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Welcome to ANSI s World Accreditation Day Webinar PLEASE NOTE: Everyone is MUTED; please send questions via Questions option Presenter Name Title Q&A follows the presentations

Thanks for Your Participation Lane Hallenbeck, ANSI VP Accreditation Services is your host today All webinar participants are muted If you are participating via laptop, you may need to adjust the sound on your computer If you hear an echo, please hang up and dial in again If the webinar slides do not display, please check that you have installed the software correctly you may need to reinstall ANSI World Accreditation Day 2015 Webinar Slide 2

Webinar Protocol Questions Will be answered as time allows at the end of the presentation Use the Q&A option and type a brief question All other questions may be sent to kcalder@ansi.org If anyone has a problem during the webinar, please send an email to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 3

The ANSI Federation represents more than 125,000 companies and organizations and 3.5 million professionals worldwide. Members of the ANSI Federation include... Academia Individuals Government Manufacturing Trade Associations Professional Societies Service Organizations Standards Developers Consumer and Labor Interests and many more ANSI World Accreditation Day 2015 Webinar Slide 4

ANSI World Accreditation Day 2015 Webinar Slide 5

ANSI Collaboratives and Workshops 1994 Information Infrastructure Standards Panel 2003 Homeland Defense and Security Standardization Collaborative 2004 Nanotechnology Standards Panel 2005 Healthcare Information Technology Standards Panel 2006 ID Theft Prevention and ID Management Standards Panel 2007 Biofuels Standards Coordination Panel 2007 ANSI Network on Chemical Regulation 2009 Workshop Toward Product Standards for Sustainability 2009 ANSI-NIST Nuclear Energy Standards Coordination Collaborative 2010 The Financial Management of Cyber Risk 2011 ANSI Electric Vehicles Standards Panel 2012 ANSI Energy Efficiency Standards Coordination Collaborative 2013 ANSI Network on Smart and Sustainable Cities Slide 6

Panelist: Kathy Abusow President and CEO Sustainable Forestry Initiative More Than a Standard Presenter Name Title

Sustainable Forestry Initiative GOVERNANCE: SFI BOARD OF DIRECTORS The Board has three chambers, representing environmental, social and economic sectors equally. At every point in the supply chain, SFI has a relevant standard to support responsible forestry: SFI 2015-2019 Forest Management Standard SFI 2015-2019 Fiber Sourcing Standard SFI 2015-2019 Chain-of-Custody Standard ANSI World Accreditation Day 2015 Webinar Slide 8

SFI Depends On Accreditation Bodies SFI relies on the International Accreditation Forum structure and processes Great value to SFI through independent oversight of certification bodies and audits Assurance of a credible audit and independent mechanism to handle complaints ANSI World Accreditation Day 2015 Webinar Slide 9

Independent Certification Bodies ACCREDITED CERTIFICATION BODIES DELIVERING AUDITS TO SFI STANDARDS Independent verification of conformance Credibility with stakeholders Transparency of audits disclosed in public summaries. Slide 10

Panelist: Scott Colburn Director, CDRH Standards Program U.S. Food and Drug Administration Presenter Name Title

12 Standards at USFDA/CDRH Center for Devices and Radiological Health Food & Drug Administration Modernization Act Enacted in 1997 Requires the recognition of standards to help expedite premarket review Requires allowance for a declaration of conformity to standards 21 USC Section 514(c) Recognition of standard (1)(A) by publication in the FR, recognize all or part of an appropriate standard established by a nationally or internationally recognized standard development organization for which a person may submit a declaration of conformity in order to meet a premarket requirement or other applicable requirement under this chapter to which such standard is applicable ANSI World Accreditation Day 2015 Webinar Slide 12

13 Declaration of Conformity What does it mean? Conformance Equivalence Conformance Clearance Conformance Approval ANSI World Accreditation Day 2015 Webinar Slide 13

14 Recognition of Standards Since FDAMA, CDRH is currently recognizing ~ 1200 medical device related voluntary consensus standards. CDRH is currently, participating in ~600 individual national and international standards committees/working groups. ANSI World Accreditation Day 2015 Webinar Slide 14

