RE: Performance indicators.

From:"Morken, Tim"

I agree with Nick, Time studies are a bean counters dream, but very
destructive to quality work in an environment in which variaton is the rule,
not the exception. Time studies work in places like auto factories where
standardization and split-second timing is possible.

Also, as Nick points out, no two labs are the same. That is why the CAP
workload units in the US failed. They simply could not account for the
massive variation between labs. People got bogged down in trying to account
for every half-minute of every variation of every procedure. People were
counting how many times they put on gloves, fer chris' sake!

I once worked with a very wise manager. I was young and full of energy and I
wanted to do a time study to really pin down how we did the work in the lab.
He took the CAP book and tossed it in the trash and said "All we want to
know is, are you getting the results right, or not. If not, thats a problem,
if so, NO PROBLEM!!" Instead we just counted absolute numbers of everything
that was countable (cases, blocks, slides, stains). That was more than
enough to show A) what our work was at any given time and B) that work was
increasing annually. I had no problem justifiying more positions based on
those types of numbers - hard numbers no bean counter could argue with.

Tim Morken
Atlanta

-----Original Message-----
From: Nick_Madary@hgsi.com [mailto:Nick_Madary@hgsi.com]
Sent: Thursday, November 15, 2001 3:21 PM
To: Clarke Ian
Cc: histonet@pathology.swmed.edu
Subject: Re: Performance indicators.



Need more info.  You could perform time studies in your own lab, and take
averages.  CAP used to have workload units that tried to "time" how long it
takes to do something.  That was short-lived.  You may be going down a
tough road if you try and implement this.  I have seen many valuable
employees get mistreated because of time requirements.  Then again those
time requirements can help you get rid of dead wood as well.  So why am I
even writing this?
 THIS IS ONLY AN OPINION!!!!!!!

Do the hundred blocks contain one specimen or are they 6 little g.i.
biopsies?
Is the mounting of slides done by hand or automated?
Do the 30 blocks require levels?  Is it one of those blocks from hell or
heaven to section?


 

                    Clarke Ian

                               

                                         cc:

                    11/15/01             Subject:     Performance
indicators.   
                    05:54 PM

 

 





I am interested in trying to assess a performance level for some of the
standard procedures in a Histology and Cytology laboratory.These include ,
embedding,trimming,cutting and mounting of slides.I thus would like to
survey what other people think is realistic and doing in practise.

How long to:

Embed 100 blocks

Trim 50 blocks

Cut 30 blocks

Mount 60 PAP smears

Mount 60 Histology slides

File 100 Pap Smears

and  File 100 Histology slides.

I will post the results afterwards.

Ian Clarke
Histo/Cyto
CAH










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