[Histonet] No Mail??

2010-12-17 Thread Behnaz Sohrab
Any Problem? I have not received any email from Histo-net last few days ??
Behnaz

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RE: [Histonet] No Mail??

2010-12-17 Thread Weems, Joyce
And I kept getting a returned msg yesterday that I was trying to post. I am 
experiencing withdrawal!!! :)j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 

 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Behnaz Sohrab
Sent: Friday, December 17, 2010 10:48
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] No Mail??

Any Problem? I have not received any email from Histo-net last few days ??
Behnaz

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[Histonet] Physician Signatures

2010-12-17 Thread Weems, Joyce

Is everyone concerned about getting a physician's signature on requisitions, or 
do you have a fool proof plan in place? Inquiring minds want to know... TIA!

How many of you have electronic ordering for AP?

This from CodeMap Compliance that I get..

Signatures Required on Laboratory Requisitions

Although many professional groups and organizations lobbied against the 
signature requirement, CMS is implementing this provision as part of the CY 
2011 MPFS. Starting January 1, 2011, the ordering physician must sign all 
written or paper requisitions for laboratory tests and services. Clinical 
laboratories will have to scramble to revise requisitions to include a 
signature line for the ordering physician.

However, those labs that receive test orders via electronic or web-based 
interfaces should not be affected by the signature requirement included in the 
2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,

Our proposed policy does not concern electronic or telephonic requests, 
because we do not consider these types of requests to be requisitions. As we 
discussed previously, a requisition is the actual paperwork, such as a form 
that is provided to a clinical diagnostic laboratory that identifies the test 
or tests to be performed for a patient.



Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


Confidentiality Notice:
This e-mail, including any attachments is the 
property of Catholic Health East and is intended 
for the sole use of the intended recipient(s).  
It may contain information that is privileged and 
confidential.  Any unauthorized review, use,
disclosure, or distribution is prohibited. If you are 
not the intended recipient, please delete this message, and 
reply to the sender regarding the error in a separate email. 
 
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RE: [Histonet] No Mail??

2010-12-17 Thread Harrison, Sandra C.
Wow...didn't realize how addicted to Histonet I'd become till
this week!

Sandy Harrison
Histology Supervisor
VA Medical Center
Minneapolis, MN 55417
612-467-2449

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems,
Joyce
Sent: Friday, December 17, 2010 9:54 AM
To: Behnaz Sohrab; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] No Mail??

And I kept getting a returned msg yesterday that I was trying to post. I
am experiencing withdrawal!!! :)j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 

 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Behnaz
Sohrab
Sent: Friday, December 17, 2010 10:48
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] No Mail??

Any Problem? I have not received any email from Histo-net last few days
??
Behnaz

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not the intended recipient, please delete this message, and 
reply to the sender regarding the error in a separate email. 
 


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[Histonet] Grossing Hood Velocity Requirements

2010-12-17 Thread thisisann

I am looking to purchase a grossing hood and am in need of the requirements for 
fpm's (feet per minute).  Can anyone tell me where to find them? Thank you,
Ann



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[Histonet] job opening in PA

2010-12-17 Thread Hutton, Allison
There is an open position for a full time day shift (variable start times) 
histology technician at Doylestown Hospital in Doylestown, PA.  Position is 
responsible for all aspects of the histology department including, but not 
limited to, embedding, sectioning, staining (specials and IHC are manual), 
accessioning, and some clerical duties.  We are a community hospital with 
volumes of approximately 10,500 cases per year with about half of the workload 
consisting of GI specimens.  
HT(ASCP) or eligible.  Experience preferred.
To apply: www.dh.org

Allison Hutton, HTL(ASCP)cm
Lead Tech Histology
Doylestown Hospital
595 W. State St
Doylestown, PA 18901
215-345-2264
ahut...@dh.org

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[Histonet] RE: Physician Signatures

2010-12-17 Thread Martha Ward
Like everyone else we are struggling with how to get everyone to comply.  If 
anyone has any plans I think the whole group could benefit.  Right now our 
institution is getting together to figure out a way to get the information out 
to the surgeons, etc but no concrete plans. 


Martha Ward, MT (ASCP) QIHC
Assistant Manager
Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest University Baptist Medical Center
Winston-Salem, NC 27157
336-716-2104

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Friday, December 17, 2010 11:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Physician Signatures


Is everyone concerned about getting a physician's signature on requisitions, or 
do you have a fool proof plan in place? Inquiring minds want to know... TIA!

How many of you have electronic ordering for AP?

This from CodeMap Compliance that I get..

Signatures Required on Laboratory Requisitions

Although many professional groups and organizations lobbied against the 
signature requirement, CMS is implementing this provision as part of the CY 
2011 MPFS. Starting January 1, 2011, the ordering physician must sign all 
written or paper requisitions for laboratory tests and services. Clinical 
laboratories will have to scramble to revise requisitions to include a 
signature line for the ordering physician.

