XYZ Endoscopy Center Caris Dx Quarterly Pathology Report

%%1%%TX%%XYZ Endoscopy Center(test)%%! - Binder Cover Page%%
XYZ Endoscopy Center
Caris Dx Quarterly Pathology Report
Dear Colleagues,
We at Caris Diagnostics are excited to announce a number of updates to our Quarterly Pathology
Report. Increased ease of readability as well as powerful new diagnostic, statistical and referral
data are all presented in this report to help you examine your practice and its relationship with
the large database of Caris Diagnostics. We continually strive to create more informative and
useful quarterly reports for administration and analysis.
The following are updates that you will see in your report.
1. NEW Diagnostic Summary Report, an in-depth analysis of your practices surgical
pathology specimens and diagnoses. (See attached brochure)
2. Cleaner layout and formatting for at-a-glance analysis of your reports
3. Month by month breakout of your specimen count by type, including a quarterly average
of specimens taken per patient.
4. Pathology Volume Report by Physician now displays physician volume submitted to
Caris Diagnostics numerically and as a percentage of the whole.
5. NEW Most Frequent Referrals among CarisDx patients displays the top 25 referring
physicians whose patient referrals generated tissue that was submitted to Caris
Diagnostics
6. Pathology Turnaround Time report presents the variables that contribute to a case
exceeding the 48 hour turnaround time. The report now includes items designated as
internal (CarisDx) and external (your practice) for your consideration.
We hope you and your colleagues find this new report of even more value to your practice.
Richard H. Lash MD
Chief Medical Officer
Caris Diagnostics
Diagnostic Summary Report
Diagnostic Summary Report
The Caris Dx Diagnostic Summary Report is a quarterly summary of diagnoses rendered on patients treated at your surgery
center along with those from the Caris Dx national database. The report details both numbers and percentages of major GI
diseases, such as Barrett’s Esophagus (with and without dysplasia) and subtypes of colonic polyps. Clinicians have found this
report useful for quality tracking as required by accrediting agencies such as AAAHC and have used these data when working
with managed care providers. In addition, this report may be helpful in communication with referring physicians.
1
The Diagnostic Summary
Report will be delivered
to each client quarterly
2
Low percentage due
to more definitive diagnoses
rendered by our expert
GI pathologists
3
High percentage of
Unremarkable/Normal
diagnoses due to our
confidence in calling
normal ‘Normal’
Actual size of report is 8.5” x 11” – See reverse for Page 2 example
Diagnostic Summary Report
4
Compare your center’s
diagnostic mix to our
Caris Dx national database
5
Adenoma subtypes are
distinguished and include
the more recently
recognized sessile
serrated adenomas
w w w. c a r i s d x . co m
{
800.979.8292
©2007 Caris Diagnostics, Inc. All rights reserved. (11.07)
%%1%%TX%%XYZ Endoscopy Center(test)%%1 - Cover Page%%
XYZ Endoscopy Center
Caris Dx Quarterly Pathology Report
Quarter 4, 2007
Diagnostic Summary
10/1/2007 - 12/31/2007
XYZ Endoscopy Center%%1%%TX%%XYZ Endoscopy Center(test)%%2 - Diagnostic Summary%%
ESOPHAGUS
YOUR PRACTICE
DIAGNOSIS
Unremarkable/Normal
Esophagitis/Reflux
Eosinophilic Esophagitis
Infection (including Candida, CMV, Herpes)
Barrett's Esophagus - No Dysplasia
Barrett's Esophagus - Low Grade Dysplasia
Barrett's Esophagus - High Grade Dysplasia
Barrett's Esophagus - Indefinite for Dysplasia
Adenocarcinoma
Squamous Carcinoma
Other Malignancy
Other
Total
STOMACH
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
8
6
0
0
1
2
0
0
0
0
0
0
17
47.06%
35.29%
0%
0%
5.88%
11.76%
0%
0%
0%
0%
0%
0%
100%
5735
5855
479
260
2760
52
36
49
79
27
1
896
16229
35.34%
36.08%
2.95%
1.6%
17.01%
0.32%
0.22%
0.3%
0.49%
0.17%
0.01%
5.52%
100%
YOUR PRACTICE
DIAGNOSIS
Unremarkable/Normal
Reactive Gastropathy
H.Pylori Gastritis
Non-H.Pylori Gastritis
Atrophic Gastritis
Adenoma
Benign non-adenomatous Polyp
Lymphoma/MALT
Adenocarcinoma
Carcinoid Tumor
Other Malignancy
Other
Total
DUODENUM/JEJUNUM
© 2007 Caris Diagnostics
CARIS DX
# Patient
Diagnoses
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
6
2
1
12
1
0
0
0
0
0
0
1
23
26.09%
8.7%
4.35%
52.17%
4.35%
0%
0%
0%
0%
0%
0%
4.35%
100%
5488
6031
4033
9616
167
16
2545
28
61
24
7
545
28561
19.22%
21.12%
14.12%
33.67%
0.58%
0.06%
8.91%
0.1%
0.21%
0.08%
0.02%
1.91%
100%
YOUR PRACTICE
DIAGNOSIS
Unremarkable/Normal
Sprue or Sprue-Like (Intraepithelial Lymphocytosis)
Peptic Duodenopathy/Duodenitis
Infection (Giardia, Isospora, Microsporidia, etc.)
