Sigma Verification of Performance Program
Sigma Verification of Multicare Hospitals and Medical Clinics
The largest laboratory system to date has joined the Sigma VP program. Six laboratories from the Multicare health system in Washington state, USA.
Sigma Verification of the Laboratories of the Multicare Health System
Original Verification: November 30th, 2017
Duration of Verification: July 19th, 2022 through July 31st, 2023
"MultiCare Health System is a not-for-profit health care organization with more than 18,000 team members, including employees, providers and volunteers.
We’ve been caring for our community for well over a century, since the founding of Tacoma’s first hospital. And today, we are the largest community-based, locally governed health system in the state of Washington."
Pictured here are Bill Robertson, President and CEO of Multicare Health System; Rob roth MD, Pathologist and Board Member; Sten Westgard; Florence Chang, EVP and COO; John Baker, the guiding force of this QC project; and John Joyce, VP of Ancillary Testing (Laboratory, Imaging, Respiratory)
Allenmore Hospital
The following assays and instruments which were verified
Chemistry Assays Covington |
AR1 – CI4100 Verified |
AR2 – CI4100 Verified |
Albumin |
Six Sigma |
Six Sigma |
Alk Phos |
Six Sigma |
Six Sigma |
ALT |
Four Sigma |
Four Sigma |
Amylase |
- |
Six Sigma |
AST |
Six Sigma |
Six Sigma |
Bilirubin, Direct |
Six Sigma |
Six Sigma |
Bilirubin, Total |
Six Sigma |
Six Sigma |
Calcium |
Six Sigma |
Five Sigma |
Cholesterol |
Six Sigma |
Six Sigma |
Creatinine |
Six Sigma |
Six Sigma |
Creatinine Kinase (CK) |
- |
Six Sigma |
GGT |
- |
Six Sigma |
Glucose |
Six Sigma |
Six Sigma |
HDL |
Five Sigma |
Six Sigma |
Iron |
- |
Six Sigma |
LDH |
- |
Four Sigma |
Lipase |
- |
Six Sigma |
Magnesium |
Six Sigma |
Six Sigma |
Phosphorous |
Four Sigma |
Five Sigma |
Potassium |
Five Sigma |
Five Sigma |
Protein, Total |
Six Sigma |
Six Sigma |
Sodium |
Four Sigma |
- |
Triglycerides |
Six Sigma |
Six Sigma |
Uric Acid |
- |
Six Sigma |
Additional institutions are detailed here:
Chemistry Assays Allenmore |
AR3 – CI4100 Verified |
AR4 – CI4100 Verified |
Albumin |
Six Sigma |
Five Sigma |
Alk Phos |
Six Sigma |
Six Sigma |
ALT |
Six Sigma |
Five Sigma |
Amylase |
- |
Six Sigma |
AST |
Four Sigma |
Six Sigma |
Bilirubin, Direct |
- |
Six Sigma |
Bilirubin, Total |
Six Sigma |
Six Sigma |
Calcium |
Four Sigma |
Five Sigma |
Cholesterol |
Six Sigma |
- |
Creatinine |
Six Sigma |
Six Sigma |
Creatinine Kinase (CK) |
Six Sigma |
- |
GGT |
- |
Six Sigma |
Glucose |
Six Sigma |
Six Sigma |
HDL |
Four Sigma |
- |
Iron |
Five Sigma |
- |
Lipase |
- |
Six Sigma |
Magnesium |
Four Sigma |
- |
Phosphorous |
Six Sigma |
- |
Potassium |
- |
Five Sigma |
Protein, Total |
Six Sigma |
Six Sigma |
Triglycerides |
Six Sigma |
- |
Uric Acid |
Six Sigma |
- |
Even more institutions and instruments:
Chemistry Assays Auburn |
AR5 – CI4100 Verified |
