College of American Pathologists

  Complaints and Investigations Committee


Updated January 23, 2014

Reports to: Commission on Laboratory Accreditation

Charge: To oversee the investigation and adjudication of complaints and to evaluate the outcome of validation inspections to ensure compliance of laboratories with the Standards for Laboratory Accreditation.

Time Commitment Time Commitment

Number of face-to-face meetings:
Length of each meeting: 1 day
Typical meeting days of the week: Friday
Location of meetings: 1 in Chicago; 2 in other locations.

Hours of committee work required outside of meetings:
(i.e. journal review, liaison activities, writing critiques, email communications): Typically a minimum of 2-5 hours per week, may be more depending on complaint volume and complexity.

Additional travel or time commitments:
(i.e., leadership meetings, other organization meetings): Chair is also a member of the Commission on Laboratory Accreditation. Other members may also be Regional Commissioners and typically attend Regional Commissioner Roundtable at CLA meetings.

Activities of Committee Activities of Committee

  • Coordinate complaint investigations and recommend accreditation status-related decisions to the Accreditation Committee when appropriate.
  • Address strategic (operational) aspects of role of complaints process in functioning of the Laboratory Accreditation Program.
  • Assure that policies and decisions regarding complaint investigations and adjudications, validation inspections, and reporting of decisions are consistent and objective.
  • Monitor complaint trends and other metrics related to the complaint investigation process.
  • Monitor oversight agency validation inspections for noncompliance of laboratories with the Standards for Laboratory Accreditation.
  • Anticipate/discuss risks to CAP related to the complaint process on an ongoing basis and take steps to mitigate/anticipate risk when necessary.
  • Elevate accreditation program issues to the Commission on Laboratory Accreditation.

Expertise or Experience Required Expertise or Experience Required

  • Good working knowledge of the laboratory accreditation requirements.
  • Knowledge of other regulatory requirements such as CLIA regulations is positive.
  • Previous experience as a Regional commissioner is also desired.
  • Prompt response to complaint communications is expected

Benefits to membership on this committee Benefits to membership on this committee

  • Gain experience in regulatory and accreditation compliance in both anatomic and clinical pathology.

Representation on committee beyond the CAP:

  • N/A

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