Elevate Elevating Knowledge Through Accreditation, Proficiency Testing, and Education

Elevate Elevating knowledge through accreditation, proficiency testing, and education.

August 2019

IQMH releases its 2020 Proficiency Testing Catalogue The IQMH Centre for Proficiency Testing is pleased to announce the availability of its Proficiency Testing Programs in the 2020 Catalogue. These Proficiency Testing Programs are accredited by The American Association for Laboratory Accreditation (A2LA) in accordance with the recognized International Standard ISO/IEC 17043:2010 Conformity assessment — General requirements for proficiency testing(Certificate Number: 3059.01). View the Certificate and Scope of Accreditation.

IMPORTANT: ONTARIO LICENSED LABORATORIES Participation in the IQMH Centre for Proficiency Testing programs is mandated by the Ontario Ministry of Health (MOH). Ontario licensed Contents laboratories will be automatically enrolled in the appropriate surveys according to their laboratory IQMH releases its 2020 Proficiency Testing Catalogue.1 license. PT Take-away: Learn the new process for ordering your Serum Chemistry (CHEM) survey ...... 6 Results from IQMH Bacteriology Patterns-of-Practice NEW IN 2020 survey presented at the ASM Microbe 2019...... 8 CHEMISTRY Don’t miss out on an extraordinary experience November 7–8, 2019! IQMH Fall Forum: Innovations in Changes to Chemistry Survey Materials Cancer Diagnostics...... 10 Serum Chemistry (CHEM) Survey — New The Objective Lens: Episode 27: Over the Rainbow: The new Chemistry survey consists of analytes Gender Diversity and Health Care...... 13 that were previously in the Routine Chemistry View the new Anatomic Pathology and Hematology (CHEM), Drug Monitoring (DRUG), Enzymes e-Learn LAB Modules!...... 14 and Bilirubin (ENZY), and Lipids (LIPS) surveys, Course Offers in September at the IQMH Office...... 15 except ethanol and tobramycin which have been Canadian Diagnostic Executive Forum – Thursday, removed from the program. October 24 and Friday, October 25, 2019...... 16 Continued on page 2 1

Continued from page 1 New analytes: cholinesterase, CK-MB, fructosamine. Survey Participation Urine Chemistry (CHEM-UR) Survey — New The new Urine Chemistry survey consists of analytes To ensure product availability, orders that were previously in the CHEM-UR survey, except for 2020 proficiency testing programs amylase which has been removed from the program. should be placed no later than December Pilot analytes: cortisol, free deoxypyridinoline (DPD), 2, 2019, by using the online “request a free metanephrine, free normetanephrine, free quote” application https://iqmh.org/apps/ 3-methoxytyramine, N-telopeptides. (Pilot analytes ptquoterequest or send an email to info@ are introduced in surveys for trial purposes before iqmh.org. After this date, due to the number implementation is decided. Voluntary and mandatory of samples available, surveys are offered on participants may choose to report results for pilot a first-come, first-served basis. analytes free of charge.) Request a Quote Changes to Chemistry Surveys

• Survey material analyte concentrations cover all clinically-relevant levels. The survey material has changed from spiked liquid human-based to lyophilized human-based. This important change makes it possible to cover all clinically-relevant concentration ranges. • Improved survey sample stability leads to participant cost-savings. The new survey material has a stability range of two years, enabling shipment of the testing material once at the beginning of each year. Participants benefit from • Redesigned survey reports to provide even shipment cost-savings. more relevant results. The survey report format • Larger peer group sizes improve robustness of will change to display results of both the current statistical analysis. Collaboration with The Royal survey and cumulative results from the previous College of Pathologists of Australasia Quality surveys in the same report. This provides Assurance Programs (RCPAQAP) in distributing the participants with a view of all aspects of their PT same testing materials and sharing unidentified performance within the same report. result data improves the robustness of the Graphics in the survey reports will be changed from statistical analysis by increasing peer group sizes. dot plots to bar graph histograms. Laboratories • Customize surveys according to your laboratory’s will be provided with SDIs in comparison to all- test menus (serum chemistry only). Participants methods’ mean, principle mean, reagent mean, and now have the flexibility of choosing from a large where applicable instrument mean, along with the variety of analytes according to their laboratory’s respective standard deviations. Where no Percent needs with several price categories. Allowable Difference (PAD) score is assigned, due • Customized analysis worksheets (serum to a peer group with less than five participants, chemistry only). Electronic analysis worksheets laboratories may compare their results with a broader will only contain the analytes chosen by the group as an internal alternative assessment. laboratory for testing to simplify the process of Chemistry Urine Human Chorionic Gonadotropin completing and submitting the worksheet. (hCG) Qualitative (CHEM-UCG) Survey — New • Improved tool for method code maintenance. A new urine survey for hCG testing is now available The structure of the method code maintenance for qualitative methods. screens will provide greater ease of use for participants. Continued on page 3 2

