Appendices

Note: This version of the report does not contain the attachments. These can be obtained through the QUPP Secretariat at qupp@health.gov.au

Appendix A – Agenda

Patient Safety & Quality in Pathology Workshop,6 November 2008
Lake Huron Room, Rydges Lakeside Hotel Canberra,London Circuit, Canberra City
Facilitator: Dr Michael Legg

9.30 Welcome/Opening
Ms Yvonne Korn, Assistant Secretary, Diagnostic Services Branch, Department of Health and Ageing

9.35 Key Risk Management and Adverse Events

• Key findings from the Key Incident Monitoring& Management Systems (KIMMS) project - Prof Leslie Burnett
• Anatomical pathology and QAP in the ACT - Dr Michael Brown
• Quality & risk in the practice of diagnostic anatomical pathology - Prof David Davies

10.10 The Pathology Quality Framework

• Overview of pathology quality framework - Dr Michael Legg

10.30 Morning tea
10.45 Table discussion to consider the most useful next steps in addressing key safety and quality issues - Dr Legg

11.10 The Pathology Workforce

• Brief overview of key findings of scoping report - Dr Legg
• Next steps:
  Workforce strategic plan overview - Ms Debbie Stanford
  The scientist workforce – key issues - Dr Tony Badrick
  Proposed QUPP-funded workforce projects -Dr Michael Harrison

11.45 Testing Outside the Framework

• Recommendations and follow up activity resulting from the Phillips Fox report in non-Medicare funded testing - Ms Korn & Ms Stanford
• Point of Care Testing – what have we done so far?
  Insight into the quality of testing model developed for the Quality Assurance in Aboriginal Medical Services (QAAMS) program - Dr Mark Shephard & Ms Janice Gill
  Point of care testing trial by GPs in rural cardiac care – the SA model - Ms Rosie Tirimacco
• Overview of the PoCT trial in the GP setting - Dr Caroline Laurence

12.30 Consumer Perspectives

• Pathology and consumers – a partnership approach? - Dr Janney Wale

Table discussion – what would consumers and pathology professionals get from a partnership approach?
1.00 Lunch
1.30 Smart Requesting

• QUPP-funded projects overview - Dr Harrison
• The role of the pathologist in smart requesting - Dr Rowbotham
• Update on BEACH data/guideline project - Dr Helena Britt
• Toward best practice in requesting genetic testing - Dr Graeme Suthers

2.30 Smart Reporting

• QUPP-funded projects overview - Dr Harrison
• Update on cancer synoptic reporting project - Dr David Ellis

3.00 Afternoon tea

3.15 E-health and pathology

• Pathology - a GP perspective - Dr Chris Wagner
• E-pathology – next step -Mr Dean Meston
• Possible implementation and evaluation project for testing e-pathology standards - Dr Harrison & Prof Burnett

Table discussion to review progress and consider priorities
in relation to smart requesting and reporting

4.45 NPAAC, QUPC & RCPA
Priorities for NPAAC, QUPC and RCPA - Dr Rowbotham, Dr Harrison, Prof Burnett

5.00 Summary/Close Dr LeggTop of page

Appendix B – Background Papers

1. Australian Pathology Quality Framework (External to Laboratories) - A possible framework to consider the players external to laboratories (and their products) that are involved in establishing the ‘safety and quality’ of the pathology system based on the categories used by the Australian Business Excellence Framework and the US Baldridge National Quality Program (Health).


2. Smart Reporting – QUPP-funded projects


3. Smart Requesting – QUPP-funded projects


4. Pathology Workforce Issues – Potential QUPP-funded projects


5. The Australian Pathology Workforce Crisis – A Report by Michael Legg & Associates to the Australian Department of Health and Ageing, Diagnostic Services Branch, Pathology Section


6. Report from the National Workshop on Safety and Quality in Pathology Held in Canberra 28 November 2007 – A Report by Michael Legg & Associates to the Australian Department of Health and Ageing, Diagnostic Services Branch, Pathology Section

