College of Physicians

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Provincial Roundup 2007Nova Scotia
NUMBER OF LABORATORIES IN NOVA SCOTIA

• At present there are 32 labs organized into 9
  District Health Authorities (DHA) plus the Isaac
  Walton Killian Health Centre, Canadian Blood
  Services and 2 other clinical laboratories not
  associated with the DHAs providing lab services
  in the province of Nova Scotia.
• There is currently no formal body to monitor
  external quality assessments or accreditation in
  the labs in the province.

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Provincial Roundup 2007Nova Scotia
OVERVIEW OF QUALITY ASSURANCE SERVICE

• There are some provincial initiatives organized
  under the Department of Health (DOH) such as the
  Nova Scotia Provincial Blood Coordinating Program
  and the Nova Scotia Gynaecological Cancer
  Screening Program, which have initiatives that
  look at laboratory standards.
• They also have other initiatives focusing on
  issues outside of the lab such as increasing
  Gynaecological Cancer Screening, sample
  collection issues, adverse advent reporting,
  blood product utilization and transfusion
  procedures at the bedside, etc.

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Provincial Roundup 2007Nova Scotia
OVERVIEW OF QUALITY ASSURANCE SERVICE

• Each DHA has a regional laboratory. These
  regional laboratories are ISO 17025 compliant for
  water testing and this is a requirement of the
  Nova Scotia Department of Environment Labour.
• The Canadian Association for Environmental
  Analytical Laboratories is the accrediting body.
• Each District Authority subscribes to external
  proficiency testing organizations such as CAP.

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Provincial Roundup 2007Nova Scotia

• Whats new
• Plans are underway to form a Provincial Public
  Health Laboratory Program reporting to the
  Department of Health Protection Promotion,
  which will focus on various initiatives including
  laboratory standards, pandemic planning and
  emergency response.

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Provincial Roundup 2007Nova Scotia

• Whats new
• In order to respond to this the managers of the
  Nova Scotia Association of Clinical Laboratory
  Managers (NSACLM) has formed a Quality Management
  Steering Committee to work Collaboratively

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Provincial Roundup 2007Nova Scotia

• .

• Future Endeavors
• The Canadian Council on Health Services
  Accreditation (CCHSC) accredits each DHA for
  hospital services and with the announcement that
  their laboratories will have to comply with the
  ISO 15189 Z902-4 standards we expect that each
  DHA will participate in this accreditation
  process.

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Provincial Roundup 2007Nova Scotia

• CAPITAL HEALTH UPDATE
• Highlights
• Interoperability Project
• of providers registered to be on the
  Nightingale software 668
• of above registered providers that have
  actually gone live with Nightingale software 411
• of above live providers that have also gone live
  on eResults within Nightingale- 69
• of providers to have gone live with eResults
  using Practimax software -30

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Provincial Roundup 2007Nova Scotia

• CAPITAL HEALTH UPDATE

• Eight Accreditation teams up and going
• In process of hiring a Quality Coordinator

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Provincial Roundup 2007Nova Scotia

• CAPITAL HEALTH UPDATE

• Mumps Outbreak
• Began 3rd week of February 2007
• N.S. Cases jumped from 157 to 203 in one week
• N.S. considering a catch up vaccination campaign
  for university students and health care workers

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Provincial Roundup 2007Nova Scotia

• ISSUES OF CONCERN
• Will CCHSA accredit our laboratories to ISO
  standard?
• Will there be any other options available within
  Canada to have a formal ISO Accreditation.
• We would welcome any evidence that benchmarks
  activities across Canada that we could use as
  evidence that we must move forward with a formal
  Provincial Quality Management Program.

• I

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Provincial Roundup 2007Nova Scotia

• THANK YOU