[Histonet] CLIA REGS RE: Grossing: Chime In

histology <@t> gradymem.org histology <@t> gradymem.org
Tue Mar 7 08:42:01 CST 2006

   <BODY><P>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.<BR><BR>   Angie    Barnett,    HTL(ASCP)   <BR>Grady   Memorial   Hospital
   <BR>Pathol   <BR>histology <@t> gradymem.org  <   <P></P><B>-----     Original     Message     -----</B>
   <P></P><B>From</B>:           Roxanne           Soto
   &lt;GODSGIRLNOW@   <P></P><B>Date</B>:   Saturday,  March  4,  2006
   8:36       [Histonet]    CLIA    REGS    R   <P></P>&gt;  So  in  reading  the  link  that  you sent me
   including   have  a  degree   including   all   of   the   <BR>&gt;  -----  Original  Mes   From:         Lance        <BR>&gt;        Erickson&lt;   mailto:Lance.Erickson <@t> intermountainmail.org&gt;
   <BR>&gt   Soto&lt;mailto:godsgirlnow <@t> msn.com&gt;              ;   <BR>&gt;
   Histonet <@t> pathology.swmed.edu&lt;mailto:Hist   onet <@t> pathology.swmed.edu&gt;     <BR>&gt;    Sent:
   Friday,   RE:   [Histonet   <BR>&gt;           <BR>&gt;   www.cms.hhs.gov/clia&lt;http://www.cms.   hhs.gov/clia&gt;  is the link to <BR>&gt; the CLIA '88
   inf   intrepreti   <BR>&gt; Ap   <BR> &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."   <BR>&gt;  Anatom   Primary  Children's  Medical  Cen   City,    UT    <BR>&gt;    <BR>&gt;   Message-----     <BR>&gt;     From:    histonet-bounces <@t> l   ists.utsouthwestern.edu&lt;mailto:histonet- <BR>&gt;
   bo   <BR>   Of  Roxanne S   1:21 PM <BR>   LuckG <@t> empirehealth.org&lt;mailto:LuckG <@t> empireh   ealth.org&gt;; <BR>&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   <BR>&gt;  Greg,   for  your comment-that is exa   to  ask,  <BR>&gt;  but  yo   did.  <BR>&gt;  <BR>  &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.   <BR>&gt;   <BR>&gt;   Rox   <BR>&gt; <BR>&gt;
   ____________   _______________________   5F_   _______________________   5F_   <BR>&gt; &lt;   LuckG <@t> empirehealth.org&lt;mailto:LuckG <@t> empirehealth.org   26g   <BR>   &lt;Charles.Embrey <@t> carle.com&lt;mailto:Charles.   Embrey <@t> carle.com&gt;&gt;,               <BR>&gt;
   Histonet <@t> patho   logy.swmed.edu&lt;mailto:Histonet <@t> pathology.swmed.edu   26g   Grossing:   10:47:45     -0800     <   <BR>&gt;  &gt;In  answer  to  th   <BR>&gt;        requirements       for       <BR>&gt;   "non-pathologists <BR>&gt; &gt;grossing" you cited the
   s   states  <   patient  samples"   &gt;  how  that  <BR>&gt;  &gt;strictly  translates to
   "gros   <BR>&gt;  t   transfer   of  an  entire  sp   <BR>&gt;  cassettes  with  a <   description and simple specimen prep and set   in  <BR>&gt;  reducing  the <BR>&gt;   the  sample  to  be  processed; e.g. <BR>&gt;   with   a   <BR>&gt;  scalpel.  <BR>&gt;  &gt;Wo   uldn't   simple  (where  the  entire  specimen  is  <BR>&gt;
   submitted     &gt;decision   has   <BR>&gt;   specimen   to   <BR>   <BR>&gt; &gt;not submit for micro exam   be  <BR>&gt;  analogous  for  <BR>&gt;  ex   <BR>&gt;  &gt;Micro  lab  aid  who  does  this  on tissue   cultures.  <BR>&gt;  "Grossing" by <BR>&gt; your
   com   between   shave     prostatectomy.  <BR>  &gt; &gt;Where in CLIA does it's
   'text'  specifically  state     &gt;"grossing"   and   who   can   or   c   <BR>&gt; CLIA's definition of <BR>&gt; g   <BR>&gt;  &gt;For  those  of  us  less familiar with th   federal  register  <BR>&gt;  can  you <BR>&gt; provide
   <B   federal  regist   your <BR>&gt;   measuring   cores   and   <B   <BR>&gt;  &gt;cassette  count  as   you  have  <BR>&gt;  said  yes  it  <BR>&   Thanks,    <BR>&gt;   &gt;Greg   <BR>&gt;   &   gt;Greg  Luck,  BS,  HT(ASCP)  <BR>&gt; &gt;Anatomic
   Pathol   Center  <BR>   &gt;Spokane,   WA      509.473.7077   <BR>&gt;   &   <BR>&gt; &gt;luckg <@t> empirehealth.   &gt;www.deaconessmedicalcenter.org <BR>&   <BR>&gt; &gt; <BR>&gt; &gt; <BR>   &gt;    <BR>   &gt;   &gt;-----Original   Message-----