AR6 – CI4100 Verified |
Albumin |
Four Sigma |
Five Sigma |
Alk Phos |
Six Sigma |
Six Sigma |
ALT |
Six Sigma |
Five Sigma |
Amylase |
Six Sigma |
- |
AST |
Six Sigma |
Six Sigma |
Bilirubin, Direct |
Five Sigma |
Four Sigma |
Bilirubin, Total |
Four Sigma |
Four Sigma |
Calcium |
Six Sigma |
Six Sigma |
Creatinine |
Six Sigma |
Six Sigma |
Creatinine Kinase (CK) |
Five Sigma |
Five Sigma |
GGT |
Six Sigma |
- |
Glucose |
Five Sigma |
Six Sigma |
Lipase |
Six Sigma |
Six Sigma |
Magnesium |
Six Sigma |
Six Sigma |
Potassium |
Five Sigma |
Four Sigma |
Protein, Total |
Six Sigma |
Six Sigma |
Uric Acid |
Six Sigma |
Six Sigma |
And more institutions:
Chemistry Assays Good Samaritan |
AR7 – CI8200 Verified |
AR8 – CI8200 Verified |
Albumin |
Five Sigma |
Five Sigma |
Alk Phos |
Six Sigma |
Six Sigma |
ALT |
Six Sigma |
Six Sigma |
Amylase |
Six Sigma |
Six Sigma |
AST |
Five Sigma |
Six Sigma |
Bilirubin, Direct |
Six Sigma |
Six Sigma |
Bilirubin, Total |
Six Sigma |
Six Sigma |
Calcium |
Four Sigma |
- |
Cholesterol |
Five Sigma |
Five Sigma |
Creatinine |
Six Sigma |
Six Sigma |
Creatinine Kinase (CK) |
Six Sigma |
Six Sigma |
GGT |
Six Sigma |
- |
Glucose |
Five Sigma |
Six Sigma |
HDL |
Five Sigma |
- |
Iron |
Four Sigma |
- |
LDH |
Four Sigma |
- |
Lipase |
- |
Six Sigma |
Magnesium |
Six Sigma |
Six Sigma |
Phosphorous |
Four Sigma |
- |
Potassium |
Five Sigma |
Four Sigma |
Protein, Total |
Six Sigma |
Six Sigma |
Triglycerides |
Six Sigma |
Six Sigma |
Uric Acid |
Six Sigma |
Six Sigma |
Still more institutions!!
Chemistry Assays Gig Harbor |
AR9 – CI4100 Verified |
Albumin |
Six Sigma |
Alk Phos |
Six Sigma |
ALT |
Six Sigma |
Amylase |
Six Sigma |
AST |
Six Sigma |
Bilirubin, Total |
Five Sigma |
Cholesterol |
Six Sigma |
Creatinine |
Six Sigma |
Creatinine Kinase (CK) |
Six Sigma |
Glucose |
Six Sigma |
LDH |
Four Sigma |
Lipase |
Six Sigma |
Magnesium |
Six Sigma |
Phosphorous |
Five Sigma |
Potassium |
Five Sigma |
Protein, Total |
Six Sigma |
Sodium |
Four Sigma |
Triglycerides |
Six Sigma |
Uric Acid |
Six Sigma |
And the central cord lab institution:
Chemistry Assays Tacoma |
IMC2 – C8000 Verified |
IMC6 – C16000 Verified |
IMC7 – C8000 Verified |
Albumin |
- |
Six Sigma |
- |
Alk Phos |
Six Sigma |
Six Sigma |
Six Sigma |
ALT |
Six Sigma |
Six Sigma |
Six Sigma |
Amylase |
Six Sigma |
Six Sigma |
Six Sigma |
AST |
Six Sigma |
Five Sigma |
Six Sigma |
Bilirubin, Direct |
- |
Six Sigma |
- |
Bilirubin, Total |
Six Sigma |
Six Sigma |
Six Sigma |
Calcium |
- |
Five Sigma |
- |
Cholesterol |
- |
Six Sigma |
Five Sigma |
Creatinine |
Six Sigma |
Six Sigma |
Six Sigma |
Creatinine Kinase (CK) |
Six Sigma |
Six Sigma |
- |
GGT |
Four Sigma |
- |
- |
Glucose |
Six Sigma |
Six Sigma |
Six Sigma |
HDL |
- |
Six Sigma |
Six Sigma |
Iron |
Four Sigma |
- |
Six Sigma |
LDH |
Four Sigma |
- |
- |
Lipase |
Six Sigma |
Six Sigma |
Six Sigma |
Magnesium |
Six Sigma |
Six Sigma |
Six Sigma |
Phosphorous |
Four Sigma |
