1. State of the Department 2015 “Striving for Excellence”
Department of Pathology and Laboratory Medicine
University of Rochester School of Medicine and Dentistry
Bruce Smoller, MD, Chair

2. Clinical Mission
Anatomic Pathology
Clinical Pathology
Affiliated Hospitals

3. Anatomic Pathology Personnel New faculty: Raul Gonzalez – GI Pathology
Abby Lott Limbach – Cytopathology, Head & Neck Pathology
Tamera Paczos – Gynecologic and Perinatal Pathology
Brooke Koltz –Cytopathology (part-time)
Rupal Mehta – Neuropathology, Autopsy

4. Anatomic Pathology Personnel Moved on: Tony di Sant’Agnese – retired
Faqian Li – moved to Univ. Minnesota
Gabrielle Yeaney – moved to Cleveland Clinic
Wendy Cao - NYU

5. Surgical Pathology Subspecialty sign-out July 1 roll-out
Project realized by Drs. Whitney-Miller, Tang, Schiffhauer with the help of a working group
Also intimately involved were residents:
Diana Agostini-Vulaj
Mike Magguilli
Mary Barrett
Sapna Patel
Sohaib Abut-Farsakh
Laura Baxter (PA)

6. Surgical Pathology

7. Cytopathology
Reading Pap smears from Haiti pro bono
Established WebCam system for immediate assessments in Cancer Center – hoping to grow this capability
Donna Russell (workshop) and Mike Facik (moderator, Diagnostic Seminar) are presenting at the ASC annual meeting

8. Clinical Pathology Personnel New faculty:
Amy Schmidt – Transfusion Medicine
Bing Zhang – Molecular Cytogenetics – starts 10/1

9. UR Medicine Labs Outpatient Orders

10. Patient Service Center Visits

11. Phlebotomy Home Draw Service

12. SED Rate Turn Around Time
Goal = 90 min

13. Blood Management Program
*For first 9 months of program

14. Blood Bank
Entered into testing agreement with Ortho Diagnostics for evaluating new analyzer to submit to FDA for clearance

15. Molecular diagnostics
Test volume tripled in past 10 years
20 tests on 5 platforms
5 new tests added in
NEW THIS YEAR: Illumina MiSeqDx which brings the lab into the arena of Next Generation Sequencing

16. Cytogenetics Laboratory
Participated in LEAN poster session
Min Guo attended Association of Genetic Technologists annual meeting in Savannah, GA

17. HLA Laboratory
Worked with Molecular Pathology to implement sequence-based HLA typing
Worked with CLSS to get greatly expanded menu of test results into the Electronic Health Record so that clinicians can directly view them!

18. Affiliated Hospital Pathology
New faculty
Tamera Paczos

19. Strong West Billed Lab Tests
Initial projection

20. Affiliated Hospital Pathology
Current:
Strong West (Brockport)
St. James (Hornell)
Wyoming
Pending discussions:
Noyes (Dansville)
Jones (Wellsville)
Auburn
Geneva

21. Affiliated Hospital Pathology
FF Thompson Hospital
Beginning to work with Kirk Heriot and their leadership
Laboratory consolidations
Additional pathology attending support

22. Research Mission
Extramural funding
Miscellaneous news items
Publications

23. New grants Brendan Boyce – R01 x 4 years Arch Perkins – R01 x 4 years
Richard Burack – R21 x 2 years, Lymphoma Research Foundation grant
Zhenqiang Yao – Breast Cancer Coalition of Rochester grant x 1 year
Lianping Xing – Lymphatic Malformation Institute grant
Victoria Zhang – American Association of Clinical Chemists grant
Rupal Mehta – K08 x 4 years

24. Other extramural funding
Andrew Evans – Wilmot fellowship

25. Research Biobanking: Closed down old tissue bank
Established contractual arrangement with Indivumed:
Expenses entirely theirs
Tissue split 50/50 after clearance from surgical pathologist on call
Specimen freezers on site
Tissue available via protocol for all URMC personnel for research

26. Research Mission Personnel Moved on: John Krolewski – Roswell Park
Kent Nastuiuk – Roswell Park

27. Research Mission Publications (very crude estimates):
Original articles: 115
Chapters: 11
Books: 1

28. Education Mission
Medical Technologists
Cytotechnologists
Medical Students
Residents
Fellows
Graduate Students
Faculty

29. William B. Hawkins Awards
Departmental awards given to either Pathology year-out students or to graduating URMC students who emulate Dr. Hawkins’ Excellence in Medicine
Salvatore Priore, MD/PhD – Univ. Pennsylvania, Pathology
Daniel Marker, MD/PhD – Univ. Pittsburgh, Pathology

30. Residents
Our new additions:
Caroline Bsrini, Univ. Aleppo
Shira Winters, Wake Forest

31. Residents and Fellows Fond farewells:
Michael Lunt – private practice, central Illinois
Mary Barrett – URMC, GU fellowship
Moritz Stolla – Brigham & Women’s – transfusion medicine fellowship
Abraham Loo – private practice, hematopathology, Monmouth, NJ
Elizabeth Denby – year off
Asif Shahab – private practice, St. Louis, MO
Amanda Martin- Rochester General Hospital

