The following information needs to be in a format suitable for presentation at a meeting:  1. APAC nonconformity responses
(a)  The new Scope of Accreditation will list each analyte and will name of the analyser used. 

(b)  Assessment Reports will no longer differentiate between Major or Minor nonconformities. Laboratories will now have 3 months to clear nonconformities (previously it was 6 months). However, nonconformities with high risk to patients (or staff) will have a shorter clearance time of 1 month or less. Observations have been replaced by Comments. 

2. New labs
(a)  The Skin Institute had an Initial Assessment in 2022 and has now applied to progress with gaining accreditation. However, because it has not responded to the NCs raised last year and will now need to be assessed against ISO15189:2022
(b) Orbis Diagnostics have expressed interest in gaining accreditation for Hepatitis and HIV Serology testing

3. Suspension of Accreditation
APS Histology has been suspended due to ongoing issues high formaldehyde levels and poor TATs. This is the largest Histology laboratory in the country.

4. Withdrawal of Accreditation
Two laboratories have voluntarily had their accreditation withdrawn. Both laboratories were only testing for Covid  

5. Internal auditing course 
IANZ went onsite to Waikato hospital to deliver an Internal Auditing in July 2023. The training was well received and feedback was overwhelmingly positive.

6. Healthcare in the new office
The medical assessment team are enjoying their new open plan office layout. Apart from having better lighting and toilets that work, it is now much easier to communicate with other teams, management and IT especially.

7. KPI
A new set of KPIs are in the process of being developed. It is still in draft form while feedback is being sought. 
Proposed performance indicators
•	85% of assigned assessments are to be conducted within 1 month of the due date
An assessment due in May should be completed in May, but it can be completed any time between April and June and still meet this goal.

•	95% of assigned assessments are to be conducted within 3 months of the due date 

•	95% of Reports to be issued within 10 working days of completing the on-site assessment 

•	95% of Invoices to be issued no more than 15 working days after the last day of the assessment

•	95% of CARs cleared within 3 months of the assessment date

•	95% of PMARs submitted within 7 working days of CAR clearance completion

•	95% of PMARs reviewed within 10 working days of being submitted

•	The whole discussion on KPIs was largely around billable hours. Instead of having a billable hours KPI, we are proposing a range for billable hours to guide teams and to provide a goal to stay within the ‘green range’ for the year.


8. Transition to ISO 15189:2022
-   All medical laboratory assessments from 1st July 2024 will be against ISO15189:2022. Prior to that laboratories can choose to be assessed against the 2012 or 2022 version.
-  To date only four laboratories have been assessed against ISO15189:2022 – Whangarei. Dargaville, Kaitaia and Bay of Islands. There were multiple nonconformities where the QMS did not meet the new standard however addressing these issues is not expected to be problematic for these laboratories.


9. Specific Criteria for Accreditation
The Specific Criteria is in the process of being updated in line with ISO 15189:2022. A draft version has been sent to all Quality Managers, all PoCT managers,  MT-PAC members and each Assessor asking for comment. It is envisaged that as IANZ and the clients transition to ISO15189:2022 the Specific Criteria will require further updates.

10. Staff 
Two new assessors have joined the medical healthcare team which is now fully staffed. One staff member has been off on long term sick leave