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.whita...@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-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@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-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@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-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa > Sent: Tuesday, February 08, 2011 10:32 AM > To: histonet@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 <sfon...@labpath.com> wrote: > > > From: Sheila Fonner <sfon...@labpath.com> > Subject: [Histonet] High Complexity Testing > To: histonet@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! > > > > > > > > _______________________________________________ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > > > > _______________________________________________ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > > > ****************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************** > The information contained in this message may be privileged and > confidential and protected from disclosure. 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