US ): [42CFR ]:

Size: px
Start display at page:

Download "US ): [42CFR ]:"

Transcription

1 GEN Section Director (Technical Supervisor) Qualifications/Responsibilities Phase II Section Directors/Technical Supervisors meet defined qualifications and fulfill the expected responsibilities. NOTE: The section director/technical supervisor in each high complexity laboratory section can be a licensed MD or DO with certification in anatomic and/or clinical pathology, or qualifications equivalent to those required for board certification. The section director/technical supervisor responsible for anatomic pathology must be an MD or DO certified in anatomic pathology or possess qualifications equivalent to those required for certification. The section director/technical supervisor responsible for clinical pathology must be an MD or DO certified in clinical pathology or possess qualifications equivalent to those required for certification; or may be an individual who meets the alternate qualifications for the specialties supervised. If the section director is responsible for both anatomic and clinical pathology, then he/she must be certified in both anatomic and clinical pathology or possess qualifications equivalent to those required for certification. Additional requirements for the section directors of the clinical cytogenetics, histocompatibility and transfusion medicine services are found in the Cytogenetics, Histocompatibility and Transfusion Medicine Checklists, respectively. For laboratories subject to US regulations, alternate qualifications for the following specialty areas can be found in Fed Register (Feb 28): [42CFR ]: bacteriology, mycobacteriology, mycology, parasitology, virology, diagnostic immunology, chemistry, hematology, cytology, ophthalmic pathology, dermatopathology, oral pathology, radiobioassay, immunohematology. For laboratories subject to US regulations, credentials for all personnel trained outside of the US must be reviewed and recorded to ensure that their training and qualifications are equivalent to CLIA requirements. The equivalency evaluations should be performed by a nationally recognized organization. The section director, as designated by the laboratory director, is responsible for the technical and scientific oversight of the laboratory. The section director is responsible for performing and recording competency assessment for high complexity testing. The duties for performing the competency assessment may be delegated, in writing, to individuals meeting general supervisor qualifications for high complexity testing. Records of qualifications including degree, transcript, equivalency evaluation, or current license (if required) AND Certification/registration (if required) and work history in related field AND Description of current duties and responsibilities AND Record of delegation of duties amendments of 1988; final rule. Fed Register. 1992(Feb 28):7180 [42CFR ] **REVISED** 04/21/2014 GEN General Supervisor Qualifications/Responsibilities Phase II Supervisors/general supervisors meet defined qualifications and fulfill expected responsibilities. NOTE: Supervisors who do not qualify as a laboratory director or section director/technical

2 supervisor must qualify as testing personnel and possess a: 1. Bachelor's degree in a chemical, physical, biological or clinical laboratory science or medical technology with at least one year experience with high complexity testing, or 2. Associate degree in a laboratory science or medical technology program with at least two years experience with high complexity testing, or 3. Have previously qualified or could have qualified as a general supervisor prior to 2/28/1992 Requirements for the supervisors/general supervisors of cytopathology and blood gas analysis are found in the Cytopathology checklist and Chemistry and Toxicology checklist. For laboratories subject to US regulations, credentials for all personnel trained outside of the US must be reviewed and recorded to ensure that their training and qualifications are equivalent to CLIA requirements. The equivalency evaluations should be performed by a nationally recognized organization. The supervisor of high-complexity testing is responsible for day-to-day supervision or oversight of the laboratory operation and personnel performing testing and reporting test results. Individuals meeting the qualifications of a general supervisor for high complexity testing may assess the competency of high complexity testing personnel, if this duty is delegated, in writing, by the section director. Records of qualifications including degree, transcript, equivalency evaluation, or current laboratory personnel license (if required) AND Certification/registration (if required) and work history in related field AND Description of current duties and responsibilities amendments of 1988; final rule. Fed Register. 1992(Feb 28):7182 [42CFR ] TECHNICAL AND CLINICAL CONSULTANT For laboratories subject to US regulations, these are position titles defined under the federal Clinical Laboratory Improvement Amendments (CLIA). Within the laboratory's organizational structure, the actual position titles may be different. A qualified laboratory director may also serve as the technical and clinical consultant, and may set position requirements more stringent than CLIA. **NEW/REVISED** 07/28/2015 GEN Technical Consultant Qualifications/Responsibilities Phase II Technical consultants meet defined qualifications and fulfill expected responsibilities. NOTE: This requirement applies to laboratories performing moderate complexity testing, but not high complexity testing. The technical consultant (including the laboratory director who serves as a technical consultant) must be qualified by education and experience by one of the following combinations: MD or DO, licensed to practice medicine in the jurisdiction where the laboratory is located (if required), with certification in anatomic and/or clinical pathology, or qualifications equivalent to those required for board certification

3 MD, DO, or DPM, licensed to practice in the jurisdiction where the laboratory is located (if required), with at least 1 year of training and/or experience in nonwaived testing*; or Doctoral or masters degree in a chemical, physical, biological or clinical laboratory science with at least 1 year of training and/or experience in nonwaived testing*; or Bachelor's degree in a chemical, physical, biological or clinical laboratory science or medical technology with at least 2 years of experience in nonwaived testing*. *The technical consultant's training and experience must be in the designated specialty or subspecialty area of service for which the consultant is responsible. The technical consultant is responsible for the technical and scientific oversight of the laboratory, including compliance with CAP checklist requirements. The technical consultant must be available to the laboratory as needed for telephone, electronic and on-site consultation. Individuals meeting the qualifications of a technical consultant may assess the competency of personnel performing moderate complexity testing. Records of technical qualifications including degree, transcript, equivalency evaluation, or current license (if required) AND Certification/registration (if required) and work history in related field AND Description of current duties and responsibilities amendments of 1988; final rule. Fed Register. 2004(Oct 1): [42CFR ] and 2003(Oct 1) [42CFR ] **NEW/REVISED** 07/28/2015 GEN Clinical Consultant Qualifications/Responsibilities Phase II Clinical consultants meet defined qualifications and fulfill expected responsibilities. NOTE: This requirement applies to laboratories performing moderate complexity testing and/or high complexity testing. Clinical consultants must be a physician licensed to practice medicine in the jurisdiction where the laboratory is located (if required) or doctoral scientist certified by a CLIAapproved board. The clinical consultant must be available to provide and ensure that consultation is available on test ordering, and interpretation of results relating to specific patient conditions, and for matters relating to the quality of test results reported. The clinical consultant must also ensure that patient reports include pertinent information required for interpretation. See TLC.10440, TLC.10500, and TLC Records of clinical consultant qualifications (i.e. a valid medical license AND Written job description or contract AND Records of activities performed by the consultant during visits consistent with the job description (e.g. meeting minutes, activity logs, signed summaries or data with evidence of review) 1) Department of Health and Human Services, Centers for Medicare & Medicaid Services. Clinical laboratory improvement amendments of 1988; final rule. Fed Register. 2003(Jan 24): [42CFR ], [42CFR ], [42CFR ] **REVISED** 07/28/2015 GEN Personnel Records Phase II Personnel files are maintained on all current technical personnel and personnel