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ENDOCRINOLOGY Endocrinology Parathyroid Hormone (ENDO-PTH) Survey — New A standalone PTH material is now available with improved stability. One boxed set consisting of 3 sets of 3 vials containing lyophilized human serum, reconstituted volume of 1.0 mL, is shipped once at the beginning of each year. Important note: PTH will no longer be available in the Endocrinology and Tumour Markers material (ENDO-A). Shipment of the testing material occurs once at the beginning of each year for the following surveys: ENDO-A, ENDO-B, ENDO-PSA and ENDO-PTH.

IMMUNOLOGY Immunology Web-based (IMGY-WB) Survey — New This web-based survey will involve a clinical case study that may include accompanying images. The survey is ideal for training and competency assessment.

VIROLOGY Infectious Mononucleosis (VIRO-IM) Survey — New A new survey for the detection of heterophile antibodies for infectious mononucleosis has been added to the program. A set of defibrinated native human plasma will be used as the testing material. This survey is suitable for rapid testing kits and devices. Survey assessment will be qualitative and assigned values will be determined by participants’ consensus and verified in comparison with the supplier’s certificate of analysis.

View the Complete List of Testing Menus Find the complete list of testing menus in the 2020 Proficiency Testing Catalogue:https://iqmh.org/Services/ Centre-For-Proficiency-Testing/PT-Catalogue.

IQMH offers Proficiency Testing programs for the following classes of tests:

Chemistry

Chemistry General Urine Drug Screen Blood Gases Endocrinology Chemistry Urine Prostate Specific Antigen Chemistry Urine Human Chorionic Gonadotropin Endocrinology and Tumour Markers (hCG) Qualitative Endocrinology Special Fecal Occult Blood Endocrinology Parathyroid Hormone Fecal Occult Blood — Fecal Immunochemical Test Immunology Hemoglobin A1c Oximetry Cytogenetics Chemistry (includes routine chemistry, enzymes, bilirubin, drug monitoring and lipids) Routine Cytogenetics Drug Monitoring Continued on page 4 3

Continued from page 3

Cytopathology Microbiology

Gynecological Bacteriology Non-Gynecological Smears for Acid-Fast Stain C. difficile Antigen and/or Toxin Detection Hematology Routine Bacteriology Molecular Microbiology Bone Marrow C. trachomatis/N. gonorrhoeae Slide and Web-based Mycology Web-based Only Parasitology Coagulation Virology D-dimer Assay Anti-HIV Factor Assay Hepatitis Routine Coagulation Infectious Mononucleosis Coagulation Web-based Respiratory Pathogens Thrombophilia Investigation Rubella Serology Flow Cytometry CD34+ Stem Cell Enumeration Lymphocyte Immunophenotyping HIV Pathology Leukocyte Immunophenotyping for Hematologic Estrogen Receptor Disorders Her2/neu Immunohistochemistry Routine Hematology Her2/neu in situ hybridization CBC and Automated Leukocyte Differential Immunohistochemistry Automated Body Fluid Cell Count Progesterone Receptor Manual Body Fluid Cell Count Routine Oversight Stain (H&E or HPS) and/or Special Reticulocyte Count Stain Fetal-Maternal Hemorrhage Morphology Point-of-Care Testing Peripheral Blood Film Digital and/or Slide-based Chemistry Peripheral Blood Film (Web-based only) Blood Gases Red Cell Disorders Fecal Occult Blood Hemoglobin Fraction Quantitation Glucose Hemoglobinopathy Web-based Hemoglobin A1c Sickle Cell Solubility Screen Oximetry Urine Drug Screen Virology Anti-HIV

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Continued from page 4

Transfusion Medicine

Manual A (Advanced) Manual B (Basic) Manual B (Basic) – Direct Antiglobulin Test Only Automation

Contact Questions? We’re here to help. Please contact [email protected] for questions relating to your proficiency testing needs.

