ARUP Laboratories and their Organizational Culture Lucia Goodrich Salt Lake Community College Table of Contents ______________________________________________________________________________ Title page…………………………………………………………………………………………1 Abstract…………………………………………………………………………………………..3 Memorandum…………………………………………………………………………………….4 Introduction…………………………………………………………………………………...5-6 Methodology…………………………………………………………………………………….7 Results………………………………………………………………………………………...8-11 Discussion………….……………………………………………………………………………12 Conclusion………………………………………………………………………………………13 Appendix………………………………………………………………………………………..14 Works Cited…………………………………………………………………………………….15 Abstract This document will provide information about ARUP Laboratories and the structure of their organizational culture. I will be defining their culture by examining a variety of their documents in order to comprehend how they have defined themselves as a company and created a culture as that company. I will also examine their work spaces and how they have organized them. I will gather information by speaking to different employees in a specific laboratory; Protein Immunology. By gathering information about their incentives, benefits, and other programs they have available to their employees, I will gain knowledge of how they value their employees. I will also be researching how they handle their clients, resolve any issues, and keep their commitments to them while staying within the grounds of their mission statement. I will analyze every aspect of ARUP Laboratories in order to give a higher understanding of the structure of this company. Memorandum To: Elisa Stone CC: Peers of English 2100 From: Lucia Goodrich Date: 3/23/2016 Re: ARUP Laboratories Culture The purpose of this research is to discuss ARUP Laboratories in detail and discover their organizational culture within their laboratories and with their clients. This research will entail a few of the following: ARUP documents ARUP culture within Protein Immunology ARUP employee incentives and benefits ARUP’s client interaction Find a conclusion and/or recommendations The above mentioned aspects will be explored in such a way that any interested parties will have the information they need to explore the option of working with ARUP Laboratories in the future. Introduction The Associated Regional and University Pathologists Laboratory was established by Dr. John Matsen on June 5th, 1984.Their purpose was to be an extra resource to the Pathology Department at the University of Utah, and to give further funding to the University’s Medical school. ARUP has expanded since it was first founded; they contain the largest transport and sorting systems for a laboratory in the entire world. They also have the world’s largest multilevel freezer in which they store their specimens after they have completed their testing on those specimens. In 1995 ARUP became a 24 hour reference laboratory to further comply with their clients and become more accessible to potential new clients around the world. Several companies and well known institutions such as, Harvard were sending out their specimens for ARUP to run the tests for them. Soon ARUP developed a close relationship with Delta Airlines with the frequent shipments being sent all over the nation to Salt Lake City. They had started out only testing samples for the University Hospital, but over time they gained clientele and now serve clients in all 50 states amounting to over 3,000 clients. Dr. Carl Kjeldsberg, the founder of ARUP was the CEO until 2009 when he retired; his employees were saddened to see him go, they had come to truly love Kjeldsberg. Dr. Edward Ashwood took over as CEO and took it upon himself to make changes within the company that would better their revenue and accuracy for their clients. The purpose of ARUP is to be a reference laboratory that countless hospitals, small laboratories and other clients can rely upon to complete a variety of simple to complicated testing. They provide their clients with several different types of analysis, genetics testing, and R&D development not provided by other laboratories. This company is an anatomic pathology reference laboratory and also a national clinic owned simultaneously by The University of Utah and the Pathology Department with the U of U. ARUP has over 3,000 employees that work a variety of schedules in order to keep the laboratory open 24 hours a day; even on holidays. There are also over 3,000 tests offered by ARUP; complicating testing, routine tests, cancer testing, all the way up to genetics testing. ARUP also as smaller locations in Sandy for the Blood Services; they send out blood to several different institutions that require the blood for transfusions. Primary Children’s Hospital, The University Hospital, Huntsman Cancer Institute, and so on. ARUP has been working on becoming completely automated, creating new processes to take away the old laboratory methods in order to improve their testing and create better turnaround times for their clients. They have a large track system which sends each sample to a designated lab which does specific testing. They also have a sort to light system that tracks each sample in order to avoid missing specimen paperwork. Their testing system has improved immensely since they began in 1984. ARUP offers some of the following testing: neurology, oncology, pathology, endocrinology, allergy, immunology, cytogenetics, fetal risk assessment, hematology, infectious diseases, hepatitis, HIV, chemistry and more. They perform almost all of their testing at their Research Park location. Their mission statement is short but sweet, explaining themselves in a few short sentences. Our Mission Through excellence in laboratory testing, service, education, and research, ARUP’s mission is to continually improve patient care and support the mission of the University of Utah. Our Client Commitment Statement ARUP supports our clients’ success by providing excellence and consistency in our delivery of services, by sharing knowledge, and by developing progressive laboratory technology. Methodology The following are the steps I took to research and understand ARUP’s methods and organizational culture for this project. Gathering Intel In order to collect all the information I required, first I went to ARUP’s online website to gather information. I read all their informational pages for their clients, perspective clients, employees, potential employees, and other curious inquirers. Then I researched their company name from other trusted internet resources. Afterwards, I visited ARUP Laboratories and spoke with employees from Protein Immunology, a lab within the Immunology Division, Group II. They gave