Laboratory Module

Laboratory
Module

Indicators that helps to reduce costs and promote increased efficiency and productivity

In the laboratory indicators module, we have the endorsment of SBPC/ML – Brazilian Society of Clinical Pathology/Laboratory Medicine, Controllab partner since 1977.

How does it help in the day-to-day operations of the laboratory?

Promotes information for more assertive decisions. The platform improves processes, enhances performance, identifies new opportunities and keeps the organization sustainable.

The information generated by the program encourages decision makers to gain a broader view of the results achieved for the process improvement and laboratory sustainability.

Concrete evidence of market process performance

With Metricare, the laboratory identifies whether the efforts and strategies applied in the processes are competitive with their equals, based on hard evidence. This evidence helps to reduce costs, increase efficiency and productivity.

This is because the program uses benchmarked indicators to measure and compare laboratory performance against market performance.

Data analyzed with impair and safety

The indicators contemplated in the laboratory module are correlated in all areas, providing a global and systemic view of the process.

A multidisciplinary team (including statistics) reviews data reported in the program of Metricare, that acts as a third party company, imparting impartiality and confidentiality to reported data.

Metricare follows a code of ethical conduct & compliance integrated with national and international laws for general data protection. The platform has a detailed manual and description for the reliability and standardization of information.

Benchmarking powered indicators

There are more than 150 indicators available for the laboratory.

To simplify data collection and improve access to information, partner companies integrate the LISto the Metricare, promovendo mais agilidade nos processos e confiabilidade nas informações disponibilizadas em tempo real para a tomada de decisão.

Resources

Organizational

Processes

Demographic

History and tracking for certifications and accreditations

Traceability in Metricare favors transparency for accreditations such as ISO 15189, CAP, PALC, DICQ and others, which require the demonstration of objective evidence that supports and assists the planning, monitoring and evaluation of process performance.

Assess whether your laboratory processes are performed competitively

In the platform, the laboratory has a chance to compare with its equals and see if the actions taken over time are significant in relation to the market.

Benchmarking program that collaborates with the improvement of the sector

By participating, the laboratory improves the monitoring of indicators and there is greater effectiveness in management, increasing the level of safety for managers, health professionals and patients.

SBPC/ML e Controllab, are collaborating entities in the QUALISS – Qualification Program of Health Service Providers of ANS – National Agency of Supplementary Health.

Broad and comprehensive
indicator scope

Internationally harmonized indicators aligned with IFCC

Goal setting to achieve determined goals

Group of experts involved in monitoring the program

Comparison between networks
(support or brands)

Integration with LIS providers to simplify data collection

Participant laboratory profiles

Some numbers prove the heterogeneity between laboratories, contributing to a robust benchmarking program.

these are laboratories that perform more than 50,000 exams/month
70 %
they attend the private health network
86 %
they attend the public health network
14 %
these are independent laboratories
69 %
these are laboratories based in hospital or blood bank
31 %

+350

Registered
Laboratories

17

Countries

Ally in times of crisis management

n times of crisis management, such as the one caused by the Covid-19 pandemic, Metricare becomes an ally to managers.

In order to maintain reliable processes, avoid impacts on the quality of the results and protect the reputation of the institutions, the data obtained in the PBIL were fundamental to guide the managers’ decision.

Having the measurement and knowledge of the weaknesses and strengths of the laboratory, were determining factors for agile decisions, amid scenarios of uncertainty.

Program operation

Monthly, laboratories receive benchmarking from data reported or obtained directly from the Laboratory Information System (LIS). Upon registration, the laboratory receives a password to access Metricare.

Partinership with LIS companies

LIS developers integrate laboratory systems with Metricare to reduce data collection complexity and improve access to information, promoting faster process processes and reliability of real-time decision-making information.

SEE THE BENEFITS OF INTEGRATING LIS WITH PBIL
Allows

it lets you focus on benchmarking results analysis

Promotes

data
reliability

Helps

reduce data collection failures

Reduces

time in raw data monitoring

Some developer companies, in addition to integrating LIS, promote the indicators in their systems to contribute to laboratory sustainability.

