communication and capital efficiency · distribute stain mount cut diagnose start. . . basic lab...

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COMMUNICATION AND CAPITAL EFFICIENCY REDUCE RISK AND COST & INCREASE THROUGHPUT April 2010 EXECUTIVE WAR COLLEGE Who is Aurora Interactive? Aurora was founded in 2002 The company specializes in Pathology 2.0 Web based communications including: Clinical Education Research Patient Record Our user networks spread over 11 countries We have over 8,000 users in 22 sites

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Page 1: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

COMMUNICATION AND CAPITAL EFFICIENCY

REDUCE RISK AND COST&

INCREASE THROUGHPUTApril 2010

EXECUTIVE WAR COLLEGE

Who is Aurora Interactive?

•Aurora was founded in 2002

• The company specializes in Pathology 2.0 Web based communications including:

• Clinical

• Education

• Research

• Patient Record

• Our user networks spread over 11 countries

• We have over 8,000 users in 22 sites

Page 2: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

What We Will Talk About

How in Pathology 2.0 Web based communications can help you achieve your shareholder objectives

Increase Shareholder 

Value

Increase CFOPS

Increase Multiple

Profitability

Working Capital

Capital EfficientGrowth

Fixed Capital

Sales

Shareholder Objective

Page 3: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

End

AccessionCreate Label

Gross Gross

CutMountStainDistribute

Diagnose

Start

. . .

Basic Lab Workflow

Prepare Message

Transmit Message

Receive Message

Basic Communications Workflow

Page 4: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Basic Communications Workflow with Physical Slides

Prepare Info

Transmit Info

Receive Info

Prepare Slides

Send Slides

Receive Slides

Verify Info Slide Match

Verify Info Slide Match

Digital or Physical

Physical

Basic Communications Workflow with Digital Slides an mScope

Prepare Case 

Slides & Info

Transmit Case 

Slides & Info

Receive Message

Slides & Info

Digital

Page 5: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

What mScope does to the Communications Flow

Automate

Rationalize

Mistake ProofPoka Yoke

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report ShippingTissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Billing & Collecting

Administration

Report Shipping

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Page 6: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Slide Shipping

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Tissue Reception

Order Processing

Administration

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Page 7: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Billing & Collecting

Administration

Report Shipping

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Slide Reception

Info. Reception

Administration

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Page 8: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Page 9: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Report Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Info and slideExpedition

Info and Slide Reception

Info and Slide Shipping

Info and  Slide Reception

Info and Slide Reception

Report  & Slide Shipping

Report and Slide Reception

Scanner

Page 10: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Slide ReceptionInfo. Reception

Administration

Billing & Collecting

Administration

Report Shipping Slide Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Administration

Info. Reception Order processing

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception Info reception

Administration

Info. Shipping Slide Shipping

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception Info Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Scanning

Slide Expedition Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Administration

Typing

Admin.

Billing & Collecting

Administration

Report ShippingSlide Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Info Reading Slide Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide ReceptionInfo Reception

Administration

Info. ShippingSlide Shipping

Administration

Typing

Admin.

Pathologist

Diagnosis Dictating

Report Approval

Request Sec. Op.

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide ExpeditionInfo Expedition

Info. Reading

Scanning

Slide ReceptionInfo Reception

Slide ReceptionInfo Reception

Slide ReceptionReception

Info Reading Slide Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

CAPACITY & SAVINGS

CAPACITY

CAPACITY & SAVINGS

CAPACITY

Page 11: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Typing

Admin.

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Info Reading Slide Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Typing

Admin.

Technician

Slide Preparation

Tissue Reception

Info. Reception

Info. Reading

Scanning

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Billing & Collecting

Administration

Pathologist

Diagnosis Dictating

Report Approval

Request Sec. Op.

Info Reading Slide Reading

CAPACITY & SAVINGS

CAPACITY

CAPACITY

CAPACITY

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Page 12: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Pathologist

Info Reading Slide Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Technician

Slide Preparation

Tissue Reception

Info. Reception

Info. Reading

Scanning

Billing & Collecting

Administration

Pathologist

Diagnosis Dictating

Report Approval

Request Sec. Op.

Info Reading Slide Reading

Savings and Cost Reductions

•Removed eight arrows or physical movements of slides out eight• Eliminating the risk of loss or breakage • Reducing costs of transport

• Joined slides with patient information in all transfers of information• Eliminating  nine error points• Reducing costs

• Because of the previous:• We have taken out 13 boxes out of 26 non essentials linked:

• Preparation of transport of slides and information• Reception of transport of slides and information

Page 13: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Action Incidences Per Pathologist

Eliminate Slide Movements 8 21,400

Join Slides with Info 9 31,400

Perspective

• Assuming a pathologist doing 10,000 cases a year and requiring 2% second opinions• Number of instances per pathologist

Sales

Profitability

Working Capital

Fixed Capital

Shareholder Objective

Increased Customer Engagement•Online Collaboration•Image Inclusion in Report

Improved QualityFaster turn around time

Reduced Work in ProgressImproved Inventory Mgmt.Accelerated Receivable Turnover

Increased CapacityEfficient Deployment of Assets

Better trackingReduced Errors

•Flow Induced•Second Opinion •Quality Control

AutomationRationalizationReduction in shipping cost

Page 14: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

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Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

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Tissue Reception

Order Processing

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Info. Reception

Pathologist

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Info Reading

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Request Sec. Op.

Slide Reception

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Pathologist

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Diagnosis Dictating

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Slide Reception

Info. Reception

Technician

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Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

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Patient Info

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Sample

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Slide Reception

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Admin.

Billing & Collecting

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Slide Shipping

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Tissue Reception

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Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

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Slide Reception

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Pathologist

Slide Reading

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Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

INTEGRA

TION NIG

HTMARE

$$$$$$

$$$$$$

$$$$

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

Info. Reception

Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

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Typing

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Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

Slide Reception

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Administration

Typing

Admin.

Billing & Collecting

Administration

Slide Shipping

Report Shipping

Billing & Collecting

Administration

Report Shipping

Tissue Reception

Order Processing

Administration

Info. Reception

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Administration

Slide Shipping

Info. Shipping

Slide Reception

Info. Reception

Administration

Typing

Admin.

Pathologist

Slide Reading

Info Reading

Diagnosis Dictating

Report Approval

Request Sec. Op.

Slide Reception

Info. Reception

Technician

Slide Preparation

Tissue Reception

Info. Reception

Slide Expedition

Info Expedition

Info. Reading

Patient Info

Consulting Physician

Ordering

Sample

Accounts Payable

INTEGRA

TION NIG

HTMARE

$$$$$$

$$$$$$

$$$$

Page 15: COMMUNICATION AND CAPITAL EFFICIENCY · Distribute Stain Mount Cut Diagnose Start. . . Basic Lab Workflow ... Microsoft PowerPoint - Lefevre--thurs-Presentation2.pptx Author: JBroderson