Military_Laboratories.pdf

U.S. Army Regulation 40–3 Medical Services - Medical, Dental, and Veterinary Care 14–4. Accreditation policies

a. All eligible U.S. Army hospital clinical laboratories (Department of Pathology or Laboratory Service) located in fixed MTFs in the United States, Europe, or Korea will be accredited by the Commission on Inspection and Accreditation of the CAP. On-site accreditation inspections are required at least biennially.

b. All fixed MTFs, ambulatory care clinics, and troop medical clinics, including their assigned laboratories, will be accredited by and follow the laboratory guidelines of the JCAHO. The required biennial JCAHO survey of laboratories by a qualified medical technologist inspector will be waived if all laboratories (non-waived testing) assigned to the MTF have been inspected and accredited by CAP.

c. Decentralized laboratories (point-of-care testing, separate health clinics or troop medical clinics, or Military Entrance Processing Stations, and so forth) will be inspected biennially and accredited by either CAP, JCAHO, or the Commission on Office Laboratory Accreditation (COLA).

U.S. Navy Manual of the Medical Department (MANMED), NAVMED P-117 Chapter 14, Article 14-17(1), Accreditation Policies

(1) All U.S. Navy hospital-based medical laboratories located in fixed MTFs, including their assigned clinic laboratories, must be accredited by the Commission on Inspection and Accreditation of the CAP. Onsite accreditation inspections are required at least biennially.

(2) All fixed MTF/clinic decentralized laboratories not accredited by the CAP will be accredited by and follow the laboratory guidelines of JC. The required biennial JC survey of laboratories by a qualified medical technologist inspector will be waived if all laboratories assigned to the MTF/clinic have been inspected and accredited by the CAP.

(3) Laboratories not located at hospitals or branch medical/health clinics (e.g., Environmental Preventive Medicine Units, Naval Medical Research Units, Navy Research Labs, etc.) will be inspected biennially and accredited by the CAP, JC, or the Commission on Office Laboratory Accreditation.

U.S. Air Force AFI 44-102, Medical Care Management Chapter 6, Clinical and Anatomic Pathology Services

6.1. General Guidance.

6.1.1. Each MTF follows DoD standards of laboratory practice defined in the DoD Clinical Laboratory Improvement Program (DoD CLIP) for registration, certification, proficiency testing, patient test management, quality control, personnel, quality improvement and inspection. Each MTF ensures that laboratories are inspected and accredited by the College of American Pathologists (CAP), the Joint Commission or other accreditation programs approved by the Office of the Secretary of Defense, Health Affairs. Transfusion Services and Blood Donor Centers will be accredited by the AABB and registered with the Food and Drug Administration (FDA). (T-0, DoDI 6440.2, Clinical Laboratory Improvement Program (CLIP)).

U.S. Department of Defense Manual Number 6440.02 Clinical Laboratory Improvement Program (CLIP) Chapter 5 – Accreditation by a Private, Nonprofit Accreditation Organization

(1) All eligible medical laboratories located in a fixed MTF within the DoD MHS will be accredited by the Commission on Inspection and Accreditation of the College of American Pathologists (CAP).

(2) All fixed MTFs, ambulatory care clinics, and troop medical clinics, decentralized laboratories or point-of-care testing sites performing moderate or high complexity testing will be accredited by CAP.

(3) All fixed MTFs, ambulatory care clinics, and troop medical clinics, including their assigned laboratories performing waived or PPM testing may be accredited by and follow the guidelines of The Joint Commission (TJC) or be accredited by CAP.

(4) Laboratories performing high or moderate complexity testing but not associated with an MTF will be inspected biennially and accredited by the CAP, TJC, or the Commission on Office Laboratory Accreditation.