To ensure accredited laboratories maintain and improve continuous compliance with CAP and other regulatory requirements through oversight and education in the areas of proficiency testing (PT) and other mandated quality activities; to monitor and ensure all CAP-accepted PT providers continue to meet established criteria; and develop guidelines for requiring commercial PT and/or alternative performance assessment.
|Time Commitment Requirements|
|Number of face-to-face meetings||3|
|Length of meetings||1 day|
|Typical meeting days||Friday or Saturday|
|Meeting locations||One meeting takes place in Chicago and the others take place in two other locations.|
|Number of conference calls||9 (1 hour)|
|Hours per year||15+|
|Additional travel or time commitments||
Chair sits on CoA. Typically, the chair assists staff with onsite audits of PT providers.
Activities of Committee
- Provides scientific support to the Laboratory Accreditation Program in the area of continuous compliance with a primary focus on the monitoring of PT.
- Determines which nonregulated analytes require PT enrollment and participation (eg, Immunohistochemistry, molecular pathology, and Next Generation Sequencing (NGS).
- Reviews CAP Accreditation Programs policies to ensure they reflect current practice.
- Review of corrective action/reinstatement documentation in response to a PT compliance notice (eg, non-participation, performance, missing enrollment).
- Provides input to the CoA relative to review and approval of CAP-accepted PT providers (including onsite audits).
- Monitor and ensure all CAP-accepted PT providers continue to meet established criteria outlined in “Criteria for Proficiency Testing Programs.”
- Communicates with participating laboratories.
- Participates in Educational Programs such as webinars and development of educational resources.
- Maintain CAP Continuous Compliance Committee Resource Manual to provide background information for new members as well as a resource for current members.
Expertise or Experience
- Good working knowledge of both the PT and laboratory accreditation requirements.
- Knowledge of other regulatory requirements, such as Clinical Laboratory Improvement Amendments regulations.
- Emphasis on clinical pathology but needs balance with some members with anatomic pathology expertise.
Benefits of Committee Membership
- Gain experience in regulatory compliance in both anatomic and clinical pathology.
- Opportunity for speaking engagements and to publish materials (eg, The CAP Annual Meeting, The American Association for Clinical Chemistry (AACC), CAP Today).