[Histonet] CLIA REGS RE: Grossing: Chime In

Tue Mar 7 08:42:01 CST 2006

<BODY>I've been off a couple of days and just read these
 mes CLIA grossing requirements I spoke to a OKC.&nbsp; I was told that the reason that specimen was considered high complexity testing was that the description becomes part of the pathology report. Angie Barnett, HTL(ASCP) Grady Memorial Hospital
 Pathol histology <@t> gradymem.org < ----- Original Message -----
 From: Roxanne Soto
 &lt;GODSGIRLNOW@ Date: Saturday, March 4, 2006
 8:36 [Histonet] CLIA REGS R &gt; So in reading the link that you sent me
 including have a degree including all of the &gt; ----- Original Mes From: Lance &gt; Erickson&lt; mailto:Lance.Erickson <@t> intermountainmail.org&gt;
 &gt Soto&lt;mailto:godsgirlnow <@t> msn.com&gt; ; &gt;
 Histonet <@t> pathology.swmed.edu&lt;mailto:Hist onet <@t> pathology.swmed.edu&gt; &gt; Sent:
 Friday, RE: [Histonet &gt; &gt; www.cms.hhs.gov/clia&lt;http://www.cms. hhs.gov/clia&gt; is the link to &gt; the CLIA '88
 inf intrepreti &gt; Ap &gt;
 www.cms.hhs.gov/CLIA/downloads/apcsubm.pdf&lt;http: //www.cms.hhs.gov/CLIA/downloads/apcsubm.pdf&gt; under
 qualif 493.1489 (b)(7) i whether it is color, measu considered high complexity testing an type of testing must qualify under this sec new CAP question ANP 11610 was instated and is ef 2005. CAP must abide by CLIA regulations and CLIA i Center for Medicare and Medicaid Services which is a sectio US government's department of Health and Human Services. So you would like to maintain your CLIA license and CAP certification
 and complexi gross examina Guidelines §493.1489 the technical supervisor may delegate to individuals §493.1489 the responsibility for the physical examina tion/description, including color, weight, measurement and other
 ch which a supervisor gross examina technical supervisor is supervision but is responsible for reported. All physical examinations/de including color, weight, measurement and other c of the tissue; or other mechanical procedures performed absence of the technical supervisor by individuals qualified under §493.1489 should be reviewed within 24 hours by the technical
 superv by individu appropriate." &gt; Anatom Primary Children's Medical Cen City, UT &gt; &gt; Message----- &gt; From: histonet-bounces <@t> l ists.utsouthwestern.edu&lt;mailto:histonet- &gt;
 bo Of Roxanne S 1:21 PM LuckG <@t> empirehealth.org&lt;mailto:LuckG <@t> empireh ealth.org&gt;; &gt;
 Charles.Embrey <@t> carle.com& lt;mailto:Charles.Embrey <@t> carle.com&gt;;
 Histonet <@t> pathol ogy.swmed.edu&lt;mailto:Histonet <@t> pathology.swmed.edu=2
 6gt RE: Gros &gt; Greg, for your comment-that is exa to ask, &gt; but yo did. &gt; &gt; This is what I need to
 know, as well, and I have had a very time trying to find the answer by looking at t CLIA website. &gt; &gt; Rox &gt; &gt;
 ____________ _______________________ 5F_ _______________________ 5F_ &gt; &lt; LuckG <@t> empirehealth.org&lt;mailto:LuckG <@t> empirehealth.org 26g &lt;Charles.Embrey <@t> carle.com&lt;mailto:Charles. Embrey <@t> carle.com&gt;&gt;, &gt;
 Histonet <@t> patho logy.swmed.edu&lt;mailto:Histonet <@t> pathology.swmed.edu 26g Grossing: 10:47:45 -0800 < &gt; &gt;In answer to th &gt; requirements for &gt; "non-pathologists &gt; &gt;grossing" you cited the
 s states < patient samples" &gt; how that &gt; &gt;strictly translates to
 "gros &gt; t transfer of an entire sp &gt; cassettes with a < description and simple specimen prep and set in &gt; reducing the &gt; the sample to be processed; e.g. &gt; with a &gt; scalpel. &gt; &gt;Wo uldn't simple (where the entire specimen is &gt;
 submitted &gt;decision has &gt; specimen to &gt; &gt;not submit for micro exam be &gt; analogous for &gt; ex &gt; &gt;Micro lab aid who does this on tissue cultures. &gt; "Grossing" by &gt; your
