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Better CLIA Compliance Reviewing Top Deficiencies from CAP, COLA, A2LA, The Joint Commission, CMS and Looking to Future CLIA Reform

Better CLIA Compliance

Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform

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SPECIAL REPORT

Publication August 31, 2023

Better CLIA Compliance

Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform

Personnel pressures have clinical laboratory leaders struggling to stay ahead of CLIA compliance requirements.

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⇒⇒ CEO SUMMARY: Right now, every clinical laboratory has some measure of CLIA compliance risk and weakness, and lab directors will need to meet with their teams to assess what has been missed. Better CLIA Compliance: Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform Special Report will assist lab teams in developing action steps, facilitating growth opportunities, and implementing corrective actions.

Dealing with ongoing staffing constraints, lab leaders who are busy running tests may have lost track of widening gaps in their labs’ compliance with Clinical Laboratory Improvement Amendments (CLIA) regulations. Your lab’s next inspection could sneak up on you.

Right now, every clinical laboratory has some measure of CLIA compliance risk and weakness, and lab directors will need to meet with their teams to assess what has been missed.

Better CLIA Compliance: Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform is now available to fast-track your CLIA compliance checkpoints. Featuring contributions from six of the leading voices in clinical laboratory accreditation, CLIA certification, and regulatory interpretation, this Dark Intelligence Group Special Report draws from candid conversations with the survey monitors themselves, sessions from Executive War College on Diagnostics, Clinical Laboratory, and Pathology Management, and tools from accreditation organizations.

Fast-track identifying costly compliance gaps in your lab.

Use this new special report report to develop action steps and pinpoint what to do and what to check to achieve better CLIA compliance and prepare for your next inspection.

Each chapter is designed to build on and deepen the lab leader’s knowledge of essential components of CLIA compliance. Easily add this valuable 36-page report and workbook to the training and education component of your lab’s regulatory compliance program. 

TABLE OF CONTENTS

CHAPTER 1
Foundation of Clinical Laboratory Quality: FDA, CDC, CMS, and Now a Diverse Group of Different and Sometimes Conflicting Agendas

CHAPTER 2 
Review and Insights from 2023 Clinical Lab Accreditation Roundtable Sessions: Do Problems Found in Clinical Lab Inspections Reveal Widening Quality Gaps?

CHAPTER 3 
Hidden Traps in Competency Assessments, Proficiency Testing: Competency Assessments: Secrets to the Big Six Elements | Proficiency Testing: Investigate Ungradable PT

CHAPTER 4
Issues That Keep New CLIA Laboratory Directors Up at Night: Changes in Regulatory Requirements, Changes in Enforcement, Overlooked Sources of Risk

Leverage the knowledge and experience of six of the leading voices in clinical laboratory accreditation, CLIA certification, and regulatory interpretation.

Denise Driscoll, MS, MT(ASCP), SBB, Senior Director, Laboratory Accreditation and Regulatory Affairs, College of American Pathologists

Lindsay Strotman, PhD, Board-Certified, Laboratory Director, Lighthouse Laboratory Services

Carlyn Mathews, Clinical Program Manager, American Association for Laboratory Accreditation, CLIA, CLIP, Platinum, ISO 15189 Programs, A2LA

Kathy Nucifora, MPH, MLS(ASCP), Chief Operating Officer, COLA

Amy Null, MBA, MT(ASCP), SBB, Associate Director, Standards Interpretation Group, Laboratory Accreditation Program, The Joint Commission

Nora Hess, MBA, MT(ASCP), Senior Consultant, Accumen

Building upon insights from popular sessions at the Executive War College on Diagnostics, Clinical Laboratory, and Pathology Management and The Dark Report, Better CLIA Compliance: Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform examines compliance issues most frustrating for lab leaders.

Develop action steps and pinpoint what to do and what to check to achieve better CLIA compliance and prepare for your next inspection.

Start today with this actionable individual report and workshop tool that brings you:

  • Candid conversations with all the key players in clinical laboratory accreditation, certification, and regulatory interpretation
  • Selected sessions from the 2023 Executive War College on Diagnostics, Clinical Laboratory, and Pathology Conference 
  • Deep insights into the most frequent citations of four accreditation organizations 
  • Secrets to improving compliance with competency assessment and proficiency testing requirements 
  • Roadmaps for CLIA compliance self-audits
  • Workbook structure and printable teaching tools for team workshops
  • Expert advice throughout the 36-page report!

