Cap accreditation manual 2015

The cpa accreditation panel is a member of the association of accrediting agencies of canada aaac. Comprehensive accreditation manual for hospitals n decreasing variation and defects waste n focusing on achieving better outcomes n using evidence to ensure that a service is satisfactory patient safety emerges as a central aim of quality. Getting terminology in line with standards like iso 15189 is a benefit of. Guide to cap accreditation for international participants.

Detailed standards developed based on broad principles defined in the cap standards for laboratory accreditation 21 different checklists with about 2,900 requirements tool for laboratories to prepare for inspection roadmap guide for inspectors to perform an inspection customizable based on tests and activities. While personnel should report concerns to laboratory management, the laboratory must ensure that all personnel know that they may communicate with cap directly if they have a concern not addressed by laboratory management, and that cap holds such communications in strict confidence. The accsc certified accreditation professional cap program provides a unique opportunity for school personnel to learn more about the important requirements of accscs accreditation standards and accreditation process. August 2015it doesnt come swathed in a ribbon on the showroom. Standards and policies in the 2018 accreditation handbook for ambulatory health care remain in effect for all surveys other than those for health plans and. Invitae press releases invitae receives accreditation for. Creating standards to ensure educator preparation providers impart future teachers with the knowledge and skills to support the development of all students. Their standards have been called the toughest and most exacting in the medical business. There will be no requirement to build section 5 files from 2015 until the implementation of the 2020 procedures and standards manual. The waiver is retroactive from the date that the 2015 procedures and standards manual was published. Introduction council for the accreditation of educator. Joint commission standards help you develop strategies to address the.

Laboratory general checklist college of american pathologists. The caep accreditation manual and supplementary guides and information provide key players in the accreditation of educator preparation programs a onestop source of information about what these providers must do to earn caep accreditation. College of american pathologists laboratory standards for. The quality of the cap checklists is a result of the expertise and collaboration of pathologists and laboratory professionals. Procedure description resection includes total hysterectomy and supracervical hysterectomy tumor t ype description. Understand the iso 17025 standard and how to get accredited. Joint commission accreditation is not just for hospitals. Master contains all of the requirements and instr uctions a vailable in pdf, wordxml or excel f ormats. The cap provides accreditation and proficiency testing to medical laboratories through its laboratory quality solutions. Clearbridges sam laboratory receives accreditation from. A2las chemical testing field covers a broad array of techniques and analytes in many different industries.

Cap accreditation standards and proficiency testing for diagnostic next generation sequencing thursday, march 23, 2017. At this time 53 biorepositories are fully cap bap accredited and are in the process of obtaining. Cap accreditation program college of american pathologists 325 waukegan road northfield, il 600932750. Cap accreditation college of american pathologists. To cite a quality standard or guideline in apa style, provide the author, date, title, and source of the work. Accreditation was and is a direct creation of the academic and professional educational communities. The cap accreditation checklists are updated yearly to reflect current practices and technologies. The laboratory is scheduled to be inspected 14 december 2015 and a new certificate will be. American national standards institute ansi certificate. Contact usa is pleased to present this revised accreditation manual to all crisis line programs as we continue our program of conducting on. Customized to your lab and lab services so probably more like 50 for rlap. The cap s internationally recognized accreditation programs offer the most respected choice to achieve accreditation and maintain regulatory compliance. For accreditation purposes, this protocol should be used for the following.

Be inspection ready with the 2018 cap accreditation checklists. The cap laboratory accreditation for covance central laboratory services, ccls, see address above, remains in effect, even though the certificate issued, effective through 19 december 2015, is nearing expiration. The college of american pathologists cap checklists are posted on the cap s web site for information only. Top laboratory deficiencies across accreditation agencies aacc. More precise and consistent quality terminology, more consolidation of requirements into. Accredited certifying agents and certified operations. A self evaluation verification form will be submitted to cap denoting completion. The college of american pathologists caps laboratory accreditation program accredits the entire spectrum of laboratory test disciplines with the most scientifically rigorous customized checklist requirements. The caep convention will include a number of sessions specific the manual. Competition animal drug testing laboratory accreditation program. Cap ngs accreditation requirements first published in 2012.