 com between shave prostatectomy. &gt; &gt;Where in CLIA does it's
 'text' specifically state &gt;"grossing" and who can or c &gt; CLIA's definition of &gt; g &gt; &gt;For those of us less familiar with th federal register &gt; can you &gt; provide
 &gt; measuring cores and &gt; &gt;cassette count as you have &gt; said yes it & Thanks, &gt; &gt;Greg &gt; & gt;Greg Luck, BS, HT(ASCP) &gt; &gt;Anatomic
 Pathol Center &gt;Spokane, WA 509.473.7077 &gt; & &gt; &gt;luckg <@t> empirehealth. &gt;www.deaconessmedicalcenter.org & &gt; &gt; &gt; &gt; &gt; &gt; &gt;-----Original Message-----
 &gt; &gt;From [mailto:Charles.Embrey <@t> carle.com] &gt;Sent: Friday, March 03, 2006 7:10 AM & gt; &gt;To: &gt;
 Histonet <@t> pathology.swmed.edu& lt;mailto:Histonet <@t> pathology.swmed.edu&gt;
 &gt; &gt; &gt &gt; &gt; &gt; &gt;From: Charl &gt;Sent: Friday, March 03, 2006 9 &gt; &gt;To: 'Roxanne Soto' &gt; &gt;Subject: RE: [Histonet] CLIA REGS &gt;
 &gt for non-pa &gt; &g it's a punch & shave. &gt; &gt; < '88 states "On or before April 24 1995 (I) high school &gt; graduate or & &gt;equivalent; and (b) have documentation of training &gt; appropriate for &gt; the test &gt;
 &gt;performed before analyzing pat specimens"............. that date &gt; &gt;it requires an associat in a biological or &gt; chemical science or &gt; &gt;medical laboratory technology -or- qualify as a
 &gt;bachelor' &gt; earned a < &gt; &gt;degree in a chemical, or clinical &gt; laboratory science. &gt; &gt; &gt;ref. CLIA '88 493. &gt; &gt; &gt; &gt;As to your questi on: "Does measuring cores and putting &gt; them in a
 &gt; &gt;dissection of an entire colon, the req same. &gt; &gt;It falls under the CLI Complexity Testing &gt; Personnel Qualifications, &gt; &gt;Federal Register VOl. 60, No. 78, April
 1995, &gt; < instruction detailing w &gt; &gt;grossed wi pathologists' &gt; observation. Dir &gt; means that &gt; &gt;the pathologist literally watches over your shoulder &gt; while you
 & Indirect means that consult. &gt; & concerned: Florida has one of < &gt; stringent &gt; &gt; systems in the US. I fully expect, &gt; now tha &gt; Pathologists' &gt; &gt;Assistants
 ar closely at and may limit g P.A.s, &gt;Pa is &gt; just a g &gt; &gt;be surprised to see it hap too distant future. &gt; &gt; & &gt;Charles Embrey, PA(ASCP) &gt; &gt;Carle C linic &gt; &gt;Urbana, IL &gt; &gt;
 < &gt; &gt; & bounces <@t> lists.utsouthwestern. edu&lt;mailto:histonet-bounces <@t> lists.utsouthwestern.edu&
 gt; &gt;[mailto:histonet-bounces <@t> lists.utsouthw estern.edu] On &gt; Behalf Of &gt; Roxanne
 So 6:39 AM HISTONET <@t> PATHOLOGY.SW MED.EDU&lt;mailto:HISTONET <@t> PATHOLOGY.SWMED.EDU&gt;
 &gt; &gt; Would someo &gt; the CLIA &g &gt; &gt; and out) please contact regard of &gt; tissue-----what is &gt; &gt;
 grossing per se--does measuring cores and putting &gt; cassette &gt; &gt; as grossing? What education level doesn one &gt; hav to &gt; have &gt; &gt;in &gt;
 & &gt aides, but our lab degrees and they &gt; cores....... & advance &gt; &gt; Roxanne Soto < &gt;_________________ _______________________ 5F_ & &gt; & gt;http://lists.utsouthwestern.edu/mailman/listinfo/histonet
 lists.utsouthwestern. &gt;http://lists.utsouthwestern.edu/mailma n/listinfo/histonet &gt; &gt; &gt;
 &gt;___________________ _______________________ 5F_ &gt; &gt; &gt; http://lists.utsouthwestern.edu/mailman/listinfo/histonet
 & _______________________ _______________________ 5F &gt; Histonet <@t> lists.utsouthwestern.edu&lt;mailto:Histonet <@t> lis
 ts. http://lists.utsouthwestern.edu/mailma n/listinfo/histonet&lt;http://lists.utsouthwestern.edu/mailm
 an/ _____ _______________________ 5F_ &gt; Hist Histonet <@t> lists.utsouthwestern.ed http://lists.utsouthwestern.edu/mailman/listinfo &gt; </BODY>