32. Incoming Fellows Amber El-Halaby (Ameripath) – breast pathology
Laura Bratton (Tulane) – GI pathology
Mary Barrett (URMC) – GU pathology

33. Education Restructured organizational chart:
Scott Kirkley - Vice Chair for Departmental Education and Director, Residency Program
Linda Schiffhauer – Associate Director, Residency Program
Jennifer Findeis-Hosey – Director, Medical Student Curriculum
Bob Mooney and Lianping Xing – Co-directors, Graduate Student Program

34. Education
Faculty
Development of 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

35. Education Visiting Speakers:
Elaine Fuchs (Whipple) – Cutaneous stem cells
Thuy Phung – Global Pathology
Dina Mody – Future of Cytopathology
Kate Rittenhouse-Olsen – Immunohistochemical Validation of a Pan-carcinoma Immunotherapeutic
Andrew Feldman - Lymphomas
Mark Boguski – Molecular Diagnostics
Keri Donaldson – Blood banking
Darrell Triulzi – Red blood cell storage

36. Clinical Trials Banner year in all ways!!!!
FY2015 – first profitable year – made $2,000 profit
FY2016 – will make > $1,500,000 profit!!!!!
Debts to pay down but ultimately will result in an additional revenue stream for the department
Kudos to Dan Ryan for having the foresight and perseverance to make this come to fruition!

37. Faculty Kudos Promotions: Christa Whitney-Miller – Associate Professor
Elected positions:
Ping Tang – President-elect, Chinese American Pathologists Association

38. Faculty kudos David Hicks:
Cited in CAP publications for playing a pivotal role in working with ASCO to develop and refine guidelines for standardized breast cancer predictive factors testing
Victoria Zhang:
President of North American Chinese American North American Chemists
Chair, Mass Spec Division of American Association of Clinical Chemists

39. Faculty kudos
Drs. Corsetti, C. Sparks, Ryan, Moss – patented an Outcome Event Mapping tool stratifying high- and low-risk individuals based upon lab data

40. Faculty kudos Eric Shenck Award for Teaching Excellence”
Xi Wang, as voted by the residents
Chair’s Recognition Award
Christa Whitney-Miller for extraordinary efforts in developing a subspecialty signout model for surgical pathology

41. Staff kudos
Donna Russell appointed inaugural Director of Cytotech Training Program in conjunction with program at Daemen College and Roswell Park Cancer Institute

42. First responders to Ebola crisis:
Staff kudos
First responders to Ebola crisis:
April Ayrhart
Theresa Hart
Crystal Baggatta
Elizabeth Jackson
Allan Courtright
Marjorie Madej
Morgan Daniel
Patrick Paulot
Mike Enfonde
Suzette Zientarski
Geoffrey Harris

43. For rapid response in getting together the Containment Laboratory:
Staff kudos
For rapid response in getting together the Containment Laboratory:
Ila Marianetti
Mark Sage
Nancy Simpson
Dave Niggli
Bonnie McGorty
Donna Gaglio
Sue Daley
Nathan Loria
Diane Bullock
Chuong Ta
Bob Miller
Melissa Allen
Debra Jesien
Vicki Roberts
Vicki Vandewalle
Stasia Ortu

44. Staff kudos LEAN certificate winners:
Katrina Blaszyk - QA & Safety Coordinator
Deborah Congdon - AP QA Specialist
Holly Harrington-Smock - Supervisor
Illa Marianetti - Operations Coordinator
Scott Musial – Operations Coordinator
Maimoona Ramaswamy – Quality Systems Manager
Vicki VanDeWalle – LEAN/Project Manager

45. Staff kudos Quality Division
Maimoona Ramaswamy, Quality Systems Manager presented at a local ASQ (American Society for Quality) chapter meeting in February.
Her topic: the Quality Journey at URMC Labs

46. Staff kudos LEAN training completion: Kelly French Liz Jackson
Melissa Sullivan

47. Staff kudos Strong Stars: April Ayrhart (2) Noel Krzesinski (2)
John Patamisi (2)
Melissa Sullivan (2)
Coleen Harvey
Priscilla McDaniel
Anita Parkhurst
Patrick Reilly
Ky Tran
Jan Vecchio
Jim Vilone

48. Staff kudos
Vicki VanDeWalle received Six Sigma/Black Belt certification
24 projects underway
Lab/Peds Team won silver medal at Greater Rochester Quality Consortium for reducing re-draws on pediatric patients from 1.6% to 0.20%
Lab Ops team saved $78,000 in specimen handling time and reduced TAT for urine specimens
Phlebotomy team reduced collection errors (re-draws) from 13% to 2%
Cytology Team saved $69,000 and improved TAT by 70% (less than 4 days now)