Why Standards (besides the U.S. law)? 15 Improve time to market for safe and effective medical devices and other health care products Facilitates product design and performance Continually raises the bar on safety and effectiveness Facilitates communication between regulators and industry Serves as education for FDA scientists FDA/CDRH believes that conformance with recognized consensus standards can support a reasonable assurance of safety and/or effectiveness for many applicable aspects of medical devices. Therefore, information submitted on conformance with such standards should have a direct bearing on safety and effectiveness determinations made. ANSI World Accreditation Day 2015 Webinar Slide 15

Panelist: Dale R. Cyr CEO American Registry for Diagnostic Medical Sonography Improving Global Health Using Medical Ultrasound Presenter Name Title

ARDMS Globally recognized in ultrasound certification; Founded in 1975; 90,000 Active Registrants/Certificants; sonographers; physicians; Testing in 28 countries; All test development and psychometrics are in-house; 2005: ANSI-ISO 17024 accreditation. ANSI World Accreditation Day 2015 Webinar Slide 17

Global Health and Ultrasound Experts Point-Of-Care ANSI World Accreditation Day 2015 Webinar Slide 18

Global Health and the ISO 17024 Standard Assures patients in any healthcare environment and practice that providers have obtained valid and reliable (meaningful) certification(s); Demonstrating proficiency in the use of ultrasound in many clinical settings; Improves effectiveness of ultrasound diagnoses and efficiencies in clinical care; The ISO 17024 accreditation standard allows organisations to provide quality-based policies and procedures for consistency and scalability. ANSI World Accreditation Day 2015 Webinar Slide 19

Panelist: Joe Lewelling Vice President Standards Development & Emerging Technologies Association for the Advancement of Medical Instrumentation Presenter Name Title

7,000+ members Professional society 7,000+ members Those interested in health technology Not a trade association/no advocacy! Industry, technology professionals, engineers, clinicians, academics, researchers, consultants, regulators, HDOs, companies Accredited ANSI Standards Developer AAMI Credentials Institute ~130 U.S. committees Twelve ISO or IEC Secretariats/21 TAGs 2000+ participants Seeking ANSI accreditation Certifies HTMs and industry professionals (Future) Accredit supporting education programs ANSI World Accreditation Day 2015 Webinar Slide 21

Slide 22

AAMI Members Accredited by accreditation agencies (Joint Commission, HFAP, DNV) Accreditation required by CMS for reimbursement under Medicare/Medicaid Certify compliance with standards Self-certification or by third parties Certification of compliance sometimes required by regulation Healthcare providers Medical device manufacturers ANSI World Accreditation Day 2015 Webinar Slide 23

Benefits of accreditation Integrity Assurance of Competence Public, Patients, Regulators, Professionals Safety & Efficacy Reduction of Risk ANSI World Accreditation Day 2015 Webinar Slide 24

Panelist: Alicia Morton Director Office of the National Coordinator, Health Information Technology U.S. Department of Health and Human Service Presenter Name Title

About ONC The Office of the National Coordinator for Health Information Technology (ONC) is: at the forefront of the nation s efforts to modernize healthcare. is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care. Coordinator, Convener & Enabler ANSI World Accreditation Day 2015 Webinar Slide 26

ONC s History M I L E S T O N E S 2004 2005 2009 2010 2012 ANSI World Accreditation Day 2015 Webinar Slide 27

ONC Health IT Certification Program Structure/Process ONC Scheme Owner approves ISO/IEC 17025 NIST NVLAP National Voluntary Laboratory Accreditation Program accredits ISO/IEC 17011 ONC-AA Approved Accreditor accredits authorizes NIST 150 NIST 150 31 Developer Authorized Authorized Testing Testing Body* ATL Body* Accredited Testing Laboratory performs testing against criteria ACB ACB Authorized ONC-ACB Authorized Certification ONC-Authorized Certification Body* Body* Certification Body certifies tested products ISO/IEC 17065 ONC reviews and posts certified product to CHPL Product successfully passes testing Product successfully achieves certification 28 ANSI World Accreditation Day 2015 Webinar Slide 28

Panelist: Sharon Stanford Director, Standards Administration American Dental Association Presenter Name Title

