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Implementing the Ontario Laboratory Accreditation Quality Management Program

Implementing the Ontario Laboratory Accreditation Quality Management Program. Challenges and Best Practices. Maurice Goulet, A.R.T. Harold Richardson, B.Sc., M.B.B.S., M.D., F.C.C.M., F.R.C.P.C. March 10, 2005. Insight meeting. Topics to be discussed. Preparing for accreditation

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Implementing the Ontario Laboratory Accreditation Quality Management Program

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  1. Implementing the Ontario Laboratory Accreditation Quality Management Program Challenges and Best Practices Maurice Goulet, A.R.T.Harold Richardson, B.Sc., M.B.B.S., M.D., F.C.C.M., F.R.C.P.C March 10, 2005 Insight meeting

  2. Topics to be discussed • Preparing for accreditation • Implementation

  3. Preparing for Accreditation

  4. Preparing for Accreditation • Self Assessment • Setting priorities • Plan of Action

  5. Self Assessment Initial Step • Determination of Starting point • Understand the key issues • Engage a Core team • Multi-disciplinary Review • Identify compliance “gaps”

  6. Result of initial analysis

  7. Setting Priorities • Compressed time frame • “Pareto” principle • Focus on issues in Section II (QMS) (Processes, Policies and Procedures) • Working groups set up • Assigning tasks • Establishing timelines

  8. Plan of Action Working groups • Review of processes • Have a sense of “What we do” and how it interrelated with other activities, disciplines and services. • Workflow mappings.

  9. Plan of Action (Con’t) Focus attention on: • Resolve “non-compliant” issues. • Improve on “compliant” practices. • Quality Manual • Document and Record Management • Education and training • Instrument and consumables management • Quality Assurance/Quality Improvement

  10. Implementation

  11. Implementation • Process • Scope • Challenges and Roadblocks • Impact

  12. Process • Executive and multi-disciplinary Leadership needed. • Commitment and active involvement. • Adequate resource support. • Maintain communication at all levels. • Coordination of plan of action. • Clerical support. • Self assessment follow-up

  13. Self-Assessment (Follow-up) Initial Prior to peer assessment

  14. Self-Assessment (Follow-up) Initial Prior to peer assessment

  15. Scope Clear understanding of our QMS. • Quality manual development. • Centralized documents and records. • Resource management. • QC/QA/CPI (Benchmark) initiatives.

  16. Challenges / Roadblocks • Tight time frame for preparation. • “Buy-in” was not unanimous (at the beginning). • Achieving and Maintaining compliance within operational budget. • Culture shift to a Laboratory QMS was more difficult to grasp for non-laboratory service areas.

  17. Impact • Improved Staff morale and productivity. • Increased confidence in service. • Enhanced proactive responses.

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