1. Work System Analysis Jessica Falarski Leila Dunning Paul Schroeder Peiwen Yao

2.  Background information for Rush University Hospital and HIV testing  As is work system  Problems  Metrics  To be work system  Our recommendations

3.  The formation of Ruth M. Rothstein CORE Center and focus on HIV testing and treatment  CORE center as strategic component for its portfolio of patient care  Expectations for HIV testing at Rush University Hospital

4. 1.Nurse in Neonatal Care draws blood sample from newborn patient who has HIV positive mother. 2.Nurse sends sample to lab processing center. 3.Lab processing center technician forwards blood sample to microbiology lab 4.Microbiology lab technician identifies the numbered sample as a HIV sample and sends it on to the retrovirology lab. 5.Retrovirology lab technician enters patient number information into hospital database. 6.Lab technician performs HIV ELISA screening test when samples meet the capacity of test tray to perform one test, otherwise samples must be preformed within one week. 7.Lab Technician enters patients HIV results into hospital database by patient number. 8.Lab Technician calls the contact Doctor that HIV results are available. 9.Doctor retrieves HIV test results from fax machine and in forms Patients’ Guardian of HIV test Result.

5.  Customers having unrealistic expectations  Nurse not drawing enough blood from the positive HIV mother.  Work System Contains unnecessary hand-offs  Contains too many participants  Undocumented technology

6. Aspect of performance Metric (specific measure of performance in this situation) Current value of metric Realistic desired value of metric Customer Satisfaction % of tests meeting customer turnaround expectation 60%100% (change customer expectations) Consistency% of all decisions that followed all proper procedures 95%99% Participants# of participants required to test and give results of samples 76 SpeedTime from blood draw to delivery in retrovirology department 5 hours2 hours

7.  Decrease number of participants  Bypass extra departments  Utilize new technology, database

8.  Change customer expectations  Verify that nurses draw enough blood  Introduce more training for lab technicians  Use labels with bar codes  Bypass extra departments and go directly to retrovirology department  Give doctors access to test result database