State of the D epartment 2016 - PowerPoint Presentation

1. State of the Department 2016“Striving for Excellence”Department of Pathology and Laboratory Medicine University of Rochester School of Medicine and DentistryBruce Smoller, MD, Chair

2. New Leadership CabinetAnatomic Pathology:Brendan Boyce, Vice ChairDavid Hicks, Director, Surgical PathologyChrista Whitney-Miller, Associate Director Surgical PathologyClinical Pathology:Neil Blumberg, Vice ChairVictoria Zhang, Associate Director, Clinical LabsMajed Refaai, Associate Director, Clinical LabsEducation:Scott Kirkley, Vice ChairLinda Schiffhauer, Associate Director, Residency ProgramAffiliated Hospitals:Tamera Paczos, DirectorAdministration:Larry Ross, Program Administrator (starts June 1)Research:TBD2

3. Clinical MissionAnatomic PathologyClinical PathologyAffiliated Hospitals

4. Anatomic PathologyPersonnelNew faculty:Luis De Las Casas– Director, CytopathologyCaroline Dignan - Director, AutopsyHiroshi Myamoto– Director, GU PathologyMichael Drage– GI PathologyAaron Huber – GI PathologyRupal Mehta – Neuropathology, Autopsy

5. Anatomic PathologyPersonnelMoved on: Wendy Cao - NYU

6. Surgical Pathology specimen numbers6

7. Surgical PathologyUsing TeamViewer technology to share cases between HH and SMHProvides access for case consultation as well as for consensus conference, improving service across both campuses7

8. Autopsy Turnaround time: mean 62 days, but only 46% in < 60 days (CAP standard is 90% within 60 days)Number of cases: 189Working with faculty leadership, pathology assistants and residents to streamline process to better align our turnaround time with the high quality of our final reports8

9. Clinical PathologyPersonnelNew faculty:Yi Ding, MD, PhD– Molecular PathologyNicole Pecora, MD, PhD – Microbiology

10. Clinical PathologyDeparting Faculty Members:Nancy Wang – retiring 6/30/15 – will stay on to help out with coverage as needed through DecemberLaurie Milner – retiring 10/3/1510

11. 11

12. Inpatient Venous Access Team implementation on 6 units, improving quality and reducing errors 12

13. 13

14. Blood BankAccomplishments:Current project designed to reduce blood usage during surgeryStrong Stars received by 11 staff membersMoved to irradiate red cells on demand – improved patient care!Implemented an “Ever Better Board”Began billing for professional servicesRenee Bowen (reference lab supervisor) identified a novel technique for dealing with serologic interference – published with Dr. Schmidt14

15. Cytogenetics LaboratoryHosted the NYS Regional Cytogenetic meetingNewly certified in cytogenetics:Min GuoKarissa KhamsoukAdded a new platform for plasma cell enrichment – increases FISH detection rate for multiple myelomaHuge increase in urovysion testing (detect bladder cancer)Developed new competency assessment forms and sharing them with all divisions

16. Molecular DiagnosticsNY State just approved testing for TERT promoter mutations – used to classify brain tumors and other tumorsOnly lab in NY approved to do this testAlso approved for TP53 mutation testing used in treatment decisions for CLL patients, but also will find utility with other cancers16

17. Microarray LaboratoryDeveloped a new array chip targeting pathogenic genes in constitutional diseasesDeveloped a digital tracking system of all DNA stored in the labAll staff members now trained in and performing the clinical trials procedure involving isolating peripheral blood mononuclear cells (PBMC) from cell preparation tubes (CPT) for cryopreservation17

18. Specimen Management Service (SMS)Highlighted in LEAN training development program for its Ever Better Board (9 such boards in place within the department!!!)Holly Harrington Smock and Brandon DeLorme are featured on the LEAN announcement and blog posting!!!18

19. HematologyImplemented:New Sysmex automation lineTEG and Platelet Mapping assays19

20. ChemistryImplemented:A20 OsmometerWescor Cholorchek chloridometer (sweat test)FIT (Fecal Immunochemical Test – occult blood)Working with Ob/Gyn to bring in new test for identifying premature rupture of fetal membrances (Actim PROM)20