However, those labs that receive test orders via electronic or web-based 
interfaces should not be affected by the signature requirement included in the 
2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,

Our proposed policy does not concern electronic or telephonic requests, 
because we do not consider these types of requests to be requisitions. As we 
discussed previously, a requisition is the actual paperwork, such as a form 
that is provided to a clinical diagnostic laboratory that identifies the test 
or tests to be performed for a patient.



Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


Confidentiality Notice:
This e-mail, including any attachments is the property of Catholic Health East 
and is intended for the sole use of the intended recipient(s).  
It may contain information that is privileged and confidential.  Any 
unauthorized review, use, disclosure, or distribution is prohibited. If you are 
not the intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 
 
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RE: [Histonet] Physician Signatures

2010-12-17 Thread WILLIAM DESALVO

I work in an integrated health system that has 9 Hospitals and 100's of 
outreach clients. All our hospitals are using Computerized Physician Order 
Entry (CPOE) for all tests ordered and our outreach clients use Electronic 
Order Entry via interface to their system or our web based system or they have 
client specific paper requisitions that have always required physician 
signature. We will be able to continue business as usual moving forward in 
2011. The federal government specifically and definitely wants everyone to use 
electronic ordering and reporting processes so that we can move forward to the 
Electronic Medical Record (EMR) and reduce repeats and waste in laboratory 
tests.

William DeSalvo, B.S., HTL(ASCP)

 From: jwe...@sjha.org
 To: histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 11:10:13 -0500
 Subject: [Histonet] Physician Signatures
 
 
 Is everyone concerned about getting a physician's signature on requisitions, 
 or do you have a fool proof plan in place? Inquiring minds want to 
 know... TIA!
 
 How many of you have electronic ordering for AP?
 
 This from CodeMap Compliance that I get..
 
 Signatures Required on Laboratory Requisitions
 
 Although many professional groups and organizations lobbied against the 
 signature requirement, CMS is implementing this provision as part of the CY 
 2011 MPFS. Starting January 1, 2011, the ordering physician must sign all 
 written or paper requisitions for laboratory tests and services. Clinical 
 laboratories will have to scramble to revise requisitions to include a 
 signature line for the ordering physician.
 
 However, those labs that receive test orders via electronic or web-based 
 interfaces should not be affected by the signature requirement included in 
 the 2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,
 
 Our proposed policy does not concern electronic or telephonic requests, 
 because we do not consider these types of requests to be requisitions. As we 
 discussed previously, a requisition is the actual paperwork, such as a form 
 that is provided to a clinical diagnostic laboratory that identifies the test 
 or tests to be performed for a patient.
 
 
 
 Joyce Weems
 Pathology Manager
 Saint Joseph's Hospital
 5665 Peachtree Dunwoody Rd NE
 Atlanta, GA 30342
 678-843-7376 - Phone
 678-843-7831 - Fax
 
 
 Confidentiality Notice:
 This e-mail, including any attachments is the 
 property of Catholic Health East and is intended 
 for the sole use of the intended recipient(s).  
 It may contain information that is privileged and 
 confidential.  Any unauthorized review, use,
 disclosure, or distribution is prohibited. If you are 
 not the intended recipient, please delete this message, and 
 reply to the sender regarding the error in a separate email. 
  
 ___
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 Histonet@lists.utsouthwestern.edu
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RE: [Histonet] Physician Signatures

2010-12-17 Thread Weems, Joyce
It's wonderful that you are ahead of the game. I have electronic orders from 
GIDU and Breast Health, but haven't been able to get the ORs on board yet. I am 
hoping this will be the push they need to comply. Sure would make it easier!

How does your order work? Our electronic order generates a paper requisition. - 
one in the lab and one to send with the specimen.  Surgery says they don't have 
good access to printers, et. Do you have multiple frozens on complicated cases 
that require a requisition with one? And one they can write the special 
instructions on, etc?

Thanks for your response. j


Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


From: WILLIAM DESALVO [mailto:wdesalvo@hotmail.com]
Sent: Friday, December 17, 2010 11:47
To: Weems, Joyce; histonet
Subject: RE: [Histonet] Physician Signatures

I work in an integrated health system that has 9 Hospitals and 100's of 
outreach clients. All our hospitals are using Computerized Physician Order 
Entry (CPOE) for all tests ordered and our outreach clients use Electronic 
Order Entry via interface to their system or our web based system or they have 
client specific paper requisitions that have always required physician 
signature. We will be able to continue business as usual moving forward in 
2011. The federal government specifically and definitely wants everyone to use 
electronic ordering and reporting processes so that we can move forward to the 
Electronic Medical Record (EMR) and reduce repeats and waste in laboratory 
tests.

William DeSalvo, B.S., HTL(ASCP)

 From: jwe...@sjha.org
 To: histonet@lists.utsouthwestern.edu
 Date: Fri, 17 Dec 2010 11:10:13 -0500
 Subject: [Histonet] Physician Signatures


 Is everyone concerned about getting a physician's signature on requisitions, 
 or do you have a fool proof plan in place? Inquiring minds want to 
 know... TIA!