me plenty of examples about their organizational culture. I also reviewed several different types of documents. I examined the differences between the writing styles they used on their website, versus the writing they used within the companies intranet source for their employees. Data The data I recovered from my research, with the help of ARUP itself, is a variety of different methods they use for their company. ARUP is always working to improve their company’s techniques to maintain and increase client satisfaction with their abilities. For example, at the end of 2008 ARUP updated their computer system from a very old system called PATHNET and upgraded it to a new and improved software called MILLENIUM. It took them time to work out the kinks after they did the transfer; they had a special team organized to assist all employees with any questions as they worked to improve the quality of their new system. They are continuously updating all their programs, creating new ones, and improving their methods in order to assist their employees in their efficiency in completing the assays. Analysis From my research methods I was able to analyze the format and style of the writing methods used at ARUP Laboratories. During this time I also found that although ARUP has a foundational structure of organizational culture, every laboratory has its own subculture within the company. I briefly walked through other laboratories and saw the structures that held those individual labs together were quite different. As a whole ARUP functions on the same level, but those individual labs in each division were structured a little differently according to the types of analysis and assays they were running. Not only were the labs different in their methods and structures, but the individuals within the labs worked together differently. Thus they had each created their own subcultures within ARUP in order to stay true to their mission statement. Results ARUP Motivates Their Employees ARUP Laboratories has several different programs that keep their employees motivated to continuously strive for better patient care. ARUP has a variety of benefits and incentive programs for their employees. It seems that these available programs have done their job by keeping the employees motivated and also healthy. The Wellness Center at ARUP is an onsite gym that all employees have access to. The employees spouse or domestic partner, are allowed to enter the facility too as long as they are accompanied by an ARUP employee. The Wellness Center has programs that encourage employees to better their health by getting a dietary analysis, a fitness assessment or a customized fitness program provided by their staff whom are all certified. They promote health awareness along with the free onsite Family Health Clinic. Together they advise employees to stay away from tobacco, excessive uses of alcohol, caffeine or junk food. ARUP also encourages their employees to get tested for any health issues they may have by making all testing to their employees absolutely free. Here are some of the programs offered at the Wellness Center: Abs/Core-Strengthen your abs and core in just 15 minutes. ARUP Boot Camp-Professional trainer Ryan Cannon is here to help you get stronger and more toned during this eight week course. $40 co-pay applies. Awesome Arms-This class will utilize body weight, free weights, bars, and bands to sculpt your arms. Relaxation-Let go of the worries of the day as you experience simple techniques to induce deep relaxation. A great midday refresher. Other featured exercises: Yoga, Zumba, Stretch, Sports Conditioning, Maximum strength, Pilates, and more. Don’t forget about our onsite Massage Therapist Heidi Sharp to help you smooth out those kinks. The above programs are wonderful incentives for the employees, which also go along with what ARUP stands for. They are owned by the University of Utah which promotes health care to not only their patients, but to all of their community. ARUP has adopted these standards and hope they can continually motivate their employees to do the same. ARUP Makes Their Intentions Clear ARUP also provides an Employee Handbook which outlines their core values in which they hope their employees will meet. I would like to present the document of the five pillars of ARUP as it is an important part of their culture. The Five Pillars of ARUP Culture ARUP is committed to providing the highest quality laboratory services to its clients while maintain a culture of trust and respect for employees. The five pillars of ARUP culture reflect the day-to-day application of our core values, mission and client commitment statements. I. II. Providing Excellent Patient Care By Supporting Clients Put the patient first Support clients Openly share experiences and expertise with others, and support, even applaud their success Create A Good Working Environment Treat people with mutual respect and support, both inside and outside the organization. Set high expectations for self and others Show compassion, appreciation, courtesy, and civility Whenever possible, make decisions through consensus. Develop and reward individuals and teams. Delegate, empower and develop trust. Create and maintain a safe, satisfying work environment. Emphasize balance in life: work, wellness and family III. Do The Right Thing Be fair in all dealings Do the right thing, not necessarily the easiest or most popular Be honest and lead with integrity Comply with the law IV. Improve Continuously Set challenging but achievable objectives for self and departments. Keep professionally current and educate others. Take initiative and ownership of issues: be available, responsive, and accountable. Provide service to others before self; admit mistakes and expeditiously take corrective action. V. Act Responsibly Practice fiscal responsibility. Commit to high quality and professional excellence Balance the business needs of ARUP with the educational, academic mission of the University of Utah. Hire the best applicants; train them; support them. ARUP’s Employee Handbook The Employee Handbook continues on explaining the code of conduct, confidentiality requirements, HIPPA requirements, employment policies, attendance policies, and channels of communications. ARUP goes over there benefits as well. Their list of benefits is large, each benefit having a large variety of options within it. Adoption Benefits Pet Testing ARUP Family Health Clinic Lab Testing Health and Wellness Programs Hepatitis B Vaccinations Tuberculosis testing Employee Assistance Program Incentive Program Cost-Savings Program 403-B Pension Plan Profit Sharing Roth IRA’s ARUP Keeps Their Employees Well Informed and Trained ARUP