   <BR>&gt;        &gt;From   [mailto:Charles.Embrey <@t> carle.com]    <BR>   &gt;Sent:  Friday,  March  03,  2006  7:10 AM <BR>&   gt; &gt;To: <BR>&gt;
   Histonet <@t> pathology.swmed.edu&   lt;mailto:Histonet <@t> pathology.swmed.edu&gt;
   <BR>&gt;   <BR>&gt; &gt   &gt;   <BR>&gt;      <BR>&gt;  &gt;From:  Charl   &gt;Sent:    Friday,    March   03,   2006   9   <BR>&gt;  &gt;To:  'Roxanne  Soto' <BR>&gt;   &gt;Subject:  RE:  [Histonet]  CLIA  REGS <BR>&gt;
   &gt   for   non-pa   <BR>&gt;  &g   it's  a  punch  <BR>&   shave.  <BR>&gt;  &gt;  <   '88  states "On or before April 24 1995 (I)   high   school   <BR>&gt;   graduate   or   <BR>&   &gt;equivalent; and (b) have documentation of training <BR>   &gt;  appropriate  for <BR> &gt; the test <BR>&gt;
   &gt;performed   before   analyzing   pat   specimens".............   that  date  <BR>&gt; &gt;it requires an associat   in  a  biological  or  <BR>&gt;  chemical science or <BR>   &gt;  &gt;medical  laboratory  technology  -or-  qualify  as a
   <BR>   &gt;bachelor'   <BR>&gt;    earned    a    <   <BR>&gt; &gt;degree in a chemical,   or  clinical <BR>&gt; laboratory science.    &gt;  <BR>&gt;  &gt;ref.  CLIA  '88  493.   <BR>&gt;  &gt; <BR>&gt; &gt;As to your questi   on:  "Does  measuring cores and putting <BR>&gt; them in a
   <B   grossing?"  Y   small     skin     <BR>&gt;   &gt;dissection  of  an  entire colon, the req   same.  <BR>&gt;  &gt;It  falls  under  the  CLI   Complexity  Testing  <BR>&gt; Personnel Qualifications, <   BR> &gt; &gt;Federal Register VOl. 60, No. 78, April
   1995,    &gt;  <   instruction   detailing  w   <BR>&gt;   &gt;grossed   wi   pathologists'     <BR>&gt;     observation.    Dir   <BR>&gt; means that <BR>&gt; &gt;the pathologist    literally  watches  over  your  shoulder  <BR>&gt;  while  you
   <BR>&   Indirect  means  that     consult. &gt; <BR>&   concerned:   Florida   has   one  of  <   <BR>&gt;   stringent   <BR>&gt;   &gt;   systems  in  the  US.  I fully expect, <BR>&gt; now tha   <BR>&gt;  Pathologists'  <BR>&gt; &gt;Assistants
   ar   closely at    and  may  limit  g   P.A.s,  &gt;Pa   is  <BR>&gt; just a g   <BR>&gt;  &gt;be  surprised  to see it hap   too  distant  future.  <BR>&gt;  &gt; <BR>&   &gt;Charles  Embrey,  PA(ASCP) <BR>&gt; &gt;Carle C   linic  <BR>&gt; &gt;Urbana, IL <BR>&gt; &gt;
   <   &gt;   <BR>&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 <BR>&gt; Behalf Of <BR>&gt; Roxanne
   So   6:39    AM      HISTONET <@t> PATHOLOGY.SW   MED.EDU&lt;mailto:HISTONET <@t> PATHOLOGY.SWMED.EDU&gt;
   <B   <BR>&gt;   &gt;   Would   someo   <BR>&gt;    the    CLIA   <BR>&g   <BR>&gt; &gt; and out) please contact regard   of  <BR>&gt;  tissue-----what  is  <BR>  &gt; &gt;
   grossing  per  se--does measuring cores and putting <BR   them  in  a <BR>&gt; cassette <BR>&gt; &gt;   as  grossing? What education level doesn one <BR>&gt; hav   to  <BR>&gt; have <BR>&gt; &gt;in <BR>&gt;
   &   <BR>&gt   aides,  but  our  lab     degrees  and  they <BR>&gt;   cores.......   <BR>&   advance  <BR>&gt;  &gt;  Roxanne  Soto  <   &gt;_________________   _______________________   5F_   <BR>&   <BR>&gt; &   gt;http://lists.utsouthwestern.edu/mailman/listinfo/histonet
   <B   &gt;_________   _______________________   5F_   &gt;Histonet   &gt;Histonet <@t> lists.utsouthwestern.   &gt;http://lists.utsouthwestern.edu/mailma   n/listinfo/histonet   <BR>&gt;   &gt;   <BR>  &gt;
   &gt;___________________   _______________________   5F_   <BR>&gt;   <BR>&gt; &gt;   http://lists.utsouthwestern.edu/mailman/listinfo/histonet
   <BR>&   _______________________   _______________________   5F      <BR>&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_   <BR>&gt;    Hist   Histonet <@t> lists.utsouthwestern.ed   http://lists.utsouthwestern.edu/mailman/listinfo   <BR>&gt; </BODY>

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