[Histonet] JCAHO & CAP

[Joe Nocito]

Erin,
no, you do not need both. One of the inspectors I had a couple of years said 
during the inspection that he was transferring his lab from CAP to JCAHO. He 
was getting tired of the political BS with CAP. Hmmm. I like his views.

Joe
----- Original Message ----- 
From: "Martin, Erin" <Erin.Martin <@t> ucsf.edu>
To: <histonet <@t> lists.utsouthwestern.edu>
Sent: Wednesday, June 13, 2007 6:01 PM
Subject: [Histonet] JCAHO & CAP


Hello,

My manager asked me to explain why we need CAP if we are a JCAHO hospital. 
We just started a dermpath lab, separate from the rest of the pathology 
department and this is my first time in a non-CAP lab.  In other facilities 
I have worked, I just took for granted that CAP surveys were a necessity. 
Now I'm not so sure - can anyone tell me if CAP surveys/inspections are 
necessary? I was under the impression that JCAHO and CAP sort of worked in 
concert to confirm a lab's compliance with all CLIA regs, but I can't find 
anything to support that assumption.

 I know that under CMS some sort of  lab accreditation is required, but on 
the CMS site they list both CAP and JCAHO as accrediting agencies (among 
others).  So why both?  Is it necessary to have CAP if the hospital is 
JCAHO?

Thank you,
Erin Martin


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