[Histonet] non pathologist grossing vs processing continued

Vancleave, Vince vvancleave <@t> hendrickhealth.org
Mon Nov 12 13:54:54 CST 2007

From: Vancleave, Vince
Sent: Wed 11/7/2007 2:39 PM
To: histonet <@t> lists.utsouthwestern.edu
Cc: Webster, John A. M.D.
Subject: Still not sure about this low complexity or not

"The thing you have to remember, Vince, is that CLIA and CAP are two
different, completely separate entities.  CLIA is government controlled
and CAP is private.  Whereas CAP recently decided to separate grossing
into two different complexities, CLIA has not.  Bottom line...if you are
CLIA licensed you MUST follow the CLIA standard. If not, then you can do
whatever you like.

Charles Embrey Jr., PA(ASCP)"
Charles makes a great point but:
I'm just not sure I'm sold on this yet, b/c also in the CLIA regs it states in sec. 493.559 about exemption from CLIA, via using a private accreditation agency (which is what CAP is), and states clearly that this agency can only be deemed acceptable if their requirements for the laboratory are equivalent or more stringent and the laboratory would meet CLIA requirements if the laboratory had not been granted deemed status.

Ya'll are right, this is a mess!

So, wouldn't this essentially mean that according to CLIA, since CAP is an acceptable private agency, they are giving the ok for CAP's decision on this?  Wouldn't CAP be unallowed to do what they do if it was less stringent than CLIA?  I also find nothing in the entire CLIA 88' that indicates that this would not be ok.  In fact, CLIA has a criteria for categorization of complexity: http://www.fda.gov/cdrh/clia/categorization.html .  And in their database of tests that they have said has to absolutely be a certain way, I find no reference to tissue description, gross examination, tissue examination, or processing.

Have I stumped anyone yet, or is there some more things I am missing?  I really appreciate all ya'lls willingness to re-visit this issue again.  I guess I am a stuborn monkey!


Vince Van Cleave, BS, PA(ASCP), HTL, HT
Laboratory Manager and Pathologist Assistant
Clinical Pathology Associates
Abilene, TX

The information contained in this e-mail may be confidential and/or privileged. This e-mail is intended to be reviewed initially by only the individual named above. If the reader of this e-mail is not the intended recipient or a representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail, or the information contained herein, is prohibited. If you have received this e-mail in error, notify the above sender, send the message back and then delete it. Thank you for your assistance.

Hendrick Health System  1900 Pine St. Abilene, Texas 79601 - 325.670.2000 79601 - 325.670.2000

More information about the Histonet mailing list