4 records include all of the following: 1. For nonwaived testing personnel, copy of academic diploma or transcript (Refer to the note for use of a credentials verification organization to confirm and obtain these records) 2. Laboratory personnel license, if required by state, province, or country 3. Summary of training and experience 4. Certification, if required by state or employer 5. Description of current duties and responsibilities as specified by the laboratory director: a) Procedures the individual is authorized to perform, b) Whether supervision is required for specimen processing, test performance or result reporting, c) Whether supervisory or section director review is required to report patient test results 6. Records of continuing education 7. Records of radiation exposure where applicable (such as with in vivo radiation testing), but not required for low exposure levels such as certain in-vitro testing 8. Work-related incident and/or accident records 9. Dates of employment NOTE 1: All records, in either electronic or paper form, must be readily available for review by the inspector at the time of the CAP inspection. NOTE 2: For laboratories subject to US regulations: The file must include a copy of the academic diploma or transcript or there must be records to confirm the educational qualifications of an individual using a process that has been validated by the laboratory The laboratory may use a credentials verification organization to confirm educational qualifications in lieu of maintaining a copy if the following conditions are met: 1) the laboratory has a policy for obtaining copies of diplomas or transcripts within seven days of request; 2) records show that the laboratory has validated the effectiveness of the policy initially and re-verified it on an annual basis. The records for initial validation and annual verification must include an audit of the process to demonstrate that the diplomas or transcripts are available within seven days of request using a representative subset of personnel. The credentialing systems used by the Department of Veterans Affairs (i.e. VetPro Credentialing System) and Department of Defense may be used to document educational qualifications. These specific credentialing services are not subject to process validation or annual verification. These laboratories are not under the authority of the Centers for Medicare and Medicaid Services and use of their standardized credentialing system is accepted by the CAP. Records must be available upon request. If the laboratory is located in a state that requires laboratory personnel licensure, the license may be used instead of the diploma or transcript to show that educational qualifications were met. Licensure records for any other discipline, such as nursing, respiratory therapy, or radiology is not required, and cannot be used to meet educational qualifications for non-waived laboratory testing. These individuals must have all required educational and training records in their files. While certification of technical personnel by a professional organization, such as ASCP or AMT, is highly desirable, records of the certification alone are not considered adequate to demonstrate that educational qualifications have been met. The training and qualifications of all personnel trained outside of the US must be reviewed to ensure that it is equivalent to CLIA requirements, with records of the review available on-site. The equivalency evaluations should be performed by a nationally recognized organization. NOTE 3: Laboratories not subject to US regulations may authenticate educational

5 achievement according to prevailing governmental rules. Copies of diplomas or transcripts accessible at the laboratory OR Policy (if following NOTE 2) for obtaining copies of diplomas or transcripts within seven days of request AND Records of initial validation and annual re-verification demonstrating the ability to obtain the records within the allowable timeframe 1) Clinical and Laboratory Standards Institute. Training and Competence Assessment; Approved Guideline. 3rd ed. CLSI Document QMS03-A3. Clinical and Laboratory Standards Institute, Wayne, PA, ) Harmening DM, et al. Defining roles of medical technologists and medical laboratory technicians. Lab Med. 1995;26: ) Ward-Cook K, et al. Medical technologist core job tasks still reign. Lab Med. 2000;31: **REVISED** 07/28/2015 GEN Testing Personnel Qualifications Phase II All testing personnel meet the following requirements. 1. Personnel performing high complexity testing must have at a minimum an earned associate degree in a chemical or biological science or medical laboratory technology from an accredited institution, or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR (see NOTE 2). 2. Personnel performing moderate complexity testing, including nonlaboratory personnel, must have at a minimum an earned high school diploma or equivalent and record of training defined in the CLIA regulation 42CFR (see NOTE 4) NOTE 1: Laboratory and non-laboratory (e.g. nurses, respiratory therapists, radiologic technologists, and medical assistants) testing personnel must meet the qualifications appropriate to the complexity of testing performed. GEN contains the specific requirements for the types of records that must be maintained in the personnel file to demonstrate compliance. Additional information for assessing personnel qualifications is available at the following link: CAP Personnel Requirements by Testing Complexity. NOTE: 2: For high complexity testing, equivalent laboratory training and experience includes the following: 60 semester hours or equivalent from an accredited institution that, at a minimum, includes either 24 semester hours of medical laboratory technology courses, OR 24 semester hours of science courses that include six semester hours of chemistry, six semester hours of biology, and 12 semester hours of chemistry, biology or medical laboratory technology in any combination; AND Laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLS, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above), OR at least three months documented laboratory training in each specialty in which the individual performs high complexity testing. NOTE 3: For US Department of Defense laboratories, effective May 29, 2014, newly hired high complexity testing personnel must have either: A minimum of an associate degree in a biological or chemical science or medical laboratory technology from an accredited institution AND be certified by the ASCP, AMT or other organization deemed comparable by OASD(HA) or their designee (CCLM) as an MLT or MT/MLS; OR Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist (laboratory technician).

6 NOTE 4: For moderate complexity testing, if testing personnel do not meet high complexity testing personnel qualifications or have not completed an official military training course of at least 50 weeks duration and have not held the military enlisted occupational specialty of Medical Laboratory Specialist, testing personnel must have at least a high school diploma or equivalent AND training records that demonstrate that they have the skills for the following: Specimen collection, including patient preparation, labeling, handling, preservation, processing, transportation, and storage of specimens, as applicable; Implementation of all laboratory procedures; Performance of each test method and for proper instrument use; Preventive maintenance, troubleshooting and calibration procedures for each test performed; Working knowledge of reagent stability and storage; Implementation of quality control policies and procedures; An awareness of interferences and other factors that influence test results; and Assessment and verification of the validity or patient rest results, including the performance of quality control prior to reporting patient results. NOTE 5: Students gaining experience in the field must work under the direct supervision of a qualified individual. Records of qualifications including diploma, transcript, equivalency evaluation, or current laboratory personnel license (if required) AND Work history in related field amendments of 1988; final rule. Fed Register. 1992(Feb 28):7175 [42CFR ], 7183 [42CFR ] 2) Clinical and Laboratory Standards Institute (CLSI). Training and Competence Assessment; Approved Guideline Third Edition. CLSI Document GP21-A3. (ISBN ). Clinical and Laboratory Standards Institute, 940 West Valley Road, Suite 1400, Wayne, PA USA, 2009.