Crohn's Disease
Benign Non-Adenomatous Polyps
Adenoma
Carcinoid Tumor
Adenocarcinoma
Other Malignancy
Other
Total
CARIS DX
# Patient
Diagnoses
CARIS DX
# Patient
Diagnoses
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
8
0
0
0
0
0
0
0
0
0
0
8
100%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
100%
7031
539
675
7
1
228
71
12
6
5
222
8797
79.92%
6.13%
7.67%
0.08%
0.01%
2.59%
0.81%
0.14%
0.07%
0.06%
2.52%
100%
ILEUM
YOUR PRACTICE
DIAGNOSIS
Unremarkable/Normal
Lymphocytosis
Active Ileitis (NSAIDs, Ischemia)
Chronic Active Ileitis, Including Crohn's
Benign Non-Adenomatous Polyps
Carcinoid Tumor
Adenocarcinoma
Other Malignancy
Other
Total
COLON/RECTUM/ANUS
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
3
0
0
0
0
0
0
0
0
3
100%
0%
0%
0%
0%
0%
0%
0%
0%
100%
2041
11
247
116
15
7
2
2
166
2607
78.29%
0.42%
9.47%
4.45%
0.58%
0.27%
0.08%
0.08%
6.37%
100%
YOUR PRACTICE
DIAGNOSIS
Unremarkable/Normal
Microscopic Colitis (Lymphocytic, Collagenous, Mastocytic)
Active/Focal Active Colitis
Mucosal Prolapse/SRUS
Infectious Colitis
Ischemic-pattern Colitis
Chronic Inflammatory Bowel Disease
Hyperplastic Polyp
Inflammatory/Hamartomatous/Prolapse Polyp
Tubular Adenoma
Serrated Adenoma (Including Traditional and Sessile)
Adenoma, With Villous Component
Adenoma, any with High Grade Dysplasia/Intramucosal Neoplasm
Carcinoid Tumor
Adenocarcinoma
Lymphoma
Other Malignancy
Other
Total
ORGAN SUMMARY
CARIS DX
# Patient
Diagnoses
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
15
0
2
0
0
0
1
11
3
7
1
1
0
0
0
0
0
0
41
36.59%
0%
4.88%
0%
0%
0%
2.44%
26.83%
7.32%
17.07%
2.44%
2.44%
0%
0%
0%
0%
0%
0%
100%
13337
450
1218
627
21
179
1366
14848
3140
20057
1639
3039
446
62
522
14
39
1681
62685
21.28%
0.72%
1.94%
1%
0.03%
0.29%
2.18%
23.69%
5.01%
32%
2.61%
4.85%
0.71%
0.1%
0.83%
0.02%
0.06%
2.68%
100%
YOUR PRACTICE
ORGAN
Esophagus
Stomach
Duodenum/Jejunum
EGD (Subtotal)
Ileum
Colon/Rectum/Anus
COLONOSCOPY (Subtotal)
Grand Total
CARIS DX
# Patient
Diagnoses
CARIS DX
# Patient
Diagnoses
% Patient
Diagnoses
# Patient
Diagnoses
% Patient
Diagnoses
17
23
8
48
3
41
44
92
35.42%
47.92%
16.67%
16229
28561
8797
53587
2607
62685
65292
118879
30.29%
53.3%
16.42%
6.82%
93.18%
100%
Note: '# Patient Diagnoses' reflects the number of diagnoses per patient and therefore may not match the number of specimens submitted.
