1 / 9

Preparing for Accreditation

Preparing for Accreditation. Viki Massey, Quality Coordinator. A Joint Venture of London Health Sciences Centre and St. Joseph’s Health Care London. What is Accreditation?. Peer review assessment process Cyclical “For Cause” Mandatory

margaux
Download Presentation

Preparing for Accreditation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Preparing for Accreditation VikiMassey, Quality Coordinator A Joint Venture of London Health Sciences Centre and St. Joseph’s Health Care London

  2. What is Accreditation? • Peer review assessment process • Cyclical • “For Cause” • Mandatory • Process ensures that laboratories meet specific quality management criteria • Gives formal recognition that the lab is competent to carry out examinations

  3. Ontario Laboratory Accreditation Requirements • Based on recognized Standards and Regulations • ISO 15189 • Laboratory Standards e.g. AABB, NCCLS • Accepted Laboratory Practices • Over 500 requirements • “Check list” format

  4. LLSG Implementation Plan • Quality Coordinator • Discipline Task Teams • Quality Team • Develop Policies • GAP analysis • Map Processes • Write procedures • Quality Manual • Communicate/Educate/Train • Audit • Accreditation

  5. Where are We? Quality Team • Quality policies- written • Processes- identified/mapped • Procedures –written • Quality Manual Published • Web site for documents (manuals) • Web site for referral labs • Document Management System- developed and training scheduled • On line Occurrence Form- developed, pilot project completed and training scheduled

  6. Where are We? Discipline Task Teams • GAP analysis • Implementation Plan • Pre-analytical • Analytical • Post Analytical • QC/QA • Equipment/Inventory • Facilities • Safety • LIS • Processes mapped • Procedures written • Revisit requirements and close GAP

  7. What’s Next? • Quality Team to continue to address QSE • Discipline Task Teams to complete sections of OLA requirements • Training and implementation • Self assessment or Peer assessment • Accredited

  8. Celebrate Success!

  9. Web Sites • Documents and Manuals http://www.lhsc.on.ca/priv/lab/policy/index.htm • Quality Manual http://www.lhsc.on.ca/lab/qmanual/index.htm • Safety Manual • http://www.lhsc.on.ca/priv/lab/policy/safety/techaids/esaf001.pdf • OLA Compliance for Referral Labs http://www.lhsc.on.ca/lab/licen/licindex.htm • Quality Management • http://www.lhsc.on.ca/lab/qmanage/qmsys.htm

More Related