Confidentia
"Vemos a integração do sistema do laboratório ao PBIL como uma grande possibilidade para que os menores laboratórios possam ter acesso facilitado a indicadores, já que eles têm mais dificuldade de investimento".
Paulo Alexandre Simões
Diretor Operacional - Confidentia
Karyon
"O maior benefício alcançado pela Karyon foi o de proporcionar aos nossos clientes uma análise comparativa de eficiência do laboratório nesse mercado cada vez mais competitivo".
Durval Belém
Diretor Comercial - Karyon
Pixeon
"Sempre que podemos fornecer soluções que contribuem para o desenvolvimento do setor laboratorial, através da nossa especialidade, sabemos que estamos no caminho certo! Estamos felizes com os resultados, pois, além do grande benefício para o setor de Medicina Diagnóstica, contamos com o compromisso desses parceiros em todos os momentos!”.
Silvia Yano
Gerente de Marketing - Matrix.
Pixeon
"O acesso a informação e o poder de facilitar a tomada de decisão bem embasada é o maior valor viabilizado pela nossa parceria".
Armando Buchina
CEO - Pixeon

Discover the available indicators:

PATIENT SAFETY
  • Average time for reporting critical outcomes: hospitalized/non-hospitalized patients
  • Communication of late critical results: hospitalized/non-hospitalized patients
  • Discrepancy between cervical biopsy diagnosis and gynecological cytology results (Pathological Anatomy)
  • Errors in patient identification (Clinical Analysis)
  • Errors in performing imaging exams (type, area, laterality, and procedure)
  • Failure in communication of critical results (Clinical Analysis)
  • Failure in communication of critical results (Pathological Anatomy)
  • Failure in communication of critical results (Radiology and Imaging Diagnostics)
  • Failure to communicate critical results: hospitalized/non-hospitalized patients
  • Rate of immediate adverse reactions to intravenous contrast media in all contrast-enhanced exams (Radiology and Imaging Diagnostics)
  • Rate of immediate adverse reactions to intravenous contrast media in computed tomography (Radiology and Imaging Diagnostics)
  • Rate of intravenous contrast media extravasation in all contrast-enhanced exams (Radiology and Imaging Diagnostics)
  • Rate of intravenous contrast media extravasation in computed tomography (Radiology and Imaging Diagnostics)
  • Registration of Requests with error in patient identification (Pathological Anatomy)
  • Registration of Requests with error in patient identification (Radiology and Imaging Diagnostics)
  • Sample fixation time (Pathological Anatomy)
  • Samples with error in patient identification
  • Samples with less than 2 patient-related identifiers
FINANCIAL MANAGEMENT
  • Average ticket (Microbiology)
  • Average ticket per patientE
  • Disallowances general and by operator
  • Expenditure with physical area and resources / secondary expenditure / equipment / materials / staff / services / transport
  • Personnel expenses
  • Support laboratory: logistics costs
  • Tests requested: courtesy/operator/private/public network
OPERATION MANAGEMENT
PRODUCTION
  • Audited public: outpatient/hospitalized/non-hospitalized patients
  • Citrate tubes collected by patient
  • Collection system: own, third-party and franchise patients
  • EDTA tubes collected per patient
  • Examinations per patient: health insurance/courtesy/private/public
  • Exams per citrate tube
  • Exams per clot activator tube
  • Exams per EDTA tube
  • Exams per lithium heparin tube
  • Exams per patient: overall
  • Exams per serum tube with gel/without gel
  • Exams per sodium fluoride tube
  • Exams per tube
  • Lithium heparin tubes collected by patient
  • Outsourcing
  • Outsourcing of exams (Microbiology)
  • Serum tubes with gel collected by patient
  • Serum tubes without gel collected by patient
  • Sodium fluoride tubes collected per patient
  • Technical production: by equipment and by exam
  • Total of clot activator tubes generated with collection in the period
  • Tubes collected per patient
RESOURCES MANAGEMENT
PEOPLE
  • Absenteeism
  • Accident at work: general
  • Accidents with sharps
  • Hours worked per employee
  • Personal productivity: general/billing/reception/receptionist
  • Personal productivity: own and franchised collector
  • Personal productivity: techniqueE
  • Productivity of pathologists (Pathological Anatomy)
  • Productivity of professionals in Microbiology
  • Rotativity: general/reception
  • Staff productivity (Pathological Anatomy and Cytopathology)
  • Training events
  • Training: enforcement of planned training load
  • Training: external
  • Training: hours of training
  • Training: internal
EQUIPMENT
  • Average availability of analytical equipment (Microbiology) (uptime)
  • Corrective maintenance
  • Mean time between failures: biochemistry equipment (MTBF)
TECHNOLOGY
