Atellica® Process Manager User Cases-Throughput and Turnaround Time Statistics and Exceptions Reports Job Aid

Atellica® Process Manager User Cases- Throughput and Turnaround Time Statistics and Exceptions and Reports Throughtput Report The Throughput report displays metrics on released tests. The report allows the laboratory to visualize how testing workload is managed in the laboratory. Menu mapping can be displayed for each platform and menu mapping comparisons can be quickly assessed. Key data elements include graphing by Test Name, Patient Location, Time, and System. There is also a graph with the Average Throughput by Time with minimum and maximum values. Mont Patient Location @ Pyrtem . Priority in Selections lia Insights Throughput Zone System Priority Patient Location Test Name Year Mont Date Day Throughput by Time Throughput by Test Name Throughput by Patient Location System Dimension Vista 1.5K 1500 (DV350175) Dimension Vista 1500 11 Tests Released see Test Name 77 Rehab Patient Location PAT MM 03/01/2020 03/03/2020 03/02/2020 03/07/2020 03/06/2020 03/05/2020 03/04/2020 03/10/2020 03/09/2020 03/08/2020 03/13/2020 03/12/2020 03/11/2020 03/15/2028 03/14/2020 03/18/2020 03/17/2020 03/16/2020 03/19/2020 03/20/2020 03/22/2020 03/21/2020 03/23/2020 03/25/2020 03/24/2020 @3/26/2020 surgery La Year Month >> Date, System Tests Released zek Tests Released Average Throughput by Time System Throughput by Test Name " ?k Dimension Vista 1500 Avg Throughput Dimension Vista 1500 (DV350175) Max Throughput Min Throughput 1.Ok - 300 The data set contains negative or zero values that cannot be shown in this chart. Selected Filters: Dimension Vista 1500 (DV350175), Dimension Vista 1500 II | Mar | NOT Unknown | STAT Sun Mon LE Day Thu Throughput Report Insights: The data may show that most of the STAT samples are being run on one analyzer, indicating that a secondary analyzer is being underutilized. This may be impacting the turnaround times for this patient location. The laboratory should investigate their routing rules on the automation system to make sure that the workloads are balanced across analyzers. The mapping of tests for efficient throughput in the laboratory effects many other aspects of the testing protocol including system efficiencies, waste and turnaround time. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 5 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 03-AUG-2020 | HOOD05162003101668 Healthineers Job Aid | APM User Cases Throughput and Turnaround Time Statistics and Exceptions Reports Effective Date: 03-Aug-2020 | HOOD05162003101668 Practice: 1. Use the System filter to select all analyzers of the same type, confirm the selection with the green checkmark and then compare the throughput of the selected analyzers 2. Review the Throughput by Time graph in the top left to see if there are significant differences between the number of tests run on these analyzers during the months displayed 3. Use the Priority filter to look at only STAT samples for these analyzers. See if one of the analyzers is running mostly STAT samples 4. Look at the Throughput by Patient Location graph in the top right and see where most of these samples are being collected. (e.g. ED) Turnaround Time Statistics Report The Turnaround Time Statistics report provides meaningful data insights around this important key performance indicator (KPI). The turnaround time metric is evaluated by all laboratories and is a key transparency metric often shared with the hospital and physicians they serve. This metric is closely monitored; especially critical testing such as Troponin. Being able to identify root cause for outliers and take appropriate and timely action would allow the laboratory to consistently meet the TAT targets. Statistics such as average, median, standard deviation, and 95th percentile provide the data needed to make customer commitments with confidence (e.g. service level agreements). The Turnaround Time Statistics report displays the turnaround time (TAT) for all tests. The data enables laboratories to monitor daily TAT, compare to the target TAT for specific tests, and investigate outlier TAT. The lab can also use this data to adjust lab workflow to meet TAT targets. