PEPFAR Quality Control and Method Validation Activity 13: Presentation Slides

Performing the right QC right at your site. ACTIVITY: Improvement Project Assignment 1 Key Message … Labs are vital. Continuously Desired Outcome improving the quality of patient care delivered by the laboratory Introduction 2 PRINCIPLES OF QUALITY ASSURANCE  Focus on the needs of the users  Focus on processes to increase the productivity of work  Use data to improve services  Use teams to improve quality  Improve communication Introduction 3 1 HILS1761 Effective Date: 12/19/2016 Workshop Objectives To understand and apply Statistical QC (SQC) principles to your quantitative tests so that you can:  Monitor and evaluate quality control in your laboratory.  Design an effective QC program in your laboratory.  Transfer basic QC knowledge to your analytical staff in your laboratory. 4 Improvement Project (IP) Assignment You have six months to implement a complete QC program for two quantitative analytical workstations at your site. 5 Support from Hospital Management Implement a Total QC Strategy Complete QC Program Educate Analytical Staff 6 2 HILS1761 Effective Date: 12/19/2016 Apply appropriate QC rules to alert when a medically significant change has occurred Use QIs to monitor Complete QC the analytical Program performance on a monthly basis Document the corrective action taken when alerted by QI or QC rule 7 INPUT PROCESS OUTPUT OUTCOME Providers gain confidence with the laboratory results to treat their patients diagnostically instead of just empirically. This change in treatment results in a more cost ‐effective and efficient healthcare system. 8 Process Map a Complete QC Program for Two Workstations 7.5 Are budgetary projections based 1.5 Are policies and/or standard on personnel, test, facility and operating procedures (SOPs) for 8.10 Are QC results monitored and equipment needs, and quality laboratory functions, technical and reviewed (including biases and assurance procedures and managerial procedures current, Levy-Jennings charts for materials? available and approved by quantitative tests)? authorized personnel? INPUT PROCESS OUTPUT Knowledge 1. Apply appropriate QC rules to gained from alert when a medically significant QC change has occurred in the Workshop measurement procedure. 2. Use quality indicators (QIs) to Handouts monitor the analytical performance Worksheets (accuracy and precision) of the Job Aids workstations on a monthly basis. 3. Document the corrective action taken when alerted by QI or QC rule. Utilize monthly SEc as a quality hospital management phase of testing indicator (QI) for the analytical Communicate IP with staff and SLMTA Training 1. 10. 11. 12. 13. 5. 2. 3. 6. 7. 9. 8. 4. 3.7 Is there a system for competency assessment that covers: a) competency assessments performed according to defined criteria, b) new hires, c) existing staff, and d) retraining and re-assessment where needed? 9 3 HILS1761 Effective Date: 12/19/2016 Activity: Process Mapping Your IP Purpose What will you do? Mapping a process is an Working in groups of 8‐10 , you will: excellent managerial tool  Participate in the discussion led by your to begin the planning stage team leader. of a project.  Use the information gained from the last five workshop days to identify the steps. What will you need?  Using Worksheet 1, map the process steps • Handout 1 that are needed to be performed at a site. • Worksheet 1  Write the group’s responses on the • Pencils provided blank paper; one step per paper. • Blank paper  Tape the papers in the correct order in the • Markers designated wall space for your group (5 • Tape minutes).  Be prepared to defend your responses during the debrief. 10 95 minutes Remember the 5 P’s “ Purposeful Planning Prevents Poor Performance.” George Klee On the Road to Laboratory Improvement Taking a turn towards QC 12 4 HILS1761 Effective Date: 12/19/2016