21. MicrobiologyImplemented:Mycoplasma PCR (was a send-out test)Expanded automated susceptibiity testing to include yeast and S. pneumoniaeFlu/RSV testing STAT COBAS AmpliprepNew PCR tests for EBV and HSVCo-testing of HPV and PAP smearsTesting for trichomonas in urines from womenNorovirus PCR testing 21

22. MicrobiologyPost-doctoral program re-certifiedSponsored two students through Teen Health and Success Partnership22

23. Automated LaboratoriesEmployee Engagement Staff Committee:Standardize pipets in labs (reduced number of tips requiring purchase)Created volunteer call-in lists for weekends/nightsCreated signage with contact numbers for waste pick-upsObtained large monitors for key lab areas such as DI, DiffingObtained new mouse pads for the areaWorked with CLSS to replace “old” computers23

24. ToxicologyMoved from Tier III to Tier II – congratulations!Successfully implemented 8 staff suggestions from Ever Better Board16 Strong Stars received by Lab this year!24

25. Ridgeland RoadWorkload increased 25% with no increase in personnelImplemented new ESR and Sysmex instruments, along with middleware in hematology and chemistry sectionsMentored series of MCC students (Laurie Wolfe leading this effort)Hosted Advanced User Coagulation Class for second year25

26. Affiliated Hospital Pathology DivisionNew faculty:Tamera Paczos, Division Director

27. Affiliated Hospital PathologyCurrent:Strong West (Brockport)St. James (Hornell)WyomingFF ThompsonPending discussionsAuburnGenevaNoyes (Dansville)Jones (Wellsville)Arnot Ogden

28. Affiliated Hospital PathologyFF Thompson HospitalLaboratory consolidationsAdditional pathology attending supportUnifying automated analyzer platforms

29. Strong WestReceived CAP accreditation January 2016Added Outpatient and Interlakes Oncology testing to its book of business29

30. Affiliated Hospital PathologyInterlake Batavia Site awarded NYC CLEP Lab license – also implemented on-site lab testing at this siteStrong West received CAP accreditation after September inspectionImplemented Reference Laboratory services at Wyoming and St. James Hospitals30

31. All Outpatients – our departmental outreach program31

32. Quality and ComplianceCompleted over 70 internal auditsParticipated in 5 NYSDOH inspections, 3 CAP inspections and 6 external client audits32

33. Research MissionExtramural fundingMiscellaneous news items

34. Research MissionFacultyRupal Mehta, neurobiologyNicole Pecora, molecular microbiology

35. New grantsBrendan Boyce – 2 R01’s x 4 yearsArch Perkins – R01 x 4 years, R21 x 2 yearsRichard Burack – R21 x 2 years, Lymphoma Research Foundation grantZhenqiang Yao – Breast Cancer Coalition of Rochester grant x 1 yearLianping Xing – R01 x 4 years, Lymphatic Malformation Institute grant, R21 x 2 years Victoria Zhang – American Association of Clinical Chemists grantRupal Mehta – K08 x 4 yearsSherry Spinelli/Neil Blumberg – Phillip Morris x 2 years

36. Other extramural fundingAndrew Evans – Wilmot fellowshipJennifer Findeis-Hosey – “Strollin’ for the colon” grant – to further her work in Lynch syndrome

37. United States and Canadian Academy of Pathology annual meeting (3/16)17 abstracts accepted for presentation:Participating residents and fellows:Mary Barrett, Nisha Patel, Shana Straub, Sohaib Abu-Farsakh, Diana Agostini-Vulaj, Sapna Patel, Amber El-Halaby, Chad Hudson, Sashica Cheris, Hani Kateri, Asif Shahab, Laura Bratton (13)Participating faculty members:Jerome Jean-Gilles, Guang-Qian Xiao, Raul Gonzalez, Jennifer Findeis-Hosey, David Hicks, Xi Wang, Richard Burack, Janice Spence, David Zhou, Bradley Turner, Ping Tang, Paul Rothberg (12)Participating technical assistance:Loralee McMahon, Qi Yang37