SPECIAL REPORT AT A GLANCE

Better CLIA Compliance:
Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform
Regular price:
$129
Special offer:
$99 (limited time only)
Access the Dark Daily store: Here

Educate your entire team and support those aiming for excellence in compliance-focused lab operations. Order Better CLIA Compliance: Reviewing Top Deficiencies from Accreditors and Looking to Future CLIA Reform and save $30 off the retail price.

Contributors

Denise Driscoll

Denise Driscoll, MS, MT(ASCP), SBB, is the Senior Director of Laboratory Accreditation and Regulatory Affairs at the College of American Pathologists (CAP), where since 2004, she has been responsible for the overall management of accreditation decisions, accreditation requirements, and regulatory and customer relationships. Denise received the CAP’s Laboratory Accreditation Program Service Award in 2011 and has served both as an assessor and a member of the Education Committee with the American Association of Blood Banks, where she has been a member for more than 20 years. Before joining the CAP in 1995, Driscoll worked as a laboratory manager and laboratory supervisor (blood bank and apheresis) at the University of Alabama Medical Center and also as a blood bank sales representative with Immucor, Inc. Driscoll received her BS in medical technology from Auburn University in Auburn, AL, and her MS in clinical laboratory science with a specialty in blood bank technology from the University of Alabama at Birmingham.

Nora Hess

Nora Hess, MBA, MT(ASCP), Senior Consultant for Accumen, has 18 years of experience in laboratory consulting. Her major areas of expertise are regulatory and accreditation compliance, laboratory operations, strategy, workflow efficiency and space design. Prior to her consulting experience Nora was an Administrative Laboratory Director for 12 years in Florida. She is a frequent speaker at laboratory conferences on a wide range of laboratory topics.

Carlyn Mathews a2la Clia Compliance

Carlyn Mathews is the Clinical Program Manager at the American Association for Laboratory Accreditation (A2LA). She joined A2LA in February of 2018, and she runs the Clinical Program. The Clinical Program includes the CLIA, CLIP, Platinum, and ISO 15189 programs. In addition to the Clinical Program, Mathews facilitates the day-to-day operations of accreditation by assisting clients in obtaining and maintaining accreditation in the chemical, biological, and clinical fields of testing. Mathews obtained a bachelor of science in chemistry with a minor in mathematics from Indiana University of Pennsylvania in Indiana, PA.

Kathy Nucifora

Kathy Nucifora, MPH, MLS(ASCP), joined COLA as the Accreditation Division Manager in November 2009 and then served as Director of Accreditation before her promotion to COO in 2019. Kathy was previously with the University of Maryland Medical Center Midtown Campus, where she held the position of Laboratory Administrator. Kathy was recruited from a laboratory in Kansas, to join UMMC Midtown, where she was responsible for a busy inner-city laboratory. In addition to managing the day-to- day operations of the laboratory, she led a multidisciplinary task force to implement molecular testing for MRSA; she launched a positive patient identification system via handheld computers; and helped lead the Laboratory and Nursing Process Improvement Committee. Kathy has also previously served as adjunct faculty at the Community College of Baltimore County for their Medical Laboratory Technician program.

Amy Null The Joint Commission Accreditation

Since 2021, Amy Null, MBA, MT(ASCP), SBB, serves as an Associate Director in the Standards Interpretation Group for The Joint Commission’s Laboratory Accreditation program. After joining The Joint Commission in 2016, Amy worked as a laboratory surveyor for five years. Prior to joining The Joint Commission, Amy served as System Director of Laboratory Services for a large healthcare system in Columbus, Ohio. Amy earned an MBA from Franklin University, an SBB from The American Red Cross/The Ohio State University, and a Six Sigma Black Belt Certification from Breakthrough Management Group. She has a bachelor of science in allied health professions from The Ohio State University, and is member of the American Society for Clinical Pathology and Clinical Laboratory Management Association.

Lindsay Strotman

Lindsay Strotman, PhD, is a board-certified laboratory director on the team of Lighthouse Laboratory Services. Strotman has experience directing high-complexity molecular and toxicology laboratories. She received her doctorate from the University of Wisconsin-Madison where she developed microfabricated devices and assays to streamline sample preparation workflows for a variety of molecular diagnostic application areas. Strotman continued building on this work, serving in different research and development and regulatory compliance roles in academia and the private sector. Specifically, she was instrumental in validating several laboratory developed tests and assuring CLIA, CAP and COLA regulatory requirements were met. Strotman has also received multiple patents, published in peer-reviewed journals, and written several funded grants.

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