Laboratory accreditation and the college of american pathologists director responsibilities. The joint commission has helped laboratory organizations across the u. The gastrointestinal and breast protocols have been updated to reflect the revised who histologic types. Crop production na 416 2015 cap 8 resource inventory supplement livestock production.

In fact, the competency assessment program offers its users tools that help meet clia requirements for all 6 elements of competency assessment, as well as help you manage the timing of your. Cap accreditation is guided by 14 different checklists with. Gpc is a major initiative of the center for medical technology policy cap accreditation standards and proficiency testing for diagnostic next generation sequencing. This checklist is used in conjunction with the all common and laboratory general checklists to inspect a. The caep standards reflect the voice of the education field on what makes a.

Standards of elements of performance scoring accreditation policies comprehensive accreditation manual for hospitals camh. In the 2015 precision medicine initiative pmi request for applications. From application to accreditation, the cap provides the road. Cap accreditation readiness assessment cara audioconferenceswebinars online inspector training cap accreditation checklists laboratory accreditation manual online competency assessment program standards. The caep handbook is the source of the procedures for nearly all aspects of caep accreditation.

Learn about and apply for cap accreditation programs and access tools designed to improve laboratory quality and prepare laboratories for the accreditation process. Accreditation checklists college of american pathologists. Your path to laboratory excellencecollege of american pathologists. The 2019 edition of the cap accreditation checklists are now available. There are currently 273 established standards with requirement lists. Paa status allows the institution to develop and operate a learning programme within the approved scope of programme area without going through lpa or relpa.

They meet or exceed the regulatory requirements specified in the clinical. Accsc cap cap certified accreditation professional. Cms has granted the cap laboratory accreditation program deeming authority, which allows cap inspection in lieu of a cms inspection. Your path to laboratory excellencecollege of american pathologists accreditation programs youtube. This video by the college of american pathologists provides an overview of the content of the cap qmed quality manual development course, which explains how to create a processbased quality. Dec 02, 2014 san francisco, december 2, 2014 invitae corporation, a genetic information company, announced that it has received accreditation from the college of american pathologists cap. Cancer protocol templates college of american pathologists.

The cap is pleased to recognize each of the laboratories. The ngs checklist items include new standards for documentation, validation. Protocol for the examination of specimens from patients. After the title of the work, provide any number or identifier for the standard in parentheses without italics. If you are enrolled in the cap s laboratory accreditation program and are preparing for an inspection, you must use the checklists that were mailed in your application or reapplication packet, not those posted on the web site. For more than 40 years, weve helped health care laboratories transform their practices by meeting and exceeding rigorous performance standards. Includes ptnm requirements from the 8th edition, ajcc staging manual, and 2015 figo cancer report. College of american pathologist cap the college of american pathologists cap, the leading organization of boardcertified pathologists, serves patients, pathologists and the public by fostering and advocating excellence in the practice of pathology and laboratory medicine worldwide the cap laboratory accreditation programs goal is to improve patient safety by.

How to cite quality standards and guidelines in apa style. The handbook is meant to help inform epp teams preparing the selfstudy report at the initiallicensure level. Accreditation program guide newrelocating facility accreditation new facilityrelocation program guide 3 cpsa. August 2015it doesnt come swathed in a ribbon on the showroom floor, but the 2015 edition of the cap laboratory accreditation program checklists is new, improved in style and substance, and ready to roll. Dod approved 8570 baseline certifications dod cyber exchange. The cap has authorized copying and use of the checklists by cap inspectors in conducting laboratory inspections for the commission on laboratory accreditation and b y laboratories. Cap accreditation and mohs surgery laboratories american society of mohs histotechnology annual meeting, april 30, 2016 kenneth m klein, md, fcap.

The college of american pathologists biorepository accreditation. Cap 15189 eceber, 2015 2 backgroundwhy this is necessary the iso 15189. They are available in different checklist types and formatting options, including. Grow personally and professionally at the 2020 pathologists leadership summit. American national standards institute ansi certificate accreditation program cap the american national standards institute has launched a new certificate accreditation program ansi cap to help you document that your program.