Are you ordering the Chemistry (CHEM) survey?

Read the PT-Take-Away for details on how the process for ordering the chemistry survey has changed.

At a Glance

1. From the Quote Tool, choose from seven packages to suit your testing needs: • 1 analyte • 2–5 analytes • 6–10 analytes • 11–20 analytes • 21–30 analytes • 31–40 analytes • 40+ analytes

2. Receive and accept your quote.

3. Log in to QView™ (https://qview.ca/), open the analyte selector form and choose the analytes you wish to report. The number of analytes you can choose corresponds to the analyte package you purchased.

Centre for Proficiency Testing

PT Take-away: Learn the new process for ordering your Serum Chemistry (CHEM) survey The release of the 2020 Proficiency Testing Programs included changes to the Chemistry survey. The new Serum Chemistry (CHEM) survey consists of analytes that were previously in the Routine Chemistry (CHEM), Drug Monitoring (DRUG), Enzymes and Bilirubin (ENZY), and Lipids (LIPS) surveys, except ethanol and tobramycin which have been removed from the program. The following new analytes have also been added: cholinesterase, CK-MB, fructosamine. Participants can now customize their surveys according to their laboratory’s test menus (serum chemistry only). Choose from a large variety of analytes and pick from several price categories that suit your laboratory’s needs. New process for ordering the Chemistry (CHEM) survey 1. From the Quote Tool, choose from seven packages to suit your testing needs: • 1 analyte • 2–5 analytes • 6–10 analytes • 11–20 analytes • 21–30 analytes • 31–40 analytes • 40+ analytes

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Continued from page 6

2. Receive and accept your quote. You’ll receive an email confirming your quote request, including the total price of your order. Review the quote and click on the “Accept Order” button to finalize your order. If you have to make additional changes to your order, please contact [email protected].

Contact Questions? We’re here to help. Please contact [email protected] for questions relating to your proficiency testing needs.

Results from IQMH Bacteriology Patterns-of-Practice survey presented at the ASM Microbe 2019 American Society for Microbiology (ASM) Microbe 2019 was held in San Francisco on June 20–24 and IQMH was there! Dr. Susan Poutanen (former Bacteriology Scientific Committee chair) and Elaine Kerr, Consultant Technologist, Centre for Proficiency Testing attended. Dr. Poutanen gave two oral presentations and Elaine Kerr presented the posters based on an analysis of the data obtained from IQMH Bacteriology program’s patterns-of-practice surveys: • “How Modern is your Microbiology Laboratory? Results of the 2017 Institute for Quality Management in Healthcare (IQMH) Patterns-of-Practice Survey” • “Patterns-of-Practice Survey Demonstrates the Need for National Guidelines Regarding the Implementation of Microbiology Point-of-Care Tests Across Canada.”

Poster Summary The abstract “How Modern is your Microbiology Laboratory?” authored by members of IQMH Microbiology Scientific Committee in collaboration with Sinai Health System-University Health Network, University of Toronto, Shared Hospital Laboratory, and the William Osler Health was accepted as a poster presentation; the corresponding oral presentation was presented by Dr. Susan Poutanen. How Modern is Your Microbiology Laboratory? R. Kozak3, E. Kerr5, D. Richardson6, C. Vermeiren4, S. M. Poutanen1,2,3, for the IQMH Microbiology Scientific Committee5 1Sinai Health System, 2University Health Network, 3University of Toronto, 4Shared Hospital Laboratory, 5Institute for Quality Management in Healthcare, 6William Osler Health System, Ontario, Canada Download the poster and oral presentation. • How modern is your microbiology lab? (oral presentation) • How modern is your microbiology lab? (poster) The second poster presented “Patterns-of-Practice Survey Demonstrates the Need for National Guidelines Regarding the Implementation of Microbiology Point- of-Care Tests Across Canada” was a collaboration of the Microbiology Scientific Committee with Sinai Health System-University Health Network, University of Toronto, and Shared Hospital Laboratory. Dr. Susan Poutanen presented the oral presentation.

