[Histonet] High Complexity Testing

Tue Feb 8 16:52:38 CST 2011

I was devastated to learn that IHC is not considered High Complexity 
Testing. I agree with Bonnie that we do not report results, therefore, IHC 
is not considered high complexity testing. Sad but true. Somebody pass the 
Scotch. I'm way past Tylenol

JTT
----- Original Message ----- 
From: "Whitaker, Bonnie" <Bonnie.Whitaker <@t> osumc.edu>
To: "'Goins, Tresa'" <TGoins <@t> mt.gov>; "Horn, Hazel V" 
<HornHV <@t> archildrens.org>; "'Rene J Buesa'" <rjbuesa <@t> yahoo.com>; 
<histonet <@t> lists.utsouthwestern.edu>; "Sheila Fonner" <sfonner <@t> labpath.com>
Sent: Tuesday, February 08, 2011 11:43 AM
Subject: RE: [Histonet] High Complexity Testing

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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