Personnel. From RLM, COM, GEN and TLC Checklists

Personnel. From RLM, COM, GEN and TLC Checklists Personnel From RLM, COM, GEN and TLC Checklists The laboratory should have an organizational plan, personnel policies, and job descriptions that define qualifications and duties for all positions. Personnel

More information

COMMISSION ON LABORATORY ACCREDITATION. Laboratory Accreditation Program TEAM LEADER ASSESSMENT OF DIRECTOR & QUALITY CHECKLIST

COMMISSION ON LABORATORY ACCREDITATION. Laboratory Accreditation Program TEAM LEADER ASSESSMENT OF DIRECTOR & QUALITY CHECKLIST Revised: 09/27/2007 COMMISSION ON LABORATORY ACCREDITATION Laboratory Accreditation Program TEAM LEADER ASSESSMENT OF DIRECTOR & QUALITY CHECKLIST Disclaimer and Copyright Notice The College of American

More information

CAP Most Frequent Deficiencies and How to Avoid Them. March 11, 2015

CAP Most Frequent Deficiencies and How to Avoid Them. March 11, 2015 CAP 2015 Most Frequent Deficiencies and How to Avoid Them Jean Ball MBA,MT(HHS),MLT(ASCP) Inspection Services Team Lead Laboratory Accreditation Program March 11, 2015 Objectives: Participants will be

More information

CAP Accreditation and Checklists Update. Lyn Wielgos, MT(ASCP) Checklist Editor, CAP Accreditation Programs

CAP Accreditation and Checklists Update. Lyn Wielgos, MT(ASCP) Checklist Editor, CAP Accreditation Programs CAP Accreditation and Checklists Update Lyn Wielgos, MT(ASCP) Checklist Editor, CAP Accreditation Programs November 3, 2017 Objectives Discuss CAP Checklists and highlight changes in the 2017 checklist

More information

CLIA & Individualized Quality Control Plan (IQCP) Karen W. Dyer MT(ASCP), DLM Director (Acting) Division of Laboratory Services

CLIA & Individualized Quality Control Plan (IQCP) Karen W. Dyer MT(ASCP), DLM Director (Acting) Division of Laboratory Services & Individualized Quality Control Plan (IQCP) Karen W. Dyer MT(ASCP), DLM Director (Acting) Division of Laboratory Services Centers for Medicare & Medicaid Services Disclosure I am not receiving an honorarium

More information

Policy Subject Index Number Section Subsection Category Contact Last Revised References Applicable To Detail MISSION STATEMENT: OVERVIEW:

Policy Subject Index Number Section Subsection Category Contact Last Revised References Applicable To Detail MISSION STATEMENT: OVERVIEW: Subject Objectives and Organization Pathology and Laboratory Medicine Index Number Lab-0175 Section Laboratory Subsection General Category Departmental Contact Ekern, Nancy L Last Revised 10/25/2016 References

More information

ASSEMBLY BILL No. 940

ASSEMBLY BILL No. 940 california legislature 2015 16 regular session ASSEMBLY BILL No. 940 Introduced by Assembly Member Ridley-Thomas February 26, 2015 An act to amend Sections 1209, 1260, 1261.5, 1264, and 1300 of the Business

More information

Center for Medicaid and State Operations/Survey and Certification Group

Center for Medicaid and State Operations/Survey and Certification Group DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2 12 25 Baltimore, Maryland 21244 1850 Center for Medicaid and State Operations/Survey

More information

5/8/2015. Individualized Quality Control Plans (IQCP) Changes to the CMS Quality Requirements. CLIA Quality Control Evolution of the Process

5/8/2015. Individualized Quality Control Plans (IQCP) Changes to the CMS Quality Requirements. CLIA Quality Control Evolution of the Process Individualized Quality Control Plans (IQCP) Changes to the CMS Quality Requirements John Shalkham, MA, SCT(ASCP) Office of Quality Assurance Wisconsin State Laboratory of Hygiene Clinical Assistant Professor,

More information

CLIA s New IQCP Requirements Are in Effect, or Are They?: Implementing Laboratory Risk Management Now to Ensure Success

CLIA s New IQCP Requirements Are in Effect, or Are They?: Implementing Laboratory Risk Management Now to Ensure Success CLIA s New IQCP Requirements Are in Effect, or Are They?: Implementing Laboratory Risk Management Now to Ensure Success Jack Zakowski, PhD, FACB Director, Scientific Affairs and Professional Relations

More information

6/28/2016. Questions? Workshop 6 CAP Inspection Preparation Thursday, June 23, 2016

6/28/2016. Questions? Workshop 6 CAP Inspection Preparation Thursday, June 23, 2016 Workshop 6 CAP Inspection Preparation Thursday, June 23, 2016 Allan W. Fraser Jr., CG(ASCP)CM, CCS, CQA(ASQ) Quality Assurance Manager, Quest Diagnostics at Nichols Institute Questions? Have you been inspected

More information

Standards for Laboratory Accreditation

Standards for Laboratory Accreditation Standards for Laboratory Accreditation 2017 Edition cap.org 2017 College of American Pathologists. All rights reserved. [ T y p e t h e c o m p a n y a d d r e s s ] CAP Laboratory Accreditation Program

More information

Tutorial: Basic California State Laboratory Law

Tutorial: Basic California State Laboratory Law Tutorial: Basic California State Laboratory Law This document is meant to cover basic elements of state laboratory law and should not be relied upon in place of legal advice or the official codes of California.