American Dental Association ANSI Accredited Standards Developing Organization The standards program supports the ANSI accredited development of voluntary consensus standards for safe and effective dental products Standards help members integrate with confidence current/emerging technologies used in dental practice Levels the playing field in choosing the right products for patients and ultimately lowers costs Facilitates interoperability necessary in today s healthcare environment to support data portability across healthcare in the delivery of patient care in complex multidisciplinary cases ANSI World Accreditation Day 2015 Webinar Slide 30

Why Do We Support ANSI Accreditation? Assurance that Standards accurately represent the prevailing science and technology in the field Standards provide appropriate requirements for safety and effectiveness facilitating the improvement and quality of oral health and the safety of dental care Partnerships and Collaboration Provide wide stakeholder participation that improves information flow between manufacturers, the dental profession, academics and government regulators Helps breaks down trade barriers thus making a wider range of products available to more people ANSI World Accreditation Day 2015 Webinar Slide 31

Why Do We Support ANSI Accreditation? Supply Chain Accountability Illegal products pose a real risk to patients as the counterfeit materials may not meet US safety standards By certifying to accredited standards, conformity assessment/regulatory bodies can be confident that those products meet the appropriate requirements necessary to ensure the integrity of today s healthcare system Standards facilitate the availability of authentic materials and devices that meet important clinical requirements, stimulate development of improved products, and help ensure successful clinical outcomes ANSI World Accreditation Day 2015 Webinar Slide 32

Panelist: Patricia Tanabe Executive Director American Society for Clinical Pathology Board of Certification Presenter Name Title

BOC Staff Pat Tanabe, MPA, MLS(ASCP) CM Executive Director ANSI World Accreditation Day 2015 Webinar Slide 34

2014-2015 Board of Governors 13 Examination Committees & 5 Qualification Work Groups ANSI World Accreditation Day 2015 Webinar Slide 35

ANSI World Accreditation Day 2015 Webinar Slide 36

How does the accreditation support the delivery of health and social care? Panelists: Kathy Abusow - Sustainable Forestry Initiative Scott Colburn - US FDA Dale Cyr - American Registry for Diagnostic Medical Sonography Joe Lewelling -Association for the Advancement of Medical Instrumentation Alicia Morton Office of the National Coordinator, Health Information Technology Sharon Stanford American Dental Association Patricia Tanabe American Society for Clinical Pathology Questions? Use the Q&A option and type a brief description All other questions may be sent to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 37

What are the benefits of accreditation? Panelists: Kathy Abusow - Sustainable Forestry Initiative Scott Colburn - US FDA Dale Cyr - American Registry for Diagnostic Medical Sonography Joe Lewelling -Association for the Advancement of Medical Instrumentation Alicia Morton Office of the National Coordinator, Health Information Technology Sharon Stanford American Dental Association Patricia Tanabe American Society for Clinical Pathology Questions? Use the Q&A option and type a brief description All other questions may be sent to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 38

International aspects of accreditation Panelists: Kathy Abusow - Sustainable Forestry Initiative Scott Colburn - US FDA Dale Cyr - American Registry for Diagnostic Medical Sonography Joe Lewelling -Association for the Advancement of Medical Instrumentation Alicia Morton Office of the National Coordinator, Health Information Technology Sharon Stanford American Dental Association Patricia Tanabe American Society for Clinical Pathology Questions? Use the Q&A option and type a brief description All other questions may be sent to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 39

Trends and growth opportunities Panelists: Kathy Abusow - Sustainable Forestry Initiative Scott Colburn - US FDA Dale Cyr - American Registry for Diagnostic Medical Sonography Joe Lewelling -Association for the Advancement of Medical Instrumentation Alicia Morton Office of the National Coordinator, Health Information Technology Sharon Stanford American Dental Association Patricia Tanabe American Society for Clinical Pathology Questions? Use the Q&A option and type a brief description All other questions may be sent to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 40

QUESTIONS? Use the Q&A option and type a brief description All other questions may be sent to kcalder@ansi.org ANSI World Accreditation Day 2015 Webinar Slide 41

For More Information: www.ansi.org/accreditation American National Standards Institute Lane Hallenbeck Vice President, Accreditation Services lhallenb@ansi.org Katie Calder Director, Accreditation Services kcalder@ansi.org ANSI Headquarters 1899 L Street, NW 11th Floor Washington, DC 20036 T: 202.293.8020 F: 202.293.9287