38. Research Biobanking:Established contractual arrangement with Indivumed:Expenses entirely theirsTissue split 50/50 after clearance from surgical pathologist on callSpecimen freezers on siteTissue available via protocol for all URMC personnel for researchDavid Zhou named Director, URMC Biobank

39. Research Mission Publications (very crude estimates):Approximately 210 in 2015-16

40. Research missionWorks in Progress forumIdea suggested at Faculty RetreatFaculty members applying for funding (intra- or extramural) present their preliminary work in an informal setting designed to improve the ultimate application and funding success ratesPresented works in progress:Richard BurackPhil KatzmanAndrew Evans40

41. Annual Research Day (June 13)Expanded program this year:Oral presentations from 9 residents and 9 graduate studentsIntegrated program to stimulate “cross-fertilization”All residents given entire day “off” to attend programFaculty attendance strongly encouragedCompetition for residents with awards given by judgesSeparate day for combined research “advertising” within department – faculty presented their work (posters) at a reception with residents and graduate students in hopes of more “cross fertilization” (April 20)Huge attendance – all residents and graduate students attended41

42. Education MissionMedical TechnologistsCytotechnologistsMedical StudentsResidentsFellowsGraduate StudentsFaculty

43. Medical Technology ProgramEnded our affiliation with Rochester General Hospital Developing our own program with first class to begin in 2017Vicki Roberts leading the development projectFar along in negotiations with various Deans and other groups at URMCFirst class anticipated for 201743

44. Cytotechnology ProgramDonna Russell appointed inaugural Director of Cytotech Training Program in conjunction with program at Daemen College and Roswell Park Cancer Institute44

45. William B. Hawkins AwardDepartmental awards given to either Pathology year-out students or to graduating URMC students who emulate Dr. Hawkins’ Excellence in Medicine2016 Award Winner:Benjamin Louis Mazer

46. ACGME Training ProgramsAll received re-accreditation without citations for maximum length of timeApproved for new program in transfusion medicine/blood banking

47. Departmental NewsResidency Match: Filled 4/4!!!! 47Alexandra Danakas – Lake Erie College of Osteopathic MedicineCynthia Reyes-Barron – Texas Tech University Health Sciences CenterMushal Noor – Kind Edward Medical UniversityRoula Katerji – University of Aleppo Faculty of Medicine

48. Departmental NewsIncoming fellows:GI – Meenal SharmaCytopathology – Michael Magguilli (URMC)Hematopathology – Chad Hudson (URMC)Breast – Kerry Nagee – Univ. Florida (Jacksonville)Blood bank/transfusion medicine – Tanmay Sahai (Boston University)48

49. Residents and FellowsFond farewells:Bibiana Steinbauer – Univ. Florida (Jacksonville)Michael Maggiulli – URMC cytopathologyChad Hudson – URMC hematopathologyMeenal Sharma – URMC GI pathologyAmber El-Halaby – Rochester Regional Health Mary Barrett – Dermatopathology, Boston UniversityLaura Bratton – TBD

50. Resident kudosShana Straub – new Chief ResidentSachica Cheris – new Associate Chief Resident50

51. Incoming graduate studentsAndrea Amitrano,  SUNY GeneseoJohn Bachman,  Penn State UniversityFelicia Gilels,  SUNY Stony BrookCourtney Kellogg,  RITOlivia Marola, Fairfield University, Fairfield, CTMade 9 offers and got 5 accepts which is on par with the rest of the School of Medicine and Dentistry. Congrats to all!51

52. EducationFacultyFaculty mentoring program with monthly monitoring and Chair oversight(I, too, have a URMC mentor with whom I meet weekly!)Formal annual faculty evaluations to provide feedback and planning for future

53. EducationVisiting Speakers:Chin-Lee Wu – Mass General HospitalMichael Drage – Brigham and Women’s HospitalLiang Cheng- Univ. IndianaSyed Hoda – Cornell University

54. Clinical TrialsBanner year in all ways!!!!FY 2017 – will make > $1million margin (expected)Debts to pay down but ultimately will result in an additional revenue stream for the departmentKudos to Dan Ryan for having the foresight and perseverance to make this come to fruition!

