A recent meeting held by the Institute formerly known as NCCLS (now CLSI) proclaimed EQC as the "QC for the Future", then promptly proposed a new option that would replace thecurrent options. Even more interesting, the new option comes out of CLIA's past...
An analysis of the scientific rationale provided by CMS to justify "Equivalent" QC procedures in the CLIA Final Rule.
When the CLIA Final Rule Interpretive Guidelines came out, a new practice called "Equivalent" QC was introduced. Just what is it equivalent to? Well, if it was applied to fire safety, CMS would be telling you to turn off your smoke detectors.
For those wondering about the new "Equivalent QC" procedures, the AACC POC listserve has been a must-read. Arguments about the validity, acceptability, and practicality of "eQC" have been raging back and forth. Recently, someone posted an open letter to CMS, asking for the scientific rationale behind eQC. CMS replied with a statement. For those who don't subscribe to the AACC POC listserve, we're happy to post the entire conversation here.
If we realize that "equivalent" qc procedures are not equal... If we want to assure quality rather than comply with regulations... If we want to do the right QC, not the least QC... What is the appropriate QC to do? And how do we determine it? (preview)