[Histonet] High Complexity Testing

Tue Feb 8 12:17:15 CST 2011

I should not have included CLIA in my e-mail as it would seem it has clouded
things a little.  I do apologize.  Initially when these issues and
guidelines came about CLIA and CAP dovetailed as far as Histology  was
concerned.

Shelia you were looking for contacts that would help you with getting a more
solid base to meet these regulations.  If you go to the CAP website and
click on the IHC link you will find links and publications to assist you.  I
would recommend that you contact the Applied Immunohistochemistry society as
well.  NSH or your state/regional society may also have additional
information.

Should I see something else in my searches I will most willingly forwarded
them to you.

Vikki

On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie <Bonnie.Whitaker <@t> osumc.edu
> wrote:

> Hi All,
>
> There is a difference in performing a task (immunostaining) that is
> complex, and performing "high complexity testing" as the CLIA regulations
> govern.
>
> Yes, staining is a complex task, and it requires knowlegable techs to
> ensure that it is properly done, and to troubleshoot  difficulties when
> necessary.
>
> It is "high complexity testing" because "testing personnel" in anatomic
> pathology are pathologists (and the non-physician people performing gross
> examinations, who must meet "high complexity testing personnel"
> requirements.
>
> "Testing personnel" as defined by CLIA, are the people that report results
> of that test, not people who perform other related duties.
>
> That's my explanation of the whole mess.
>
> Bonnie Whitaker
> AP Operations Director
> Ohio State University Medical Center
> Department of Pathology
> 614.293.5048
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:
> histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Goins, Tresa
> Sent: Tuesday, February 08, 2011 12:22 PM
> To: Horn, Hazel V; 'Rene J Buesa'; histonet <@t> lists.utsouthwestern.edu;
> Sheila Fonner
> Subject: RE: [Histonet] High Complexity Testing
>
> I must disagree with this assessment of what makes a test complex.  If the
> test is done properly [the responsibility of the technologist] then the
> reading to the test is a visual determination that requires experience on
> the part of the pathologist, but if the test is not done properly, will the
> pathologist be able to tell the technologist what to do to fix the problem?
>
> Where's the Tylenol?
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:
> histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
> Sent: Tuesday, February 08, 2011 9:58 AM
> To: 'Rene J Buesa'; histonet <@t> lists.utsouthwestern.edu; Sheila Fonner
> Subject: RE: [Histonet] High Complexity Testing
>
> While the test is high complexity it is the READING of the test by the
> pathologist that determines its complexity.  Because histotechs do not
> report the results our part of this test is not high complexity.
>
> Hazel Horn
> Hazel Horn, HT/HTL (ASCP)
> Supervisor of Autopsy/Histology/Transcription Arkansas Children's Hospital
> 1 Children's Way    Slot 820
> Little Rock, AR   72202
>
> phone   501.364.4240
> fax        501.364.3155
>
> 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 Rene J Buesa
> Sent: Tuesday, February 08, 2011 10:32 AM
> To: histonet <@t> lists.utsouthwestern.edu; Sheila Fonner
> Subject: Re: [Histonet] High Complexity Testing
>
> When a "machine" is doing the test, there are stringent provisions as to
> the preparation and validations of the test.
> Done manually, it requires a trained technologists and, yes, they are high
> complexity tests (both IHC and FISH, and their variations).
> René J.
>
> --- On Tue, 2/8/11, Sheila Fonner <sfonner <@t> labpath.com> wrote:
>
>
> From: Sheila Fonner <sfonner <@t> labpath.com>
> Subject: [Histonet] High Complexity Testing
> To: histonet <@t> lists.utsouthwestern.edu
> Date: Tuesday, February 8, 2011, 7:45 AM
>
>
> Hello All,
>
>
>
> I would really appreciate it if anyone has information on whether IHC/ISH
> are considered high complexity testing for histotechs.  Our pathologist
> believes that ALL histology low complexity testing since a "machine" is
> doing the work.  Can anyone help me out with some guidelines, literature,
> etc. that says otherwise?  I would really appreciate it.  We just want to
> know which one it is.
>
>
>
> Thanks so much Histoland!
>
>
>
>
>
>
>
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