not Equipped w/ Remote Accessioning Devices
All ED Testing Manually Received, Transported & Loaded on c8100
Extensive Autoverification
90th Percentile 0:43
Average 0:34
Median 0:31
N 343
Time to First Result
Gaining Control of TAT New Automation & Analytics Example- Audit Analysis
Audit Analysis
5 Day Parallel Operational Data from Cobas 8100 & Cobas 8000s
TAT Analysis- Tubes Loaded on Input Buffer to Result Available
Clearly Understand the Components of TAT that Your
Design is Controlling....
If it’s Unacceptable, Change the Design
OPPORTUNITY
Key Objectives
Best Practice Lab Design
Balancing
CAPACITY,
CAPABILITY, AND
FLOW
Managing
THE PEOPLE SIDE
OF THE CHANGE
Delivering
THE RIGHT
INFORMATION IN
THE RIGHT TIME
Improving
DELIVERY OF
SERVICE
KEY
OBJECTIVES
Summary Incorporating Best Practice into Lab Design
Manage the Change w/ the Entire Team
Engage w/ a Partner who’s Standard Practice Incorporates Change Management
in the Assessment Process & Project Plan
Quantitatively Define the Desired Level of Service Delivery
“What Does Good Looks Like”- Use it as the Project’s Guiding Objective
Analyze, Simulate, & Repeat
Engage Your LIS Manger- Become the Expert on your Testing Demands
Engage Senior Leadership- Surprise Growth is not Comfortable
Engage a Partner who’s Nimble and Armed w/ the Most Accurate &
Comprehensive Analysis Tools
Design Associated Manual Processes to Support Automation & Analytics
Automating an Inefficient Process Can Lead to an Inefficient Automated Process
Success depends on adoption
by the whole team
PEOPLE
Best Practice Lab Design
Critical Design Considerations
He who touches least wins......Maybe
Creating & moving information is the job,
optimizing delivery of service is the goal
PROCESS
INFORMATION
BEST
Doing now what patients need next
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