College of Physicians

1
Saskatchewan Update
2
Provincial Roundup 2007Saskatchewan

• Currently 156 labs
• 79 rural health centres
• 46 rural hospital laboratories
• 11 regional/city hospitals
• 1 Provincial Laboratory
• 1 Canadian Blood Service
• 18 collection sites
• 219 Physician Office Laboratories

3
Provincial Roundup 2007Saskatchewan

• 2006 Audits
• 12 onsite audits
• self audits
• 32 audits are underway for 2007, encompassing 5
  health regions

4
Provincial Roundup 2007Saskatchewan

• Proficiency Testing is mandated for all tests,
  for which there is proficiency testing available.
• Providers
• ALQEP
• Healthmetrx/CEQAL
• CMPT
• CAP

5
Provincial Roundup 2007Saskatchewan

• Staff Changes
• Tracy Brown replaces Virginia Marsh
• Candice Swan replaces Jennifer Bush
• Dr. Bruce Murray has resigned as chair of Program
  Management Committee and Dr. Ian Etches has
  assumed that responsibility.
• Dr. Etches also chairs our Transfusion Medicine
  QA Committee
• Dr. Anurag Saxena, chair Hematology QA Committee
  will act as chair for CCQLM AP Working Group
  for 2007

6
Provincial Roundup 2007Saskatchewan

• Program Changes
• Creating a new database/program to streamline
  processes anticipate improvements by year-end
• We are moving! The Research Centre on the U of R
  campus will serve as the home for the new
  Saskatchewan Disease Control Laboratory and
  Diagnostic QA of College of Physicians and
  Surgeons of Saskatchewan. Anticipated move was
  scheduled for April 2008, however the delay could
  be as much as one-year.

7
Provincial Roundup 2007Saskatchewan

• Projects
• Promoting the communication of guidelines through
  TeleHealth
• Inter-facility Transfer of Blood and Blood
  Products
• Bioterrorism and Packaging
• Focusing on Anthrax, Brucella and Tularemia
• Key to Quality - CLSI

8
Provincial Roundup 2007Saskatchewan

• Creatinine Standardization
• a pilot study is underway comparing results
  between different platforms for eGFR
• Laboratory Quality Assurance Policy Manual
• - updated and newly released

9
Provincial Roundup 2007Saskatchewan

• POCT Policy
• Collaborative efforts with RN, pharmacy,
  paramedic professional groups
• Basic principles how to implement
• Dr. H. Richardson promoted
• Working Group proposal
• Is it an issue?

10
Provincial Roundup 2007Saskatchewan

• ISSUE
• Point-of-Care Testing
•  
• POLICY
• All POCT shall be held to the same standard as
  clinical laboratory testing regardless of where
  examination is performed. The healthcare
  professional performing the test is accountable
  and responsible for
• a. Evaluation and selection of instrumentation
  and procedures,
•  
• b.             Training and certification of
  personnel,
• There shall be centralized coordination of the
  POCT training program by designated, qualified
  personnel.
•  
• c. Establishment of quality control protocols,
• Shall include external proficiency testing
  participation, daily QC and documentation
•  
• d. Test protocols, equipment maintenance and
  troubleshooting records,
•  
• e.  Protocols for test requisitioning and result
  reporting, and active review of results by POCT
  director or designee. The report must be
  identified as a POCT result
•                    Setting up policies regarding
  instrument maintenance and supplies.
• Establish schedules and document activities

 
11
Provincial Roundup 2007Saskatchewan

• Highlights
• CLSI Key to Quality
• Our program has embraced the CLSI fundamentals
  for implementing a quality management system in
  the clinical laboratory.
• Promoting laboratories to adopt and many regions
  are purchasing a copy and implementing the
  practice.
• Sask Health has endorsed our peer-review process
  for accreditation

12
Provincial Roundup 2007Saskatchewan
13
Provincial Roundup 2007Saskatchewan

• What does the future hold?
• CCHSA Health Canada
• ISQUA
• ????