Why a small KPI set works better
Lab software can produce dozens of reports, and most labs end up reading none of them. A short list of KPIs, reviewed every week by the people who can act on them, changes behaviour. Pick the measures that reflect speed, quality, money, and patients, and leave the rest for occasional analysis.
Operational KPIs
These show whether the lab is keeping up with its workload.
| KPI | How to calculate | Owner |
|---|---|---|
| Report TAT | Average time from sample registration to report release, by test category | Lab manager |
| On-time report rate | Reports released by the promised time ÷ total reports | Lab manager |
| Pending reports at day end | Reports registered but not released at closing time | Senior technician |
| Daily volume | Patients and reports per day, by branch | Owner |
Quality KPIs
These show whether speed is coming at the cost of accuracy.
| KPI | How to calculate | Owner |
|---|---|---|
| Report correction rate | Reports amended after release ÷ reports released | Pathologist |
| Sample rejection rate | Samples rejected or recollected ÷ samples received | Quality manager |
| Rerun rate | Tests repeated ÷ tests run, by analyzer | Senior technician |
| Critical values communicated on time | Critical results informed within your set window ÷ total critical results | Pathologist |
Financial and patient KPIs
These connect daily operations to revenue and patient loyalty.
| KPI | How to calculate | Owner |
|---|---|---|
| Revenue per patient | Total billing ÷ patients billed | Owner |
| Discount rate | Discounts given ÷ gross billing | Owner |
| Outstanding dues | Unpaid patient and B2B balances, by age | Accounts |
| Repeat patient rate | Patients with a previous visit ÷ total patients | Owner |
| Report-ready calls | Calls asking whether a report is ready, per day | Front desk lead |
Setting targets from your baseline
Record each KPI for four normal weeks before setting any target. Then set a realistic improvement on your own number, for example a 10–20% reduction in pending reports at day end, rather than copying a figure from another lab with a different test mix and volume.
Run a 20-minute weekly review
Keep the review short and the same every week, so it actually happens.
- Look at the trend for each KPI over the last four weeks
- Compare branches or shifts and note the biggest gap
- Pick the one KPI that slipped the most
- Agree one action, one owner, and a date
- Check last week's action first next time