  • LIS Efficiency: episodes of system crash
  • LIS Efficiency: times of system crash
  • Self-check results efficiency
STAKEHOLDER MANAGEMENT
INDIVIDUAL CUSTOMERS
  • Customer satisfaction: individual
  • Net Promoter Score (NPS)
  • NPS (Radiology and Imaging Diagnostics)
  • Participation in research of Net Promoter Score (NPS)
  • Patient satisfaction with blood collection (NPS blood collection)
  • Received customer manifestations
  • Responded customer manifestations
CORPORATE CUSTOMERS
  • NPS of supported laboratory
  • Support laboratory: complaints from supported laboratories
PHYSICIANS
  • Physician satisfaction
  • Satisfaction of hospital physicians with Microbiology (NPS)
PROCESSES AND OUTCOMES
PRE-ANALYTICAL
  • Blood collection failure
  • Coagulation: coagulated samples
  • Collection error: incorrect proportion of sample/anticoagulant volume
  • Collection error: incorrect sample / incorrect container / insufficient volume
  • Collection in inappropriate time
  • Contamination in automated blood cultures from peripheral blood samples
  • Contamination in midstream urine cultures: hospitalized/non-hospitalized patients
  • Contamination: samples of microbiology / hemoculture samples / urine culture samples
  • Error in preparation of histological specimens: defects in staining, cutting, and identification (Pathological Anatomy)
  • Exams not registered: hospitalized/non-hospitalized
  • Hemolysis: samples in general and biochemistry area
  • Inappropriate medical requests related to informed clinical issues: hospitalized / non-hospitalized
  • Incorrect exams name: hospitalized / non-hospitalized
  • Medical requests without clinical questions: non-hospitalized
  • Non-intelligible medical requests: hospitalized/non-hospitalized
  • Storage error: incorrect storage before scanning
  • TAT preanalytical by exams
  • Tests incorrectly added and not included in the medical requisition:hospitalized / non-hospitalized
  • Transport error: samples damaged during transport
  • Transport error: samples not received
  • Transport error: samples transported at incorrect temperature
  • Transport error: samples with excessive transport time
  • Unidentified samples
ANALYTICAL
  • Analytical runs with coefficient of variation (CV) above the group (by exam)
  • Analytical runs with standard deviation (SD) above the group (by exam)
  • Coefficient of variation (CV) per exam
  • Coefficient of variation (CV) per exam/equipment
  • Coefficient of variation (CV) per reagent/batch
  • Errors in manual transcription of results
  • Inadequacies in Proficiency Testing (Microbiology)
  • Internal Control (IC): tests with out-of-specification results
  • Positivity of blood cultures: hospitalized patients
  • Proficiency Testing (PT): inadequate performance related to previously treated cause
  • Proficiency Testing (PT): inappropriate performanceE
  • Resistance in blood cultures: Klebsiella resistant to carbapenems, ceftazidime/avibactam, and polymyxin
  • Resistance in surveillance cultures: Klebsiella resistant to carbapenems, ceftazidime/avibactam, and polymyxin
  • Result transcription errors due to LIS failure
  • Standard deviation (SD) per exam
  • Standard deviation (SD) per exam / equipment
  • Standard deviation (SD) per reagent/ batch
  • TAT analytical phase by exams
POST-ANALYTICAL
  • Delays in exam results: hospitalized/non-hospitalized patients (Microbiology)
  • Index of interpretive comments in report
  • Report delivery: at home
  • Report delivery: by phone or fax / web / email
  • Report delivery: collected in the laboratory
  • Rescheduling of exam result deadlines (Microbiology)
  • TAT 90 percentile: INR / potassium / troponin / WBC
  • TAT global by exam
  • TAT post-analytical phase by exams
  • Unpublished reports
OUTCOMES
  • Delayed outcomes: hospitalized/non-hospitalized patientsE
  • Delayed outcomes: support laboratory
  • Diverse recollection
  • Diverse recollection: hospitalized/non-hospitalized patients
  • General recollectionE
  • General recollection: hospitalized/non-hospitalized patients
  • General recollection: support laboratory
  • Incorrect reports (Clinical Analysis)E
  • Incorrect reports (Pathological Anatomy)
  • Incorrect reports (Radiology and Imaging Diagnostics)
  • Incorrect reports: support laboratory
  • Incorrect results released
  • Recollection by accident
  • Recollection by accident: hospitalized / non-hospitalized patients
  • Recollection for analytical reasons: support laboratory
  • Recollection for confirmation
  • Recollection for confirmation: hospitalized / non-hospitalized patients
  • Recollection for inappropriate material
  • Recollection for inappropriate material: hospitalized/non-hospitalized patients
  • Recollection for pre-analytical reasons: support laboratory

E Essential Indicator