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Let s Go,! Applicable Standards and Improvement Efforts Pam Kostle a, Lorelei Kurimski a, Nancy Grove a, Kristine Rotzoll a, Marcia Valbracht a, Kathryn Wangsness b, Jeff Wasson a and Michael Wichman a APHL Annual Meeting Preconference Workshop June 1, 2014 a State Hygienic Laboratory, University of Iowa b Arizona Bureau of State Laboratory Services Outline Questions What standards apply to governmental testing laboratories? What types of laboratory work are included in these various standards? Which are not? What are the differences among the standards? How does tie in with LEI, CQI, and LEAN efforts? 1

Governmental Testing Labs Agriculture Laboratories Environmental Laboratories Feed Laboratories Food Laboratories Forensic Laboratories Occupational Health Laboratories Public Health Laboratories Others...... One Laboratory s Story State Hygienic Laboratory at the University of Iowa State Hygienic Laboratory Iowa s Environmental and Public Health Laboratory Established by the Iowa State Legislature in 1904 263.7 State hygienic laboratory investigations. The state hygienic laboratory shall be a permanent part of the state university of Iowa. It shall make or cause to be made microbiological and chemical examinations and other necessary investigations by both laboratory and field work in the determination of the causes of disease, shall suggest methods of overcoming and preventing the recurrence of the disease, and shall evaluate environmental effects and scientific needs, whenever requested to do so by any state agency, state institution, or local board of health when the investigation or evaluation is necessary in the interest of environmental quality and public health and for the purpose of preventing epidemics of disease. 2

State Hygienic Laboratory Three laboratories Ankeny Laboratory Lakeside Laboratory Milford Coralville Laboratory 2010 New Coralville Laboratory State Hygienic Laboratory Disease Control Division Prenatal, Maternal and Newborn Screening Program Environmental Health Division 3

State Hygienic Laboratory (SHL) In the beginning... The Safe Drinking Water Act (SDWA) EPA Region VII Certification Occupational Safety and Health Act (OSHA) American Industrial Hygiene Association (AIHA) Clinical Laboratory Improvement Act / Amendments (CLIA) SHL Drinking Water Certification National Primary Drinking Water Regulations 40 CFR Part 141 The Safe Drinking Water Act (SDWA) 1974 1986 and 1996 Amendments EPA Region VII Certification NELAP Accreditation Accepted by Region VII 4

Drinking Water Manual Guidance 40 CFR Part 141 SHL AIHA Accreditation AIHA's Lab Accreditation Program Celebrates 40 Years of Excellence AIHA Laboratory Accreditation Programs, LLC (AIHA-LAP, LLC) celebrates its 40th anniversary. AIHA initially began its laboratory accreditation program working with NIOSH in 1972. In July 1974, the AIHA Board of Directors announced the accreditation of 26 labs, fully launching the Industrial Hygiene Laboratory Accreditation Program (IHLAP). https://www.aiha.org/publications-and-resources/thesynergist/aihanews/pages/aiha's-lab-accreditation- Program-Celebrates-40-Years-of-Excellence.aspx 5

SHL AIHA Accreditation SHL accredited by AIHA for industrial hygiene testing with that first group of 26 laboratories 101048 State Hygienic Laboratory at the University of Iowa (Des Moines/Ankeny) 102530 State Hygienic Laboratory at the University of Iowa (Iowa City/Coralville) SHL AIHA Accreditation AIHA Laboratory Accreditation Programs, LLC Full member of the International Laboratory Accreditation Cooperation (ILAC) and a signatory of the ILAC Mutual Recognition Arrangement (MRA) International Organization for Standardization () Standard /IEC 17025:2005 Ankeny Industrial Hygiene (IHLAP) Environmental Lead (ELLAP) Coralville Laboratory Industrial Hygiene (IHLAP) http://www.aihaaccreditedlabs.org/2013policymodules/documents/revise dpolicymodules%20-%20clean%20version.pdf 6

SHL CLIA Certification Clinical Laboratory Improvement Act (CLIA) 1967 Regulated hospitals and independent laboratories CLIA 88 Amendments Congress passed CLIA in 1988 establishing quality standards for all clinical laboratory testing to ensure the accuracy, reliability and timeliness of patient test results Code of Federal Regulations - 42 CFR 493 SHL CLIA Certification Centers for Medicare & Medicaid Services (CMS) CLIA website www.cms.gov/clia SHL Registration, September 1992 SHL Compliance, September 1993 7

