Quality Indicators: Past and Present

1
Quality IndicatorsPast and Present
Part D

• Michael A Noble MD FRCPC
• Professor
• Medical Microbiology and Infection Control,
  Vancouver Coastal Health
• and
• Chair, Clinical Microbiology Proficiency Testing
  program,
• Chair, Program Office for Laboratory Quality
  Management
• Department of Pathology and Laboratory Medicine
• University of British Columbia

2
Assessing Quality Indicators

• Importance Potential for Improvement
• Scientific Acceptability Reliability and Validity
• Feasibility Implementation and cost
• Usefulness Comprehensive

Having Quality Quality Indicators
3
Total Testing Cycle forMedical Laboratories
Post-Analytic
Pre-Analytic
Analytic
Analysis Quality Control
4
IQLM Indicators

• Diabetes monitoring (system)
• Hyperlipidemia screening (system)
• Test Order Accuracy and Appropriateness
• Patient Identification (pre-analytic)
• Adequacy and Accuracy of Specimen Information
  (pre-analytic)
• Blood Culture Contamination (pre-analytic /
  system)
• Accuracy of point-of-care testing (analytic)
• Cervical cytology/biopsy correlation (analytic)
• Critical Values Reporting
• Turnaround time (postanalytic)
• Clinician satisfaction (system/postanalytic)
• Clinician followup (system/postanalytic)

5
Quality Inventory 1US Medical Laboratories2004

• In 2004 the Institute for Quality in Laboratory
  Medicine (IQLM) and the Clinical Laboratory
  Managers Association (CLMA) undertook an on-line
  quality inventory of laboratories with CLMA
  members.
• Approximately 400 laboratories responded.
• The study was voluntary, self-reported, with a
  validated questionnaire.
• Information provided was not verified by a second
  method

6
(No Transcript)
7
(No Transcript)
8
(No Transcript)