The NAACLS News

By Megan Eggert, Meetings and Events Planner

NAACLS will conduct a workshop webinar titled, ““The NAACLS Process & Standards – A Peek Behind the Curtain,” on November 13, 2020, from 7:30am-4:00pm.

Upon completion of the workshop, and with the opportunity to discuss questions, the participant should be able to:

• Demonstrate understanding of the value accreditation brings to your program and the profession.
• Recognize from both author and reviewer perspective the keys to a successful review.
• Describe each NAACLS standard and recognize potential challenges for your program.
• Utilize the Standards Compliance Guide and other NAACLS resources to write clear and complete accreditation/approval self study reports.

ASCLS P.A.C.E. and ASCP approve NAACLS as a provider of continuing education programs in the clinical laboratory sciences. This workshop is an intermediate level program. The following contact hours will be awarded at the workshop: ASCLS = 7; ASCP = 7.

The workshop will be presented by Dale Telgenhoff, PhD, HTL(ASCP)^cm and Dawn Tripolino, MBA, MT(ASCP). Dawn Tripolino, MBA, MT(ASCP), is Program Director of the MLS Program at Bayfront Medical Center in St. Petersburg, Florida. Ms. Tripolino is a Phlebotomy Educator and Vice Chair of the NAACLS Programs Approval Review Committee (PARC). Dale Telgenhoff, PhD, HTL(ASCP)^cm, is Associate Professor, Clinical and Diagnostic Sciences at Oakland University in Rochester, Michigan. Dr. Telgenhoff is a HT Educator on the Review Committee for Accredited Programs (RCAP).

Registration fees and deadlines are as follows:

$225/person (EARLY BIRD FEE paid in full by 10/16/20)

$250/person (GENERAL FEE paid in full BETWEEN 10/17/20 and 10/30/20)

Registration for this event is limited to 150 participants.

 Please visit https://www.naacls.org/News/Workshops.aspx for more information and to register. We hope to have you join us for our first Workshop Webinar in November!

NAACLS will conduct its annual fall workshop via webinar on November 13, 2020. We hope you save the date! Registration is expected to be open by the end of July

The workshop, titled, “The NAACLS Process and Standards – a Peek Behind the Curtain,” will be held from 7:30am-4:00pm and will be presented by  Dawn Tripolino, MBA, MT(ASCP), Vice Chair and Phlebotomy Educator of the Programs Approval Review Committee (PARC), and Dale Telgenhoff, PhD, HTL(ASCP)^cm, Member and HT Educator on the Review Committee for Accredited Programs (RCAP).

Upon completion of the workshop, and with the opportunity to discuss questions, the participant should be able to:

• Review the NAACLS accreditation and approval processes
• Related NAACLS process concepts to specific program challenges
• Describe key elements of NAACLS Standards and Compliance Guide
• Identify Standards that are often problematic
• Related the Standards and Guide to specific program types.

NAACLS will announce when registration is open on the NAACLS News. We hope to see you at NAACLS’ first workshop webinar!

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A number of program directors have contacted NAACLS regarding if “a student can be assigned a grade of “unsatisfactory/satisfactory” and/or “pass/fail.” It seems beneficial to address the issue on the NAACLS News for the convenience of all or NAACLS program directors.

NAACLS does not prescribe or deny specific methods of evaluations, such as “unsatisfactory/satisfactory” and/or “pass/fail.” It is within the program’s prerogative to select the method of “grading” to be utilized as long as the program continues to meet NAACLS standards.

Below is the NAACLS Standard VIII.C – Evaluations:

Evaluation systems must relate to course content and support program competencies. If there is evidence that competencies are not adequately achieved (through feedback mechanisms as described in Standard II.B) then course objectives will be examined in detail to assure that the objectives are behavioral, include all domains and relate directly to the evaluations used.

1. These evaluation systems must be employed frequently enough to provide students and faculty with timely indications of the students’ academic standing and progress.
2. The evaluation systems must serve as a reliable indicator of the effectiveness of instruction and course design.

Program Directors are encouraged to seek information directly from the Board of Certification, state licensure boards, and others if they have questions regarding the use of “pass/fail” or “satisfactory or unsatisfactory” in lieu of more traditional grading systems for credentialing eligibility.

We hope that you are staying safe and sane during these uncertain times. As always, staff is here to help when we can.

The NAACLS Staff has received many questions of a similar nature over the past thirty-six hours, so we felt it appropriate to share those answers with everyone. We know that in addition to the complexities COVID 19 has added to the instruction of your students, many of you are facing pressure from higher administration to provide answers to questions you usually do not face.

First, a general note. NAACLS is not relaxing our standards. We expect accredited and approved programs to remain compliant with the NAACLS Standards, and educate students to industry-established entry-level competencies. Now more than ever, we all should be diligent in ensuring the quality of laboratory scientists entering the workplace.

