title: Neither snow nor rain: contingency planning by a clinical reference laboratory courier service for weather related emergencies.
abstract: To optimize transportation processes, we present herein a contingency plan that coordinates interim measures used to ensure continued and timely services when climate based events might cause an interruption of the usual specimen transportation processes. As an example, we outline the implementation and effectiveness of a contingency plan for network laboratory courier automobile transportation during times of mountain pass highway closure. Data available from an approximately 3-year period from October 10, 2010 through August 29, 2013 revealed a total of 690 complete closures in the eastbound or westbound lanes of the Interstate-90 highway in the Snoqualmie Pass area in the state of Washington. Despite the frequency of closures, the Washington State Department of Transportation was effective in limiting the duration of closures. Road closures of less than 1 hour accounted for 58.7% of the total closures. No recorded closures prevented dispatched couriers from completing a prescheduled Snoqualmie Pass route. We identified no delays as being clinically significant, despite that there were 5 instances of delays greater than 4 hours. We implemented a contingency plan of aiding courier logistics during all times of pass closure. The plan includes an easy to interpret Condition Dashboard as a status indicator and a Decision Tree that references and summarizes information. Overall, the contingency plan allows for an objective, robust, proactive decision support system that has enabled operational flexibility and has contributed to continued safe, on-time specimen transportation; clients and courier and reference laboratory staff have appreciated these features and associated outcomes.
authors.affiliation: Departments of Laboratory Medicine, University of Washington, Seattle dbankson@uw.edu.
authors.forename: Daniel D
authors.initials: DD
authors.lastname: Bankson
authors.affiliation: Industrial & Systems Engineering, University of Washington, Seattle.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Heim
mesh_terms: D004630:Emergencies; D007753:Laboratories / Q000458:organization & administration*; D010934:Planning Techniques; D014887:Weather
keywords: condition indicator; contingency planning; courier; dashboard; decision analysis; decision tree; laboratory management; specimen transport