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A ssociation of the US Affiliated Pacific Island Laboratories (AUL) AUL Accomplishment 2009-2013

A ssociation of the US Affiliated Pacific Island Laboratories (AUL) AUL Accomplishment 2009-2013. Kasian Otoko 4 th PIHOA/Lab Net Meeting Guam Marriot August 31 st, 2013.

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A ssociation of the US Affiliated Pacific Island Laboratories (AUL) AUL Accomplishment 2009-2013

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  1. Association of the US Affiliated Pacific Island Laboratories (AUL)AUL Accomplishment 2009-2013 KasianOtoko 4th PIHOA/Lab Net Meeting Guam Marriot August 31st, 2013

  2. 3RD PIHOA/LAB NET MEETING-MARCH 2011oEstablish AUL By-Lawso AUL adopt the WHO Pacific Regional Lab Guidelines (once formalized)o Implement LQMS is strengthen compliance or adhere to guidelines (Procuring & Inventory, Documents & Records and Equipment)o Core essential lab tests to be available all thetime to support NCD-related activities in ownjurisdiction including Urinalysis, Lipid profile, EUC, Glucose, CBC & Pre-transfusion testing)

  3. 3RD PIHOA/LAB NET MEETING – MARCH 2011o Build local capacities to address issues concerning diseases (Influenza, HBsAg, HIV, Syphilis, HCV & blood culture)o The Diploma in Medical Laboratory Science by the PPTC will be the minimum qualifications for Lab Technicians in the USAPI.. New hires to enroll within 6 months & must complete diploma within 2 years of employment. Lab Techs on the workforce to be encouraged..not compulsoryo Establish lab-based surveillance of at least 2-3 common NCDs in the USAPI to lay the ground works, planning, implementation and monitoring effectiveness of our efforts (HbA1c, Lipid panel, PAP Smear)

  4. 3RD PIHOA/LAB NET MEETING MARCH 2011oIdentified funding sources (WHO fellowship, AUSAID, JICA) to support lab techs in attending laboratory training courses, i.e. PPTC onsite training, attachment courses at FNU, etc.o Need commitment & total support from the Ministry of Health, Hospital Directors/Administrators to implement a Quality System in the lab.o Designate one Lab staff as QA Officer to adopt QA/QI program to assure new standards are met

  5. 3RD PIHOA/LAB NET MEETING MARCH 2011o To address the issue concerning PAP screening in the USAPI . Consider contracting reference lab to do PAP screening. Cost benefit analysis with in-house testing versus referral lab testing. One out of ten jurisdictions performs PAP in-house o Still need to send all positives to reference laboratory. If lab should do in-house PAP screening o Must consider Internal Quality Controls o Must maintain satisfactory performance in external proficiency testing o Must consider the number of tests to maintain proficiency o Shipping cytology stains via ocean freight

  6. AUL CONTACT EMAIL / LISTSERVo List serve address was created for the USAPI Lab Managers: labmanagers@pihoa.orgo Email Address was created: aul@pihoa.orgo Sign into PIHOA services at http://www.google.com/a/pihoa.org

  7. LAB OPEN DAY EVENTSO The year long series of events was designed to create awareness and promote the medical laboratory science profession amongst High School students.O The impact was remarkable because the general public, communities including state leaders & policy makers were also informed and educated about the importance of a Medical Laboratory Technician’s role in the health care system.o They recognize the need & importance of a qualified laboratory workforce in the USAPI.o Hopefully this type of awareness will translate into legislation & financial support for the laboratory.

  8. LAB OPEN DAY EVENTSO Expected outcome is to increase the number of high school students from each jurisdictions enroll & successfully complete the medical lab science program at any of the institutions supported by AUSAID Scholarship or WHO fellowship in the near future.