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date 5 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 03-AUG-2020 | HOOD05162003101668 Healthineers Page 2 of 6 Job Aid | APM User Cases Throughput and Turnaround Time Statistics and Exceptions Reports Effective Date: 03-Aug-2020 | HOOD05162003101668 8 3 ( Month . Priority i. Selections lla Insights Turnaround Time Statistics Priority Location Zone System Test Name Year Month Date Day Navigate to TAT Exceptions Set TAT Parameters: Test Ordered and Average TAT by Time Histogram of TAT Duration TAT Start Event: Sample Collection 12:00 Tests Ordered Set Target TAT: Tests Ordered Frequency Hours: Minutes: 331/0 1/2020 03/02/2020 03/03/2020 03/06/2020 03/05/2020 03/04/2020 03/08/2020 03/07/2020 03/10/2020 03/09/2020 03/11/2020 03/12/2020 03/15/2020 03/14/2020 03/13/2020 03/16/2020 03/17/2020 03/19/2020 03/18/2020 03/21/2020 03/20/2020 03/23/2020 03/22/2020 03/26/2020 03/25/2020 03/24/2020 03/28/2020 03/2712020 03/29/2020 03/31/2020 03/30/2020 TAT HIS 7 Year Month Date Average TAT by Priority TAT Statistics 01:55 @1:50 Priority Q Test Name Q Values 90th Percentile 5th Percentile 01:26- Avg TAT (hh:mm) Median TAT (hh:mm) StDev (hh:mm) ( hh:mm) % Tests On Time Tests On Time Tests Over Target Total Test STAT 01:50 00:39 05:14 01:16 08:13 74.83% 14866 5000 19866 CK 02:35 00:52 07:12 02:40 04:25 56.67% 34 IRON 60 00:57- Target TAT (01:00) 02:35 00:46 05:39 04:33 15:51 61.54% 32 52 CREA 01:34 00:38 04:40 01:10 01:31 77.11% 795 PIN Avg TAT Ithmm ) OM 02:25 02:25 01:55 03:30 03:38 0.00% O 01:57 00:40 05:22 01:18 10:09 75.34% 55 00:28- 00:37 05:04 01:09 01:56 77.92% 748 212 VB12 03:03 01:19 03:43 09:19 09:59 35.71% 5 Number of Excluded Tests Selected Filters: TAT Start Event -Sample Collection, Target TAT (hh:mm): 01:00, Mar | STAT Unreleased: 655, Missing Collection Time: O Priority Turnaround Time Statisics Report Insights: ➢ The 95th percentile for STAT tests may be 15 minutes longer than the average TAT. This information could help the lab avoid signing customer service agreements based on the average – helping the lab avoid financial penalties for cases when the TAT commitment is not met. ➢ Data may show that most of the TAT is taken up by the pre-analytic process before the sample is received in the lab. The lab may want to investigate why it is taking so long to receive the samples into the lab. Practice: 1. Use the Month filter to select a month to review the TAT statistics. Change the target turnaround time to 1 hour and 0 minutes in the Set Target TAT fields on the left side of the report. The TAT Statistics and TAT Exceptions report data changes when the target turnaround time is altered. Make sure to have values in both the Hours and Minutes boxes for the Set Target TAT. You must have values (even if they are 0) in both boxes for the information to update 2. Adjust the Set TAT Parameter to desired TAT Start Event (e.g. Sample Collection time), which determines when the turnaround time begins to be measured. Reference the Atellica Process Manager Operator’s Guide for definitions of each TAT Start Event Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date 5 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 03-AUG-2020 | HOOD05162003101668 Healthineers Page 3 of 6 Job Aid | APM User Cases Throughput and Turnaround Time Statistics and Exceptions Reports Effective Date: 03-Aug-2020 | HOOD05162003101668 3. Review the average, median, 90th and 95th percentile performance for the selected month in the TAT Statistics table at the bottom of the report. Statistics for both Routine and STAT testing are displayed. To assess whether the lab is meeting their TAT targets for a specific test, you can click on the + sign next to Routine or STAT and scroll to find the desired test and associated statistics 4. Take note of the data in the Number of Excluded Tests box at the bottom of the report. Test results that are still pending (unreleased tests) and tests that are missing a Collection Time are not included in any TAT-related calculations or test counts 5. To examine the TAT exceptions that did not meet the Target TAT, navigate to TAT Exceptions hyperlink at the top right corner of the screen Turnaround Time Exceptions Report The Turnaround Time Exceptions report displays detailed information about any tests that did not meet the turnaround time (TAT) target selected on the Turnaround Time Statistics report. Evaluate and investigate TAT exceptions using a variety of data filters to identify trends with equipment, tests, patient locations, specified time period, or STATS/Routines. This report provides insights into operational bottlenecks that may impact laboratory TATs. Month 6 Priority i. Selections lla Insights Mar Turnaround Time Exceptions Priority Location System Test Name Year Month Date Day Navigate to TAT Statistics TAT Exceptions Started Q Ended Q Patient Location Q Test Name Q Priority Q System Q Sample Id TAT (hh:mm) Overage (hh:mm) 03/29/2020 23:32:56 03/30/2020 01:33:55 ED aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003290859A 02:00 01:00 03/25/2020 18:07:00 03/25/2020 19:36:13 Unknown aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003251560A 01:29 00:29 03/24/2020 17:51:50 03/24/2020 20:30:49 aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003241857A 02:38 01:38 03/20/2020 00:24:56 03/20/2020 02:28:06 ED aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003191777A 02:03 01:03 03/19/2020 15:53:53 03/19/2020 17:27:02 ED aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003191146A 01:33 00:33 03/19/2020 02:15:49 03/19/2020 05:20:11 aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003190074A 03:04 02:04 03/18/2020 06:07:53 03/18/2020 08:29:07 aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003180152A 02:21 01:21 03/18/2020 00:26:32 03/18/2020 03:34:08 ED aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003171906A 03:07 03/02/2020 09:53:17 03/02/2020 11:13:57 Unknown aHAVM STAT ADVIA Centaur XPT (IRL15071650) 003020616A 01:20 00:20 03/29/2020 23:35:56 03/30/2020 01:31:54 aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003290859A 01:55 00:55 03/25/2020 04:39:03 03/25/2020 05:44:05 ED aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003250087A 01:05 00:05 03/24/2020 17:52:50 03/24/2020 20:44:51 T4 aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003241857A 02:52 01:52 03/20/2020 16:38:44 03/20/2020 17:51:08 Unknown aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003201257A 01:12 00:12 03/20/2020 10:18:48 03/20/2020 11:56:05 ED aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003200517A 01:37 00:37 03/20/2020 00:49:56 03/20/2020 02:27:02 ED aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003191777A 01:37 03/19/2020 02:11:49 03/19/2020 03:30:06 T3 aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003190074A 01:18 00:18 03/18/2020 05:07:53 03/18/2020 07:13:05 14 aHBCM STAT ADVIA Centaur XPT (IRL15071650) 003180152A 02:05 TAT Exceptions by System TAT Exceptions by Test Name TAT Exceptions by Patient Location 3k 300 3k 2k - Exceptions * Exceptions ADVIA Centa AUS890 lBe. Susmention the La CIMA Selected Filters: TAT Start Event -Sample Collection, Target TAT (hh:mm): 01:00, Mar | STAT Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date 5 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 03-AUG-2020 | HOOD05162003101668 Healthineers Page 4 of 6 Job Aid | APM User Cases Throughput and Turnaround Time Statistics and Exceptions Reports Effective Date: 03-Aug-2020 | HOOD05162003101668 Turnaround Time Exceptions Report Insights: ➢ A specific patient draw location seems to be most problematic and often exceeds a TAT Target of 1 hour ➢ Investigate why the TAT for this patient location continue to exceed the target TAT. It is possible that the expected TAT for this patient location is not appropriate (outpatient draw facility) and may need to be adjusted accordingly ➢ Go back to the Turnaround Time Statistics report and look at the time elapsed between different TAT Start Events for this location: “Sample Collection”, “Test Order Received”, and “Test Order Received and Sample Loaded.” This may show that the biggest bottleneck occurs upstream of the lab right after the sample collection time Practice: 1. Select the same month and use the 1hour TAT target from the TAT Statistics report 2. Look at the TAT Exceptions by System graph in the bottom left to see if one or more of the analyzers are causing most of the TAT exceptions 3. Look at the TAT Exceptions by Patient Location graph in the bottom right to see if one or more of the patient draw locations are causing most of the TAT exceptions. You can also change the Y-axis to % Over Target to see the % of tests for each location that are not meeting the 1-hour TAT target 4. Use the Priority filter to select the STAT filter. To look at the STAT performance for one location, click on the location with the highest % over target in the TAT Exceptions by Patient Location graph. If further investigation is needed on specific samples, the details for these samples will now be filtered for that location Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date 5 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 03-AUG-2020 | HOOD05162003101668 Healthineers Page 5 of 6 Job Aid | APM User Cases Throughput and Turnaround Time Statistics and Exceptions Reports Effective Date: 03-Aug-2020 | HOOD05162003101668 Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and sha ll by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific c ountry is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. 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