55. Department Faculty RetreatHeld in October 2015:Four working groups developed list of priorities for department leadership to pursueOutcomes from retreat (so far)New support for faculty for clerical work, on-boarding and research endeavorsNew structure for prioritizing IT projects within the departmentNew research working conference to provide input for researchersFormal structure to Affiliated Hospital divisionRotational exams for residents to provide assessments and identify those at risk earlier55

56. Faculty kudosVictoria Zhang was promoted to Associate Professor of Pathology56

57. Faculty KudosElected positions:Ping Tang – President-elect, Chinese American Pathologists Association

58. Staff kudos (Microbiology)Pam Mortensen retired after > 40 years 58

59. RetirementDavid Strong left us to become the CEO of a private company that performs clinical trialsWe wish him all the best and thank him for his many years of service to the department and to URMC59

60. Staff kudosEmployee engagement survey:Labs with 100% participation:Regional toxicologyClinical trials logisticsFlow/bone marrowAutopsyNeuropathologyMicroarrayOut patient lab – RidgelandBlood bankLab client servicesClinical labs billingTissue typing – clinical labs

61. Staff kudos – supervisors who improved a tier!Barb MeikeljohnAimee KievittMike FacikJudy MillerDiana ScottBill AndrewsDebbie JesienBillie BriscoeAngie RomanJenny ScherdinJason ThomasJoe MarinoStacy MarianoPriya SelvanayagamAngela BusaccoLinda Crandall

62. Staff kudosLEAN certificate winners:Christine ReilinghMorgan DanielChristine CahillJulie MariniJeff VarleyMike Lum12 others completed all classes and are working on certification projects

63. Staff kudos (Chemistry and Hematology)Strong Stars:Melissa Sullivan (3)Perky McDaniel (2)Noel Krzesinski (2)Marcia Sawnor (2)April Ayrhart (2)Ky TranCrystal BaggattaLisa BrodnerJesse LaureyBrittney BullersGeoffrey HarrisJoan DraderDanielle HewittKim GaesserJohn PatamisiColeen HarveyJim VilloneAnita ParkhurstPatrick ReillyJan Vecchio

64. Staff kudos (Microbiology)Debra Jesien – promoted to Chief SupervisorOther promotions:Mary TolomayMattew BrittPatricia MundingMaria HumphreysMegan KleinKelly PierceBaltazaar CalunodJose Carlos GallegosDiane RafterLindsay RyanBhameenee (Diya) RughoonundonStaci Sekaz64

65. Staff kudos (Cytogenetics)Strong Stars:Erin WyattConnie YahnMichele HecklerChristine Reilingh65

66. Staff kudos (Ridgeland Road)Strong Stars:Maryanne BongiovanniKelley BrewerGeorge ConteErika RamirezManisha StappenbacherLaurie Wolfe66

67. Staff kudos (Ridgeland Road)Pathology ICARE Guiding Coalition Committee – Tia LaBarge and Melissa Sullivan joined Vicky Roberts and Liz Peterdy representing pathology on the Hospital ICARE committeeErika Ramirez joined this committee in late 2015 and is now creating Ridgeland Rd. Lab Showcase poster for the departmental poster session67

68. Staff kudos (Cytopathology)Strong stars:Mary Beth KearnsShawn EvansMary Ann Rutkowski retired after 38 years at URMCDonna Russell – presenting at the 19th International Congress of Cytology in Yokohama, JapanShawn Evans – presenting at Second Kress Family Esophageal Carcinoma meeting in Toronto, CA69

69. Toxicology kudosCarol Schulz retired (but still working part time)

70. Staff kudosCompleted MBAs at Simon School:Elizabeth JacksonGeoffrey HarrisErin McNeil-Szostak

71. National Medical Laboratory Professionals WeekApril 25-29Daily Puzzle ContestsPoster day – Meet YoUR LabGift dayQuality Day PresentationBagel DayDress down dayBreakfast/Lunch day

