1. Are they ready yet?

2.  Quality Management Plan for Surgical Pathology and NonGynecologic Cytopathology  Quality Management Plan for Autopsy Pathology  Attachments A-L

3. You must be kidding.

4.  Read the Quality Management Plan for Surgical Pathology and NonGynecologic Cytopathology  Read the Quality Management Plan for Autopsy Pathology  Read Attachment E and Attachment L

5.  Botttom line information regarding your daily contribution to collecting data

6.  Procedure for creating “QA-Slide Quality” Retrieval Flag in CoPath  Specimen  Case #  Final Dx Entry/Edit  Staff  Retrieval Flag  From dropdown, select, “QA-Slide Quality”  Enter comment (e.g., “too thick”, “mislabeled”, etc)  OK  Save/Next Specimen  No action and “Yes”

7.  Weekly report of problems in Histology quality will be generated, sent to Medical Director of Histology, AP Manager, Histology Manager  Real time documentation of problems in Histology quality  Obviates the need to complete a Histology evaluation every day  Satisfies CAP Checklist requirement for feedback to Histology Laboratory

8.  Medical Directors  Pathologists in charge of Anatomic Pathology Quality Management  Pathologists who oversee Histology and Clerical Staff

9.  Templates for monitor reporting  List of cases requiring second pathologist review  Frozen section TAT data collection form  List of monitors to be performed, frequency of reporting, type of monitor (QM vs Peer Review)  List of CoPath reports, frequency, recipient  Responsibility of Clerical Assistant at each site for cases sent to extradepartmental pathologist  Resonsibility of Histology personnel at each site for Specimen Discrepancy and Lost Specimen info

10.  Incorporation of all feedback received  Extraneous monitoring removed  CAP checklist items referenced in text of plans  Modification of OFI’s

11. How did we fix them?

12. Have fun!

13. Remember her name

14.  List of specimens that the HOSPITAL may choose to exclude from routine submission to Pathology  Details of qualifications, supervision, and evalutions of PA’s  Policy about ESO-who signs your reports if you aren’t there to do it.  Everything relating to ER/PR and Her2