Presentation on theme: "How To Interpret CAP Proficiency Testing Evaluations"— Presentation transcript:
1 How To Interpret CAP Proficiency Testing Evaluations Elaine Staley, MT(ASCP)Compliance OfficerSt. Luke’s Hospital – Mayo Clinic Jacksonville
2 ObjectivesIdentify performance issues by evaluating data provided on the PT evaluation and Participant SummaryList investigational techniques for responding to Proficiency Testing Exception Summary (PTES)Assemble a quarterly review of PT scores by using the All Analyte Scorecard
3 e-Lab SolutionsThe best way to view CAP evaluations is to use e-Lab SolutionsRequest access from your institution’s administrator
5 CAP Evaluation What Should You Review? Evaluate each analyte and specimen for negative/positive bias, trends or shiftsEvaluate ungraded challengesIf an evaluation criteria is not listed in the Participant Summary you can use information provided by manufacturer or use Rhoads
6 Education Challenges Code 26 POC Phase II N/A YES NOIs there evidence of evaluation and, if indicated, corrective action in response to "unacceptable" results on the proficiency testing reports and results of the alternative performance assessment system?NOTE: The evaluation must document the specific reason(s) for the "unacceptable" result(s) and actions taken to reduce the likelihood of recurrence. This must be done within one month after the POCT program receives its evaluation. In addition, each ungraded challenge, each educational challenge, and each episode of nonparticipation must be reviewed and corrective action instituted as appropriate.
13 Reviewing Ungraded/Educational Challenges Continued
14 Reviewing Ungraded/Educational Challenges Continued
15 Proficiency Testing Exception Summary (PTES) Unsatisfactory PT performanceFailure to attain the minimum satisfactory score for an analyte, test, subspecialty, or specialty for a testing event.Unsuccessful PT performance (2 of 3 testing events)Failure to attain the minimum satisfactory score for an analyte, test, subspecialty, or specialty for two consecutive or two of three consecutive testing events.Critical PT performance (3 of 4 testing events)Failure to attain the minimum satisfactory score for an analyte, test, subspecialty, or specialty for three consecutive or three of four consecutive testing events. A laboratory must immediately cease testing for that analyte or the discipline.
16 PTES ResponseCollege of American Pathologists How to Respond to Unsatisfactory Proficiency Testing EventsExample
20 All Analyte Score Card What is it and How Can it Help? The all analyte score card can be filtered various waysResults can be downloaded into PDF or Excel formatProvides a cumulative summary for quality team
22 CAP Accepted PT Providers AccuTest (Healthmetrx Digital PT)American Association of Bioanalysts (AAB)American Proficiency Institute (API)American Society of Histocompatibility and Immunogenetics (ASHI)College of American Pathologists (CAP)Control Laboratory PT ProgramSouth-Eastern Organ Procurement Foundation (SEOPF)Wisconsin State Laboratory of Hygiene Proficiency Testing Program (WSLH)
23 CAP LAP Audioconference POCT and CAP AccreditationSelwyn J. Baptist, MD, FCAPSeptember 20, 20061:00 – 2:00 pmFree enrollment to institutions accredited by CAP
24 AACC Southeast POC Chapter Point-of-Care-Testing: Evidenced Based Practices and Regulatory IssuesNovember 2-4, 2006Francis Marion Hotel Charleston, South Carolina
25 Central Florida POC Network 6th Annual Health First Point-of-Care Conference and ExhibitionFriday, November 17th, 2006Cape Canaveral Hospital in Cocoa Beach, FL
26 ReferencesGP27-A Using Proficiency Testing (PT) to Improve the Clinical LaboratoryCollege of American Pathologists How to Respond to Unsatisfactory Proficiency Testing EventsWhat to do With PT Providers – 2004 LAP Audioconference – Gerald Hoeltge, MDCAP Laboratory Accreditation Program Manual