  9. SUCCESSFUL LAB OPEN DAY EVENTSOEbeye, RMI April 17th, 2012o Palau April 27th, 2012o Kosrae, FSM May 4th, 2012o Chuuk, FSM August 18th, 2012o Yap, FSM September 27th , 2012o Pohnpei, FSM October 18th, 2012o American Samoa October 27th, 2012o Guam November 30th, 2012o FSM-wide December 6th, 2012o USAPI-wide February 8th, 2012

  10. AWARDED DIPLOMA IN MEDICAL LABORATORY SCIENCE SINCE 2009o 2009 to present – seventeen (17) lab technicians in the USAPI countries have been awarded the diploma in medical lab technology programo 28 participants accepted in the 2013 cycle. . 7 are WHO sponsored for the full course (1 Majuro, 4 A. Samoa, 2 Pohnpei) . 21 are PPTC sponsored for the 1st course only (Medical Laboratory Technology) – 7 Majuro, 13 A. Samoa, 1 Pohnpei.o PPTC Medical Lab Science course has undergone accreditation process by FNU but they have yet to formalize everything.

  11. USAPI MINIMUM REQUIRED NCD LAB TESTS – NOT YET FINALIZEDo Test list is based on the top 4 NCDs & major causes of deaths in the USAPI (Diabetes, CVD, CRD & Cancer)o Diabetes. Blood glucose. HbAic. Urine microalbumin. Urinalysis. BUN/Creatinine. Sodium/Potassium. H&H

  12. USAPI MINIMUM REQUIRED NCD LAB TESTSo Cardiovascular Diseases. CKMB. Troponin I. Lipid Profile (Total Cholesterol, HDL & LDL Cholesterol & Triglyceride)o Chronic Respiratory Diseases. Gram Stain. Culture & antibiotic susceptibility testingo Cancer. PAP smear. Occult blood. PSA/AFP. LFT

  13. USAPI MINIMUM REQUIRED NCD LAB TESTSo Most labs have done their minimum NCD lab tests inventory except for 3 labs (LBJ, Tafuna Health Center & CNMI lab)o We have to consider other Associations’ needs of lab tests to support their own NCD – related objectives.o July 18th, 2013 – PBHCC suggested the DOA 5 – Test Panel to provide lab-based statistics to show the prevalence of use of abusive drugs in the region, ethanol level and LFT as an indication of alcohol abuse.

  14. CDC/APHL/PIHOA PROJECT RE: INFECTIOUS DISEASE CONTROL IN USAPIo 1st part completed involving a short assessment survey about our Lab Quality Management System.o 2nd part in progress – web-based inventory of infectious diseases testing capacity, infrastructure and personnel information.

  15. THE CURRENT AUL MEMBERS AREo American Samoa. Tafuna Health Center Laboratory. LBJ Tropical Medical Center Laboratoryo Commonwealth of Northern Mariana Islands. Commonwealth Health Center Laboratoryo Federated States of Micronesia. Chuuk State Hospital Laboratory. Pohnpei State Hospital Laboratory. Kosrae State Hospital Laboratory. Yap State Hospital Laboratoryo Guam. Guam Public Health Laboratoryo Palau. Belau National Hospital Laboratoryo Republic of the Marshall Islands. Majuro Hospital Laboratory. Ebeye Medical Health Center Laboratory

  16. THE AUL CURRENT FOCUS/GOAL FOR THIS YEAR- Ensure continuous development of the USAPI Medical Laboratory workforce . Set timeline for lab techs already on board to enroll and complete the PPTC Diploma in Medical Lab Science course . Mandate all Lab techs to enroll and complete the two courses offer in 2014 (Phlebotomy, Health, Safety & Infectious Diseases) . Identify potential candidates for the 4-years program in Medical Lab Science and assist their enrollment (seek PIHOA Assistance)

  17. AUL wishes to formally seek endorsement by the PIHOA Board of Directors in regards to the following AUL recommendations:1. PPTC Diploma Medical Laboratory Program as the minimum qualifications for the Non-Regulated USAPI Laboratories.2. Minimum Required NCD Laboratory tests to be made available in each USAPI labs at all times.3. Association of the USAPI laboratories formal status as a PIHOA Affiliate members.I want to thank PIHOA for the on going Advisory and technical supports over the past years. AUL would not have come this far without your support.

  18. THANK YOU!!

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