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Hu. QAS Journey The Past…. Present…Future 2015 By Antony Jaccodul Hu. QAS – C. Hu. QAS Journey The Past…. Present…Future 2015 By Antony Jaccodul Hu. QAS – C. E. O

Hu. QAS (Human Quality Assessment Services) is a not-for-profit Kenyan registered Non-Governmental Organization that Hu. QAS (Human Quality Assessment Services) is a not-for-profit Kenyan registered Non-Governmental Organization that has been offering Proficiency Testing (PT) Services to medical laboratories in the region for the last fifteen years.

ISO 17043: 2010 ISO 17043: 2010

To be the proficiency testing provider of choice, internationally, for all medical and related To be the proficiency testing provider of choice, internationally, for all medical and related laboratory diagnostic test parameters and methods.

To offer, professionally and with integrity, Proficiency Testing Services to clinical laboratories, with an To offer, professionally and with integrity, Proficiency Testing Services to clinical laboratories, with an aim of helping them produce accurate, reliable and comparable test results at all time, while working towards improving and standardizing clinical laboratory testing to international standards. Hu. QAS endeavor to enhance knowledge on technical and scientific developments, to participating laboratories, staff and other stakeholders, through training and scientific conferences. "

§ To identify specific problems within participating laboratories that may relate to instruments, reagents § To identify specific problems within participating laboratories that may relate to instruments, reagents or personnel and initiating remedial actions. § To build confidence in the quality status of the laboratories among doctors and patients. § To assess laboratories’ ability to perform tests competently as per their stated internal quality goals and the requirements of regulatory and/or accreditation bodies.

What necessitated? • Acknowledged lack of confidence with laboratory diagnostic test results by most What necessitated? • Acknowledged lack of confidence with laboratory diagnostic test results by most of the Physicians • High cost of available international EQA schemes • A desire by Hu. QAS Pioneers to play a positive role in enhancement of quality laboratory services in the health sector.

3 R’s Principle Essential to all aspects of health care laboratory results that are: 3 R’s Principle Essential to all aspects of health care laboratory results that are: • Reliable • Reproducible • Rapid All the above are attainable through PT/EQA

Why Hu. QAS EQA • Accredited to ISO 17043: 2010 for the last 7 Why Hu. QAS EQA • Accredited to ISO 17043: 2010 for the last 7 years. • Over 15 years Experience in EQA/PT Services • Availability of Qualified and Competent Staff for technical support. • 135 Different PT Programs (visit: www. huqas. org) • Global Benchmarking of Laboratories' performance through International EQA Collaboration.

PT/EQA Benefits The Lab As A whole • Measure of laboratory quality performance and PT/EQA Benefits The Lab As A whole • Measure of laboratory quality performance and tells “where we are” i. e. measures gaps or deficiencies • System for Early Detection of Laboratory errors. • Laboratory mistakes are prevented • A MUST for Accreditation

PT/EQA Benefits Laboratory personnel • Educational value (Identify training needs) • Identifies skills gap PT/EQA Benefits Laboratory personnel • Educational value (Identify training needs) • Identifies skills gap and possible areas of improvement

PT/EQA Benefits Physician • TAT is reduced ie No repeat testing • Increases confidence PT/EQA Benefits Physician • TAT is reduced ie No repeat testing • Increases confidence in the lab’s results

PT/EQA Benefits Patient • Increases patient confidence in participating labs • Customer expectations are PT/EQA Benefits Patient • Increases patient confidence in participating labs • Customer expectations are met i. e. quality care. • Reduces cost of medical care through reduced repeat testing in other laboratories.

PT/EQA Benefits Nationally and Regionally • Enhanced confidence in the Regional's Health institutions • PT/EQA Benefits Nationally and Regionally • Enhanced confidence in the Regional's Health institutions • Improves Medical Tourism and Global Competitiveness • Improves on actual man-hours devoted to working due to good health and grows the economy

Taking Quality Steps Together Taking Quality Steps Together

Historical Perspective Historical Perspective

Enrolment by Country Enrolment by Country

Enrollments Enrollments

2016 Into Perspective……CPDS Advanced Root Cause Analysis and CAPA ISO 15189 Implementation course Internal 2016 Into Perspective……CPDS Advanced Root Cause Analysis and CAPA ISO 15189 Implementation course Internal Audit Training based on ISO 19011: 2012 Good Clinical Laboratory Practices

2016 Into Perspective…. . EQA • Introduction of Monthly EQA programs • 4 cycles 2016 Into Perspective…. . EQA • Introduction of Monthly EQA programs • 4 cycles of EQA

MEMORIES WASEE …. HUKUMBUKA MEMORIES WASEE …. HUKUMBUKA

Road to our vision – Yr. 2000 1 ST Hu. QAS workshop (2000). The Road to our vision – Yr. 2000 1 ST Hu. QAS workshop (2000). The beginnings were humble but the participants exuded determination

Road to our vision – Yr. 2001 A group photograph of the participants to Road to our vision – Yr. 2001 A group photograph of the participants to a Hu. QAS workshop (2001) in Mombasa, Kenya

Road to our vision – Yr. 2002 Former KMA Chairman and current Director of Road to our vision – Yr. 2002 Former KMA Chairman and current Director of Medical Service, Ministry of Health, Dr. Nyikal with Chem-labs Limited M. D, Mr. Wambura during the 2002 Hu. QAS workshop at the Panafrique Hotel, Nairobi, Kenya

Road to our vision – Yr. 2003 A group photograph of the participants to Road to our vision – Yr. 2003 A group photograph of the participants to 2003 Hu. QAS workshop in Mombasa, Kenya

Road to our vision – Yr. 2004 Dr. Rajab, one of the 2004 Hu. Road to our vision – Yr. 2004 Dr. Rajab, one of the 2004 Hu. QAS workshop facilitators, presenting a certificate to a participant at the Nairobi Safari Club, Lilian Towers, Nairobi

Road to our vision – Yr. 2005 Road to our vision – Yr. 2005

Road to our vision – Yr. 2006 The Nairobi Safari Club, Lilian Towers; keen Road to our vision – Yr. 2006 The Nairobi Safari Club, Lilian Towers; keen participants during the 2006 Hu. QAS workshop.

Road to our vision – Yr. 2008 Road to our vision – Yr. 2008

Road to our vision – Yr. 2010 Mr Milgo of KENAS presents the accreditation Road to our vision – Yr. 2010 Mr Milgo of KENAS presents the accreditation certificate to Mr. Wambura, Hu. QAS chairman. Looking on is Industirilization PS Prof. Lonyangapuo.

Future Prospects • Working closely with other partners to make available Hu. QAS EQA Future Prospects • Working closely with other partners to make available Hu. QAS EQA programs to ALL Public and Private laboratories in the Entire region • Roll out regular and comprehensive post EQA test events workshops focusing on report analysis and general root cause analysis of documented laboratory errors. • Customize current training programs for laboratory technicians and technologists to meet current needs • Lobby for use of EQA reports in national policy making • Lobby for inclusion of EQA/IQC programs in pre-service training

Hu. QAS and other Partners… Together we can take the next exit… Hu. QAS and other Partners… Together we can take the next exit…