More information

Scope of Service. Department Mission

Scope of Service. Department Mission Scope of Service Department Mission Scope of Services Provided The Department of Laboratory Services provides a wide array of testing and other services to Memorial Health System s patients, and to other

More information

CLIA & Individualized Quality Control Plan (IQCP) Judith Yost Director Division of Laboratory Services

CLIA & Individualized Quality Control Plan (IQCP) Judith Yost Director Division of Laboratory Services & Individualized Quality Control Plan (IQCP) Judith Yost Director Division of Laboratory Services 1 Objectives Provide Background & History of Quality Control Describe the Development of IQCP Present an

More information

CE Update [generalist compliance/regulation management/administration and training] COLA Accreditation An Educational Experience

CE Update [generalist compliance/regulation management/administration and training] COLA Accreditation An Educational Experience your lab focus 284 CE Update [generalist compliance/regulation management/administration and training] COLA Accreditation An Educational Experience Jennifer L. Rivers, Catherine M. Johnson, MT(ASCP) COLA,

More information

CLIA S NEW IQCP SEABB. March 19, Linda Sigg, MT(ASCP)SBB,CQA(ASQ) Staff Lead Assessor, Accreditation, AABB

CLIA S NEW IQCP SEABB. March 19, Linda Sigg, MT(ASCP)SBB,CQA(ASQ) Staff Lead Assessor, Accreditation, AABB CLIA S NEW IQCP SEABB March 19, 2014 Linda Sigg, MT(ASCP)SBB,CQA(ASQ) Staff Lead Assessor, Accreditation, AABB OBJECTIVES Clinical Laboratory Improvement Amendment What is IQCP? What are the parts of IQCP.

More information

https://e-dition.jcrinc.com/common/popups/printchapter.aspx?rwndrnd=

https://e-dition.jcrinc.com/common/popups/printchapter.aspx?rwndrnd= Page 1 of 9 Effective ate: January 9, 2017 Overview: A laboratory test is an activity that evaluates a substance(s) removed from a human body and translates that evaluation into a result. A result can

More information

Medicare Program; Announcement of the Reapproval of the Joint Commission as an

Medicare Program; Announcement of the Reapproval of the Joint Commission as an This document is scheduled to be published in the Federal Register on 05/25/2018 and available online at https://federalregister.gov/d/2018-11330, and on FDsys.gov [Billing Code: 4120-01-P] DEPARTMENT

More information

Page 17, APR.10 (new text for clarity)

Page 17, APR.10 (new text for clarity) Page 17, APR.10 (new text for clarity) Requirement: APR.10 Translation and interpretation services arranged by the hospital for an accreditation survey and any related activities are provided by licensed

More information

Medicare Program; Announcement of the Approval of the American Association for

Medicare Program; Announcement of the Approval of the American Association for This document is scheduled to be published in the Federal Register on 03/23/2018 and available online at https://federalregister.gov/d/2018-05892, and on FDsys.gov BILLING CODE 4120-01-P DEPARTMENT OF

More information

SUCCESSION PLANNING: FILLING A LABORATORY DIRECTOR S SHOES PART ONE

SUCCESSION PLANNING: FILLING A LABORATORY DIRECTOR S SHOES PART ONE JANUARY / FEBRUARY 09 SUCCESSION PLANNING: FILLING A LABORATORY DIRECTOR S SHOES PART ONE By Karen Appold When someone leaves a laboratory director position, or any job for that matter, it could be for

More information

8: : : : : : : : : : :

8: : : : : : : : : : : CHAPTER IV OF THE STATE SANITARY CODE 8:44-2.1 CHAPTER 44 CHAPTER IV OF THE STATE SANITARY CODE Authority NJ.S.A. 26: la-33 and 45:9-42.30; and Reorganization Plan No. 003-2005. Source and Effective Date

More information

Clinical Laboratory Technologist

Clinical Laboratory Technologist University of California, Los Angeles August, 1978 Class Specifications - H.20 Clinical Laboratory Manager - 8935 Senior Supervising - 8936 Supervising - 8937 Senior Specialist - 8938 Specialist - 8939-8940

More information

3/14/2016. The Joint Commission and IQCP. Objectives. Before Getting Started

3/14/2016. The Joint Commission and IQCP. Objectives. Before Getting Started The Joint Commission and IQCP Stacy Olea, MBA, MT(ASCP), FACHE Executive Director Laboratory Accreditation The Joint Commission AACC 2015 Objectives Identify the three components of IQCP Determine a starting

More information

Page 3, Introduction (correcting a typo) Accreditation Participation Requirements (APR)

Page 3, Introduction (correcting a typo) Accreditation Participation Requirements (APR) Issued 4 December 2013 Page 3, Introduction (correcting a typo) Accreditation Participation Requirements (APR) The Accreditation Participation Requirements (APR) section, new to JCI in this edition, is

More information

APPLICATION CHECKLIST

APPLICATION CHECKLIST NEW YORK STATE DEPARTMENT OF HEALTH CERTIFICATE OF QUALIFICATION APPLICATION CHECKLIST All Applicants: Provide a copy of your current curriculum vitae. Include a $40 application fee, payable to New York

More information

Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Jennifer Hannah Team Lead, ESAR-VHP

Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Jennifer Hannah Team Lead, ESAR-VHP Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Jennifer Hannah Team Lead, ESAR-VHP Presentation Outline ESAR-VHP Overview Key Strategies Current Status ESAR-VHP

More information

Individualized Quality Control Plan (IQCP) Frequently Asked Questions Date: May 5, 2015 (last updated 08/21/2017)

Individualized Quality Control Plan (IQCP) Frequently Asked Questions Date: May 5, 2015 (last updated 08/21/2017) Topic: Individualized Quality Control Plan (IQCP) Frequently Asked Questions Date: May 5, 2015 (last updated 08/21/2017) Click on the links below to be taken to a specific section of the FAQs. General

More information

SUTTER MEDICAL CENTER, SACRAMENTO DEPARTMENT OF LABORATORY MEDICINE. Rules and Regulations

SUTTER MEDICAL CENTER, SACRAMENTO DEPARTMENT OF LABORATORY MEDICINE. Rules and Regulations SUTTER MEDICAL CENTER, SACRAMENTO DEPARTMENT OF LABORATORY MEDICINE Rules and Regulations I Goals and Objectives The goals and objectives of the members of the Department shall be to provide the best possible

More information

Master. Point-of-Care-Testing Checklist. CAP Accreditation Program

Master. Point-of-Care-Testing Checklist. CAP Accreditation Program Master Point-of-Care-Testing Checklist CAP Accreditation Program College of American Pathologists 325 Waukegan Road Northfield, IL 60093-2750 www.cap.org 08.21.2017 2 of 33 Disclaimer and Copyright Notice

