Techniques are described that facilitate generation of a practice proficiency score related to the quality of a pathology department processes (e.g., quality of/accuracy of pathologist diagnoses, etc.). In one or more implementations, a method may comprise generating an assessment metric based upon a comparison of the first image attribute with a second image attribute. The first image attribute comprises an attribute associated with a digital image representing a specimen. The method also includes receiving a diagnostic confidence metric corresponding to the specimen. The method also includes receiving a diagnostic accuracy metric corresponding to the specimen. The method also includes receiving a turn around time metric corresponding to the specimen. The method also includes receiving a clerical accuracy metric corresponding to the specimen. The method also includes causing a processor to generate a score representing a proficiency corresponding to the specimen. The score is based upon the assessment metric, the diagnostic confidence metric, the diagnostic accuracy metric, the torn around- time metric, and the clerical accuracy metric.