State Hygienic Laboratory (SHL) Since... the long and winding road EPA Contract Laboratory Program (CLP) State of Iowa (and other states) National Environmental Laboratory Accreditation Program (NELAP) CDC Laboratory Response Network (LRN) FDA Food Emergency Response Network (FERN) EPA Environmental Response Laboratory Network (ERLN) FDA /IEC 17025?... In process SHL Accreditations AIHA (The American Industrial Hygiene Association) CLIA (Clinical Laboratory Improvement Amendments) Ankeny and Coralville SDWA EPA (Safe Drinking Water Act Environmental Protection Agency) State of Iowa DNR (Department of Natural Resources) Coralville Ankeny and Lakeside NELAP (National Environmental Laboratory Accreditation Program) Ankeny, Coralville and Lakeside State of Nebraska Department of Environmental Protection Ankeny and Coralville State of New Hampshire Department of Environmental Protection Ankeny and Coralville Kansas Department of Health and Environment, Environmental Laboratory Accreditation Ankeny and Coralville 8

State of Iowa Environmental Laboratory Certification Iowa Department of Natural Resources Laboratory Certification 567 IAC 83 Drinking Water/Safe Drinking Water Act 567 Chapters 40, 41, 42, and 43 Clean Water Act (Wastewater) 567 Chapters 63, 67, and 69 Underground Storage Tanks 567 Chapter 135 Solid Waste 567 Chapters 100 through 130 Contaminated Sites 567 Chapters 133 and 137 SHL NELAP Accreditation The NELAC Institute (TNI) Laboratory Accreditation Standards 2009 Volume 1: Management and Technical Requirements for Laboratories Performing Environmental Analysis Field Activities Standards Volume 1: General Requirements for Field Sampling and Measurement Organizations Some of the TNI accreditation standards contain language from /IEC 17025 and 17011 9

EPA Policy Directive http://www.nelac-institute.org/docs/comm/nefap/competency-policyaaia.pdf SHL Testing Iowa/NELAP Environmental Testing Drinking water, Non potable water and Solids and Chemicals Ankeny Inorganic Chemicals*, Physical Properties*, Microbiology and Whole Effluent Toxicity Coralville Inorganic and Organic* Chemicals, Physical Properties, Microbiology and Radio Chemicals Lakeside Inorganic Chemicals, Physical Properties and Microbiology *Testing for Solids and Chemicals 10

Standard Differences Ms. Wangsness Crosswalk Chart* Standards Compared 17025:2005 AIHA 2010 15189:2007 TNI 2009 EPA Drinking Water Manual CLIA 1988 9 CFR 318 and 381 40 CFR 140 (SDWA) *Project was supported by the APHL Innovations in Quality Public Health Laboratory Practice Grant and Cooperative Agreement Number #U60/CD303019 from Centers for Disease Control and Prevention (CDC). Differences 17025 15189 EPA DW CLIA 1988 AIHA 2010 TNI 2009 40 CFR 141 Scope References Terms and Definitions Management System Document Control Contracts Subcontracting Purchasing Customer Service Complaints 11

Differences 17025 15189 EPA DW CLIA 1988 AIHA 2010 TNI 2009 Complaints 40 CFR 141 Non Conformities Laboratory Improvement Corrective Actions Preventive Actions Control of Records Internal Audits Management Reviews Differences 17025 15189 EPA DW CLIA 1988 AIHA 2010 TNI 2009 Technical Requirements Personnel 40 CFR 141 Facilities Methods and Method Validation Equipment Traceability Sampling Handling of Test and Calibration Items 12

Differences 17025 15189 EPA DW CLIA 1988 AIHA 2010 TNI 2009 40 CFR 141 Assurances Reporting Results Safety Integrity and Ethics Note: New AIHA Checklist Effective May 13, 2014 not included in these tables the long and winding road continues new 15189:2012 LEI, CQI and LEAN and A story for another day... LEI or Laboratory Sustainability accreditation / certifications must be considered particularly in relation to specific state requirements CQI/LEAN many laboratory processes evaluated, improvements identified and implemented to meet specifications of the various standards http://www.nist.gov/baldrige/publications/upload/issue_sheet_ss.pdf 13

SHL Why GO? Occupational Health Program Accredited to 17025 Standard Environmental Lead Program Accredited to 17025 Standard NELAP aligned with 17025 FDA Processed Food Program Requirement Quality System will improve services and products provided to clients Diversify testing services Questions? Thank you! Michael D. Wichman Associate Director Environmental Health Programs State Hygienic Laboratory Telephone: 319 335 4479 Email: michael wichman@uiowa.edu 14