More information

Master. Point-of-Care-Testing Checklist. CAP Accreditation Program

Master. Point-of-Care-Testing Checklist. CAP Accreditation Program Master Point-of-Care-Testing Checklist CAP Accreditation Program College of American Pathologists 325 Waukegan Road Northfield, IL 60093-2750 www.cap.org 08.17.2016 2 of 33 Disclaimer and Copyright Notice

More information

RULES OF TENNESSEE MEDICAL LABORATORY BOARD CHAPTER GENERAL RULES GOVERNING MEDICAL LABORATORY PERSONNEL TABLE OF CONTENTS

RULES OF TENNESSEE MEDICAL LABORATORY BOARD CHAPTER GENERAL RULES GOVERNING MEDICAL LABORATORY PERSONNEL TABLE OF CONTENTS RULES OF TENNESSEE MEDICAL LABORATORY BOARD CHAPTER 1200-06-01 GENERAL RULES GOVERNING MEDICAL LABORATORY PERSONNEL TABLE OF CONTENTS 1200-06-01-.01 Definitions 1200-06-01-.16 Replacement License 1200-06-01-.02

More information

AMERICAN BOARD OF HISTOCOMPATIBILITY AND IMMUNOGENETICS Laboratory Director. Content Outline

AMERICAN BOARD OF HISTOCOMPATIBILITY AND IMMUNOGENETICS Laboratory Director. Content Outline 1. Administration and Management (40 Items) A. Quality Assurance (16 items) 1. Determine if technical staff has received training and continuing education 2. Select external laboratory proficiency testing

More information

FLSA Classification: Non-Exempt

FLSA Classification: Non-Exempt Job Description Job Details Title: Section Head, Laboratory Version #: 1.0 Employer: Mercy Hospital Job Code: W29 FLSA Classification: Non-Exempt Pay Grade: W Basic Job Function and Responsibilities Perform

More information

NEW CERTIFICATE PROGRAM PROPOSAL. 1. Title: Clinical Training Certificate Program in Clinical Laboratory Science

NEW CERTIFICATE PROGRAM PROPOSAL. 1. Title: Clinical Training Certificate Program in Clinical Laboratory Science PROGRAM AREA BIOLOGY CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS NEW CERTIFICATE PROGRAM PROPOSAL 1. Title: Clinical Training Certificate Program in Clinical Laboratory Science 2. Objectives: To meet the

More information

Change 142 Manual of the Medical Department U.S. Navy NAVMED P Oct 2012

Change 142 Manual of the Medical Department U.S. Navy NAVMED P Oct 2012 Change 142 U.S. Navy NAVMED P-117 22 Oct 2012 To: Holders of the 1. This Change adds a new section to Chapter 14, Special Activities - Section IV, Clinical Laboratory and Anatomic Pathology Services. 2.

More information

1988 (CLIA); CMS-3326-NC

1988 (CLIA); CMS-3326-NC Seema Verma, MPH, Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Attention: CMS 1678 FC Mail Stop C4 26 05 7500 Security Boulevard Baltimore, MD 21244

More information

Regions Hospital Delineation of Privileges Pathology

Regions Hospital Delineation of Privileges Pathology Regions Hospital Delineation of Pathology Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic formal training requirements

More information

Standard Changes Related to EP Review Phase IV

Standard Changes Related to EP Review Phase IV Issued September 5, 07 Human Resources (HR) Chapter Standard Changes Related to EP Review Phase IV Hospital (HAP) Accreditation Program Standard HR.0.0.0 The hospital defines and verifies staff qualifications.

More information

CAP Forensic Drug Testing Accreditation Program Standards for Accreditation

CAP Forensic Drug Testing Accreditation Program Standards for Accreditation CAP Forensic Drug Testing Accreditation Program Standards for Accreditation Preamble Forensic drug testing is a laboratory specialty concerned with the testing of urine, oral fluid, hair, and other specimens

More information

Point of Care Quality Management. Procedure. Approving Authority: President and CEO, Keith Dewar

Point of Care Quality Management. Procedure. Approving Authority: President and CEO, Keith Dewar Subject/Title Point of Care Quality Management Procedure Approving Authority: President and CEO, Keith Dewar Manual: Reference Number: 812-1 Effective Date: Dec 6 th, 2016 Revision Dates: Classification:

More information

Master. Point-of-Care-Testing Checklist. Every patient deserves the GOLD STANDARD... CAP Accreditation Program

Master. Point-of-Care-Testing Checklist. Every patient deserves the GOLD STANDARD... CAP Accreditation Program Master Every patient deserves the GOLD STANDARD... Point-of-Care-Testing Checklist CAP Accreditation Program College of American Pathologists 325 Waukegan Road Northfield, IL 60093-2750 www.cap.org 07.28.2015

More information

IQCP. Ensuring Your Laboratory s Compliance With Individualized Quality Control Plans. November/December 2016

IQCP. Ensuring Your Laboratory s Compliance With Individualized Quality Control Plans. November/December 2016 IQCP Ensuring Your Laboratory s Compliance With Individualized Quality Control Plans November/December 2016 Objectives Describe the different components of an IQCP Review new CAP checklist requirements

More information

Standards for Forensic Drug Testing Accreditation

Standards for Forensic Drug Testing Accreditation Standards for Forensic Drug Testing Accreditation 2013 Edition cap.org Forensic Drug Testing Accreditation Program Standards for Accreditation 2013 Edition Preamble Forensic drug testing is a laboratory

More information

Preliminary Assessment on Request for Licensure Medical Laboratory Science Professionals Summary of Testimony and Evidence.

Preliminary Assessment on Request for Licensure Medical Laboratory Science Professionals Summary of Testimony and Evidence. Sunrise Application Review Docket No. MLSP-01-0709 Preliminary Assessment on Request for Licensure Medical Laboratory Science Professionals Summary of Testimony and Evidence Background Medical Laboratory

More information

C A L I F O R N I A L A B O R AT O RY P E R S O N N E L

C A L I F O R N I A L A B O R AT O RY P E R S O N N E L C A L I F O R N I A L A B O R AT O RY P E R S O N N E L Shiu-Land Kwong, CLS Regional Director of Lab Compliance & Risk Management The Permanente Medical Group Speaker Shiu-Land Kwong, CLS, is the Regional

More information

HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS

HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS The following checklist can be used to verify that the regulatory requirements are addressed in hospice contracts

