CAP -State Pathology Society Leadership ConferenceJune 29, 2007

Lab Critical Control PointsLab Critical Control Points

How satisfied are your physicians/nursing with your services?

Are the values you produce consistent with the clinical picture?

Does your TAT meet patient care needs?

Is your off-site lab work timely and accurately?

Laboratory errors affect patient care and need investigation. Are you failing PT? Is the equipment functioning

properly? Maybe the tech wasn’t

completely trained? Laboratories need to increase

patient outcomes orientation.

Quality Monitoring Systems Quality Monitoring Systems GoalsGoals

Your laboratory ensures quality by:– External Quality Assurance– Continuous Education– Monitoring Quality Management Systems– Assuring Laboratorian Competency– Accreditation

Mission StatementMission Statement

The mission of the College of American Pathologists, the principal organization of board-certified pathologists, is to represent the interests of patients, the public, and pathologists by fostering excellence in the practice of pathology and laboratory medicine.

CAP - Committed to ExcellenceCAP - Committed to Excellence

Surveys and Anatomic Pathology Education– Confidence in test results

Quality Management Tools– Improve patient safety

Laboratory Accreditation– The foundation of your quality practices

Education– The foundation of CAP Programs

CAP - CAP - TheThe Industry Leader Industry Leader

The CAP is the only provider of ALL components of quality management– Complete quality systems – Standard setting – Expert knowledge source– Comprehensive and integrated programs

The CAP is your comprehensive single source for quality laboratory medicine and excellence in patient care.

Higher quality lab results =Higher quality lab results =improved patient careimproved patient care

Research showed a 50% response rate when Her2 positive breast cancer was treated with Herceptin.

However, Her2 was running at a 25% false positive rate and the drug is highly cardiotoxic.

O CAP partnered with ASCO to write HER2 clinical practice guidelines for the improvement of Her2 accuracy and offers Her2 test challenges for your laboratory.

CAP CAP SURVEYS PROGRAMSURVEYS PROGRAM

Most innovative and comprehensive program world wide

Use human based, disease state materials Invaluable inter-laboratory comparison data Designed by laboratorians Materials designed to mimic patient samples Integrate educational information

CAPCAP SURVEYS Program SURVEYS Program

530 unique modules Routine testing

- Chemistry, Hematology, Coagulation, Microbiology, Transfusion Medicine

Specialty testing– Genetics, Histocompatibility, Flow Cytometry,

Molecular pathology

CAPCAP Surveys Program Surveys Program

PROGRAM BENEFITS – Largest analyte menu (over 700 analytes offered)– Multiple configurations available, along with multiple

shipping schedules (Surveys/EXCEL)– Invaluable data; robust statistics; largest peer groups– Integrated Education challenges at no additional charge– On line data submission and performance reports via e-

LAB Solutions™– Examines medically significant analyte range.

Anatomic Pathology ProgramsAnatomic Pathology Programs

Surgical Pathology– Glass slide and On- line cases

Predictive Markers Cytopathology

– Gynecological and Non- gynecological Specialty Anatomic Pathology

– Neuropathology and Autopsy Molecular Pathology HER2 Immunohistochemistry and FISH testing Pharmacogenetics

Anatomical Pathology Program Anatomical Pathology Program

Online (Virtual) Slide Technology– Standardized slides for peer comparison– Surgical Path and Cytology Case Review

On line Course Content – Case Histories and immediate feedback

Convenient and practical learning opportunities

Virtual Slide ProgramVirtual Slide Program

CAP Survey BenefitsCAP Survey Benefits

630 expert pathologists and laboratory professionals representing your interests on the technical resource committees.

CAP QUALITYCAP QUALITYMANAGEMENT TOOLSMANAGEMENT TOOLS

Designed to improve patient safety 20 years of program experience Short Term and Longitudinal Monitoring Programs for Key Laboratory

Processes– Critical Value Reporting – Patient Identification– Blood Culture Contamination

Statistics show labs length of enrollment in studies corresponds with degree of improvement.

CAP Quality Management CAP Quality Management ToolsTools

CAP EDUCATION PROGRAMSCAP EDUCATION PROGRAMS

Education is the foundation of all CAP programs

– Integrated into all programs Survey products include participant summary

reports and critiques with valuable committee discussions and education

– Provided via multiple mediums Via on-line courses, audio conferences and printed

materials.

CAP CAP COMPETENCY ASSESSMENT COMPETENCY ASSESSMENT

ProgramProgram Customized training Instrument –specific observation checklists Course building and modifying tools Extensive management tracking and reporting All in one on-line program Benefit – Highly trained and effective

laboratory staff

CAP CAP CCOMPETENCY OMPETENCY AASSESSMENT SSESSMENT

PProgramrogram

Introduced in 2007 200 laboratories enrolled Multidisciplinary program content New modules in every discipline every 6 months Ongoing opportunities for staff education and

competency

CAP EDUCATION CAP EDUCATION BENEFITSBENEFITS

Continuous opportunities to elevate your skills

Provides opportunities to learn of new disease states and emerging technologies

Designed to continuously improve patient outcomes

CAP LABORTATORY CAP LABORTATORY ACCREDITATION PROGRAMACCREDITATION PROGRAM

Utilizes practicing laboratory professionsPeer review program lead by pathologists Serves laboratories of all sizes and

complexities

LABORATORY LABORATORY ACCREDITATION PROGRAMACCREDITATION PROGRAM

PARTICIPANTSPARTICIPANTS 7,000 laboratories in 36 countries 83% of top 100 hospitals in the U.S. The majority of major teaching and large

community hospitals choose the CAP to achieve the highest level of distinction.

ISO AccreditationISO Accreditation

New for 2008Based on the ISO standard 15189Distinct from CAP Lab Accreditation

ProgramMeets international customer needs Unique Global Recognition

COLLEGE OF AMERICAN COLLEGE OF AMERICAN PATHOLOGISTSPATHOLOGISTS

Committed to Excellence Committed to providing programs designed to

help YOU ensure:– Excellent patient care– Effective laboratory management

Your commitment to excellence Your commitment to excellence includes a dedication to high-includes a dedication to high-

quality and cost-effective patient quality and cost-effective patient care.care.

We too are committed to We too are committed to excellence, and believe this is excellence, and believe this is

one reason that 23,000 one reason that 23,000 subscribers in 85 subscribers in 85 countriescountries rely rely on Programs from the College of on Programs from the College of

American Pathologists.American Pathologists.

THANK YOU!THANK YOU!