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

2. 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.

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

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

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

6. TWO TYPES OF LABORATORY ACCREDIATIONS
NATIONAL ACCREDIATION
INTERNATIONAL ACCREDITAION

7. National Laboratory accreditation

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

9. 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.

10. 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.

11. accreditation bodies

12. 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.

13. 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)

14. WHY ACCREDIATION IS NEEDED

15. 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.

16. CAN NOT UNDERSTAND

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

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

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

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

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

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

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

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

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

26. 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

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

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

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

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

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

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

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

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

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

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

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

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

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

40. TAKE HOME MESSAGE

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

42. 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:
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 , 1996.
Collage of American Pathologist (CAP) checklists 2014.

43. Any Question