SPAM-LOW: RE: [Histonet] CAP guidelines

Victor Tobias victor <@t> pathology.washington.edu
Mon Feb 25 16:59:27 CST 2008


It is not a HIPAA violation in the normal course of your day to day 
workflow. It is a violation only if the slides got into unauthorized hands.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Patricia Bourne wrote:
> OK..here a a question for the group.  In the lab where I worked we had included the patient's name and surgical number, block number etc.  Then one day a sales rep came in and stated that having the patients name of the slide was a HIPPA violation.  So the director immediately stopped using the patient name.  The patient name was used for QA monitoring (making sure the right case was ordered etc.) and was used for sorting at sign-out.  Never saw this in writing and have asked several other Pathologist about this issue and they all laughed and said "maybe we should take the name off the report".  So I ask this group....has anyone ever heard of this in there travels?
>
> Thanks
>
>
> ----- Original Message ----
> From: Hector Hernandez <hhernandez <@t> pathreflab.com>
> To: "Horn, Hazel V" <HornHV <@t> archildrens.org>; Douglas D Deltour <doug <@t> ppspath.com>; Sharon.Davis-Devine <Sharon.Davis-Devine <@t> carle.com>; histonet <@t> lists.utsouthwestern.edu
> Sent: Thursday, February 21, 2008 2:17:37 PM
> Subject: RE: SPAM-LOW: RE: [Histonet] CAP guidelines
>
> Let me put it another way. As Douglas stated on CAP question ANP.21100
> Phase II    N/A  YES  NO
>
> Are blocks identified adequately?
>
> NOTE:  Each block of tissue must be identified by the entire accession
> number assigned to the case and by any descriptive letter(s)/number(s)
> added
> by the prosector during the dissection.  If additional blocks are
> prepared
> later, all lists and logs must reflect these additions.  Identification
> number and letter(s)/numbers(s) must be affixed to all blocks in a
> manner
> that remains legible.
>
> It doesn't state anything about two identifiers.
>
> -----Original Message-----
> From: Horn, Hazel V [mailto:HornHV <@t> archildrens.org] 
> Sent: Thursday, February 21, 2008 3:31 PM
> To: Douglas D Deltour; Hector Hernandez; Sharon.Davis-Devine;
> histonet <@t> lists.utsouthwestern.edu
> Subject: RE: SPAM-LOW: RE: [Histonet] CAP guidelines
>
> I disagree as well.  I don't see it in the guidelines published
> September 07.
>
> Hazel Horn
> Hazel Horn, HT/HTL (ASCP)
> Supervisor of Histology
> Arkansas Children's Hospital
> 800 Marshall    Slot 820
> Little Rock, AR  72202
>
> phone  501.364.4240
> fax        501.364.3912
>
> visit us on the web at:    www.archildrens.org
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Douglas
> D Deltour
> Sent: Thursday, February 21, 2008 3:21 PM
> To: 'Hector Hernandez'; 'Sharon.Davis-Devine';
> histonet <@t> lists.utsouthwestern.edu
> Subject: RE: SPAM-LOW: RE: [Histonet] CAP guidelines
>
> I disagree with that interpretation Hector. I do not consider the block
> number a patient identifier. Still I consider Sharon's original question
> hearsay until I see it on a CAP checklist. 
>
> Douglas D. Deltour HT(ASCP)
> Histology Manager
> Professional Pathology Services, PC
> One Science Court
> Suite 200
> Columbia, SC 29203
> Office (803)252-1913
> Fax (803)254-3262
> Doug <@t> ppspath.com 
> *****************************************************
> PROFESSIONAL PATHOLOGY SERVICES, PC
> NOTICE OF CONFIDENTIALITY
> This message is intended only for the use of the individual or entity to
> which it is addressed and may contain information that is privileged,
> confidential and exempt from disclosure under applicable law. If the
> reader
> of this message is not the intended recipient, you are hereby notified
> that
> any dissemination, distribution, or copying of this communication is
> strictly prohibited by law. If you have received this communication in
> error, please notify me immediately.
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Hector
> Hernandez
> Sent: Thursday, February 21, 2008 4:01 PM
> To: 'Douglas D Deltour'; 'Sharon.Davis-Devine';
> histonet <@t> lists.utsouthwestern.edu
> Subject: SPAM-LOW: RE: [Histonet] CAP guidelines
>
> I think everyone in the Histo world already does this. Example S1000-07
> A1,
> A2, etc.  No need to get excited about this question.  The two
> identifiers
> are the surgical# and any sub letter or number.
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Douglas
> D
> Deltour
> Sent: Thursday, February 21, 2008 2:48 PM
> To: 'Sharon.Davis-Devine'; histonet <@t> lists.utsouthwestern.edu
> Subject: RE: [Histonet] CAP guidelines
>
> This is from the Sep 2007 checklist. 
>
> ANP.21100            Phase II    N/A  YES  NO
>
> Are blocks identified adequately?
>
> NOTE:  Each block of tissue must be identified by the entire accession
> number assigned to the case and by any descriptive letter(s)/number(s)
> added
> by the prosector during the dissection.  If additional blocks are
> prepared
> later, all lists and logs must reflect these additions.  Identification
> number and letter(s)/numbers(s) must be affixed to all blocks in a
> manner
> that remains legible.
>
> Douglas D. Deltour HT(ASCP)
> Histology Manager
> Professional Pathology Services, PC
> One Science Court
> Suite 200
> Columbia, SC 29203
> Office (803)252-1913
> Fax (803)254-3262
> Doug <@t> ppspath.com 
> *****************************************************
> PROFESSIONAL PATHOLOGY SERVICES, PC
> NOTICE OF CONFIDENTIALITY
> This message is intended only for the use of the individual or entity to
> which it is addressed and may contain information that is privileged,
> confidential and exempt from disclosure under applicable law. If the
> reader
> of this message is not the intended recipient, you are hereby notified
> that
> any dissemination, distribution, or copying of this communication is
> strictly prohibited by law. If you have received this communication in
> error, please notify me immediately.
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
> Sharon.Davis-Devine
> Sent: Thursday, February 21, 2008 3:15 PM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] CAP guidelines
>
> Ok, Histonetters, got another burning question for you.  I have heard
> that there is a new CAP guideline that states that there needs to be two
> patient identifiers on the tissue block.  We have a block printer and we
> all know that there is very limited space on the block for much info, so
> if we need to have two patient identifiers things will get very tight.
> For those of you who have block printers, how are you handling this?
> All info and suggestions are greatly appreciated.
>
>
>
> Sharon Davis-Devine, CT (ASCP)
>
> Cytology Supervisor
>
> Carle Clinic
>
> 602 West University
>
> Urbana, Illinois 61801
>
> Phone:  217-383-3572
>
> Email:  sharon.davis-devine <@t> carle.com
>
>
>
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