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

[Mahoney,Janice A]

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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Sponsored by Catholic Health Initiatives and Immanuel Health Systems, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person.

The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees.  Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful.  If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer.  Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening.  Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail.  Thank you for your cooperation.