More information

Laboratory Accreditation Manual Edition Editor: Francis E. Sharkey, MD, FCAP

Laboratory Accreditation Manual Edition Editor: Francis E. Sharkey, MD, FCAP Laboratory Accreditation Manual 2012 Edition Editor: Francis E. Sharkey, MD, FCAP TABLE OF CONTENTS Topic Inspector Page Information Laboratory Information Introduction..... 8 Overview of Accreditation

More information

How to Improve the Laboratory Experience CLS and MLT Working Together

How to Improve the Laboratory Experience CLS and MLT Working Together How to Improve the Laboratory Experience CLS and MLT Working Together Dora W. Goto, MS, CLS, MLS(ASCP) CM California Association for Medical Laboratory Technology Immediate Past President Fremont, CA September

More information

THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 400 Golden Shore Long Beach, CA (562)

THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 400 Golden Shore Long Beach, CA (562) THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 400 Golden Shore Long Beach, CA 90802-4210 (562) 951-4411 Date: June 20, 2006 Code: HR 2006-15 To: From: CSU Presidents Jackie R. McClain Vice Chancellor

More information

PERSONNEL REQUIREMENTS. March 9, 2018

PERSONNEL REQUIREMENTS. March 9, 2018 Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445 G Washington, DC 20201 RE:

More information

Heart of America POC Group Quality Management Making it Meaningful

Heart of America POC Group Quality Management Making it Meaningful Heart of America POC Group Quality Management Making it Meaningful Maximize Your Existing Quality Management System to Deliver Greater Value Georgine Paulus, BSMT(ASCP) Senior Staff Inspector College of

More information

(i) That individual is competent to provide nursing and nursing related services; and

(i) That individual is competent to provide nursing and nursing related services; and 483.75 Administration. A facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial

More information

Best Practices for Equipment Calibration and Analytical Controls in the Diagnostics Laboratory

Best Practices for Equipment Calibration and Analytical Controls in the Diagnostics Laboratory Best Practices for Equipment Calibration and Analytical Controls in the Diagnostics Laboratory George Rodrigues, Artel (slides 2-16) Rebecca Butler, CareDx (slides 17-29) Agenda Agenda Theory / Regulations

More information

Hospital Crosswalk. Medicare Hospital Requirements to 2012 Joint Commission Hospital Standards & EPs

Hospital Crosswalk. Medicare Hospital Requirements to 2012 Joint Commission Hospital Standards & EPs Hospital Crosswalk CFR Number Standards and Elements of Performance 482.11 TAG: A-0020 482.11 Condition of Participation: Compliance with Federal, State and Local Laws 482.11(a) TAG: A-0021 LD.04.01.01

More information

Quality Management of Apheresis Personnel

Quality Management of Apheresis Personnel In: McLeod BC, Price TH, Weinstein R, eds. Apheresis: Principles and Practice, 2nd Edition Bethesda, MD: AABB Press, 2003 Quality Management of Apheresis Personnel 32 Quality Management of Apheresis Personnel

More information

Health Sciences Faculty Hiring Guidelines For credit-bearing instruction only

Health Sciences Faculty Hiring Guidelines For credit-bearing instruction only NWTC is looking for people who are passionate about the work they do and have the desire to inspire students and transform lives. who embrace the NWTC Values: Customer Focus, Everyone Has Worth, Passion

More information

TESTIMONY OF THOMAS HAMILTON DIRECTOR SURVEY & CERTIFICATION GROUP CENTER FOR MEDICAID AND STATE OPERATIONS CENTERS FOR MEDICARE & MEDICAID SERVICES

TESTIMONY OF THOMAS HAMILTON DIRECTOR SURVEY & CERTIFICATION GROUP CENTER FOR MEDICAID AND STATE OPERATIONS CENTERS FOR MEDICARE & MEDICAID SERVICES TESTIMONY OF THOMAS HAMILTON DIRECTOR SURVEY & CERTIFICATION GROUP CENTER FOR MEDICAID AND STATE OPERATIONS CENTERS FOR MEDICARE & MEDICAID SERVICES ON CLIA AND GENETIC TESTING BEFORE THE SENATE SPECIAL

More information

Fulton County Medical Center. Position Description. Pathologist, Laboratory Manager, and Medical Technologist

Fulton County Medical Center. Position Description. Pathologist, Laboratory Manager, and Medical Technologist Fulton County Medical Center Position Description Position Title: Reports To: Medical Laboratory Technician Pathologist, Laboratory Manager, and Medical Technologist Date: September 2004 I Position Summary:

More information

Clinical Laboratory Workers CLIAC Meeting, September 12, 2002

Clinical Laboratory Workers CLIAC Meeting, September 12, 2002 Clinical Laboratory Workers CLIAC Meeting, September 12, 2002 Atul Grover Chief Medical Officer Agrover@hrsa.gov National Center for Health Workforce Information and Analysis Bureau of Health Professions

More information

AREAS EMPLOYERS STRATEGIES/INFORMATION PHYSICAL THERAPY

AREAS EMPLOYERS STRATEGIES/INFORMATION PHYSICAL THERAPY HEALTHCARE SCIENCES Physical & Occupational Therapy, Cytotechnology, Dental Hygiene, Health Information Management, Clinical Laboratory Science, Nuclear Medicine Technology What can I do with these majors?

More information

CELLULAR THERAPY PRODUCT COLLECTION, PROCESSING, AND ADMINISTRATION DOCUMENT SUBMISSION REQUIREMENTS

CELLULAR THERAPY PRODUCT COLLECTION, PROCESSING, AND ADMINISTRATION DOCUMENT SUBMISSION REQUIREMENTS CELLULAR THERAPY PRODUCT COLLECTION, PROCESSING, AND ADMINISTRATION DOCUMENT SUBMISSION REQUIREMENTS FACT-JACIE International Standards for Cellular Therapy Product Collection, Processing and Administration,

More information

4. Program Regulations

4. Program Regulations Table of Contents LAB-35 iv 04/01/10 401.401: Introduction... 4-1 401.402: Definitions... 4-1 401.403: Eligible Members... 4-2 401.404: Provider Eligibility... 4-2 401.405: Laboratory Services Provided

More information

Hospital Crosswalk. Medicare Hospital Requirements to 2017 Joint Commission Hospital Standards & EPs. Joint Commission Equivalent Number EP 2 EP 1

Hospital Crosswalk. Medicare Hospital Requirements to 2017 Joint Commission Hospital Standards & EPs. Joint Commission Equivalent Number EP 2 EP 1 Hospital Crosswalk CFR Number 482.11 TAG: A-0020 482.11 Condition of Participation: Compliance with Federal, State and Local Laws 482.11(a) TAG: A-0021 LD.04.01.01 The hospital complies with law and regulation.

