Impact of Laboratory Accreditation on patient outcome Dr. Rana Nabulsi PhD,MSc,CPHQ, SSGB Head of Quality-Pathology & Genetics Department Dubai Health Authority-UAE

Objectives Identify the role of laboratory accreditation in improving test quality and reducing errors. Discuss the impact of laboratory accreditation on improving operational effectiveness and customer satisfaction. Improve the perception of quality care and organization's reputation by accreditation.

Accurate and rapid diagnosis Role of Laboratory Medicine Accurate and rapid diagnosis

The need for ACCREDITATION Expectations are high, Responsibility, transparency, accountability, and escalating health care complexity and risk.

Accredited Laboratories Recognized for superior test reliability, operational performance, quality management, and competence.

TWO TYPES OF LABORATORY ACCREDIATIONS NATIONAL ACCREDIATION INTERNATIONAL ACCREDITAION

National Laboratory accreditation

requirements OF National lab accreditation Accrediting bodies (local or international) authorized to assess laboratories and certify their performance.

Local regulations Governments may demand that laboratories functioning below the accreditation standard be required to: Submit detailed improvement plans . Take timely action to demonstrate compliance. Continued failure leads to penalties. Service limitations. Prohibitions against further testing.

legislations/ lAWS for laboratories In the United States, the Clinical Laboratory Improvement Amendments (CLIA) provide an example of legislative action to regulate laboratories and improve the quality of testing services.

accreditation bodies

what special about ACCREDITATION Bodies? Accrediting bodies revise their standards over time so they are based on up-to-date research and accepted best practices.

International Accreditation Bodies College of American Pathologists (CAP) Joint Commission International (JCI) United Kingdom Accreditation Services (UKAS) Clinical Pathology Accreditation (CPA) National Association of Testing Authorities (NATA)

WHY ACCREDIATION IS NEEDED

ACCREDITATION IN LABORATORY MEDICINE Provides health care organizations with a well- defined vision for sustainable quality improvement initiatives . Improve Physician and patient involvement in quality improvement and health care accreditation.

CAN NOT UNDERSTAND

Benefits of lab accreditation Demonstrates credibility , commitment to quality and accountability .

Strengthens interdisciplinary team effectiveness LABORATORY ACCREDITATION & TEAMS Strengthens interdisciplinary team effectiveness

lab accreditation & proficiency testing Studies have clearly shown that participation in Proficiency Testing programs, leads to more accurate test results.

accreditation & Lab reputation Improves the organization’s reputation among end-users and enhances their awareness and perception of quality care .

laboratory Accreditation & Operations Improve operational effectiveness and advance positive health outcomes .

LABORATORY Accreditation & communication Improves communication and collaboration internally and with external stakeholders

LAB Accreditation AND COST Decreases liability costs; identifies areas for additional funding and provides a platform for negotiating this funding .

Sustains improvements in quality and organizational performance . LABORATORY ACCREDITATION & IMPROVEMENT Sustains improvements in quality and organizational performance .

LABORATORY ACCREDITATION & RESOURCES Supports the efficient and effective use of resources in health care services

Enables on-going self-analysis of performance in relation to standards LABORATORY ACCREDITATION & SELF ASSESSMENT Enables on-going self-analysis of performance in relation to standards

LABORATORY Accreditation & continuum OF care Enhances the organization’s understanding of the continuum of care

ACCREDITATION & JOB SATISFACTION Promotes capacity-building, professional development, and organizational learning

Promotes the use of ethical frameworks LABORATORY ACCREDITATION & ETHICS Promotes the use of ethical frameworks

LABORATORY ACCREDITATION &CONSISTENCEY Decreases variances in practice among health care providers and decision-makers .

LABORATORY ACCREDITAION & trust Accreditation promotes trust in laboratories and confidence among authorities, health care providers, and patients.

Leads to the improvement of internal practices . Laboratory Accreditation & Practice Leads to the improvement of internal practices .

lab accreditation & safety Increases health care organizations’ compliance with quality and safety standards

Lab ACCREDIATION &risk MANAGEMENT Accreditation can serve as a risk mitigation strategy.

laboratory ACCREDIATION & STAKEHOLDERS Provides key stakeholders with an unbiased, objective, and third-party review.

trust IN LABORATORY Accreditation promotes trust in laboratories and confidence among authorities, health care providers, and patients that laboratories.

Supply chain Improved supply chain requires improved forecasting skills and better inventory management and consumption-tracking systems.

RECENT TRENDS IN HEALTHCARE ACCREDITAIONS Unannounced Surveys Voluntary accreditation is being replaced by government-mandated models of health care accreditation.

laboratory NEEDS THE Cooperation OF: POINT OF CARE PHLEBOTOMISTS/Courier Quality/Safety IT /Lab Information System HUMAN RESOURCES BIOMEDICAL ENGINEERS

TAKE HOME MESSAGE

Laboratory Accreditation will improve the accuracy of lab testing, efficiency and patient outcome. laboratory accreditation on improving operational effectiveness and customer satisfaction.

References The Value and Impact of Health Care Accreditation: A Literature Review .Wendy Nicklin .March 2014. Impact of Laboratory Accreditation on Patient Care and the Health System Trevor F. Peter etal. Am J Clin Pathol 2010;134:550-555 The impact of regulations, accreditation standards, and ’healthcare reform‘ on laboratory practice in the United States P. BACHNER. Appl. Chem., Vol. 68, No. 10, pp. 1847-1849, 1996. Collage of American Pathologist (CAP) checklists 2014.

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