Appendix C – Participants in the National Workshop

List of Attendees

Professor Leslie Burnett	Dr Janney Wale
Professor Julia Potter	A/Prof Roger Wilson
Prof David Davies	Prof David Davies
Mr Richard Hanlon	Associate Professor Elizabeth Dax
Dr Michael Harrison	Dr Michael Harrison
Mr Tim Benson	Mr Tim Benson
Dr Glenn Francis	Dr Glenn Francis
Mr Roger Killeen	Mr Roger Killeen
Ms Ann Webb	Ms Ann Webb
Dr Tamsin Waterhouse	Dr Tamsin Waterhouse
Mr Andrew Griffin	Ms Jennifer Evans
Ms Janice Gill	Mr Tony Prior
Mr Ian Watts	Dr Caroline Laurence
A/Professor Helena Britt	Ms Anna Burnham
Prof Jon Patrick	Dr Graeme Suthers
Mr Andrew Georgiou	Dr David Barton
Ms Yvonne Korn	Ms Debbie Stanford
Ms Penny Rogers	Dr Tony Badrick
Dr Graeme Miller	Dr Michael Brown
Ms Sandra Russell	Dr Mark Shephard
Ms Charmaine Gray	Ms Stacy Hunter
Mr John Andriolo	Mr Peter Graham
Ms Heather Cole	Dr Dennis Mok
Mr Ralph Green	Dr Adrianne Pope
Dr Chris Wagner	Mr Dean Meston
Dr George Koumantakis	Dr David Ellis
Ms Rosy Trimacco	Dr John Merlino
Ms Darlene Hennessy	Ms Pamela McKittrick
Mr Rob Lillie	Ms Kerrieanne Baker
Ms Glenda Wadsley	Ms Suzanne Petrie
Ms Sarah Norris	Mr Lucas Edmonds
Ms Samantha Wolfenden	Mr Peter Walsh
Mr Tom Watson	Dr Bob Walsh

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Appendix D – Presentations

1. Professor Leslie Burnett, Chair of NPAAC - Key Findings of the KIMMS Project - the Key Incident Monitoring and Management System[


2. Professor David Davies, Anatomical Pathologist and former President RCPA – Quality and risk in the practice of diagnostic Anatomical Pathology


3. Dr Michael Legg, Consultant – A Quality Framework for Australian Pathology


4. Dr Michael Legg, Consultant – The Australian Pathology Workforce Crisis


5. Ms Debbie Stanford, Director of Pathology (Quality) Section, Diagnostics Services Branch, Australian Department of Health and Ageing – Draft Pathology Workforce Plan


6. Dr Tony Badrick, Chair Pathology Associations Workforce Steering Group – Scientist Workforce


7. Ms Debbie Stanford, Director of Pathology (Quality) Section, Diagnostics Services Branch, Australian Department of Health and Ageing – Response to the Phillips Fox Report: A review of the level of public health risk and adequacy of controls over non-Medicare pathology services


8. Dr Mark Shephard, Community Point-of-Care Services Flinders University Rural Clinical School, and Ms Janice Gill, RCPA Chemical Pathology Quality Assurance Programs – Testing Outside The Framework - The National ‘QAAMS’ Point-Of-Care Testing Program


9. Ms Rosy Tirimacco, Integrated Cardiovascular Clinical Network SA – iCCnet SA PoCT Services


10. Dr Caroline Laurence, Disciplines of General Practice and Public Health School of Population Health and Clinical Practice The University of Adelaide – The Role of Point of Care Testing in managing chronic conditions: results from the PoCT Trial


11. Dr Janny Wale, CHF Consumer Representative – Pathology and Consumers
    - can we develop a partnership approach?


12. Dr Michael Harrison, Chair of QUPC – Quality Use of Pathology Program Connections


13. Dr Bev Rowbotham, President RCPA – The pathologist’s role in smart requesting


14. Dr Helena Britt, Director Family Medicine Research Centre – Evidence practice gap in GP pathology test ordering - a QUP Project


15. Dr Graeme Suthers, Chair Genetics Advisory Committee RCPA – Towards best practice in requesting genetic testing


16. Dr David Ellis, Chair Structured Pathology Reporting of Cancer Project (CINSW, RCPA, CA) – Project update


17. Dr Christopher Wagner, NEHTA Clinical Leader and General Practitioner – E-Health and Pathology Services - A Clinician’s perspective


18. Mr Dean Meston, NEHTA Pathology – ePathology

Appendix E – Priorities for NPAAC: 2007-2009

Leslie Burnett, Chairman, National Pathology Accreditation Advisory Council (NPAAC)

NPAAC Charter Standards Uniform standards of practice Coordinated legislation, accreditation and administrative action Education Initiating, promoting and coordinating educational programs Advice to Ministers About pathology laboratory accreditation

NPAAC Strategic Plan 1. Quality and Safety 2. Workforce shortage 3. New and emerging technologies 4. Collaboration with other organisations NPAAC cannot solve all the problems of the world – Instead, focus on core skills and competencies Strategic Plan

Strategic Plan

1. Quality and Safety Identify key risk and priority areas Highlight Develop aspirational goals Foreshadow standards Patient Safety Adverse incidents E-Health	2. Workforce Shortage Focus on Safety and Quality All else flows from this Competency based standards Scope of Practice Supervision Framework Genetic laboratory model Facilitate work with other groups To address non-NPAAC issues
3. New / Emerging Technologies Horizon scanning Anticipate, rather than just respond Genetics/Genomics Point of Care Testing (PoCT)	4. Collaboration So many challenges, so few shoulders! Don’t reinvent the wheel Tiered hierarchy of documents NPAAC has unique (inter)national role Used in other countries Identify useful resource materials in other countries Collaborate, leverage TGA, NZ, CLSI, ISO, NeHTA

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