49. Staff kudos Lynne Deng: MBA in Medical Management
Nathan Loria: MS in Healthcare Leadership and Management from UR School of Nursing

50. ICARE Bronze Medal Awards
Staff kudos
ICARE Bronze Medal Awards
Brian Antoniak
Donna Gaglio
Julie Marini
Cassandra Taylor
Benjamin Johannes
Janice VanDyne
Steven Vandewalle
Anne Meade
Elizabeth Lawliss
Stacy Mariano
Mary Romano
Robyn Searley
Vicki VanDeWalle
Holly Smock
Jennifer Barrante
Todd Barnes
Valerie Woodring
Roger Van Horn
Judy Jurewicz
Omkar Potnis
Ila Marianetti
Kay King
Scott Musial

51. National Medical Laboratory Professionals Week
April 20-24
Daily Puzzle Contests
Lab Coat Decoration Contest (congrats to Blood Bank)
ICARE in Action Contest
Gift day – infusion bottles
Quality Day Presentation
Bagel Day
Breakfast Day

52. CAP Inspectors
Led by Elizabeth Peterdy and Ping Tang, URMC Pathology and Laboratory Medicine travelled to Pittsburg to perform a CAP inspection

53. URMC volunteer activities
Medical Career Day at SUNY Brockport:
Bradley Turner
Amanda Martin
Diana Agostini-Vulaj
Sachica Cheris
“Having the opportunity to speak to those who have been through medical school and are now resident pathologists was very exciting for me. It was a once in a lifetime opportunity.. . They gave us a look behind the curtain. . . “

54. Global Outreach Haiti – 40 pap smears reviewed pro bono
I cannot thank you enough for reading these paps for this patient population.  It helps me "bring" more volunteers to Haiti to provide life saving expertise. Once I have the results of the paps, I will forward them on to the staff GYN doctor who has the ability to do colposcopy and biopsies.  The biopsies should be able to be read by the brand new pathologist that has just joined the hospital staff.  The staff has the ability to do cryotherapy if indicated.  
Thanks again!
Catherine Cantwell 
Jennifer Griggs – URMC Alum – spoke with URMC Pathology about contributing cytopathology services to Haiti – much interest and many plans for upcoming year – Jerome Jean-Gilles, perhaps others
Ethiopia – Dr. Hodes – pro bono AP services for bone and soft tissue tumors – Xi Wang, David Hicks and others involved

55. Global Outreach
Vietnam – multiple lectures, designing program for Viet Derm telepathology (Bruce Smoller)
Maimoona Ramaswamy signed on to help with laboratory improvement in conjunction with histotechnologists from Baylor College of Medicine
Kenya – Xi Wang returned from trip there with proposal to provide prolonged rotations for pathologists in Kenya to study pathology in our department

56. Physical Plant
Move 40K square feet of laboratory activities to Bailey Road – hopefully by March 2016 (phase 1)
All of Clinical Trials and much outpatient testing that is currently based at Ridgeland Road
Consolidation of Molecular Genetics program including labs from SMH and from Ridgeland to move in phase one
Floor plans drawn and sign off on by all Medical Directors with the help of support staff

57. Physical Plant Phase II (possibly to be combined into a single phase):
Involves moving many labs to expanded Bailey Road facility
Microbiology
Portions of cytopathology
Portions of surgical Pathology
Mass Spectrometry
Probably will begin construction spring 2016 and may take a year
Plans and drawings already in progress

62. Pathology and Laboratory Medicine Financials-May_2015
FY 2015 BUDGET
YEAR-TO-DATE ACTUAL MAY_2015
Revenue
Expenses
Margin
SMH
$ 324,798,716
$ ,815,250
$ ,983,466
$ ,518,812
$ 76,717,344
$ ,801,468
PRACTICE PLAN
$ 10,417,250
$ ,949,600
$ ,650
$ ,308,255
$ ,945,379
$ ,362,876
CLINICAL TRIALS
$ ,025,000
$ ,805,800
$ ,200
$ ,749,392
$ ,414,688
$ ,334,704
SMD
$ ,400
$ ,400 $
$ ,950
$ ,742
$ (160,792)
TOTAL
$ 338,834,366
$ ,164,050
$ ,670,316
$ ,120,409
$ 87,782,153
$ ,338,256

63. Philanthropy
Developed quarterly newsletter to build sense of community
Plans for URMC Pathology reception at 2016 USCAP
Visiting with URMC Pathology alumni
Faculty members who contributed in :
Neil Blumberg
Dan and Charlotte Ryan
John Bennett

64. Philanthropic Goals To develop an endowed Chair
To develop an Endowed Professorship (Education)
To develop a program for sustained funding for resident research and travel
To develop an endowed lecture series to support several outside speakers each year
To name the new Pathology Building (the holy grail!)

65. “Striving for Excellence”
Thank you to all for a terrific year Let’s achieve even more this upcoming year!!!!!!
“Striving for Excellence”