CAP -State Pathology Society Leadership Conference June 29, 2007

Lab Critical Control Points How satisfied are your physicians/nursing with your services? Are the values you produce consistent with the clinical picture? Does your TAT meet patient care needs? Is your off-site lab work timely and accurately?  Laboratory errors affect patient care and need investigation.  Are you failing PT?  Is the equipment functioning properly?  Maybe the tech wasn’t completely trained?  Laboratories need to increase patient outcomes orientation.

Quality Monitoring Systems Goals Your laboratory ensures quality by: –External Quality Assurance –Continuous Education –Monitoring Quality Management Systems –Assuring Laboratorian Competency –Accreditation

Mission Statement The mission of the College of American Pathologists, the principal organization of board-certified pathologists, is to represent the interests of patients, the public, and pathologists by fostering excellence in the practice of pathology and laboratory medicine.

CAP - Committed to Excellence Surveys and Anatomic Pathology Education –Confidence in test results Quality Management Tools –Improve patient safety Laboratory Accreditation – The foundation of your quality practices Education –The foundation of CAP Programs

CAP - The Industry Leader CAP - The Industry Leader The CAP is the only provider of ALL components of quality management –Complete quality systems –Standard setting –Expert knowledge source –Comprehensive and integrated programs The CAP is your comprehensive single source for quality laboratory medicine and excellence in patient care.

Higher quality lab results = improved patient care Research showed a 50% response rate when Her2 positive breast cancer was treated with Herceptin. However, Her2 was running at a 25% false positive rate and the drug is highly cardiotoxic. OCAP partnered with ASCO to write HER2 clinical practice guidelines for the improvement of Her2 accuracy and offers Her2 test challenges for your laboratory.

CAP SURVEYS PROGRAM Most innovative and comprehensive program world wide Use human based, disease state materials Invaluable inter-laboratory comparison data Designed by laboratorians Materials designed to mimic patient samples Integrate educational information

CAP SURVEYS Program 530 unique modules Routine testing - Chemistry, Hematology, Coagulation, Microbiology, Transfusion Medicine Specialty testing –Genetics, Histocompatibility, Flow Cytometry, Molecular pathology

CAP Surveys Program PROGRAM BENEFITS –Largest analyte menu (over 700 analytes offered) –Multiple configurations available, along with multiple shipping schedules (Surveys/EXCEL) –Invaluable data; robust statistics; largest peer groups –Integrated Education challenges at no additional charge –On line data submission and performance reports via e- LAB Solutions™ –Examines medically significant analyte range.

Anatomic Pathology Programs Surgical Pathology –Glass slide and On- line cases Predictive Markers Cytopathology –Gynecological and Non- gynecological Specialty Anatomic Pathology –Neuropathology and Autopsy Molecular Pathology HER2 Immunohistochemistry and FISH testing Pharmacogenetics

Anatomical Pathology Program Online (Virtual) Slide Technology –Standardized slides for peer comparison –Surgical Path and Cytology Case Review On line Course Content –Case Histories and immediate feedback Convenient and practical learning opportunities

Virtual Slide Program

CAP Survey Benefits 630 expert pathologists and laboratory professionals representing your interests on the technical resource committees.

CAP QUALITY MANAGEMENT TOOLS Designed to improve patient safety 20 years of program experience Short Term and Longitudinal Monitoring Programs for Key Laboratory Processes –Critical Value Reporting –Patient Identification –Blood Culture Contamination Statistics show labs length of enrollment in studies corresponds with degree of improvement.

CAP Quality Management Tools

CAP EDUCATION PROGRAMS Education is the foundation of all CAP programs –Integrated into all programs Survey products include participant summary reports and critiques with valuable committee discussions and education –Provided via multiple mediums Via on-line courses, audio conferences and printed materials.

CAP COMPETENCY ASSESSMENT Program Customized training Instrument –specific observation checklists Course building and modifying tools Extensive management tracking and reporting All in one on-line program Benefit – Highly trained and effective laboratory staff

CAP COMPETENCY ASSESSMENT Program Introduced in laboratories enrolled Multidisciplinary program content New modules in every discipline every 6 months Ongoing opportunities for staff education and competency

CAP EDUCATION BENEFITS Continuous opportunities to elevate your skills Provides opportunities to learn of new disease states and emerging technologies Designed to continuously improve patient outcomes

CAP LABORTATORY ACCREDITATION PROGRAM Utilizes practicing laboratory professions Peer review program lead by pathologists Serves laboratories of all sizes and complexities

LABORATORY ACCREDITATION PROGRAM PARTICIPANTS 7,000 laboratories in 36 countries 83% of top 100 hospitals in the U.S. The majority of major teaching and large community hospitals choose the CAP to achieve the highest level of distinction.

ISO Accreditation New for 2008 Based on the ISO standard Distinct from CAP Lab Accreditation Program Meets international customer needs Unique Global Recognition

COLLEGE OF AMERICAN PATHOLOGISTS Committed to Excellence Committed to providing programs designed to help YOU ensure: –Excellent patient care –Effective laboratory management

Your commitment to excellence includes a dedication to high- quality and cost-effective patient care.

We too are committed to excellence, and believe this is one reason that 23,000 subscribers in 85 countries rely on Programs from the College of American Pathologists.

THANK YOU!