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A
new EQA Program: Immunohistochemistry for Breast Cancer Tumour Markers
Eye on OLA:
Contract Review
Knowledge
Transfer: Quality Management in Action - Call for submissions
NORONT's 30th
birthday in March 2008 a resounding success
Quali-TIP
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Contract
Review
Version
4 of the Ontario Laboratory Accreditation (OLA) Requirements and
Guidance Information, effective September 2008, includes new
requirements for contract review never before assessed (Table
1). Primarily, these requirements are for laboratories providing
a referral testing servicethe flip side of II.G Referral
Laboratories, laboratories accessing a referral testing service.
Laboratories
that are subcontracted by another laboratory to provide testing
services are required to have documented policies and procedures
to address the review of any contract it enters into. Procedures
should include provisions to ensure that contract requirements
are metthe availability of competent staff, adequate space,
equipment and resources to meet the obligations and that
selected test methodologies are validated and appropriate for
use. In some laboratories, different kinds of contracts may
exist (e.g. agreements to provide physicians with services) to
which these requirements will apply.
Whenever
any further subcontracting is utilized, the existing contract is
amended or if conditions of the original contract
can no longer be met, the laboratory must ensure that the
contract review procedure is re-initiated and a record of this
review is kept.
Assessors
will expect to see records of review anytime a laboratory enters
into a contract to provide medical laboratory services. |

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Table
1: New Requirements for Contract Review |
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II.H Contract Review |
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II.H.1 Where
a laboratory enters into a contract to provide medical laboratory
services, it shall establish and maintain procedures for review of
contracts. The policies and procedures for these reviews leading to a
change in the arrangements for examinations or contracts shall ensure
that:
a)
requirements, including the methods to be used are adequately defined,
documented and understood;
b) the
laboratory has the capability and resources to meet the requirements,
and;
c)
appropriate methods selected are able to meet the contract
requirements and
clinical needs
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II.H.1.1 Records of
review shall be maintained |
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II.H.1.2 The contract
review shall also cover any work referred by the laboratory. |
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II.E.13 Clients
(e.g., clinicians, health care bodies, health insurance companies,
pharmaceutical companies) shall be informed of any deviation from the
contract. |
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II.H.1.4 If a contract
needs to be amended after work has commenced, the same contract review
process shall be repeated and any amendments shall be communicated. |
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NORONTs 30th
birthday in March 2008 a resounding success
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by Linda Crawford
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NORONT
is Ontario's best kept laboratory secret! |
March 46, 2008 marked the
30th NORONT medical laboratory conference (Timmins). |
NORONT was conceived to
provide education for front-line technologists throughout northern Ontario.
First held in Cochrane in 1978, a dedicated group of technologists have
continued the tradition with the generous support of loyal vendors. Chair
Aline Letourneau (Timmins) noted that NORONT organizers have never charged a
registration fee, due to sponsorship of exhibitors. Several "frequent
fliers" (attendees and presenters from central and southern Ontario) were
mentioned. John Lafferty called NORONT the best kept laboratory secret in
Ontario. NORONT provides an intimate, congenial environment for laboratory
technologists to learn and talk with suppliers.
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| Figure 1. NORONT's mascot, the cuddly polar bear
and Linda Crawford, Director, Ontario Laboratory Accreditation, QMP-LS |
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If NORONTs mascot, the
cuddly polar bear (Figure 1), could talk it would certainly have stories to
tell about the activities of past conferences:
Technologist vs.
vendor Olympics
Kinnettes charity
casino night
Hospitality suites
Sleigh rides
Wine and cheese mixers
Pizza night
In the fun comradeship
category, this year was no exception. Co-chair Judy Austin (Kapuskasing)
provided the ever-popular JELL-O® shooters (http://en.wikipedia.org/wiki/Jell-O).
Joe Bottos (Beckman Coulter, Mississauga) opened the first ever "Nortini
Bar" (Figure 2). The question on everyones mind was, "Does he
have a standard operating procedure (SOP) for those?" and indeed a
contest to guess the ingredients produced one!
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This years scientific
program was a credit to the organizers and presenters alike. During my keynote
address we took a look back over the past 30 years of major events occurring
in our ever-changing world, and contrasted them against activities and new
trends occurring in the medical laboratory as we improved technology and
became more safety conscious. Denyse Tremblay (Canadian Blood Services,
Ottawa) explained the new Buffy Coat production method introduced at Canadian
Blood Servicesa different way of making platelets from whole blood,
stressing the implications for hospital transfusion services. Sandy Gillespie
(LifeLabs, Etobicoke) led us through an interactive workshop titled Workplace
DynamicsDealing with Difficult People. Following the banquet, speaker Dr.
Edward Cormode (Orillia) entertained and amazed us with tales of working in
the Baffin Island territory of Nunavut, where he has practiced pediatric
medicine. He honoured us all when he said that he wanted to be a lab tech when
he grew up, but the passion he demonstrated for respecting not only the
inhabitants but their lifestyle was a tribute to those working and living in
the far northern reaches of Canada. Dr. Roger Sandre (Regional Infection
Control Network, Sudbury) spoke on new antibiotic therapy and treatment in the
management of Clostridium difficile associated disease (CDAD), and made us all
think carefully about protecting ourselves and others against
hospital-acquired infections. Dr. Marciano Reis (Sunnybrook and University
Health Network, Toronto) reviewed the newly implemented digital slide service
installed for the Timmins cluster hospitals. This telepathology project will
facilitate diagnostic consultative services, remote access by physicians,
integrated reporting and teaching opportunities. Currently two scanners are
installed at Timmins and District Hospital. He showed some blood films,
cerebral spinal fluid cytospins, and bone marrow slide images available in a
teaching databank, and all attendees were impressed by the quality of the 40x
magnification images. Dr. Reis also discussed the use of flow cytometry in the
immunophenotypic diagnosis of primary or secondary leukemias,
lymphoproliferative disorders, chronic myelogenous leukemia (CML) in blast
crisis, and leukemia/lymphoma, which was classified, but not previously
immunophenotyped, and recommended indications based on Bethesda Consensus
(2007). He stressed the importance of clinical history and morphologic
assessment in conjunction with flow cytometry as a diagnostic tool.
In addition to this
stimulating scientific program, the 50 attendees were treated to a number of
lucky draw prizes from the NORONT committee and vendors.
Hats off to the NORONT
2008 committee! NORONT has not only come of age, it has become a conference
known for excellence in education, supplier information and fun.
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Knowledge
Transfer: Quality Management in ActionCall for submissions
Knowledge
Transfer: Quality Management in Action is a column in QMPLS News
featuring a series of quality-related articles to showcase examples where
laboratory individuals or teams have successfully used quality management
principles to lead projects outside the walls of their laboratories in pursuit
of integrated health care. The articles are intended to inspire and assist
laboratory personnel in becoming leaders within their workplaces in the quest
for quality services.
The success stories
used in this series are all reprinted with permission from the author(s).
Submit Your Own Success Story
You and your
laboratory team can now submit your quality-related success stories by
e-mailing
with your copy (Microsoft Word attachments preferred). Your article should
include the following headings: Opportunity for improvement/achievement,
Roadblocks and timeframe for completion, Tips for success, Future plans.
Include the
following information in your e-mail: name, laboratory name, position title,
telephone number, e-mail address.
You will receive a
reprint permission form once your story is chosen to be published in QMPLS
News.
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