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Patterns-of-Practice Survey Demonstrates the Need for National Guidelines Regarding the Implementation of Microbiology Point-of- Care Tests Across Canada Molly Lin1, Antoine Corbeil1, Robert Kozak1, Elaine Kerr2, Christie Vermeiren1,4, Susan M. Poutanen1,3, for the IQMH Microbiology Scientific Committee2 1University of Toronto , 2Institute for Quality Management in Healthcare, 3University Health Network/Sinai Health System Department of Microbiology, 4Shared Hospital Laboratory Download the poster and oral presentation. • Patterns-of-Practice survey demonstrates the need for national guidelines regarding the implementation of microbiology point-of-care tests across Canada (oral presentation) • Patterns-of-Practice survey demonstrates the need for national guidelines regarding the implementation of microbiology point-of-care tests across Canada (poster)

Red Blood Cell and White Blood Cell Morphology Wall Charts Blood cell morphologic identification is a critical component of hematology laboratory practice, and is an important diagnostic aid. Maintaining competency and achieving consistent reporting practices are ongoing challenges in this area. Our wall charts provide photomicrographs composed of normal and clinically significant blood cells and act as quick reference guides while at your microscope. Find out more about these excellent quick reference guides: https://iqmh.org/Portals/0/Docs/Shop/PT%20Wall%20Charts%20-%20 Bundle.pdf

Centre for Education Don’t miss out on an extraordinary experience November 7–8, 2019! IQMH Fall Forum: Innovations in Cancer Diagnostics A gathering of diagnostic medicine leaders and professionals who want to elevate themselves, learn, share, network and get excited about diagnostic medicine; an IQMH Forum is never a typical conference. Why? Each event is underpinned with a specific theme and intention to ensure the programme will drive meaningful change and infuse a new outlook on quality. Our aim is to energetically inspire the diagnostic medicine community to overcome barriers and embrace the future.

Aimed at laboratory professionals in various disciplines, this two-day forum will explore topics specific to the laboratory diagnosis and laboratory involvement in the management of cancer. Continued on page 11 10

Continued from page 10

The intention for this event is to advance understanding of innovations in cancer diagnosis and care. • How can we make a difference? • How might laboratory practice be affected by new advances? • How might the patient experience be affected?

Speaker Spotlight: Dr. David Huntsman We are pleased to announce speaker Dr. David Huntsman, an inspiring leader and sought-after presenter. This man has changed the way both stomach and ovarian cancer are diagnosed and managed. We are honoured to include this pioneer of genetic pathology on our agenda. He is a model of how an individual can make a massive impact. Dr. Huntsman started his medical career as a family doctor in Labrador. An interest in pathology led him to British Columbia which further bloomed into an interest in molecular biology and molecular genetics. From there, he become one of the first genetic pathologists. Dr. Huntsman’s work initially focused on hereditary stomach cancer. Prior to his work, little was known about the disease and outcomes for patients were poor. His research has allowed clinicians to identify those at a high genetic risk for this type of cancer and to recommend surgical treatment to prevent the disease. He now devotes himself to ovarian cancer research. Dr. Huntsman’s team take two approaches—biologically informed prevention and reverse engineering each subtype through genomics. The impact of Dr. Huntsman’s research is dramatic, with 340 published papers, many in high impact journals, and 21,000 citations in the past five years alone. He is founder ofContexual Genomics, the developer of a platform to empower laboratories to implement next-generation sequencing (NGS) genomic testing. This initiative provides better access to high-quality and cost effective genomic testing around the globe.

Speaker Spotlight: Malcolm Kendall Prepare to be fascinated by Malcolm Kendall, CEO and Cofounder of Microbiome Insights. He has graciously accepted our request for the latest information on the relationship between our microbiome and cancer. His presentation is entitled: The Human Microbiome and Cancer Diagnosis, Treatment and Prevention... Inconceivable, or Not! Malcolm Kendall has over 28 years of operational management, entrepreneurial, venture capital investment and leadership experience, the majority of which has been focused on company creation and building value in technology and biotechnology companies. Before founding Microbiome Insights, he was the co-founder and CEO of Indel Therapeutics Inc., a Vancouver-based biopharmaceutical company dedicated to developing new drugs to address the global health crisis caused by antibiotic resistance. Malcolm Kendall and David Huntsman are just two of ten confirmed speakers, each chosen to bring a unique outlook on cancer diagnostics. More speakers to be added in the upcoming months!

