[Histonet] CAP code for H&E

[Nina J. Rich]

Thanks for information it was very helpful.  Happy Lab Week to all!!
________________________________________
From: Walter Benton <wbenton at cua.md>
Sent: Monday, April 24, 2017 12:09 PM
To: Nina J. Rich
Cc: histonet at lists.utsouthwestern.edu
Subject: RE: CAP code for H&E

Hope this helps.

ANP.10042 Histologic Prep Quality Phase I
There is a written procedure that describes the process by which pathologists or their
designees provide feedback to the histology laboratory on the quality of histologic
preparations. This procedure must include the daily recording of the quality of the
histologic preparations for each day of tissue processing and slide preparation.
NOTE: Histologic preparations refer to H & E sections, histochemical stains,
immunohistochemistry preparations, and in situ hybridization preparations.
This requirement applies to laboratories that process and interpret histologic preparations at the
same location, as well as laboratories that interpret histologic preparations processed at another
laboratory (regardless of that outside laboratory's accrediting organization).
Records of such feedback and corrective action taken when problems are identified may be
incorporated into the laboratory's quality management program.
Specific quality control requirements for special stains, immunohistochemistry, and other special
studies are found elsewhere in this checklist.
Evidence of Compliance:
✓ Records of feedback and corrective action for problems identified with histologic prep quality

ANP.11734 Slide Quality Phase II
Slides are of sufficient quality for diagnosis.
NOTE: Histopathology slides must be of adequate technical quality to be diagnostically useful.
Criteria to evaluate include adequate tissue fixation, processing, thickness of sections, absence
of interfering tissue folds and tears, and good staining technique and cover slipping. For
hematoxylin and eosin and other routine stains, the patient slide serves as the internal control to
ensure adequate staining technique. The sections must be cut from sufficient depth in the block
to include the entire tissue plane.

**REVISED** 07/28/2015
CYP.04300 Daily QC Phase II
There are records of daily review of the technical quality of cytologic preparations by the
pathologist or supervisory-level cytotechnologist.
NOTE: The technical quality of cytologic preparations must be checked daily (on days processing
occurs). This includes checking all stains for predicted staining characteristics each day of use.
This check must include all of the types of preparations seen that day such as cytospins, cell
blocks, and liquid based preparations.
If preparation and staining is performed by a different laboratory, there must be a procedure for
the laboratory performing the preparation and staining to verify the acceptability of the quality
of preparations and the acceptability of controls (if needed) before transfer. Records of this
verification must be readily available to the laboratory performing interpretations. There should
also be a mechanism for feedback from the interpreting laboratory to the laboratory that prepared
the slides of any issues with the preparations.


Walter Benton HT(ASCP)QIHC
Lab Operations Manager
Chesapeake Urology Associates
806 Landmark Drive, Suite 127
Glen Burnie, MD 21061
Chesapeakeurology.com

Voted a Best Place to Work by
Baltimore and Modern Healthcare
Magazines.


-----Original Message-----
From: Nina J. Rich via Histonet [mailto:histonet at lists.utsouthwestern.edu]
Sent: Monday, April 24, 2017 11:14 AM
To: histonet at lists.utsouthwestern.edu
Subject: [Histonet] CAP code for H&E

Does anyone know if CAP requires that labs run an H&E control daily? If so what is the # for that requirement?  Also, for pap stains?

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