chantell hodgson scheme manager uk neqas cpt 2013 participant meeting quality through learning...
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Chantell HodgsonScheme Manager
UK NEQAS CPT 2013 PARTICIPANT MEETINGQUALITY THROUGH LEARNING Cellular Pathology EQA:
Past, Present and Future Tuesday 29th October 2013
UKNEQAS CPTA System of Learning
Committed to providing a Cellular Pathology Techniques EQA service of the highest quality
Why and what is External Quality Assessment ?
Effective Quality Assurance (QA) programme requires a
combination of;
Internal Quality Control (IQC)
the everyday analytical process
External Quality Assessment (EQA)
programmes
where overall accuracy and comparability of results
between centres may be determined
Scheme of Excellence
or Excellent Scheme
Scheme of Excellence
or Excellent Scheme
Scheme staff
Scheme assessors
Scheme Provision
• Assessment
• Performance
• Sustainability
• Education
• Quality Product
• Quality Service
• Working together
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Unbiased, impartial, fair, reasonable, even handed
Efficient avoid waste including ideas and energy
Teamwork
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Unbiased, impartial, fair, reasonable, even handed
Efficient avoid waste including ideas and energy
Teamwork
User Survey 2013
• 190 returns from 400 users• Online survey• Organised by Scheme Manager• January distribution• Closed March
• Tick = No worries• • Cross = Concerned
“I am not going to answer this because you cannot be bothered
to check your spelling”
“I have been forced to answer this question to submit the survey, please disregard this answer,
it is the survey that is unsatisfactory”
Scheme contact
Members area
Assessment and performance
• They could be returned more promptly• Slides are late being returned
• It would be useful if the assessed slides were returned to coincide with the publication of the results so they can be reviewed by the consultant histopathologist as soon as possible
• Not enough time to return stained slides• Longer turnaround time as often receive week
before submission
Turnaround times
Scheme schedule
Scheme contact
Scheme role
• At present we are too short of staff and time
• No funding available for travel and fees associated with workshops
• Pushing for the appropriate members' of staff to be allowed to attend
• Looking to send 2 people in the Autumn• Already sent 2 staff
• As a past assessor and highly experienced BMS the workshops do not add any further information
• I believe my knowledge is above average therefore is not applicable
• Too far to travel as all in the North!• Probably only if they were in London
• CPT educational courses for each module• A basic course / workshop for our trainee to
give him a better understanding• I work in a very small lab and any workshop
would be useful• Continual refresher courses
• More specialist staining workshops to go alongside the Specialist Portfolio
• How stains are used in pathology diagnosis
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Unbiased, impartial, fair, reasonable, even handed
Efficient avoid waste including ideas and energy
Teamwork
EffectiveEnhanced Feedback
EffectiveRegular Meetings
EffectiveEducation
EffectiveEducation
Effective the next step…Website e-learning?
• On line quiz
• How to score slides and how to improve stains
• Common pitfalls with common stains
• Optimising staining techniques
• Staining and processing trouble shooting
• Microtomy improvement techniques
Assessment and performance
• More up to date images good and bad, and details of best methods
• Question and answer section for staining issues
• Feedback about most commonly occurring reasons for marks to be deducted and advice about how they could be improved
• Handy to have reminders about submission dates
• Often lower scores are given no indication of why
• H&E feedback on strength i.e. too strong / too weak rather than intensity
• Preferred scoring out of 10
• See previous?!
Scheme role
Scoring• Generally staff feel the scheme gave a better
feedback when the mark was out of 10 rather than 5
• Scoring out of 5 rather than 10 is sometimes misrepresenting the quality of our work
• Please, please, please reconsider the score out of 5, it is not as specific as the scores out of 10!
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Unbiased, impartial, fair, reasonable, even handed
Efficient avoid waste including ideas and energy
Teamwork
EquitableGallery
Equitable Best methods
Equitable Comments…• Would like all laboratory staff to be able to view
best practices and view slides
• Data on stains, automation and best methods• Details of stains suppliers with best methods
• Pictures of good stains, suggested stain protocols, troubleshooting ideas and forum for help with stain problems
• Best methods and troubleshooting. Also maybe open a forum for questions
Equitable Improved feedback
Equitable
Improved scoring system
Participant Performance
Comments…
• Analyse own departments performance over time against a specific stain in a tabular format, i.e. could view all the recent PAS stain scores
• Good and poor scoring staining to see what contrast of work is being submitted
• Summary of anonymised participant scores to allow us to rank our own performance
Equitable
Route cause analysis for poor performers
Participant profiles
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Efficient
avoid waste including ideas and energy
Teamwork
Efficient
Modernization
Service improvement
Advancing technology
Changing and developing workforce
Efficient Digital imaging
Efficient Digital imaging
Image availability
Multiple viewing
Continual assessment
Teaching and training
Efficient Digital imaging
No lost images
Instant Reports
Availability
Less time wasted
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Efficient
avoid waste including ideas and energy
Teamwork
TeamworkFeedback
• Ability to send range of slides for assessment when trying to improve poor results
• Excellent feedback from the Scheme. Slides are sent out in a prompt manner
• When I phoned up the CPT staff were very helpful and kind
• Thanks for all your hard work
TeamworkFeedback – Wham bam!
“I have recently taken over the special stains section of my laboratory. There is a lot of work involved to
update and improve the service we currently provide.
I attended the CPT workshop last year, and met the Scheme Manager. I explained my situation and she
could have not been anymore supportive.
I really feel confident that I am fully supported by the UK NEQAS CPT scheme.
For that I, and on behalf of my department, we are very grateful”
Scheme Aims
Fit for purpose“ensure that the scheme provides a service that
meets the agreed needs and requirements of the participants”
Effective provide processes and achieve outcomes to support
the scheme and its participants
Equitable Efficient
avoid waste including ideas and energy
Teamwork
Scheme of Excellence
that is an
Excellent Scheme
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