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Continued from page 11 Full Preliminary Agenda:

PRELIMINARY LINE-UP FOR DAY ONE: THURSDAY, NOVEMBER 7 08:15–08:30 Introduction 08:30–09:15 Paraneoplastic Antibodies in Cancer Dr. Ron Booth 09:15–10:00 Acting on Cancer Pathology Information: Bringing Synoptic Data to Life Dr. Aaron Pollett 10:00–10:30 Break 10:30–11:15 Utilization of Screening Tubes in Flow Cytometry Diagnostic Settings Amr Rajab 11:15–12:00 The Emerging Role of Digital Diagnostics in Precision Medicine Dr. Denise Heaney Lunch 12:00–13:30 Product Highlight: Roche Diagnostics - NAVIFY Tumor Board Dan Tiber 13:30–14:15 Advances in the Diagnosis of Myeloid Neoplasms Dr. David Good Innovations in Pediatric Oncology: Little patients, big impact and 14:15–15:00 Dr. Meredith Irwin challenges

PRELIMINARY LINE-UP FOR DAY TWO: FRIDAY, NOVEMBER 8 08:30–09:15 Cancer Genomics Dr. David Huntsman 09:15–10:00 The Multiple Myeloma Mystery Karim Bhaloo 10:00–10:30 Break The Human Microbiome and Cancer Diagnosis, Treatment and Preven- 10:30–11:15 Dr. Malcolm Kendall tion...Inconceivable, or Not? 11:15–12:00 Advances with CRISPR Dr. Jennifer Mitchell 12:00–13:30 Lunch 13:30–14:15 HPV screening for the Diagnosis of Cervical Cancer Dr. Joan Murphy 14:15–15:00 Invaluable Insight from Patients

Sponsors We gratefully acknowledge the support of the following sponsors for this event:

Please contact Julie Coffey, Director, Centre for [email protected] for more information on sponsorship opportunities. Past feedback shows our delegates value the opportunity to meet with sponsors and hear about their products.

Toronto is an incredible city, and this event is conveniently scheduled on a Thursday/Friday to accommodate the possibility of a fun weekend in the city after the event. The DoubleTree by Hilton is centrally located at University Avenue and Dundas Street, with easy access to early holiday shopping at the Eaton Centre, a variety of dining

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Continued from page 12 experiences, the Art Gallery of Ontario, the Royal Ontario Museum, Nathan Phillips Square, the theatre district, Ripley’s Aquarium and the CN Tower.

There is no substitute for in-person events such as this one! Take a break from your workplace to make in-person connections and learn in a new environment. The agenda has been crafted to offer a glimpse of the Looking for Royal College Credits? laboratory disciplines and how each impacts cancer diagnosis and management. Delve deeper into your This activity fits in the Royal College Maintenance primary laboratory discipline and discover what’s of Certification (MOC) Program. Please visit the happening in the others. Royal College’s website (royalcollege.ca/moc). For more personalized support, please contact the Registration is open! Visit the IQMH Fall Forum event Royal College Services Centre (1-800-461-9598) page: https://iqmh.org/Fall-Forum or your local CPD Educator.

The Objective Lens: Episode 27: Over the Rainbow: Gender Diversity and Health Care The official podcast of the Canadian Society for Medical Laboratory Science (CSMLS) The Objective Lens speaks with professionals who can best provide professionals with insight and tools to navigate challenges unique to the medical laboratory. In episode 27, Over the Rainbow: Gender Diversity and Health Care, Objective Lens host and producer Cathy Bouwers interviews three knowledgeable panelists who bring their own expertise and experience to the topic of how gender diversity impacts patient care. Panelists include: IQMH’s Julie Coffey, ART, MLT, SMQOE, director of IQMH Centre for Education, champion of the IQMH Gender Identity Working Group that authored the white paper Care Considerations for Inclusion of Gender Diversity within Medical Laboratory Services; Heather Black, BSc, MLT, Laboratory Information System (LIS) Analyst at Sunnybrook Healthcare Centre; and B Adair, a paramedic currently studying nursing, a transgender man, founder of Spectrum Alliance: Rural Alberta Queer Support. Episode 27 – Over the Rainbow: Gender Diversity and Health Care Health care professionals have a responsibility to use correct gender information to respectfully and properly care for all patients. Listeners can download and listen to the podcast. Content includes the recent IQMH white paper. You can access the paper here. After listening to this episode, you can take the CSMLS quiz to claim professional education program (PEP) hours. We’re pleased to share this episode of #TheObjectiveLens podcast and encourage readers to explore what the gender conversation in health care is all about and the power of individual attitudes, education and action to create inclusive spaces. Listen today: https://podcast.csmls.org/podcast/episode-27-over-the-rainbow-gender-diversity-and- health-care/

View the new Anatomic Pathology and Hematology e-Learn LAB Modules!