More information

Medical Laboratory Science Program Application

Medical Laboratory Science Program Application Medical Laboratory Science Program Application Application Instructions: Please read the following information carefully. All instructions must be followed for application to be complete and considered

More information

Master. Laboratory General Checklist. CAP Accreditation Program

Master. Laboratory General Checklist. CAP Accreditation Program Master Laboratory General Checklist CAP Accreditation Program College of American Pathologists 325 Waukegan Road Northfield, IL 60093-2750 www.cap.org 08.17.2016 2 of 129 Disclaimer and Copyright Notice

More information

STANDARDS Point-of-Care Testing

STANDARDS Point-of-Care Testing STANDARDS Point-of-Care Testing For Surveys Starting After: January 1, 2018 Date Generated: January 12, 2017 Point-of-Care Testing Published by Accreditation Canada. All rights reserved. No part of this

More information

Laboratory Accreditation Manual

Laboratory Accreditation Manual Laboratory Accreditation Manual Patient Safety Compliance Consistency Confidence Accuracy Quality Editor: Francis E. Sharkey, MD, FCAP 2017. All rights reserved. 25422.0317 cap.org TABLE OF CONTENTS TOPIC

More information

Clinical Laboratory Standards of Practice

Clinical Laboratory Standards of Practice Wadsworth Center Clinical Laboratory Evaluation Program Part 1 General Systems TABLE OF CONTENTS Quality Management System 3 Human Resources 9 Facility Design and Resource Management 23 General Facilities...

More information

TITLE: POINT OF CARE TESTING

TITLE: POINT OF CARE TESTING San Francisco General Hospital and Trauma Center Administrative Policy Policy Number: 16.20 TITLE: POINT OF CARE TESTING DEFINITIONS 1. Point of Care Testing (POCT) refers to laboratory testing performed

More information

Institute for Quality Management in Healthcare (IQMH) Toronto, Ontario, Canada. Janice Nolan, Executive Director, Programs

Institute for Quality Management in Healthcare (IQMH) Toronto, Ontario, Canada. Janice Nolan, Executive Director, Programs Institute for Quality Management in Healthcare (IQMH) Toronto, Ontario, Canada Janice Nolan, Executive Director, Programs Thank you! Thank you for inviting me My pleasure to share with you our experience

More information

Radiologic technologists take x rays and administer nonradioactive materials into patients bloodstreams for diagnostic purposes.

Radiologic technologists take x rays and administer nonradioactive materials into patients bloodstreams for diagnostic purposes. http://www.bls.gov/oco/ocos105.htm Radiologic Technologists and Technicians Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data

More information

Hospitals have a responsibility to ensure that physicians

Hospitals have a responsibility to ensure that physicians College of American Pathologists Considerations for the Delineation of Pathology Clinical Privileges Edward W. Catalano Jr, MD; Stephen Gerard Ruby, MD, MBA; Michael L. Talbert, MD; Douglas G. Knapman,

More information

EDUCATIONAL COMMENTARY KEY COMPONENTS OF AN INDIVIDUALIZED QUALITY CONTROL PLAN

EDUCATIONAL COMMENTARY KEY COMPONENTS OF AN INDIVIDUALIZED QUALITY CONTROL PLAN Commentary provided by: E Susan Cease MT(ASCP) Laboratory Manager Three Rivers Medical Center Grants Pass, OR EDUCATIONAL COMMENTARY KEY COMPONENTS OF AN INDIVIDUALIZED QUALITY CONTROL PLAN Educational

More information

BY-LAW #3 (Under Section 40(2) of The Medical Act)

BY-LAW #3 (Under Section 40(2) of The Medical Act) 1000 1661 PORTAGE AVENUE, WINNIPEG, MANITOBA R3J 3T7 TEL: (204) 774-4344 FAX: (204) 774-0750 BY-LAW #3 (Under Section 40(2) of The Medical Act) ACCREDITED FACILITIES (Enacted by the Councillors of the

More information

Psychological Specialist

Psychological Specialist Job Code: 067 Psychological Specialist Overtime Pay: Ineligible This is work performing psychological assessments or counseling students. Administers intelligence and personality tests. Provides consultation

More information

BAYHEALTH MEDICAL STAFF RULES & REGULATIONS

BAYHEALTH MEDICAL STAFF RULES & REGULATIONS BAYHEALTH MEDICAL STAFF RULES & REGULATIONS Rules and Regulations initial approval by the Board of Directors: Amendments approved by the Board of Directors: Revised 1/21/13 Revised 4/17/13 Revised 9/16/13

More information

Request for Information: Revisions to Personnel Regulations, Proficiency Testing

Request for Information: Revisions to Personnel Regulations, Proficiency Testing This document is scheduled to be published in the Federal Register on 01/09/2018 and available online at https://federalregister.gov/d/2017-27887, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES

More information

School of Health Sciences

School of Health Sciences Milwaukee Area Technical College Available Certifications and Licensures by School School of Health Sciences Anesthesia Associate Degree Certified Anesthesia Tech (CerAT) Certification American Society

More information

Danette L. Godfrey, MS, MT (ASCP) Senior Product Manager, Accreditation Programs cap.org

Danette L. Godfrey, MS, MT (ASCP) Senior Product Manager, Accreditation Programs cap.org CAP Accreditation 2012 and Beyond Danette L. Godfrey, MS, MT (ASCP) Senior Product Manager, Accreditation Programs cap.org AGENDA 50 Years of Accreditation 2011 Checklist Release CAP Accreditation Readiness

More information

Point of Care Testing. BOPCC May 31, 2011 Beatrice O Keefe, Chief Laboratory Field Services California Department of Public Health

Point of Care Testing. BOPCC May 31, 2011 Beatrice O Keefe, Chief Laboratory Field Services California Department of Public Health Point of Care Testing BOPCC May 31, 2011 Beatrice O Keefe, Chief Laboratory Field Services California Department of Public Health Objectives Describe Direct patient Care in California law Describe Point

More information

CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology

CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology Core Components of a Comprehensive Quality Assurance Program in Anatomic Pathology

More information

PURPOSE: This policy provides an overview of SHANDS Jacksonville Laboratory s commitment to the care and safety of the patients we serve.

