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CAP Accreditation Questionnaire
Assessment questionnaire to evaluate a laboratory's readiness for CAP (College of American Pathologists) accreditation. Extended from the source Excel workbook with additional readiness questions and richer answer options across 7 topic sections.
Laboratory Profile
7 questionsWhat type of laboratory best describes your organization?
Which laboratory disciplines does your organization offer?
Multiple answers possible.
What is your approximate annual (per year) test volume?
How many staff work in the laboratory (total headcount)?
How many staff are qualified to direct a medical laboratory (for example a specialist in laboratory medicine or clinical pathology; for anatomic pathology a pathologist)?
CAP requires a laboratory director with a recognised specialist qualification under your national rules; laboratories offering histology or cytology also need pathologists. Count everyone who holds such a qualification, whether or not they currently direct the laboratory.
Does your lab use a Laboratory Information System (LIS)?
Which commercial LIS platform does your lab use?
Select the system / manufacturer from the list, or choose "Not listed" to enter your own.
Shown only when cap_lp_q06 = "Yes — commercial LIS"
Quality Management
11 questionsDoes your laboratory work under a documented quality management system (QMS)?
Did your lab standardize procedures by creating Standard Operating Procedure (SOP) documents?
Do you consider superior lab quality a nice-to-have or a strategic competitive advantage?
Who in the laboratory takes part in quality management?
In which quality tasks are staff involved?
Multiple answers possible.
Shown only when cap_qm_q04 ≠ "Nobody specifically"
Does your lab have an appointed quality manager?
How frequently does your lab conduct internal quality audits?
Does your lab have a document control system for SOPs (version control, controlled distribution)?
How often are SOPs reviewed and updated?
Does your lab have a documented corrective and preventive action (CAPA) process?
Are regular management review meetings held to evaluate quality performance?
Risk Management
5 questionsHas your lab conducted a procedural risk management review?
If yes, are its results documented?
Shown only when cap_rm_q01 = "Yes"
How frequently is risk management reviewed?
Shown only when cap_rm_q01 = "Yes"
Which phases of the testing process does your risk management cover?
Multiple answers possible.
Does your lab have an incident / error reporting and tracking system?
Proficiency Testing
5 questionsDoes your lab participate in proficiency testing (PT) / external quality assessment (EQA) schemes?
If your lab participates in proficiency testing (PT)/EQA schemes, what is the most relevant objective?
Multiple answers possible.
Shown only when cap_pt_q01 ≠ "No"
Which disciplines are covered by your proficiency testing (PT)/EQA participation?
Multiple answers possible. The list follows the disciplines that laboratories in Kazakhstan and Central Asia actually asked us about in 2026 — including autoimmune and allergy diagnostics, infectious disease serology and immunohistochemistry.
Shown only when cap_pt_q01 ≠ "No"
How does your lab handle proficiency testing (PT)/EQA failures or unacceptable results?
For anatomic pathology, cytology or immunohistochemistry — which organ systems should the EQA programme cover?
Multiple answers possible. Shown because you selected anatomic pathology, cytology or immunohistochemistry above. Laboratories usually start with one or two organ systems and add further ones in later cycles.
Shown only when cap_pt_q03 ∋ "Anatomic pathology / histology" | "Immunohistochemistry (HER2, PD-L1 and related)" | "Cytology"
Enterprise Strategy
5 questionsWhat are the drivers of your enterprise strategy?
Multiple answers possible.
How can quality management support your enterprise strategy?
Multiple answers possible.
What is your target timeframe for achieving CAP accreditation?
What is the primary motivation for pursuing CAP accreditation specifically?
Multiple answers possible.
Has a budget been allocated for the accreditation process?
Language Capabilities
3 questionsDo members of your laboratory speak and read English well?
Would it be beneficial or mandatory to supply accreditation checklists in a local language?
Do your staff need English-language training for the CAP accreditation?
CAP checklists, the inspection and all correspondence with the CAP are in English.
Accreditation
6 questionsIs laboratory accreditation mandatory or voluntary in your country?
Does your laboratory currently hold one or several of the following accreditations or certifications?
Multiple answers possible. The point-of-care requirements of the former ISO 22870 are now part of ISO 15189:2022.
What is the accreditation cycle?
Duration of the full accreditation cycle in years.
Are there intermediate inspections during the cycle?
Has an accreditation body ever assessed your laboratory on site (for example for ISO 15189 or CAP)?
Will you be keeping an existing accreditation after getting CAP accredited?
Your contact details
Add your contact details so KombiMED can review your responses and follow up. You'll also receive a downloadable results PDF of this assessment.
Instruments & reagents in use
Tell us which instrument and reagent brands your laboratory currently uses so KombiMED can tailor the consultation.
Which instrument and reagent brands does your laboratory currently use?
Multiple answers possible. Select every manufacturer whose analyzers, systems or reagents are in routine use in your lab.
* Required. Your responses and contact details are sent to KombiMED for CAP consultation follow-up.