RCPA Internal Quality Assurance (IQA)
Framework
Overview
• Revalidation – the driver
• Australian scenario
• RCPA – Probable revalidation framework
• RCPA - CPDP
• Proposed IQA initiatives
• Discussion
• RCPA Website
June 2016
Revalidation – RCPA
27 March, 2017
What is Revalidation?
A process by which doctors show they are
up to date, fit to practice and provide
appropriate level of care that is evidenced
based
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Revalidation in Australia
u Interim Report on Revalidation now
released. Opportunity for comment now
closed
?2017- 2018 Implementation
Our College -“Positioning for future-2018”
27 March, 2017
Basis of Revalidation in
Australia
• Strengthened CPD (smarter not harder)
• Identify and assess high risk and poorly
performing practitioners
– Elderly
– Male
– Isolated practice
– CPD outside standard framework
– Patient complaints
27 March, 2017
Revalidation – RCPA
Aim is to assess & ensure
competency
A quality improvement tool based on
CPD framework
Focus on standard practice
Capacity to identify outliers
Identify opportunity for improvement
and corrective action
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Pathology Competency Assessment
“Tool Box”
1. CPDP
2. Workplace Performance Review
3. IQA Documentation - Specialties
to develop own portfolio
4. EQA - Individual participation
27 March, 2017
RCPA - CPDP
Relevant to scope of practice
RCPA only (clinical separate)
Cat A - Group Activity - 20 hours pa
Cat B - Personal Study - 20 hours pa
Cat C - Quality Activity -10 hours pa
2016/2017 additional 10 hours pa IQA
27 March, 2017
RCPA - CPDP
As at 01 January 2016 the RCPA mandated 10
hours peer review (Section 1 of IQA
Framework) in addition to 10 hours from
Category C CPDP requirements for
Anatomical Pathology (20 hours)
From 01 January 2017 remaining disciplines
will be required to participate in a minimum of
10 hours per annum of peer review activities
(Section 1 of the IQA Framework) in addition to
10 hours from Category C of the CPDP
27 March, 2017
RCPA IQA Frameworks
The RCPA IQA Frameworks:
Contain activities that aim to help monitor performance, drive
improvement and support collaborative on-going professional practice.
Aim to improve the quality of patient management and/or outcomes
Activities focus on peer-review (Section 1) and clinical audit (Section
2)
Requires documented evidence of a pathologist’s involvement in
internal quality activities.
Are practice based- developed in consultation with discipline advisory
committees
Most pathologists are already doing these activities
but not necessarily recording them
27 March, 2017
Genetic Pathology Framework
• Based on AP framework with only minor changes to reflect Genetics
Feedback please!
• Acknowledged that as a small discipline there are often very few
genetic pathologists in any given department
• Deliberately limited detail, reflecting the highly varied and evolving
role of the Genetic Pathologist
• You are very welcome to use ideas from other discipline
frameworks, or your own
– Must be auditable (record when, where, with whom, description of
activity)
27 March, 2017
Valid IQA activities would include:
Discussion with requestor
regarding difficult or misleading
reports
Result/case discussions with
senior scientists
Multidisciplinary meetings that are
case or process-based
EQA case and result discussions
Audit of compliance of reporting
with current best practice
guidelines
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NOT YET REQUIRED
Pre- and postanalytical phases
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RCPA Website
27 March, 2017
RCPA Website
27 March, 2017
RCPA Website
27 March, 2017
Discussion…..
27 March, 2017