Four Sigma |
Four Sigma |
Potassium |
Four Sigma |
Four Sigma |
- |
Protein, Total |
Six Sigma |
Six Sigma |
Six Sigma |
Triglycerides |
- |
Six Sigma |
Six Sigma |
Uric Acid |
Six Sigma |
Six Sigma |
Six Sigma |
More data, now on immunoassay:
Immunoassay Covington |
AR1 – CI4100 Verified |
TSH |
Four Sigma |
Immunoassays at Good Samaritan:
Immunoassay Good Samaritan |
AR7 – CI8200 Verified |
AR8 – CI8200 Verified |
TSH |
Four Sigma |
Four Sigma |
Immunoassay at Gig Harbor:
Immunoassay Gig Harbor |
AR9 – CI4100 Verified |
TSH |
Six Sigma |
Immunoassay at Tacoma:
Immunoassay Tacoma |
IMC6 – C16000 Verified |
TSH |
Five Sigma |
Hematology at Auburn:
Hematology Assays Auburn |
XN1 – XN10 Verified |
Hemoglobin |
Six Sigma |
Hematocrit |
Four Sigma |
MCV |
Six Sigma |
MCH |
Six Sigma |
Platelets |
Five Sigma |
RBC |
Six Sigma |
WBC |
Five Sigma |
Hematology at Tacoma:
Hematology Assays Tacoma |
XN2 – XN10 Verified |
XN3 – XN10 Verified |
XN4 – XN10 Verified |
Hemoglobin |
Six Sigma |
Four Sigma |
Five Sigma |
Hematocrit |
Four Sigma |
- |
- |
MCV |
Six Sigma |
Six Sigma |
Six Sigma |
MCH |
Six Sigma |
Four Sigma |
Six Sigma |
MCHC |
Five Sigma |
Four Sigma |
Five Sigma |
Platelets |
Four Sigma |
Four Sigma |
Four Sigma |
RBC |
Six Sigma |
Six Sigma |
Six Sigma |
WBC |
Six Sigma |
Six Sigma |
Six Sigma |
Reticulocyte |
Four Sigma |
- |
- |
Hematology at Allenmore:
Hematology Assays Allenmore |
XN5 – XN10 Verified |
XS2 – XS1000i Verified |
Hemoglobin |
Six Sigma |
Six Sigma |
Hematocrit |
Four Sigma |
Four Sigma |
MCV |
Six Sigma |
Six Sigma |
MCH |
Six Sigma |
Six Sigma |
MCHC |
Four Sigma |
Five Sigma |
Platelets |
Five Sigma |
Six Sigma |
RBC |
Six Sigma |
Six Sigma |
WBC |
Six Sigma |
Six Sigma |
Reticulocyte |
Four Sigma |
- |
Hematology at Good Samaritan:
Hematology Assays Good Samaritan |
XN6 – XN10 Verified |
XN7 – XN10 Verified |
Hemoglobin |
Four Sigma |
- |
MCV |
Six Sigma |
Six Sigma |
MCH |
Six Sigma |
Six Sigma |
MCHC |
- |
Four Sigma |
Platelets |
Six Sigma |
Six Sigma |
RBC |
Six Sigma |
Four Sigma |
WBC |
Six Sigma |
Six Sigma |
Hematology at Covington:
Hematology Assays Covington |
XS1 – XS1000i Verified |
XT1 – XT4000i Verified |
Hemoglobin |
Six Sigma |
Six Sigma |
Hematocrit |
Four Sigma |
Four Sigma |
MCV |
Six Sigma |
Six Sigma |
MCH |
Six Sigma |
Six Sigma |
MCHC |
Five Sigma |
Four Sigma |
Platelets |
Six Sigma |
Six Sigma |
RBC |
Six Sigma |
Six Sigma |
WBC |
Six Sigma |
Six Sigma |
Six Sigma: World Class Quality. Possible to use 3s to 3.5s limits and a minimum of controls
Five Sigma: Excellent Quality. Possible to use 3s limits or a 1:3s/2:2s/R:4s Westgard Rule
Four Sigma: Good Quality. Possible to use 1:3s/2:2s/R:4s/4:1s Westgard Rule
Auburn Medical Center
Visual Summary of Performance of Multicare Laboratories and Medical Clinics
Covington Medical Center
Gig Harbor Medical Center
Good Samaritan Hospital
Tacoma General Hospital
Congratulations to the entire Multicare Laboratory Staff