The Point of Care Issue

AACC Annual Meeting & Clinical Lab Expo 2014 - July 28-Aug 1 - Chicago

In This Issue...

Risk-Based Quality Control Practices and More

Quality Control for POC Devices: A Key Lab Role

Point-of-care testing holds the attention of healthcare institutions and providers as they seek rapid test results, confidence in giving the right drug at the right time, and more efficient overall treatment. Consequently, POCT is an ever important aspect of lab practice. The 2014 Annual Meeting & Clinical Lab Expo offers plenty of POCT education for laboratorians seeking to learn about the latest POCT technologies, adopt best practices for quality control and competency, and make the most of their POCT platforms.

The 12th Annual POC Coordinators Forum on Thursday July 31 from 7:30–10 a.m. will look at risk-based quality control practices and preparation tips for POC testing programs. Representatives from the College of American Pathologists and The Joint Commission will update attendees on both organizations' lab programs. In addition, a panel of three laboratorians with experience developing risk-based quality control programs—May Louie from Stanford University Medical Center in Palo Alto, Calif., Linda Seefluth of Marshfield Clinic in Marshfield, Wisc., and Lou Ann Wyer from Sentara Healthcare in Norfolk, Virginia—will share strategies for developing a risk-based quality control plan.

A major topic of interest is the individualized quality control plan, a new type of quality control process based on risk management principles. IQCP gives labs flexibility to customize quality control policies and procedures based on the tests they use and the characteristics of the lab.

IQCP will be on the agenda Wednesday July 30 from 2:30-5:00 p.m. at the Short Course, Hot Topics in POCT: New Standards and Practical Issues. The Centers for Medicare and Medicaid Services has announced a new IQCP option for labs' CLIA compliance starting in 2016, and Dr. James Nichols of Vanderbilt University in Nashville, Tenn. will present an interactive session on creating an IQCP for a CLIA moderate complexity POCT device. This session, developed in cooperation with the Clinical and Laboratory Standards Institute, also will showcase newly published or in process CLSI guidelines. Hot Topics in POCT will conclude with Dr. Allison Woodworth of Vanderbilt University speaking about how to decide where testing should best be performed, at the POC, or in satellite or core labs.

Intimate Settings, Grand Events

Colleagues Reunite at the CPOCT Mixer and AfterGlow
brown bag

Annual Meeting attendees who would like to pick up more knowledge about point-of-care testing but prefer a more intimate setting can't go wrong with our selection of Brown Bag sessions. These roundtable presentations, limited to 10 participants and given twice the same day, give attendees the opportunity to pose questions and discuss lab topics without the pressure of doing so in front of a large audience.

In Point of Care Dashboard for the Lab and End User, Dr. Nicole Korpi-Steiner of the University of North Carolina at Chapel Hill will explore the use of information dashboards as a way to monitor both POCT-related quality and patient safety indicators and regulatory compliance. In addition to looking at what comprises a successful quality indicator, this practical session, which takes place July 29 from 7:30–8:30 a.m. and again from 12:30–1:30 p.m., will offer tips about which staff should be involved in setting metrics, who should see the dashboards, and which actions should be taken in response to dashboard metrics.

Also on the quality front, Dr. Rob Nerenz of Washington University in St. Louis will discuss false negative issues related to human chorionic gonadotropin POC devices. hCG Point-of-Care False Negatives: Is Your Device Affected? will be offered twice on July 30, at 7:30–8:30 a.m., and at 12:30–1:30 p.m. Nerenz will explain how qualitative hCG devices are susceptible to negative interference from high concentrations of hCG beta core fragment early in pregnancy, and will offer ways to evaluate their performance.

With POC devices populating in patient care settings far-and-wide, labs understandably are concerned about meeting competency assessment requirements for the wide range of staff who perform POCT. In POCT: The Devil is in the Details—Compliance Issues from the Bedside, Joint Commission representative Elia Mears will discuss strategies for meeting all CLIA competency requirements, and for integrating the POCT competency assessment program into the lab's overall quality plan. Mears will be speaking on July 29, from 7:30–8:30 a.m., and from 12:30–1:30 p.m.

Competency assessment in general is one thing, but what about keeping up with it for hundreds of physicians across multiple specialties? In Physician Competency in POCT: Really? Me? Chris James, manager of POC at the University of Iowa Hospitals and Clinics in Iowa City will discuss how to meet all six CLIA competency requirements for physicians and address how to remedy resource allocation issues for POC coordinators. James's presentation will be offered twice on July 28, from 7:30–8:30 a.m., and from 12:30–1:30 p.m.

After experiencing POCT-related education in intimate settings, Annual Meeting & Clinical Lab Expo attendees can bask in the broader POCT community by joining in the Critical and POCT Division Mixer on July 29 from 6:00–8:00 p.m., followed by AfterGlow, the POC coordinator social event of the year. During the CPOCT Division Mixer, Najwa Adlan of King Faisal Specialist Hospital & Research Center in Riyadh, Saudi Arabia, will receive the prestigious POCC of the Year Award. Peggy Mann (University of Texas Medical Branch in Galveston), Martha Lyon (Royal University Hospital in Saskatoon, Saskatchewan, Canada), and Tanya Ferguson (Claremont BioSolutions in Upland, Calif.) also will be recognized for their contributions to the field.

AfterGlow is the place to be on Tuesday; it's a great opportunity to mingle, network, and dance the night away with POC colleagues world-wide! This event, which features plenty of food and fun, with a cash bar, is free but RSVPs are required.

AACC's Annual Meeting & Clinical Lab Expo: the POC point-of-connection!

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