CAP ACCREDITATION PROGRAMME

FOR MEDICAL TESTING LABORATORIES

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CAP: Introduction

The College of American Pathologists or CAP's Laboratory Accreditation Program is unlike any other. It is the world's largest association composed exclusively of pathologists certified by the American Board of Pathology, and is widely considered the leader in laboratory quality assurance. The CAP is an advocate for high-quality and cost-effective medical care.

CAP Accreditation programme assures that the laboratory uses the most comprehensive, scientifically-endorsed laboratory standards to meet or exceed CLIA requirements and its test results are of the highest quality; and with active monitoring to ensure it remains that way over time.

THE CAP EQUIPS ACCREDITED LABORATORIES WITH THE KNOWLEDGE, SKILLS, AND RESOURCES TO REMAIN CURRENT AND RELEVANTIN AN EVOLVING HEALTHCARE LANDSCAPE.

BENEFIT OF CAP ACCREDITATION

Preferred by Top Hospitals

CAP supplies the leading-edge science and technology in the checklists, benefiting the clinicians and patients who rely so heavily upon accurate laboratory testing.

Keep Pace With the Evolving Laboratory

Annual Checklists with modern best practices and provide a clear road map not only for achieving accreditation but also running a high-quality laboratory.

Unique Peer-Inspection Model

Year-Round Education Offerings for Continued Learning

Key Insights to Mitigate Risk

REQUIREMENTS OF CAP ACCREDITATIONPROGRAMME

CAP's Laboratory Accreditation Program accredits the entire spectrum of laboratory test disciplines with the most scientifically rigorous customized checklist requirements.

All disciplines practiced by the laboratory at the same location, under the same directorship, must be listed in the application. All disciplines will be inspected, as the CAP does not accredit portions of laboratories.

On-site inspections occur every two years using

CAP Accreditation Checklists to assess compliance with program requirements.

Participating laboratories can access the checklists through e-LAB Solutions Suite and non-accredited laboratories may purchase the checklist

The laboratory must enroll in CAP Proficiency Testing (PT)/External Quality Assurance (EQA) for a minimum of six months prior to initiating the CAP application process.

Each separately accredited laboratory must be enrolled in CAP PT under its own CAP number.

CAP ACCREDITATION CYCLE

HOW QualityKonnect WILL HELP YOU TO GET CAP ACCREDITATION?

Once your Organization determines to go for CAP Accreditation, QualityKonnect Consultants shall guide you in each and every step of the process, starting from 'CONCEPTION' to "REALIZATION'.

Preparing the Organization for CAP Accreditation

Preparing your organization will cover the following activities:

GAP Analysis report of entire Organization and suggest changes in Infrastructure, Personnel or any Regulatory or Statutory compliances if required.

Preparation of various Quality Documents like Quality Manual, Departmental SOPs, Files, Formats etc.

Training of staffs

Formation of Core Quality Team and guide them implementing standard throughout the organization.

Formation of various Committees .

Conducting Internal Audit.

Statutory Compliance Guidelines.

Providing guidelines for various displays.

Implementing policies for capturing Quality Indicators.

CAP APPLICATION

Once the organization is ready for Application, QualityKonnect shall help you to fill the application as per the instructions given in the online application portal. Organization should fill the application and provide the information details very carefully as this is relevant to determine the scope of services and to take the process further. This is why you need the expertise, and we have inevitable experiences in this domain for more than a decade.

CAP Checklist

Developed with input from more than 500 pathologists and laboratory experts, CAP's 21 discipline-specific accreditation checklists provide a clear roadmap for not only achieving accreditation but also for running a high-quality laboratory. Once the application is reviewed by CAP, the organization receives customized discipline specific checklists which needs to be filled properly with evidence based practices. On-site inspections occur every two years using CAP Accreditation Checklists to assess compliance with program requirements.

QualityKonnect Consultants will guide you to understand the Checklists in easy way and help the technical and managerial team to fill the checklist with supporting documents.

Support during Readiness visit of your organization

Once the application is accepted, CAP will plan the readiness visit after mutually deciding with the organization to check preparedness of the organization. A team of Principle Assessor will visit the organization and submit their observations. Corrective and preventive action needs to be taken for all observations raised by the assessors and supporting documents need to be submit to CAP portal within recommended time frame by the Assessors.

During the Assessment, QualityKonnect shall be giving you entire assessment support from the backend. At the end of the assessment, our expert will guide you to take proper corrective and preventive action against the Assessor's observations.

Final-Assessment of your organization

After organization has taken necessary corrective action to the non-conformities raised during the readiness visit, CAP shall propose a final assessment. During the Final Assessment, the assessor will check the entire facilities covered under accreditation and review the documented management system in detail and verifies its compliance to the standards.

During the Final Assessment, QualityKonnect shall extend the entire assessment support from the backend. At the end of the assessment, our expert will guide you to make details assessment report along with proper corrective and preventive action against the Assessor's observations raised during the assessment and will submit to CAP portal within recommended timeline suggested by the assessors.

Once your submitted corrective/ preventive action against the observations raised by the assessor is accepted by the CAP, you will receive the Accreditation certificate.