also has a variety of documents that explain several important processes in order to maintain their organizational structure. Employees have access to documents that detail how to report incidents, policies and procedures manual, and a monthly safety audit manual. The monthly safety audit is an internal audit completed by appointed employees in order to assure each laboratory and employee are following the proper procedures and have a knowledge of the proper actions to take in different scenarios. This ensures quality patient care and also each employee’s safety. This prepares the laboratories within ARUP for the CAP inspection done every year; the CAP inspection is an extensive process done by New York professionals that ensure ARUP is following the guidelines expected to create quality patient care. Protein Immunology has received top marks in their inspections the past several years because of the structure their lab maintains. The Supervisor of Protein Immunology delegates the responsibilities and also manages his employees and ensures they are completing their mandatory quarterly training, as well as completing the required continuing education programs. ARUP encourages their employees to climb the ladder while making wonderful connections within the company; several Medical Directors, Fellows, Pathologists, along with clients travel in and out of ARUP daily. Discussion of Analysis Now that I have researched this company quite thoroughly, I can now begin my analysis of ARUP Laboratories. ARUP Has Values ARUP Laboratories truly respects and cherishes their patients. They have extremely high (but reasonable) standards they expect their employees to meet when concerning patient care. Each laboratory has created their own system that allows them to meet the standards of their company. ARUP requires each department to provide adequate training for any new hires, whether internal or external. This includes any individual that has the opportunity to climb the ladder at ARUP. Each and every employee must feel confident in their work; it is imperative that they complete every testing assay with accurate results and feedback for the client if necessary. ARUP Follows Through with Their Clients By simply looking at ARUP’s history, one can see how they started out small, as all businesses do. Fortunately for ARUP, they had several top names on their side as references, the University of Utah being their owner. They have created a large clientele based on their accurate performances and open arms to their customers. ARUP has several systems in place to assure their clients have all their needs met. ARUP Connect is an online service that allows clients to look up their test directory so their clients know exactly what testing ARUP provides, and what measures and methods are taken to complete those assays. If any turnaround time is not met, ARUP will add a credit onto the clients account; all requirements that are not met will be put completely upon ARUP and the client will not be required to pay. They also give clients and/or potential clients the ability to visit and explore their facilities in order to give those clients a visual of how the company runs. ARUP Takes Care of Their Employees Dr. Carl Kjeldsberg, the first CEO of ARUP, had the motto of “The employees are our greatest asset.” Dr. Kjeldsberg truly believed this and cared deeply for his employees. He would venture the hallways of the offices and the laboratories, visiting the employees, remembering most of them by name. He always thanked each employee for their hard work as he shook their hands, thanking them for the opportunity to meet with them. This type of feedback is invaluable. The CEO himself going down to speak with his employees truly shows how much he cared for them, along with the many benefits and incentives ARUP provides to all employees that are not on probation or suspension. Conclusion After having analyzed and reviewed several of this company’s documentations, along with the treatment of their employees with additional interviews, I have concluded that ARUP is a wonderful company to work for because of their values and internal training for each employee on every documentation needed for their positions. They provide training on each document in order to assure each employee comprehends the nature of their work. Continuing education programs give the employees further reading of several documents, movies, teleconferences, or presentations to give them a higher understanding of their work. Their culture consists of a big family setting. Employees are treated well but also expected to follow the organizational culture structures within ARUP and also their own laboratories. ARUP gives each employee the opportunity to climb the ladder with proper training and documentation of each progressive step. Appendix The following is an excerpt of one of their documents created by a document specialist Policies and Procedures: Management Policy Policy ARUP Laboratories uses a document management system to ensure quality system documents are identified, approved, implemented, and retained. Purpose Regulatory and accreditation agencies have specific requirements for the development, maintenance, and control of quality documents. A document management (or document control) system ensures all documents supporting company operations are Written in the approved formats The current revision Reviewed and approved by appropriate individual(s) in a timely manner, and Available to those who need to use them Scope This policy applies to all ARUP departments. Responsibility The Policy and Procedure Committee is responsible for this policy and overseeing the development, review, and approval processes, for corporate documents. Department Managers are responsible for establishing and maintaining processes for the management of department-specific documents that comply with this policy. The Document Author (owner) is responsible for document content and for conforming to the recommended format. The Document Management Specialist is responsible for implementing and maintaining the document management system used for document control. Definitions Quality System-the organizational structure, responsibilities, procedures, processes, and resources needed to implement quality management. Works Cited http://www.aruplab.com/AboutARUP/about_main.jsp http://www.indeed.com/cmp/Arup-Laboratories ARUP Employee Handbook Interviews from several ARUP employees The Intranet at ARUP Wellness Center Handbook Monthly Safety Audit: Laboratory and Technical Areas Document Quality Assurance Letter Template Document Reporting: Incidents Document Policies and Procedures: Management Policy Document