[Histonet] Re: Home based slide interpretation

[Debra Siena]

It is my understanding that whenever the reading of the slides is not performed at the testing site that they need to list that on their report and also they will need to have a CLIA license for their home or office that is offsite.

Debbie Siena
800.442.3573 ext. 229 | www.statlab.com

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Wednesday, April 17, 2013 8:35 AM
To: John Spaull; JMacDonald <@t> mtsac.edu
Cc: Histonet
Subject: [Histonet] Re: Home based slide interpretation

John:
You are absolutely right! That is also an issue. Its seems that with every bit of additional information the case about being illegal for a pathologist to read slides from home is building up more and more strong!
Very interesting.
René J.

From: John Spaull <john.r.spaull <@t> gsk.com>
To: "rjbuesa <@t> yahoo.com" <rjbuesa <@t> yahoo.com>; "JMacDonald <@t> mtsac.edu" <JMacDonald <@t> mtsac.edu> 
Sent: Wednesday, April 17, 2013 2:44 AM
Subject: Home based slide interpretation



The UK Human Tissues Act (2006) is also relevant I think. To work with human tissue premises have to be registered. All tissue is tracked. The Health Service may have exemptions but generally tracking requires approved couriers etc. Registration of premises does require payment of a fee.
 
One can imagine the headlines if your home working pathologist was transporting slides themselves and say left diagnostic samples on the train. Patient confidentiality around physical notes would also be something to be considered I guess.
 
------------------------------
 
Message: 9
Date: Tue, 16 Apr 2013 06:38:26 -0700 (PDT)
From: Rene J Buesa <rjbuesa <@t> yahoo.com>
Subject: Re: [Histonet] Home based slide interpretation
To: Jennifer MacDonald <JMacDonald <@t> mtsac.edu>,
      "histonet <@t> lists.utsouthwestern.edu"
      <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
      <1366119506.58355.YahooMailNeo <@t> web163104.mail.bf1.yahoo.com>
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The only regulation about reading slides "from home" refers to cytotechnologists because they have a limit of allowed cases/day that has to be controlled?at the usual work setting, but no such regulation exists for pathologists and I really?do not think that a pathologist is limited to read slides from home.
The only possible objection would be a pathologist working in the UK because, under the NHS regulations,? pathologists have norms?about the?time per type of case and its complexity.? This time/case was designed to assure that the pathologist takes enough time for the diagnosis which, according with the system design, assures quality of work, and also links work-to-remuneration rates. Under those circumstances perhaps the pathologists would have to justify how much time they have used (to be paid for) per different cases, and that would require a work based control. 
Fortunately such a system does not exist here (yet!).
Ren? J.
 
From: Jennifer MacDonald <JMacDonald <@t> mtsac.edu>
To: histonet <@t> lists.utsouthwestern.edu
Sent: Monday, April 15, 2013 6:12 PM
Subject: [Histonet] Home based slide interpretation
 
 
Does anyone know of any regulations against a Pathologist reading slides 
from home?? If so would you be able to cite the specific regulation?
Thanks,
Jennifer
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Regards,
 
John.
 
John Spaull
Histology Group, Molecular and Cellular Technologies, 
Platform Technology and Science,
GlaxoSmithKline R&D, Stevenage, SG1 2NY, UK
+44 (0)1438 763296 
E-mail john.r.spaull <@t> gsk.com
 
 

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