© 2007 Caris Diagnostics
3.99%
96.01%
100%
%%1%%TX%%XYZ Endoscopy Center(test)%%3 - Pathology Volume by Specimen Type%%
Pathology Volume Report by Specimen Type
Quarter 4, 2007
XYZ Endoscopy Center
Oct-07
Specimen Type
Gastrointestinal
Patient Count
14 (93.33%)
Specimen Count
19 (95.00%)
Skin
1 (6.67%)
1 (5.00%)
Total
15
20
Nov-07
Specimen Type
Gastrointestinal
Total
Patient Count
13 (100.00%)
13
Specimen Count
22 (100.00%)
22
Dec-07
Specimen Type
Gastrointestinal
Patient Count
17 (85.00%)
Specimen Count
25 (83.33%)
Liver
1 (5.00%)
1 (3.33%)
Skin
2 (10.00%)
4 (13.33%)
Total
20
30
Grand Total
48
72
Average Number of Specimens Per Patient
1.50
Specimen Type by Patient
Gastrointestinal
91.7%
Liver
2.1%
Skin
6.3%
Total:
100.0%
%%1%%TX%%XYZ Endoscopy Center(test)%%4 - Pathology Volume by Physician%%
Pathology Volume Report by Physician
Quarter 4, 2007
XYZ Endoscopy Center
# of Patients Referred to Caris Dx
Oct-07
Test Clinician
Test Clinician 2
Total
15
0
15
100%
0%
100%
Nov-07
8
5
13
61%
38%
100%
Dec-07
0
20
20
0%
100%
100%
Total
23
25
48
47%
52%
100%
%%1%%TX%%XYZ Endoscopy Center(test)%%5 - Most Frequent Referrals%%
Most Frequent Referrals Among Caris Dx Patients
Quarter 4, 2007
Test Clinician 2, MD
Maxa, Richard
0
2
2
East Bay E-coder
1
1
2
Williams, Kirk
1
0
1
Thomas, Michael
0
1
1
Shen, Betty A
1
0
1
Sandberg, Robert
1
0
1
Rozin, Spencer
0
1
1
Ross, J
0
1
1
Patel, Kirti K.
0
1
1
Patel, Kirit D.
0
1
1
O'Neill, Hugh
0
1
1
Ona, Norvin
0
1
1
Oldfield, Christophe
0
1
1
Okere, Kennedy K.
0
1
1
Nickelsen, Julie
1
0
1
Mouer, James
1
0
1
Mikrut, Elizabeth
0
1
1
McCarren, Vicki
1
0
1
Mally, Henry
1
0
1
Lawrence, Bruce
1
0
1
Lavallee, Marilyn
0
1
1
Knox, Timothy
0
1
1
Hooley, Ronald
1
0
1
Hollen, Charles
1
0
1
Griffin, Joe K.
0
1
1
Others
6
8
14
Total
17 24
41
Referring Doctor
Total
Test Clinician 1, MD
XYZ Endoscopy Center
%%1%%TX%%XYZ Endoscopy Center(test)%%6 - Pathology Report Turnaround Time%%
Pathology Report Turnaround Time
Quarter 4, 2007
XYZ Endoscopy Center
Greater Than 48 Hours*
Less Than 48 Hours
97.9%
Greater Than 48 Hours*
2.1%
Total:
100.0%
Less Than 48 Hours
Variables That Affect Turn Around Time (External/Internal)
Source
Variance Description
Case Number
Patient Name
Collection Date
External
Internal
QA-Incomplete Billing
Stains pending
DS06-15
DS06-15
Test, Patient
Test, Patient
10/10/2007
10/10/2007
*The small percentage of specimens that are not released within 48 hours may be due to the following: Special Stains, additional levels, large
polyps that require overnight processing, intradepartmental and extradepartmental consults and tissue reprocessing.
%%1%%TX%%XYZ Endoscopy Center(test)%%7 - Pathologist Consultations%%
Cases With Additional Pathologist Consultations
Quarter 4, 2007
XYZ Endoscopy Center
External Consult Requested by Surgeon
* Malignant diagnosis with direct communication.
PATIENT
ACCESSION #
DATE
Test, Patient
DS06-15 *
12/14/2007
Test, Patient
DS06-35 *
12/10/2007
Total # of Cases
2
Grand Total # of Cases
2
%%1%%TX%%XYZ Endoscopy Center(test)%%8 - Cancer Registry%%
Cancer Registry
Quarter Quarter 4, 2007
XYZ Endoscopy Center
TX
Patient
Date
10/10/07
12/14/07
Physician Name
Test Clinician
Specimen Location
stomach antrum bx
Diagnosis
Adenocarcinoma
MRN
Test, Patient
Accession #
DS06-15
Test, Patient
DS06-35
12/10/07
Test Clinician 2
duodenum gastric bx
Carcinoma
647235131-A.
Total Cases
Caris Diagnostics
8400 Esters Blvd., Suite 190
Irving, TX 75063
2
647235131-A.