The standards emphasize the results a laboratory should achieve, instead of the specific methods of compliance, and were developed with input from professional laboratory organizations. The cap is constantly seeking new ways to help guide your laboratory. Laboratory accreditation program college of american. 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. To purchase a standards manual to register for, or receive information about education programs, and to purchase, or inquire about publications. Laboratory accreditation manual college of american. Cap is an organization of pathologists that provides multiple resources to laboratories in the u. Laboratory accreditation manual elab solutions suite is. Cap lab accreditationchecklistsprotocolsguidelines. Cap releases 2020 edition of laboratory accreditation program. Immediate notification of cap is required and shall be given for the. In the following flow charts, required programsanalytes will be indicated by an asterisk. Cap accreditation readiness assessment cara online competency assessment program qprobes and qtracks.
Cap accreditation readinessassessment cara cara is an onsite, highlevel evaluation of your key laboratory policies and processes by an experienced cap inspector. Jun 11, 2015 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. The laboratory accreditation manual is intended to provide laboratories and. Good laboratory practices for nonclinical laboratory studies, cfr part 58, subparts af and j 2011 sr 2433, supplemental accreditation requirements. Cola laboratory accreditation program bureau clia certification. This approach will ensure that laboratories inspected in 2011 are evaluated for use of the new version of the cap protocols.
Comprehensive accreditation manual for laboratory and point ofcare testing camlab. The laboratory was advised of this national recognition and congratulated for the excellence of the services being provided. The current cap guidelines and guidances for pathologists provide the latest practice information on pathology and laboratory related topics. To provide you with a more responsive and personalized service, this site uses cookies. Its accreditation process is based on a series of requirement checklists, which include the. The college of american pathologists cap hosted a virtual forum addressing the rapidly changing covid19 testing landscape, the fourth in a series of ongoing media briefings and the first in 2021. September 2016for the cap laboratory accreditation program, inspection checklist requirements covering personnel are a perennial concern. Cap issues laboratory accreditation checklists which support the accreditation. The laboratory accreditation manual is intended to provide laboratories and inspectors a. Designed to go well beyond regulatory compliance, the program helps laboratories achieve the highest standards of excellence to positively impact patient care. Today, the joint commission accredits almost 2,000 organizations providing laboratory services. Fact initiated a virtual inspection process in january 2021 to enable accredited cellular therapy facilities to complete their renewal accreditation.
For cap laboratory accreditation program lap accredited laboratories inspected in 2011, only reports from the last quarter of 2010 will be audited by the inspector for compliance with the protocols. The laboratory accreditation program lap was established in 1961. Accreditation is one of many facets of the services provided by cap. Maintain accuracy of test results and ensure accurate patient diagnosis. Guide for the care and use of laboratory animals 1996 rodents 1996 nutrient requirements of laboratory animals, fourth revised edition 1995 laboratory animal management. The laboratory is staffed monday through friday from 0700 to 1700 central standard time cst.
Learn about laboratory accreditation the joint commission. The joint commission has been evaluating and accrediting hospital laboratory services since 1979 and freestanding laboratories since 1995. Laboratory accreditation manual university of texas health. By clicking accept, you agree to our use of cookies. 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. We expect this process to be in place as long as necessary to minimize the coronavirus pandemic risks to our cellular therapy community, volunteers, and patients. The caps program is based on rigorous accreditation standards that are translated into detailed checklist requirements organized into 21. Purpose of this manual the laboratory accreditation manual is intended to provide laboratories and inspectors a basic overview on the caps accreditation programs and accreditation processes. For analytes that require pt, each laboratory must enroll and participate in a capaccepted pt program. The laboratory is staffed monday through friday from 0700 to. Cap releases 2020 edition of laboratory accreditation. New checklist requirements requirement effective date.
Labs consulting team requirements common to laboratory standards for cap accreditation steps towards. In total, clia covers approximately 254,000 laboratory enes. May 14 page 2 of 2 this form documents the approval and history of the policies and procedures for the pulmonary function laboratory. Manage rapidly evolving changes in laboratory medicine and technology. 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. Protocol for the examination of specimens from patients with. Acm medical laboratory is one of more than 6,000 cap accredited laboratori es nationwide. College of american pathologists accredited lab baton rouge.
Agenda clia and accreditation overview cap overview accreditation goals and objectives o terms of accreditation o laboratory accreditation manual o standards o checklists checklists for the mohs surgery laboratory. Caps laboratory accreditation manual as part of elab. Aabb membership is comprised of a diverse community of health care professionals dedicated to making transfusion medicine and cellular therapies safe, available and effective worldwide. The aga khan university hospitals clinical laboratories have met all the 3,655 standards required for cap accreditation and are the only laboratories in pakistan to have achieved such certification of world class quality testing.
The laboratory accreditation manual provides laboratories and inspectors a basic overview on. To advance the laboratory accreditation program under the direction of practicing pathologists to be the premier program for the inspection and accreditation of medical laboratories. Recommendationsrequirements for molecular proficiency. Anatomic pathology checklist college of american pathologists. The cap has authorized copying and use of the checklists by cap inspectors in conducting laboratory inspections for the commission on laboratory. 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. Overview of accreditation programs the college of american pathologists cap directs multiple accreditation programs. Policy pulmonary function laboratories shall comply with the college of american pathologists cap terms of accreditation to maintain accreditation. Recommendationsrequirements for molecular proficiency testing. Laboratory general checklist, cap laboratory accreditation program, july 11, 2011, northfield, ill college of american pathologists. Laboratory general checklist college of american pathologists. Please contact the appropriate person by phone, mail, or fax.