• A series of free online medical laboratory case studies based on high-quality IQMH Proficiency Testing surveys.

• Hematology Morphology | Coagulation | Flow Cytometry | Cytopathology | Transfusion Medicine | Red Cell Disorders | Immunology | Bone Marrow | Anatomic Pathology • Self-test your knowledge by reviewing material previously only available to survey participants. • Benefit from current discussion points from IQMH scientific committees. • Brush-up on disciplines you no longer work in. • Organize group lunch-and-learn sessions and work on the cases together. • Complete each module in as little as 15 minutes. • Receive new modules periodically. Subscribe for notification when a new e-Learn LAB module is added to our library: https://iqmh.org/ess.

View the Anatomic Pathology and Hematology e-Learn LAB Modules!

New! New! e-Learn LAB Anatomic Pathology 003 e-Learn LAB MORP 1810

Course Offers in September at the IQMH Office September 23–24, 2019 A two-day offering with a vision to provide clarity to cause analysis. Our goal is to tie together cause analysis processes that may be disparate in some organizations or confusing to some individuals.

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September 26, 2019 A one-day seminar to learn with peers exactly how to integrate an effective risk management program into an existing or brand new quality management system.

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Quality Quote

Quality planning consists of developing the products and processes required “ to meet customer’s needs. ~ Joseph M. Juran ”

Other Industry Events

Canadian Diagnostic Executive Forum – Thursday, October 24 and Friday, October 25, 2019 Lab leaders and senior diagnostic executives must attend the Canadian Diagnostic Executive Forum if you are specifically looking for experiences, ideas, and solutions to take back and apply in your hospitals and laboratories. You will be able to network with your peers and vendors, and attendees will share an interest in creating positive change to lab operations. This 2-day event is packed with exciting and thought provoking sessions that will stimulate discussion like the use of drones in sample transport, Artificial Intelligence, digital pathology and other great sessions. The cross-country check up will feature leaders and innovators across Canada sharing their innovations, challenges and success stories. The program will culminate with Jim Estill, C.M O.Ont., a Canadian technology entrepreneur, executive and philanthropist who will share his journey of innovation and success in business and in life. Sign up through the Eventbrite link here: https://www.eventbrite.ca/e/canadian-diagnostic-executive-forum-october-24-25-2019-tickets-66225840271

MLPAO Connect – Education Event September 7, 2019 Sudbury, ON Health Sciences North Visit the MLPAO website for more information.

20th Annual Education Day on Blood Transfusion Issues BC Provincial Blood Coordinating Office and Canadian Blood Services October 3, 2019 Inn at the Quay New Westminster, BC Visit the event page for more information. https:// professionaleducation.blood.ca/en/20th-annual- education-day-blood-transfusion-issues

BCSLS Congress 2019 October 4–6, 2019 Anvil Centre, New Westminster, BC Visit the BCSLS website for more information.

The Bedard Lectureship: Advances in the Practice of Cytopathology October 26, 2019 London Health Sciences Centre University Hospital, 3rd floor, Auditorium A 339 Windemere Road London, Ontario Contact: Cheryl Campbell (519) 661-2030

Job Ad Posting Service

Employers are you recruiting? Reach highly-qualiﬁed medical laboratory professionals. Post your job ad with IQMH.

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Confidence. Elevated. About Us

The Institute for Quality Management in Healthcare’s mission is to elevate the integrity of the medical diagnostic testing system by providing rigorous, objective, third-party evaluation according to international standards. Our services have achieved world-wide recognition: The Centre for Proficiency Testing is accredited by the American Association for Laboratory Accreditation (A2LA); and the Centre for Accreditation is a signatory of the Mutual Recognition Arrangement with the International Laboratory Accreditation Cooperation (ILAC). These achievements set IQMH apart through proven demonstration that it meets rigorous international standards for quality and competence. IQMH is a not-for-profit corporation without share capital, incorporated under the Ontario Corporations Act. Our vision is to be the Standard for Confidence, within the international medical diagnostic testing community, through our three independent Centres of Excellence: Accreditation, Proficiency Testing, and Education.

Contact 1500–393 University Ave. T 416-323-9540 Toronto, ON M5G 1E6 F 416-323-9324 Canada E [email protected] www.IQMH.org Stay connected