PURPOSE: This policy provides an overview of SHANDS Jacksonville Laboratory s commitment to the care and safety of the patients we serve. PAGE 1 of 5 TITLE: Provision of Care Regarding Laboratory Services PURPOSE: This policy provides an overview of SHANDS Jacksonville Laboratory s commitment to the care and safety of the patients we serve.

More information

ARIZONA STATUTES : (4) TITLE 12 COURTS AND CIVIL PROCEEDINGS CHAPTER 7 SPECIAL ACTIONS AND PROCEEDINGS IN WHICH THE STATE IS A PARTY

ARIZONA STATUTES : (4) TITLE 12 COURTS AND CIVIL PROCEEDINGS CHAPTER 7 SPECIAL ACTIONS AND PROCEEDINGS IN WHICH THE STATE IS A PARTY ARIZONA STATUTES : (4) TITLE 12 COURTS AND CIVIL PROCEEDINGS CHAPTER 7 SPECIAL ACTIONS AND PROCEEDINGS IN WHICH THE STATE IS A PARTY TITLE 23 LABOR CHAPTER 2 EMPLOYMENT PRACTICES AND WORKING CONDITIONS

More information

Department of Veterans Affairs VA HANDBOOK 5005/42. September 28, 2010 STAFFING

Department of Veterans Affairs VA HANDBOOK 5005/42. September 28, 2010 STAFFING Department of Veterans Affairs VA HANDBOOK 5005/42 Washington, DC 20420 Transmittal Sheet September 28, 2010 STAFFING 1. REASON FOR ISSUE: To establish a Department of Veterans Affairs (VA) qualification

More information

Improving Your POC Program: An Upside Down Map. Sheila K. Coffman MT(ASCP)

Improving Your POC Program: An Upside Down Map. Sheila K. Coffman MT(ASCP) Improving Your POC Program: An Upside Down Map Sheila K. Coffman MT(ASCP) If you have seen ONE Point of Care program You have seen ONE Point of Care Program. If only there was a MapQuest for POC... Or

More information

Health Physicist Series

Health Physicist Series Health Physicist Series California State Personnel Board Specification Series established October 17, 1978 Scope This series specification describes five six threelevels of professional classes which specialize

More information

The CAP Inspection Process

The CAP Inspection Process The CAP Inspection Process So you ve accepted an inspection assignment Inspector s Inspection Packet sent from CAP 3 6 months prior to lab s anniversary date Inspection must occur within 3 month window

More information

For more information, including how to apply, visit

For more information, including how to apply, visit HUMAN RESOURCES Mailing Address: 535 NE 5 th Street McMinnville, Oregon 97128 p. 503-474-4901 f. 503-434-7553 www.co.yamhill.or.us EMPLOYMENT OPPORTUNITY Job #PH16-022 Registered Nurse II (Public Health

More information

IQCP January Is Coming Fast What Do I Do?!? Jean Ball Bold, MBA, MT(HHS), MLT(ASCP

IQCP January Is Coming Fast What Do I Do?!? Jean Ball Bold, MBA, MT(HHS), MLT(ASCP IQCP January Is Coming Fast What Do I Do?!? Jean Ball Bold, MBA, MT(HHS), MLT(ASCP December 3, 2015 Objectives Define what IQCP is Explain what the requirements are Learn the steps to formulate an IQCP

More information

Centers for Medicare and Medicaid Services (CMS) Survey and Certification Group (SCG) Mission:

Centers for Medicare and Medicaid Services (CMS) Survey and Certification Group (SCG) Mission: CLIA Presentation The Committee on the Return of Results of Individual- Specific Research Results Generated in Research Laboratories The National Academies of Sciences, Engineering, and Medicine July 19,

More information

What s New and Improved for the Laboratory Program in 2013 April 23, 2013

What s New and Improved for the Laboratory Program in 2013 April 23, 2013 What s New and Improved for the Laboratory Program in 2013 April 23, 2013 John Gibson MA, MT(ASCP), DLM Associate Director Standards Interpretation Group Stacy Olea MBA, MT(ASCP), FACHE Field Director

More information

POSITION DESCRIPTION

POSITION DESCRIPTION State of Michigan Civil Service Commission Capitol Commons Center, P.O. Box 30002 Lansing, MI 48909 Position Code 1. LABSCIA POSITIO DESCRIPTIO This position description serves as the official classification

More information

Laboratory Risk Assessment: IQCP and Beyond. Ron S. Quicho, MS Associate Project Director Standards and Survey Methods, Laboratory July 18, 2017

Laboratory Risk Assessment: IQCP and Beyond. Ron S. Quicho, MS Associate Project Director Standards and Survey Methods, Laboratory July 18, 2017 Laboratory Risk Assessment: IQCP and Beyond Ron S. Quicho, MS Associate Project Director Standards and Survey Methods, Laboratory July 18, 2017 Objectives Explain the importance of risk assessment in the

More information

CREDENTIALING Section 5

CREDENTIALING Section 5 Overview Credentialing is the process used by the Plan to evaluate the qualifications and credentials of providers, physicians, allied health professionals, hospitals and ancillary facilities/health care

More information

Document Number: QAQC.81.Proc Manual: Quality Assurance Quality Control. Version: 002 Publish Date: March 2013

Document Number: QAQC.81.Proc Manual: Quality Assurance Quality Control. Version: 002 Publish Date: March 2013 Document Number: QAQC.81.Proc Manual: Quality Assurance Quality Control Version: 002 Publish March 2013 Positive patient identification (ld) is the crucial first step to ensuring patient safety in the

More information

The Transfusion Medicine diplomate will respect the rights of the individual and family and must

The Transfusion Medicine diplomate will respect the rights of the individual and family and must Competency Portfolio for the Diploma in Transfusion Medicine Guide for AFC-Diploma Committees/Working Groups, Educators 2012 VERSION 1.0 This portfolio applies to those who begin training on or after July

More information

Community Behavioral Health. Manual for Review of Provider Personnel Files

Community Behavioral Health. Manual for Review of Provider Personnel Files Community Behavioral Health Manual for Review of Provider Personnel Files 2/21/2014 Version 1.2, rev. 4/24/2015 Introduction 2 Documentation Requirements 3 Mental Health Services Medical Director 5 Psychiatrist

More information

Laboratory Assessment Tool

Laboratory Assessment Tool WHO/HSE/GCR/LYO/2012.2 Laboratory Assessment Tool Annex 1: Laboratory Assessment Tool / System Questionnaire April 2012 World Health Organization 2012 All rights reserved. The designations employed and

More information