Laboratory accreditation manual pt toolbox standards for laboratory accreditation cap accreditation resources library the following items are available for an additional fee. For revised checklist requirements, a comparison of the previous and current text may be found on the cap website. The information below identifies laboratory accreditation resources at the college of american pathologists. Jun 04, 2020 the checklists used for inspection by the college of american pathologists accreditation programs have been created by the cap and are ed works of the cap. Capaccredited laboratories and biorepositories must be in compliance with the. Master checklist laboratory general medical courier. Cap inspection teams use the checklists as a guide to. Current cap guidelines college of american pathologists. Learn how the joint commission can help your laboratory achieve or exceed your organizations quality and business goals. Doe consolidated audit program accreditation program doecapap. Current cap ngs laboratory accreditation requirements 2016. Laboratory general, all common, anatomic pathology, team leader assessment of director and quality deficiencies timelines preparation for inspection.
Autoverification of clinical laboratory test results. The joint commission has been evaluating and accrediting laboratory services since 1979 and freestanding laboratories since 1995. In compliance with clia regulations, joint commission standards address. Dogs 1994 recognition and alleviation of pain and distress in laboratory animals 1992 education and training in the care and use of laboratory animals. Laboratory accreditation manual ut health san antonio. 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. Tips for a successful inspection from the laboratory accreditation manual p.
The 2011 laboratory accreditation overview is your comprehensive resource for exploring the benefits of joint commission laboratory accreditation and key. Click on laboratory accreditation, checklists, and then click the column marked changes for the particular checklist of interest. Its accreditation process is based on a series of requirement checklists, which include the clia standards as well as other requirements. The caps peerbased inspector model provides a unique balance of regulatory and educational coaching supported by the most respected. Cap requirements commonly exceed the standards, bolstering patient care and safety. By achieving fact accreditation, you are informing patients, medical professionals, health insurance companies and the government that you exceed standards in patient care and laboratory practices. Business wirethe college of american pathologists cap released the 2020 edition of its laboratory accreditation program checklists on june 4, 2020. Master laboratory general checklist cap accreditation program college of american pathologists 325 waukegan road northfield, il 600932750. Caps laboratory accreditation manual as part of elab solutions 34. Physician satisfaction with clinical laboratory services. The college of american pathologists cap is a clia accredited organization composed of boardcertified pathologists with a mission to serve patients, pathologists, and the public through the advocation of excellence in pathology and laboratory medicine worldwide.
Cap accreditation institute of applied quality management. Cap accreditation and mohs labs american society for mohs. Laboratory accreditation and the college of american pathologists 2 things to know for cap laboratory accreditation 5 application process 7 director responsibilities 8 document control system 11 chemical hygiene plan 12. A laboratorians view on the college of american pathologists. Analytic systems a a written procedure manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Foundation for the accreditation of cellular therapy. Each laboratory needs to establish the lower limit below which a manual count must be performed, and this limit cannot be below that set by the instrument manufacturer. Additionally, the laboratory is accredited by the dod clinical laboratory improvement program clip. Cap accreditation and mohs surgery laboratories american society of mohs histotechnology annual meeting, april 30, 2016 kenneth m klein, md, fcap.
Effective immediately for all laboratories subject to us regulations. College of american pathologists, proficiency testing, laboratory inspections, quality control. Checklist format choose from pdf, wordxml, and excel formats. Commission on laboratory accreditation of the college of. The cap laboratory accreditation programs goal is to improve patient safety by advancing the. 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.
The leading laboratory accreditation program for clia certified clinical laboratories pioneering a partnership approach through education and innovation. Solutions to identify documents needed to demonstrate compliance 36. College of american pathologists ngs project team established 2011. Detailed standards developed based on broad principles defined in the cap standards for laboratory accreditation 21 different checklists with about 2,900 requirements. College of american pathologists accredited lab baton. Overview of accreditation programs the college of american pathologists cap directs multiple accreditation. Accreditation information manual aim immunohematology reference laboratory irl accreditation program. Acm medical laboratory is one of more than 6,000 cap accredited laboratories nationwide. University of texas medical branch pulmonary function clinic policy 0110 compliance with cap terms effective date. March 2018 beginning january 1, 2018, the 8th edition ajcc staging manual should be used for reporting ptnm. Practical guide to specimen handling in surgical pathology. Commission on laboratory college of american pathologists. They are the leading source of disparities between the findings of the programs inspectors and inspection audits done by the centers for medicare and medicaid services. The joint commission accreditation standards are similar to the clia standards, but the terminology is different.
Custom checklists can also be viewed online and downloaded in pdf, word, o. Sep 01, 2020 participation in pt is integral to the caps accreditation program and is required for most tests for which the laboratory reports results. The caps main telephone number is 8003234040 or 8478327000. Cap laboratory accreditation program protocol required use date. Administrative requirements laboratories must comply with the requirements specified in the terms of accreditation and the cap inspection checklists. Accreditation goals and objectives o terms of accreditation o laboratory accreditation manual o standards. Protocol for the examination of specimens from patients. Cap is one of the highest ranked accreditation agencies for medical laboratories in the world. College of american pathologists laboratory accreditation manual 2017 edition 4 lap, but rather complements lap and other quality systems by optimizing processes to improve patient care, strengthen deployment of quality standards, mitigate risk, and control costs.
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