Measurement uncertainty guide college of american pathologists. Your path to laboratory excellence college of american pathologists. The programs can be tailored to your laboratory and enable you to meet clinical laboratory improvement amendments clia and cap accreditation requirements. Examples include cleaning, changing parts, fluids, tubing, lubrication, electronic checks, etc.

College of american pathologists cap retention of laboratory records and materials the college of american pathologists makes the following recommendations for the minimum requirements for the retention of laboratory records and materials. The accrediting bodies are voluntary, nongovernmental associations of institutions, programs, and professionals. A2la is the largest and most wellrecognized accreditor of calibration laboratories in the united states. Caep accreditation handbook council for the accreditation. Personnel performing ia functions must obtain one of the certifications required for their position category or specialty and level. A cap sign will be posted in each room patient testing occurs for reporting quality concerns. The college of american pathologists cap is a memberbased physician organization. Cms sets standards and regulates all clinical laboratory testing performed on. The centers for medicare and medicaid services cms granted the cap laboratory accreditation program deeming authority, which allows cap inspection in lieu of a cms inspection. Cap accreditation institute of applied quality management. Partnering with teacher educators for continuous improvement.

One copy of the gen checklist is provided to the inspection team. The compliance process can seem daunting, but with the college of american pathologists cap at your side, it doesnt have to be. Proficiency testing exception summary, that addresses proficiencies for cap. Accreditation by the cap is therefore seen as an attestation to quality laboratory practices and comes with many. A pdf version of the cpa accreditation manual is available here. Sam laboratory was first awarded the cap accreditation in 2015 and is required to undergo.

The college of american pathologists cap released on july 28, 2015, enhanced laboratory accreditation program checklists, used in the accreditation inspectio. The cpa and apa also have a mutual agreement on accreditation, known as the first street accord. Protocol for the examination of specimens from patients with primary tumors of the ovary, fallopian tube, or peritoneum. Par ticipants of the cap accreditation prog rams ma y do wnload the chec klists from the cap web site. This individual is listed on the labor ator ys cap and clia cer tificate as applicab le. Accreditation manual this document explains the most general requirements under which the jasanz governing board will grant or maintain accreditation, and the procedural interface between jasanz and an accredited body. The college of american pathologists february 2020 release includes 47 revised cancer protocols and one new adult autopsy reporting protocol. Following is a list of our certifications and accreditations. The cap lap is available to laboratories in the us as well as internationally.

Nov 17, 2014 management and technical requirements for iso 17025 nabl ukas jas anz dar dakks enas ias accreditation. Our standards for laboratory accreditation the joint commission. General accreditation policies and procedures nop 2000 128 2015 accreditation assessment checklist nop 2005 1029 2015. The mark is a way to display to peers, patients, and the public that youve attained cap accreditation through the most respected and recognized laboratory accreditation program in the world. American national standards institute ansi certificate accreditation program cap the american national standards institute has launched a new certificate accreditation program ansicap to help you document that your program meets an american national standard for quality. The caps peerbased inspector model provides a unique balance of regulatory and educational coaching. If playback doesnt begin shortly, try restarting your device. Laboratory services accreditation the joint commission. The cap checklists, which are sent to laboratories applying for accreditation, are series of questions designed to interrogate laboratory standards and all related. Cap s laboratory accreditation program the standards objective is to ensure that accredited clinical laboratories meet the needs of patients, physicians, and other health care practitioners. The accreditation process involves evaluating programs in light of their own mission, goals and education.

A total of 18 laboratory accreditation checklist requirements for the analytic wet bench process and bioinformatics analysis processes have been included. Protocol for the examination of specimens from patients with. Council for the accreditation of educator preparation. Checklists provided for inspection preparation are customized based on the services offered by the laboratorybiorepository. Listing of the requirements for the cap s accreditation programs 21 different checklists focusing on different. College of american pathologists laboratory standards for next. The checklists are living blueprints, used by laboratories and inspectors to ensure quality and patient safety.