When NAACLS review committees and the Board of Directors developed the current standards, the goal was to provide as much flexibility as possible. Under the best of circumstances, programs regularly face unique challenges; what programs are facing now is unprecedented. Now, more than ever, nonprescriptive standards are essential.

Now, to address some common themes we have found in the questions we have been getting.

We are delaying, moving up, altering our graduation date. What do we need to send to NAACLS?

Programs do not need to notify NAACLS of these changes. NAACLS has no standard on when graduations should take place as long as the students have achieved the entry-level competencies.

Due to clinical sites closing/emergency higher administration policies/state mandates/etc. our students are unable to finish their clinical. What should we do?

If you can complete the rotations through simulation and stay compliant with the NAACLS Standards and entry-level competencies, your program can continue uninterrupted. If not, you may have to delay those essential parts of the rotation until clinical spots once again make themselves available.

NAACLS continues to monitor the quickly evolving challenges programs are facing with the COVID-19 virus.

The NAACLS Board of Directors designed the current standards to provide programs flexibility of delivery methods, under the best of circumstances.  In the case of extreme situations, as we are currently facing, we encourage programs to take advantage of this flexibility.

As some of our program directors may remember, we sent out several standards last fall for public comment. One of those proposed changes dealt directly with teach-out plans. However, the public comment standards have not been voted on by the NAACLS Board of Directors. In the interest of clarity, NAACLS would like to remind everyone of the current standard language.

Standard V.D. A teach-out plan must be developed and submitted to NAACLS within 30 days of the official announcement of the closure of the program. 

A temporary inability to serve students does not require any action or a teach-out plan. If your program is altering your current processes to handle this extreme situation, your program does not need NAACLS’ approval of these changes or need to notify NAACLS of these changes. Notification and a subsequent teach-out plan are only necessary if there is an official announcement of the cessation of service by the program for the students. At the point of that announcement, the program has thirty days to submit an action plan.

Until then, programs are encouraged to continue to innovate and use creative problem solving to maintain compliance with the standards. NAACLS is impressed by remarkable collegial collaboration and innovative ideas and discussion occurring in real-time on the CLS Educators Listserv.  

If you have any specific questions, please feel free to contact the office. Otherwise, keep an eye on the NAACLS News, all announcements regarding COVID-19, as well as other matters, will be posted here.

After 24 years of dedicated service to NAACLS, Gwen James-Oriaikhi retired as of December 31, 2019. Gwen began her employment at NAACLS as an Office Coordinator before transitioning to Program Services. Upon her retirement, Gwen was serving as the Accreditation/Approval Manager as well as Executive Assistant. All of us at NAACLS will truly miss Gwen and her outstanding contributions to the agency.

As of January 1, Program Services staffing and responsibilities are as follows:

• Mark Spence retains his current role and is responsible for Phlebotomy, Clinical Assistant and DCLS Programs. He is also the Volunteer Services Manager.
• Russell DeCaluwe is responsible for the MLT programs and will assume responsibility as the Staff Liaison to the Quality Assurance Committee.
• Michele Stevenson is responsible for the MLS programs and will also serve as Staff Liaison to RCAP and the BOD.
• Jessica Jasso, who began her employment with NAACLS in November as Office Coordinator, has moved to Program Services and assumed responsibility for HT, HLT, CG, DMS, Pathologist Assistant programs, as well as a number of off- and on-cycle program service functions.
• Other staff will continue with their present duties.

Please reach out to the office if you have questions.

We look forward to serving all of you in 2020 and wish you a very happy and healthy new year!

By Peter Hu, PhD, MS, MLS(ASCP)^CM,  CG^CM, MB^CM, FACSc, President, NAACLS Board of Directors

An edited version of Dr. Hu’s message will be published in the NAACLS 2019 Annual Report later this spring. However, we present his message to you at this time as it contains timely information.

Greetings, colleagues! It is time for the NAACLS’ annual “Message From the President.” This is a summary of some of the top activities during this past year.

In the past year, NAACLS continued to offer timely workshops and articles and to plan for new ones based on frequently asked questions. Various published articles such as “Volunteer Week – The NAACLS Site Visit: Tricks-Of-The-Trade” to “Volunteer Week – The Importance of the Self-Study Summary Page” were written to help both the site visit team and the program for a successful site visit process. In addition, we have continued to offer excellent workshops near the headquarters and at CLEC of which many were to “sold out” audiences. These continued events are some of the ways that NAACLS maintains the highest quality on the standard of practices offered in order to maintain successful accreditation and approval processes. To ensure this, our workshop presenters are usually veteran site visitors and/or experienced committee members from the Review Committee on Accredited Programs (RCAP) and Programs Approval Review Committee (PARC).

With the retirement of experienced veterans and promotions of “new” individuals into the role of program directors, the Board of Directors has expressed concern that additional support is required for our programs. To better serve everyone, NAACLS will have an exhibit booth at CLEC to help answer questions. Please stop and see us!

