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Upon an application's arrival at the ICACTL office, it is unpacked and organized for processing. The application is then assigned an identification number and filed in a holding area.

Once the application is placed in the holding file, it is ready to undergo an in-house review of the organization application and a general review of the remaining application sections to asses the completeness and appropriateness of the materials submitted. This is not a review of the technical components of the application. If obvious information has not been included in the application (e.g., an inappropriate number of case studies is submitted), the ICACTL staff contacts the laboratory to request needed information. It is advantageous to the laboratory to send this information as soon as possible, so that it can be included with the application before it is sent to the Application Reviewers. The purpose of the in-house review is to assist in avoiding some unnecessary delays; upon complete review, however, the Board of Directors may request additional information prior to making the accreditation decision.

During the course of the in-house review, the applications are assigned to application reviewers. Application reviewers include physicians, technologists and physicists; all are employed in accredited laboratories, are credentialed and have attended an invitational training workshop with the ICACTL. Each application is assigned and shipped to two reviewers, based upon each reviewer's availability and expertise. Over the next four to six weeks, the application reviewers complete a detailed review of clinical components, including the case studies, for adherence to the ICACTL Standards.

Upon completion of each application's review, the comments and recommendations are returned to the ICACTL office. These comments are compiled and further reviewed by the ICACTL Technical Manager and the Director of Accreditation, in preparation for discussion and the final review by the ICACTL Board of Directors.

Once the Board of Directors meets and makes the final accreditation decisions, the Technical Manager notifies each laboratory, in writing, of the Board decisions and any additional information required to grant accreditation. These notification letters are given priority and are sent in the timeliest manner possible. Two copies of the correspondence are sent to the laboratory; an original to the Medical Director, and a copy to the Technical Director. When accreditation is granted, the official certificate, logo CD, press release and Application Review Findings CD accompany the letter; these documents are sent UPS Ground to the attention of the Technical Director.

As illustrated above, there are a number of avenues through which an accreditation application must travel in order to complete the process. However, it should be reassuring to laboratories that the process of reviewing applications and determining accreditation decisions, though somewhat lengthy, is thorough and intensive -- a fitting complement to the time, effort and preparation put forth by those seeking accreditation.

 
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