Cap accreditation and mohs labs american society for mohs. An explanation of laboratory governing bodies, regulations. The programs are built on a unique, reciprocal, peerbased inspection method. Cap accreditation and checklists update lyn wielgos, mtascp november 3, 2017. The cap accreditation is awarded to facilities that meet the highest standards of quality in laboratory services. More precise and consistent quality terminology, more consolidation of requirements into the all common checklist. Administrative requirements laboratories must comply with the requirements specified in the terms of accreditation and the cap inspection checklists. The laboratory general gen checklist applies to all sections or departments of the laboratory. Iso 17025 accreditation requirements for nabl ukas enas.

All inspectors must be familiar with the gen checklist requirements and. Foundation for the accreditation of cellular therapy standards. Maintenance those activities that prolong the life of an instrument or minimize breakdowns or mechanical malfunctions. Cap accreditation programs policy manual version 2017.

Your path to laboratory excellence college of american pathologists accreditation programs youtube. College of american pathologists accredited lab baton rouge. Cap accreditationreadiness assessment cara is an educational onsite evaluation of your laboratorys current status on key criteria pertaining to cap accreditation. All common checklist college of american pathologists. Colon protocol has been updated requiring reporting of macroscopic evaluation of mesorectum. In setting evidencebased standards, the guideline provides background and details about the quantitative image analysis qia process and the data and. Licensureaccreditation michigan medicine laboratories mlabs offers the uncompromised credibility and integrity at one of the nations top academic medical centers. Laboratory accreditation program college of american. These drivers of accreditation spring from a broad consensus across a very diverse group of stakeholders. In addition, the cap retains deemed status with the joint commission, united network for organ sharing, the national marrow donor program, the foundation for the accreditation. Jun 11, 2015 college of american pathologists accredited lab the cap laboratory accreditation program is an internationally recognized program and the only one of its kind that utilizes teams of practicing laboratory professionals as inspectors. We are an independent accreditor whose practical, educational standards have a positive and immediate impact on patient care. Licenses and accreditation clia compliance and cap proficiency testing.

To clarify the laboratorys responsibility and the caps 15189 assessment standards, we have developed this interpretive document for the purposes of accreditation. The cap 15189 accreditation program policies govern the cap 15189 accreditation program cap 15189 program of the college of american pathologists cap. Standards for cap accreditation the specifics of how the standards are applied to laboratories are found in the cap accreditation checklists and terms of accreditation. Michigan medicine laboratories mlabs offers the uncompromised credibility and integrity at one of the nations top academic medical centers. Cap lab accreditationchecklistsprotocolsguidelines cap today. Accreditation american association for laboratory accreditation. All quest diagnostics testing locations are appropriately licensedcertified under the clinical laboratory improvement amendments of 1988 clia 88 and as required by certain state laboratory licensure programs. The cap is an internationally recognized organization known for its advancement of quality in laboratory medicine. Get started on your path to laboratory accreditation.

This document is designed for a broad range of usersincluding faculty and administrators from educator. In particular, laboratories must follow clia, cap, cola, joint. A cap selfevaluation will be performed in the interim year of accreditation, with any noted deficiencies corrected. August 2018 includes ptnm requirements from the 8th edition, ajcc staging manual and 2015 figo cancer report. The memorandum may be found on pages 43 program and 56 academy of this manual. Learn the importance of pathologists telling their story to their legislators to help make a difference for pathology and make patient care better at the 2020 pathologists leadership summit. This is a staff working draft of the caep accreditation manual. Readers should note that the cap requirements for accreditation are constantly being. Integrating family engagement into educator preparation programs. Paul galeski, cap, president, maverick technologies commitment to safety you can almost sayi think i can saythat you cannot pass the cap exam unless you have a strong understanding of safety instrumented systemsand safety, of course. The standards constitute the core principles of the. Caep is laying out a single core accreditation process in a streamlined fashion, eliminating redundancies and providing greater clarity.

969 1359 1327 1237 1056 691 450 874 13 534 430 856 372 1084 38 605 1434 270 955 1598 1352 1472 1209 1151 52 268 1265 38 344 1277 957 667 442 1377 1210 1062 1271 749 178 1221