72. Zoo nightDepartment held its first Employee Appreciation Night at the Seneca Park Zoo in AugustMore than 600 attendedMany of the animals cooperated with fun showsPlanning repeat event for August72

73. URMC volunteer activitiesMedical Career Day at SUNY Brockport:Bradley TurnerAmanda MartinDiana Agostini-VulajSachica Cheris

74. Global OutreachVietnam – multiple lectures, designing program for Vietnam Derm telepathology (Bruce Smoller)Maimoona Ramaswamy signed on to help with laboratory improvement in conjunction with histotechnologists from Baylor College of MedicineKenya – Xi Wang returned from trip there with proposal to provide prolonged rotations for pathologists in Kenya to study pathology in our departmentHaiti – Andrew Evans, Loralee McMahon, Jerome Jean-Gilles74

75. Physical PlantPhase I:Move some laboratory activities to Bailey RoadClinical Trials and outpatient testing that is currently based at Ridgeland RoadConsolidation of Molecular Genetics program including labs from SMH and from RidgelandMicrobiologyFloor plans developed by Medical Directors with the help of support staff

76. Physical PlantPhase IIInvolves moving more labs to expanded Bailey Road facilityPortions of cytopathologyPortions of surgical pathologyMass SpectrometryOthersDates for project still uncertain

77. Departmental kudosUR Medicine and UR Labs were selected as finalists for this year’s Greater Rochester Quality Council AwardsBlood Management Team – Silver Medal for Team ExcellenceCytology LEAN program – Gold Medal for Operational ExcellenceCongratulations!!!!!

78. Pathology and Laboratory Medicine Financials-March_2016 FY 2016 BUDGET  RevenueExpensesPRACTICE PLAN $ 10,301,150 $ 10,224,650    CLINICAL TRIALS $ 4,211,450 $ 3,670,950 MARCH_2016 ACTUAL YTD SMDBudgetExpensesBalance $ 596,750 $ 416,560 $ 180,190 FY 2016 ACTUALS PRACTICE PLANJulAugSeptOctNovDecJanFebMarYTD TotalRevenue 838,696 902,591 862,699 912,710 1,102,003 839,479 993,975 906,316 879,055 8,237,524 Expenses (665,377) (708,923) (826,989) (761,609) (790,896) (751,760) (902,644) (728,744) (811,981) (6,948,921)Margin 173,319 193,668 35,710 151,101 311,107 87,719 91,331 177,572 67,074 1,288,603 FY 2016 ACTUALS CLINICAL TRIALSJulAugSeptOctNovDecJanFebMarYTD TotalRevenue 589,410 496,173 708,645 365,470 394,406 192,118 390,254 360,919 446,682 3,944,077 Expenses (269,726) (272,928) (270,076) (285,618) (262,811) (302,076) (254,390) (254,473) (910,818) (3,082,916)Margin 319,684 223,245 438,569 79,852 131,595 (109,958) 135,864 106,446 (464,136) 861,162

79. PhilanthropyDeveloped quarterly newsletter to build sense of communityHeld URMC Pathology reception at 2016 USCAPVisiting with URMC Pathology alumniFaculty members who contributed in 2015-16:Neil BlumbergDan and Charlotte RyanJohn BennettKaren BentleyBruce Smoller

80. USCAP annual meetingFirst annual URMC departmental receptionApproximately 50 attendees including:Current residents (all present attended)Current faculty members (all present attended)Past residentsPast faculty membersPotential future faculty membersFriends of the department including:Rebecca Johnson (Executive Vice President, American Board of Pathology)Other department ChairsJennifer Hunt, Victor PrietoNationally renowned surgical pathologistsLaura Lamps (Chair, Education Committee, USCAP)Kum Cooper (U Penn)John Hart (U Chicago)80

81. Philanthropic GoalsTo develop an endowed ChairTo develop an Endowed Professorship (Education)To develop a program for sustained funding for resident research and travelTo develop an endowed lecture series to support several outside speakers each yearTo name the new Pathology Building (the holy grail!)

82. Thank you to all for a terrific year“Striving for Excellence”