Thanks Peggy. I appreciate this, I hate to think we were taking a step back...
Joelle Weaver MAOM, HTL (ASCP) QIHC > From: lpw...@sbcglobal.net > To: michelle.lamph...@childrens.com; histonet@lists.utsouthwestern.edu > Date: Thu, 18 Jul 2013 06:14:16 -0400 > Subject: Re: [Histonet] RE: Competency for Anatomic and Clinical Pathology > CC: elma.corti...@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@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.lamph...@childrens.com > 1935 Medical District Drive | B1.06 | Dallas, Texas 75235 > > > > Message: 9 > Date: Tue, 16 Jul 2013 07:14:08 -0400 > From: "Histology" <hi...@pathlab.us> > Subject: [Histonet] Competency for Anatomic and Clinical Pathology at > To: <histonet@lists.utsouthwestern.edu> > Message-ID: > <9C0B151B30AC5F4ABFD1B69D915F84CF33E6D4@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 > > hi...@pathlab.us > > > Please consider the environment before printing this e-mail. > > This e-mail, facsimile, or letter and any files or attachments transmitted > with it contains > information that is confidential and privileged. This information is > intended only for the > use of the individual(s) and entity(ies) to whom it is addressed. If you are > the intended > recipient, further disclosures are prohibited without proper authorization. > If you are not > the intended recipient, any disclosure, copying, printing, or use of this > information is > strictly prohibited and possibly a violation of federal or state law and > regulations. 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