[?? Probable Spam] [Histonet] New CAP grossing guidelines

Fri Apr 2 11:41:13 CDT 2010

Just talked to Jim at CAP and he said the term "Processing" still can be the transfer of tissue from one container to another (cassette) to be processed in the tissue processor.  If there is any analytical thinking involved (dying margins, measuring...) the process becomes "Grossing" and falls under the high complex rule.

Hope that helps.

Kathy Boozer, HT (ASCP), IHCQ
Adventist Medical Center
10123 SE Market St.
Portland, OR  97216
boozerka <@t> ah.org

>>> <Kim.Donadio <@t> bhcpns.org> 04/01/2010 09:15 >>>
I agree Janice. The only thing it looks to me is to now define 
Grandfathered in. Because it also states "in addition" for that criteria 
as well. 

Kim Donadio 
Pathology Supervisor
Baptist Hospital
1000 W Moreno St.
Pensacola FL 32501
Phone (850) 469-7718
Fax (850) 434-4996

"Mahoney,Janice A" <Janice.Mahoney <@t> alegent.org> 
Sent by: histonet-bounces <@t> lists.utsouthwestern.edu 
03/31/2010 04:10 PM

To
'Joe Nocito' <jnocito <@t> satx.rr.com>, Histonet 
<histonet <@t> lists.utsouthwestern.edu>
cc

Subject
RE: [?? Probable Spam]  [Histonet] New CAP grossing guidelines

But above that after the education piece it says "in Addition".
Jan, Omaha

-----Original Message-----
From: Joe Nocito [mailto:jnocito <@t> satx.rr.com] 
Sent: Wednesday, March 31, 2010 4:08 PM
To: Mahoney,Janice A; Histonet
Subject: Re: [?? Probable Spam] [Histonet] New CAP grossing guidelines

just had a lively discussion at work. My take is that the only thing CAP
changed was that they combined the "processing" and "grossing" pieces
together again, which I don't know why they split them in the first place.
But you don't have the entire CAP note and many people miss this.  The 
last
item states OR three months of documented laboratory training in the high
complexity area. Again, my take is that an unregistered histotech can have
at least three months of documented training in grossing complex 
specimens,
have the record signed off by the medical director and be ok. How far off 
am
I?

Joe
----- Original Message -----
From: "Mahoney,Janice A" <Janice.Mahoney <@t> alegent.org>
To: "Histonet" <histonet <@t> lists.utsouthwestern.edu>
Sent: Wednesday, March 31, 2010 2:44 PM
Subject: [?? Probable Spam] [Histonet] New CAP grossing guidelines

Is anyone concerned about the new (old) grossing personnel guidelines from
CAP.  Many labs use people to "process " tissue.  No more!

ANP.11610 Phase II

If individuals other than a pathologist or pathology resident assist in
gross examinations, do such individuals qualify as high complexity testing
personnel under CLIA regulations?

NOTE: The laboratory director may delegate the dissection of specimens to
non-pathologist individuals; these individuals must be qualified as high
complexity testing personnel under CLIA regulations. The minimum
training/experience required of such personnel is:

 1.  An earned associate degree in a laboratory science or medical
laboratory technology, obtained from an accredited institution, OR
 2.  Education/training equivalent to the above that includes at least 60
semester hours or equivalent from an accredited institution. This 
education
must include 24 semester hours of medical laboratory technology courses, 
OR
24 semester hours of science courses that includes 6 semester hours of
chemistry, 6 semester hours of biology, and 12 semester hours of 
chemistry,
biology or medical laboratory technology in any combination. In addition,
the individual must have laboratory training including either completion 
of
a clinical laboratory training program approved or accredited by the 
ABHES,
NAACLA, or other organization approved by HHS (note that this training may
be included in the 60 semester hours listed above), OR at least 3 months
documented laboratory training in each specialty in which the individual
performs high complexity testing.

The CLIA regulations on high complexity testing personnel may be found at 
HC
Testing Personnel<http://wwwn.cdc.gov/clia/regs/subpart_m.aspx>.

In addition, the CLIA regulations include exceptions for grandfathered
individuals; these regulations (42CFR493.1489 and 1491) may be found at 
the
above Web address and at Grandfathered
Exceptions<http://wwwn.cdc.gov/clia/regs/subpart_m.aspx>.

It is the responsibility of the laboratory director to determine whether 
an
individual's education, training and experience satisfies the requirements
of this checklist question.
Jan Mahoney
Omaha, NE

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