Table 10.

Hematopathology Entrustable Professional Activity 9: Maintain and Improve Quality of Care on the Hematopathology Service and in the Hematology Laboratory.

Skills

Identify and evaluate potential safety/quality issues in the hematopathology service/hematology laboratory and propose changes as needed

Maintain appropriate and up-to-date hematology laboratory testing menus, flow cytometry panels, immunohistochemical stains, and fluorescence in situ hybridization and molecular tests if appropriate (in-house and reference testing)

Apply root cause analysis and performance improvement tools (Lean, Six Sigma, Plan Do Study Act cycle) to the hematopathology service/hematology laboratory

Knowledge areas

Be aware of applicable hematology, anatomic pathology, and flow cytometry laboratory accreditation requirements

Stay up to date with new clinically relevant hematology tests and ancillary diagnostic tests

Example scenarios

Monitor send out test request patterns to prioritize new hematology test or molecular tests for in house validation

Identify a recurring slide quality issue, communicate the issue to the appropriate section supervisor, and provide feedback on whether changes to workflow are satisfactory

Evaluate, choose, and validate a new hematology laboratory or hematopathology service test, instrument, or assay, such as an immunohistochemistry assay or flow cytometry panel

Participate in proficiency testing and sign off on protocol changes in the hematology lab, such as coagulation test, flow cytometry, or immunohistochemistry

ACGME Hematopathology Milestones version 2.0

Patient Care 1: Interdisciplinary consultation

Medical Knowledge 6: Clinical reasoning in hematopathology and hematology

Systems Based Practice 1, 2, 3, and 4: Patient safety and quality improvement, systems navigation for patient-centered care, physician role in health care system, accreditation, compliance, and quality

Practice-Based Learning and Improvement 1 and 2: Evidence-based practice and scholarship, reflective practice and commitment to personal growth

Professionalism 1, 2, and 3: Professional behavior and ethical principles, accountability and conscientiousness, self-awareness and help-seeking

Interpersonal and Communication Skills 1, 2, and 3: Patient and family-centered communication, interprofessional/team communication, communication within health care systems

Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.