[Histonet] RE: Competency for Anatomic and Clinical Pathology

[joelle weaver]

Thanks Peggy. I appreciate this, I hate to think we were taking a step back... 




Joelle Weaver MAOM, HTL (ASCP) QIHC
 
> From: lpwenk <@t> sbcglobal.net
> To: MICHELLE.LAMPHERE <@t> childrens.com; histonet <@t> lists.utsouthwestern.edu
> Date: Thu, 18 Jul 2013 06:14:16 -0400
> Subject: Re: [Histonet] RE: Competency for Anatomic and Clinical Pathology
> CC: ELMA.Cortinas <@t> childrens.com
> 
> On Wednesday (yesterday), there was a CAP teleconference on the 
> to-be-updated (to be posted end of July 2013) AP checklist.
> 
> Someone asked a question about this, mentioning that "someone" from CAP had 
> said competency assessment does not apply to histology.
> 
> The reply from the presenter and the CAP "office" people who could also 
> respond was that competency assess does apply to histology, but that some of 
> the 6 components that have to be checked for may not apply for some or most 
> of the histotech jobs. So if a component of competency doesn't apply, then 
> it doesn't have to be evaluated.
> 
> Below is part of the standard:
> 
> GEN.55500 Competency Assessment Phase II
> The competency of each person to perform his/her assigned duties is 
> assessed.
> NOTE: The competency of each person to perform the duties assigned must be 
> assessed following
> training before the person performs patient testing.Thereafter, during the 
> first year of an individual's
> duties, competency must be assessed at least semiannually. After an 
> individual has performed
> his/her duties for one year, competency must be assessed annually. 
> Retraining and reassessment
> of employee competency must occur when problems are identified with employee 
> performance.
> Elements of competency assessment include but are not limited to:
> 1. Direct observations of routine patient test performance, including, as 
> applicable, patient
> identification and preparation; and specimen collection, handling, 
> processing and testing
> 2. Monitoring the recording and reporting of test results, including, as 
> applicable, reporting
> critical results
> 3. Review of intermediate test results or worksheets, quality control 
> records, proficiency
> testing results, and preventive maintenance records
> 4. Direct observation of performance of instrument maintenance and function 
> checks
> 5. Assessment of test performance through testing previously analyzed 
> specimens, internal
> blind testing samples or external proficiency testing samples; and
> 6. Evaluation of problem-solving skills
> 
> These are the 6 components, all of which must be assessed for every task 
> done by histotech - except if it doesn't apply. So, for example, if you are 
> assessing the competency of sectioning, then #2 - reporting of critical 
> values, and #5 - blind testing samples - doesn't apply, so you don't need to 
> assess via #2 and #5. But you would have to assess the person microtoming 
> via the other 4 types of assessment. (But if you are participating in 
> HistoQIP, microtomy is being assess via external proficiency testing sample, 
> so if some of your people's slides were evaluated, you actually have #5 
> covered for microtomy).
> 
> So every aspect of the histotech's job (and the lab assistant) must be 
> assessed by as many of the 6 elements above as apply to each task.
> 
> CAP says we must assess competency, Joint Commission says we must assess 
> competency, and CLIA says we must assess competency, and the 6 elements come 
> from CLIA. So we must assess competency.
> 
> Peggy A. Wenk, HTL(ASCP)SLS
> William Beaumont Hospital
> Royal Oak, MI 48073
> 
> The opinions expressed are mine, and do not reflect on my hospital.
> 
> -----Original Message----- 
> From: Michelle Lamphere
> Sent: Wednesday, July 17, 2013 9:10 AM
> To: 'histonet <@t> lists.utsouthwestern.edu'
> Cc: Elma Cortinas
> Subject: [Histonet] RE: Competency for Anatomic and Clinical Pathology
> 
> I think a few people might find this interesting....
> 
> I recently attended a class about Competency Assessments in the lab.  The 
> class was given by Ken Byrd (fairly certain that is how you spell his name), 
> a Senior Inspector at CAP. When this particular question came up, I asked 
> him to give examples of how the histology lab was supposed to use the 6 
> elements to assess competency.  He informed the entire class that the 
> competency assessment question with the six elements did not apply to the 
> histology lab because histology did not report test results.  It is the one 
> question on the Gen Lab checklist that did not apply to ANP.  Kinda 
> shocking, I know.
> 
> It does not mean that we scrapped our entire competency program, we simply 
> removed some of the six elements.
> 
> 
> 
> Michelle Lamphere
> Senior Tech, Histology
> Anatomic Pathology
> Children's Medical Center
> O: 214.456.2318 | Fax: 214.456.0779
> E: michelle.lamphere <@t> childrens.com
> 1935 Medical District Drive | B1.06  | Dallas, Texas  75235
> 
> 
> 
> Message: 9
> Date: Tue, 16 Jul 2013 07:14:08 -0400
> From: "Histology" <histo <@t> pathlab.us>
> Subject: [Histonet] Competency for Anatomic and Clinical Pathology at
> To: <histonet <@t> lists.utsouthwestern.edu>
> Message-ID:
> <9C0B151B30AC5F4ABFD1B69D915F84CF33E6D4 <@t> dc01.DominionPath.local>
> Content-Type: text/plain; charset="us-ascii"
> 
> Hi,
> 
> 
> 
> I would love to see your competency spreadsheet for histology.  We just 
> finished our first CAP inspection and got a deficiency here.  He said the 
> direct observation was great, but that we need to have all 6 elements.  I am 
> having trouble trying to come up with a way to evaluate some of these and 
> would love any help.
> 
> 
> 
> Thanks in advance,
> 
> 
> 
> Mehndi Helgren
> 
> Dominion Pathology Laboratories
> 
> 733 Boush St.
> 
> Suite 200
> 
> Norfolk, VA  23510
> 
> 757-664-7901
> 
> histo <@t> pathlab.us
> 
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