[Histonet] RE: CAP vs. CLIA

[Pratt, Caroline]

Thank you!

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Horn,
Hazel V
Sent: Thursday, May 17, 2012 8:26 AM
To: 'Courtney Pierce'
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: CAP vs. CLIA

CAP does not consider us testing personnel. How they come by this is a
mystery to me.   In a recent memo from CAP it describes this:

" Why does CAP require the completion of the "Laboratory Personnel
Evaluation Roster" form and when was this process implemented? 

As part of CAP's deemed status with CMS as an accrediting organization,
CMS required CAP to implement a more stringent process to document that
accredited laboratories have appropriately qualified personnel and
adequate documentation of personnel qualifications. The Laboratory
Personnel Evaluation Roster form requires laboratories to confirm that
personnel files contain the information necessary for laboratories to be
in compliance with the CLIA personnel qualification regulations and CAP
Checklist requirements prior to the inspection. It is also used by the
inspection team to assist in the auditing of the records during the
inspection to confirm compliance with the Checklist requirements. The
process of completing the personnel form took effect in August 2009."

And goes on to say:
"Do I need to list histologists on the Laboratory Personnel Evaluation
Roster?  

Typical histologist duties (e.g., fixation, embedding, microtomy,
staining and cover slipping) are not considered testing. Therefore, it
is not necessary to list these personnel on the roster. However, if the
histologist is performing any part of the macroscopic tissue examination
which is considered high complexity testing, it is necessary to list
those personnel on the roster. Such personnel must provide documentation
at minimum of an associate's degree/transcripts or high school diploma
or equivalent for individuals performing grossing at the same laboratory
prior to September 1, 1997."

Hazel Horn
Supervisor of Histology/Autopsy/Transcription
Anatomic Pathology
Arkansas Children's Hospital
1 Children's Way | Slot 820| Little Rock, AR 72202
501.364.4240 direct | 501.364.1302 office | 501.364.1241 fax
hornhv <@t> archildrens.org
archildrens.org




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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Courtney
Pierce
Sent: Wednesday, May 16, 2012 2:27 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] CAP vs. CLIA


Can someone help me with the High Complexity Test with CAP vs. CLIA.
Thanks
Courtney Pierce
IHC Specialist
Quintiles
Translational R&D - Oncology
Innovation
Navigating the new health

610 Oakmont Lane
Westmont, IL 60559

Office: + 630-203-6234
courtney.pierce <@t> quintiles.com

clinical | commercial | consulting | capital


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