Chantell HodgsonScheme Manager

UK NEQAS CPT 2013 PARTICIPANT MEETINGQUALITY THROUGH LEARNING Cellular Pathology EQA:

Past, Present and Future Tuesday 29th October 2013

 

UKNEQAS CPTA System of Learning

Committed to providing a Cellular Pathology Techniques EQA service of the highest quality

Why and what is External Quality Assessment ?

Effective Quality Assurance (QA) programme requires a

combination of;

Internal Quality Control (IQC)

the everyday analytical process

External Quality Assessment (EQA)

programmes

where overall accuracy and comparability of results

between centres may be determined

Scheme of Excellence

or Excellent Scheme

Scheme of Excellence

or Excellent Scheme

Scheme staff

Scheme assessors

Scheme Provision

• Assessment

• Performance

• Sustainability

• Education

• Quality Product

• Quality Service

• Working together

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Unbiased, impartial, fair, reasonable, even handed

Efficient avoid waste including ideas and energy

Teamwork

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Unbiased, impartial, fair, reasonable, even handed

Efficient avoid waste including ideas and energy

Teamwork

User Survey 2013

• 190 returns from 400 users• Online survey• Organised by Scheme Manager• January distribution• Closed March

• Tick = No worries• • Cross = Concerned

“I am not going to answer this because you cannot be bothered

to check your spelling”

“I have been forced to answer this question to submit the survey, please disregard this answer,

it is the survey that is unsatisfactory”

Scheme contact

Members area

Assessment and performance

• They could be returned more promptly• Slides are late being returned

• It would be useful if the assessed slides were returned to coincide with the publication of the results so they can be reviewed by the consultant histopathologist as soon as possible

• Not enough time to return stained slides• Longer turnaround time as often receive week

before submission

Turnaround times

Scheme schedule

Scheme contact

Scheme role

• At present we are too short of staff and time

• No funding available for travel and fees associated with workshops

• Pushing for the appropriate members' of staff to be allowed to attend

• Looking to send 2 people in the Autumn• Already sent 2 staff

• As a past assessor and highly experienced BMS the workshops do not add any further information

• I believe my knowledge is above average therefore is not applicable

• Too far to travel as all in the North!• Probably only if they were in London

• CPT educational courses for each module• A basic course / workshop for our trainee to

give him a better understanding• I work in a very small lab and any workshop

would be useful• Continual refresher courses

• More specialist staining workshops to go alongside the Specialist Portfolio

• How stains are used in pathology diagnosis

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Unbiased, impartial, fair, reasonable, even handed

Efficient avoid waste including ideas and energy

Teamwork

EffectiveEnhanced Feedback

EffectiveRegular Meetings

EffectiveEducation

EffectiveEducation

Effective the next step…Website e-learning?

• On line quiz

• How to score slides and how to improve stains

• Common pitfalls with common stains

• Optimising staining techniques

• Staining and processing trouble shooting

• Microtomy improvement techniques

Assessment and performance

• More up to date images good and bad, and details of best methods

• Question and answer section for staining issues

• Feedback about most commonly occurring reasons for marks to be deducted and advice about how they could be improved

• Handy to have reminders about submission dates

• Often lower scores are given no indication of why

• H&E feedback on strength i.e. too strong / too weak rather than intensity

• Preferred scoring out of 10

• See previous?!

Scheme role

Scoring• Generally staff feel the scheme gave a better

feedback when the mark was out of 10 rather than 5

• Scoring out of 5 rather than 10 is sometimes misrepresenting the quality of our work

• Please, please, please reconsider the score out of 5, it is not as specific as the scores out of 10!

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Unbiased, impartial, fair, reasonable, even handed

Efficient avoid waste including ideas and energy

Teamwork

EquitableGallery

Equitable Best methods

 

Equitable Comments…• Would like all laboratory staff to be able to view

best practices and view slides

• Data on stains, automation and best methods• Details of stains suppliers with best methods

• Pictures of good stains, suggested stain protocols, troubleshooting ideas and forum for help with stain problems

• Best methods and troubleshooting. Also maybe open a forum for questions

Equitable Improved feedback

Equitable

Improved scoring system

Participant Performance

Comments…

• Analyse own departments performance over time against a specific stain in a tabular format, i.e. could view all the recent PAS stain scores

• Good and poor scoring staining to see what contrast of work is being submitted

• Summary of anonymised participant scores to allow us to rank our own performance

Equitable

Route cause analysis for poor performers

Participant profiles

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Efficient

avoid waste including ideas and energy

Teamwork

Efficient

Modernization

Service improvement

Advancing technology

Changing and developing workforce

Efficient Digital imaging

Efficient Digital imaging

Image availability

Multiple viewing

Continual assessment

Teaching and training

Efficient Digital imaging

No lost images

Instant Reports

Availability

Less time wasted

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Efficient

avoid waste including ideas and energy

Teamwork

TeamworkFeedback

• Ability to send range of slides for assessment when trying to improve poor results

• Excellent feedback from the Scheme. Slides are sent out in a prompt manner

• When I phoned up the CPT staff were very helpful and kind

• Thanks for all your hard work

TeamworkFeedback – Wham bam!

“I have recently taken over the special stains section of my laboratory. There is a lot of work involved to

update and improve the service we currently provide.

I attended the CPT workshop last year, and met the Scheme Manager. I explained my situation and she

could have not been anymore supportive.

I really feel confident that I am fully supported by the UK NEQAS CPT scheme.

For that I, and on behalf of my department, we are very grateful”

Scheme Aims

Fit for purpose“ensure that the scheme provides a service that

meets the agreed needs and requirements of the participants”

Effective provide processes and achieve outcomes to support

the scheme and its participants

Equitable Efficient

avoid waste including ideas and energy

Teamwork

Scheme of Excellence

that is an

Excellent Scheme