As always, NAACLS cannot do its job without dedicated volunteers. We continue to seek volunteers to be self-study reviewers, site visitors, RCAP/PARC/DRC committee members, and board members. If you have any interest, please check the information on the NAACLS website. We look forward to others joining the team. One of the benefits of volunteering is learning how others have created the top notch programs accredited and approved by NAACLS.  A recent call out for committees was sent in October 2019.  There are 2 Board of Director positions, 7 RCAP positions, 3 PARC positions, and 2 DRC positions that will be coming up for elections. Nominations, which should include completed Candidate Fact Sheets and CVs, should be sent to the NAACLS office by January 15^th, 2020. Nominations may also be emailed to Mark Spence, Volunteer Services Manager.  For more information, please visit https://naaclsnews.org/2019/10/17/naacls-is-seeking-nominations-for-board-and-committee-roles-2/ .

The Accreditation Management System (AMS) project is currently paused awaiting a board appointed task force to review the current state of the project and its future direction. The initial meeting already took place in December and a 2^nd meeting will soon follow in January, 2020 with recommendations to the Board. Rest assured, we will move forward.

In other areas from the Board:

1. Minor edits to the interim report guidelines were approved for clarity and made effective immediately.
2. The DMS preamble (competencies) were again revised to reflect the emergence of next generation sequencing testing and bioinformatics. An important step to this change is the differentiation between the competencies in diagnostic molecular science professionals working in DMS laboratories and those medical laboratory scientists encountering molecular tests in their MLS disciplined laboratories e.g. blood bank, microbiology etc..
3. Approved for release for 30 days public comment were edits to standard II.B, IVA.1.D, and V.D. Results from proposed standards changes will be presented in the coming months.
4. Several policies related to DCLS programs were addressed. For more information, please visit NAACLS News “Board of Directors Update – September 2019” issue: https://naaclsnews.org/2019/10/29/naacls-board-of-directors-update-september-2019/

For those who are attending the CLEC meeting in Orlando, I look forward to robust discussions on laboratory education!

By Megan Eggert, Meetings and Events Planner

With the new year right around the corner, we wish to remind you that NAACLS is conducting a new workshop titled, “Get Excited About Not Being Cited – The Insiders’ Edition of Commonly Cited Standards,” on February 27, 2020, from 7:00am-12:00pm in Orlando, Florida, in concurrence with the ASCLS Clinical Laboratory Educators’ Conference (CLEC).

The fee for the workshop is $325/person if you register by 1/10/20. We hope you will take advantage of this early registration discount! The fee is $350/person if you register between 1/11/20 to 2/12/20.

This workshop is a unique opportunity to take advantage of the work and data collection done by the NAACLS Board of Directors. Current committee members, Dawn Tripolino and Dale Telgenhoff, synthesized the Board work and will provide an exclusive look at what these data identify as the most frequent citations. Ms. Tripolino and Dr. Telgenhoff will present detailed strategies to assist program directors avoid these frequent pitfalls.

Upon completion of the workshop, and with the opportunity to discuss questions, the participant should be able to:

1. Examine the overall accreditation/approval processes leading up to potential citation
2. Related the use of the NAACLS Standards and Compliance Guide to the process
3. Identify the most commonly cited Standards
4. Analyze and discuss sample citations
5. Identify ways to avoid citations by utilizing the Standards Compliance Guide and other NAACLS resources

Please visit https://www.naacls.org/News/Workshops.aspx for more information and to register (payment and registration is separate from the CLEC). We hope to see you at this NAACLS workshop!

The NAACLS Board of Directors is requesting public comment for proposed Standards changes. To view the potential Standards changes, as well as the process to submit your comments, please download the files linked below.

Public Comment for Standard V.D

Public Comment for Standard V.A.1

Public Comment for Standard II.B

At the September 27, 2019 meeting of the NAACLS Board of Directors, in addition to accreditation and approval awards recommended by the Review Committee on Accredited Programs (RCAP) and the Program Approval Review Committee) PARC, the following items were addressed:

• The long-delayed Accreditation Management System (AMS) project is paused awaiting Board review of the project and its direction. A task force was appointed to review continuation of the project as well as alternative technological improvements. The task force will make recommendations to the Board.
• Minor edits to the Interim Report Guidelines were approved for clarity. The edits pertained to the summary of changes that occur with the program since the most recent award. These edits are effective immediately.
• Revisions to the DMS preamble (competencies) were adopted. These revisions help differentiate the competencies in diagnostic molecular science expected for DMS professionals as opposed to those encountered by the medical laboratory scientist. Diagnostic molecular science has had influences on the core laboratory but those technologies do not encompass all the competencies expected of a DMS.
• Approved for release for public comment were edits to Standard II.B. (Assessment/Outcomes), Standard IV.A.1.d (Publications), and Standard V.D (Operational Policies) with corresponding edits to the Standards Compliance Guide and other documents (as appropriate). Calls for 30 day periods for public comments to these proposed changes will be released by NAACLS shortly.