[Histonet] GI, Uro, or Derm Path Lab Set Up

Fri Feb 5 15:14:49 CST 2010

Since you have a pathologist on staff that qualifies you as a reference lab and you are required to meet the same standards as a hospital.
So really they were not talking about you Linda 

-----Original Message-----
From: Blazek, Linda [mailto:lblazek <@t> digestivespecialists.com] 
Sent: Friday, February 05, 2010 2:33 PM
To: 'Thomas Jasper'; Nails, Felton
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] GI, Uro, or Derm Path Lab Set Up

Dear all that are blatantly lumping all private or office specific GI, GU or Derm labs into one lump.  It is very uneducated and juvenile to vent in such an unprofessional manner.
You are not very well informed and/or ticked off at losing revenue from your hospital facility.
Our facility complies with and exceeds all standards set by CAP, CLIA, OSHA and COLA.  
We are inspected at the required intervals by both COLA and CLIA.
We do the required air quality validations. 
All of the staff is certified and participates in annual continuing education.  
Our main goal is patient care.  Our pathologist interact with our clinicians on a regular basis.
Our Quality Improvement, Quality Assessment and Quality Management is excellent.  
We have received the Laboratory Excellence Award from COLA and high praise by CLIA.  
All of our equipment is state of the art and regular maintenance is performed.
There isn't a member of our team that would not either themselves or refer a member of their family to our facility.  
I don't think there is an employee here that wants to leave here and go back to the hospital facility and have to deal with the ever increasing drive to put out more and more work in less and less time.  Our goal here is quality not quantity.
This lab may not reflect all private labs but the ones I'm familiar with live by the same standards that we do.

Do I sign my name or not..... oh what the heck....
Linda and staff!

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Thomas Jasper
Sent: Thursday, February 04, 2010 7:02 PM
To: Nails, Felton
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] GI, Uro, or Derm Path Lab Set Up

I am in total agreement with both Richard and Felton here.  Sorry Timothy if you are reading this but to me the bottom line is patient care.  And in the end set-ups like this hurt patients.  These "labs" and I'm using the term loosely are put in place to line the pockets of a small number of people at the top of a pyramid.

I guess someone will always work to put things like this together if there is a demand.  But please realize, if this is what you're involved in, the reality is...

~ Questionable facilities - Cramming professional, OSHA legal and ergonomically correct lab operations into small office spaces is a poor idea at best.  Proper plumbing, ventilation and lab space are serious considerations and fall by the wayside when these operations are put together.

~ Qualified personnel - All of us posting on this list understand the fact that qualified, competent Histology Lab personnel are in demand and difficult to find.  The wage for qualified, competent technical expertise does not fit into the plans of the originators of these operations.

~ Proper equipment and instruments - While the aim of these operations is limited in scope, basic functional equipment and instruments are required.  In the overall scheme of things, pathology is still a bargain.  However, money must be spent to properly equip a competent working lab with modern instruments.

I could go on but that makes the basic point.  And Timothy, lest you think that I'm shooting from the hip I assure I am not.  Like most people on this list, I am a serious, diligent professional.  I have interviewed people from "pod" labs that have worked under horrible conditions.  I am also aware of a "pod" lab trying to get off the ground that shouldn't have an ice cube's chance in hell.  The plans for this lab do not have proper plumbing, ventilation or space and there is no equipment.  While a position has been advertised I cannot think of a single tech, worth his or her salt, that would consider associating themselves with such an ill-conceived venture.

One last point - don't forget Timothy, that one day you may be that patient.  Or it may be your mother, sister, daughter, wife, son, friend...I'll stop there.  Every block, every slide, every piece of tissue that I or any of my staff encounter is a precious patient...a human life.  So trying to dumb everything down, cut corners and make a small number of people wealthy in the process is an irresponsible and utterly ridiculous risk.  The professionals in our field have worked hard for a good number of years to come out of the basement spaces and after-thought little nooks and crannies and other poor facilities to do the highly skilled work this profession demands.  I for one will never abide going backwards and I don't believe people of good conscience and humanity will either.

Sincerely yours,
Tom Jasper

Thomas Jasper HT (ASCP) BAS
Histology Supervisor
Central Oregon Regional Pathology Services Bend, Oregon 97701
541/693-2677
tjasper <@t> copc.net 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Nails, Felton
Sent: Thursday, February 04, 2010 12:57 PM
To: 'Richard Cartun'; histonet <@t> lists.utsouthwestern.edu; Timothy Jay
Subject: RE: [Histonet] GI, Uro, or Derm Path Lab Set Up

Especially when these physician hire unqualified people to run these labs and flood the histonet with their uneducated questions.  

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Thursday, February 04, 2010 2:29 PM
To: histonet <@t> lists.utsouthwestern.edu; Timothy Jay
Subject: Re: [Histonet] GI, Uro, or Derm Path Lab Set Up

We don't need anymore pathology laboratories.  What we need is support of existing laboratories, especially hospital-based labs.  GI and GU physicians are "Cherry-picking" the technical revenue that should be going to hospital labs.  Let's reform health care; make it more efficient and less expensive.  We don't need to be putting more money in clinicians' pockets.

Richard

Richard W. Cartun, Ph.D.
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital 80 Seymour Street Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax

>>> Timothy Jay <tjay30 <@t> yahoo.com> 2/4/2010 1:28 PM >>>
For those needing help putting an in-office path lab together whether you are GI, Urology, or Derm please send me an email at tjay30 <@t> yahoo.com or call me at 775-830-1591. I have a consulting business that specializes in putting these labs together. References provided upon request. 

Timothy Garcia-Jay, MHA

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