Fast Focus on Compliance (FFoC) Training Vignettes

Fast Focus on Compliance (FFoC) training vignettes are supplemental to the inspector training courses. FFoC vignettes give inspectors practical approaches to handle new and perplexing topics using real-world examples. A resource for lab inspectors and laboratories alike, Fast Focus on Compliance training vignettes help you prepare for future laboratory inspections by gaining a clear understanding of requirements while receiving insight into areas that need improvement.

Access the Fast Focus on Compliance Interactive Activities. These short modules use situational scenarios and knowledge checks to gauge proficiency on specific topics related to laboratory inspections.

• Does Practice Match Policy/Procedure?
  Sharpen your skills investigating and evaluating compliance with COM.10000.
       Take the Survey

• What Did You REALLY Mean…How to Write a “Good” Deficiency
  Learn common errors and consequences of poorly written deficiencies, and practice writing deficiencies with sufficient detail to communicate inspection findings.       
        Take the Survey

• Cite or Recommend? Know Before you Go!
  Confidently know when to cite a deficiency and when a recommendation may be appropriate.
       Take the Survey
  
• Identifying and Inspecting Non-conforming Events
  Understand how a laboratory defines a non-conforming event, and how to investigate if the laboratory appropriately identified problems, performed root cause analysis, and implemented corrective/preventive action.
       Take the Survey
  
• Summation Solutions
  Have quick and easy access to all the tips and tools you’ll need to ace your summation.
       Take the Survey
  
• Inspection Professionalism – Minding Your P’s and Q’s: Using the CAP Philosophy to Improve Quality
  Hone your professional presence and deescalate contentious situations when they arise during inspections.
       Take the Survey
  
• Inspecting Laboratory Director Responsibility: Delegation Junction What’s Your Function
  Team leaders will analyze DRA.11425 (Delegation of Functions or Duties) and learn tips and examples to verify laboratory director compliance with DRA.11425.
       Take the Survey
  
• Presenting Director Assessment Deficiencies: Best Practices
  Team leaders will understand the importance of citing director deficiencies and receive practical guidance for providing them.
       Take the Survey
  
• Proficiency Testing Referral and Communications
  Learn common situations that lead to proficiency testing (PT) referral and how to investigate these situations on inspections.
       Take the Survey
  
• Inspecting Proficiency Testing
  Learn the steps to inspect proficiency testing (PT) and how to determine compliance with PT checklist requirements.
       Check out the tip sheet -Inspecting Proficiency Testing
       Take the Survey
  
• Inspecting Method Validation/Verification Studies
  Investigate real-life laboratory situations requiring analytical validation or verification and decide what to do for each.
       Take the Survey
• Inspecting Method Comparison Studies
  Practice determining compliance with COM.04250 for common instrument/method comparability scenarios.
        Check out the tip sheets –Summary of Waived Testing | Inspecting Method Comparison Studies
         Take the Survey
  
• Analytical Measurement Range (AMR): Inspecting Far and Wide
  Learn to inspect AMR to ensure the laboratory evaluated the data, actively troubleshooted outliers, and resolved issues.
         Take the Survey

• Inspecting Personnel Records
  Be prepared to inspect personnel by learning tips to organize, sample documents, and determine compliance with personnel requirements.
          Check out the tip sheet - CAP Personnel Requirements by Complexity

• Inspecting Competency Assessment: Busting the Myths
  Understand common misconceptions regarding competency assessments and learn best practices for documenting and reviewing records.
           Check out the tip sheets -Elements of Competency | Competency Training: What, Who, When
  
• Exploring and Eliminating Expungements
  Review real examples of frequently miscited checklist requirements due to inspector misinterpretation and learn tips from the pros to help reduce expungements.
          Take the Survey
  
• Inspecting Cytopathology: What you Might be Missing
  Learn why citations pertaining to personnel, statistical records, and gynecologic samples/slides are commonly missed by cytology inpsectors, and ensure you can effectively determine compliance with these trouble spots.
           Take the Survey
  
• Point-of-Care (POC): Inspection Strategies and R-O-A-D Maps
  Navigate the nuances of inspecting point-of-care (POC) areas.
          Take the Survey

Download the Fast Focus on Compliance Tip sheets. These resources are designed to be downloaded and quickly referenced when preparing for or completing laboratory inspections.

• Inspecting Validation and Verification: Decision Tree
  Use these flowcharts to help determine compliance with validation and verification requirements.
        Take the Survey
  
• Inspecting Manufacturer Recalls Tipsheet
  Use this stepwise approach to inspect manufacturer recalls, including medical devices and blood components.
        Listen to the podcast -Medical Device Recalls: How Laboratories Must Respond
        Take the Survey
  
• Inspecting Reproductive Laboratory Accreditation Program (RLAP) Laboratories: Tips for the Clinical Inspector
  Inspectors from a traditional clinical environment will learn to shift their mindset to successfully inspect a reproductive laboratory.
        Listen to the podcast -Focusing on Compliance at Reproductive Laboratories: Tips for Improving Inspection
        Take the Survey

Play the Fast Focus on Compliance training games for a fun, interactive test on laboratory inspections.

• Inspecting Safety: Is the Lab in Jeopardy
  Play our interactive quiz game related to safety requirements found in the laboratory general (GEN) checklist.
        Take the Survey

Watch the FFoC videos. These vignettes address specific subjects related to laboratory inspections.

• ROAD Inspection Technique
  Watch a demonstration of the Read-Ask-Observe-Discover (ROAD) inspection technique in action.
       Take the Survey
• Proficiency Testing (PT): Evaluation Extrapolation
  Laboratories and inspectors will understand proficiency testing (PT) evaluation codes, necessary actions for ungraded PT challenges, and the appropriate next steps for determining patient impact in the event of a PT failure.
       Take the Survey
  
• Inspecting Alternative Performance Assessment (APA) in Laboratories Subject to US Regulations
  Learn to recognize situations requiring alternative performance assessment (APA) and use the checklist requirements related to APA to confidently document or determine compliance.
        Take the Survey
  
• Identifying Systemic Issues – Critical Role of the Inspection Team Leader
  Team leaders will learn to recognize serious or systemic deficiencies in the laboratory and cite these under the appropriate director responsibility outlined in the DRA checklist.
       Take the Survey
• Documenting Your Inspection Findings
  Learn to clearly communicate inspection findings to laboratory staff and thoroughly document inspection findings for review by CAP staff and commissioners.
       Take the Survey
• Competency Assessment
  Several common, challenging inspector scenarios are used to illustrate compliance and provide guidance on decision-making.
       Take the Survey

Have questions? Email us at accred@cap.org.