 How many of you have electronic ordering for AP?

 This from CodeMap Compliance that I get..

 Signatures Required on Laboratory Requisitions

 Although many professional groups and organizations lobbied against the 
 signature requirement, CMS is implementing this provision as part of the CY 
 2011 MPFS. Starting January 1, 2011, the ordering physician must sign all 
 written or paper requisitions for laboratory tests and services. Clinical 
 laboratories will have to scramble to revise requisitions to include a 
 signature line for the ordering physician.

 However, those labs that receive test orders via electronic or web-based 
 interfaces should not be affected by the signature requirement included in 
 the 2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,

 Our proposed policy does not concern electronic or telephonic requests, 
 because we do not consider these types of requests to be requisitions. As we 
 discussed previously, a requisition is the actual paperwork, such as a form 
 that is provided to a clinical diagnostic laboratory that identifies the test 
 or tests to be performed for a patient.



 Joyce Weems
 Pathology Manager
 Saint Joseph's Hospital
 5665 Peachtree Dunwoody Rd NE
 Atlanta, GA 30342
 678-843-7376 - Phone
 678-843-7831 - Fax


 Confidentiality Notice:
 This e-mail, including any attachments is the
 property of Catholic Health East and is intended
 for the sole use of the intended recipient(s).
 It may contain information that is privileged and
 confidential. Any unauthorized review, use,
 disclosure, or distribution is prohibited. If you are
 not the intended recipient, please delete this message, and
 reply to the sender regarding the error in a separate email.

 ___
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for the sole use of the intended recipient(s).  
It may contain information that is privileged and 
confidential.  Any unauthorized review, use,
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not the intended recipient, please delete this message, and 
reply to the sender regarding the error in a separate email. 
 
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[Histonet] Cassette/slide labelers - again

2010-12-17 Thread Nancy Schmitt
Sorry to boot this dog around a bit more, BUT -   We have Cerner CoPath plus 
and Dragon speak and are looking at Thermo and General Data.  Do they interface 
smoothly?  Do your cassettes get printed at accession or grossing?  Are you 
using multiple colors of cassettes?  What are you doing for slides that require 
levels or a mix of non-charged and charged slides?
Thank you for any and all input!
Nancy Schmitt, MLT, HT (ASCP)
Histology Coordinator
United Clinical Laboratories
Dubuque, IA



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is for the use of only the intended recipient(s) even if addressed
incorrectly. If you are not the intended recipient, please notify the sender
that you have received it in error and then delete it along with any
attachments. Thank you.



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[Histonet] RE: Cassette/slide labelers - again

2010-12-17 Thread Weems, Joyce
We have GE Ultra - formerly Triple G. 

Cassettes are printed on our Sakura printer at accessioning (number is attached 
to the specimen) and more printed at grossing if needed.

We use multiple colors of cassettes - the color is tied to the specimen of can 
be changed for decal.   

Slides are printed on our Sakura slide printer in batch by case type. Charged 
slides on in one hopper and printing is directed there for the necessary 
printing through the soft ware. 

It was painful getting the interface done, but once it was, it has been a good 
thing. 

Good luck, j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Friday, December 17, 2010 12:31
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette/slide labelers - again

Sorry to boot this dog around a bit more, BUT -   We have Cerner CoPath plus 
and Dragon speak and are looking at Thermo and General Data.  Do they interface 
smoothly?  Do your cassettes get printed at accession or grossing?  Are you 
using multiple colors of cassettes?  What are you doing for slides that require 
levels or a mix of non-charged and charged slides?
Thank you for any and all input!
Nancy Schmitt, MLT, HT (ASCP)
Histology Coordinator
United Clinical Laboratories
Dubuque, IA



NOTICE: This email may contain legally privileged information. The information 
is for the use of only the intended recipient(s) even if addressed incorrectly. 
If you are not the intended recipient, please notify the sender that you have 
received it in error and then delete it along with any attachments. Thank you.



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not the intended recipient, please delete this message, and 
reply to the sender regarding the error in a separate email.


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RE: [Histonet] RE: Cassette/slide labelers - again

2010-12-17 Thread Rathborne, Toni
Do you find that the number of errors has decreased since you have implemented 
this? Our pathologists are hesitant because they worry too many pre-printed 
cassettes could get mixed up.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Weems,
Joyce
Sent: Friday, December 17, 2010 12:36 PM
To: Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Cassette/slide labelers - again


We have GE Ultra - formerly Triple G. 

Cassettes are printed on our Sakura printer at accessioning (number is attached 
to the specimen) and more printed at grossing if needed.

We use multiple colors of cassettes - the color is tied to the specimen of can 
be changed for decal.   

Slides are printed on our Sakura slide printer in batch by case type. Charged 
slides on in one hopper and printing is directed there for the necessary 
printing through the soft ware. 

It was painful getting the interface done, but once it was, it has been a good 
thing. 

Good luck, j

Joyce Weems 
Pathology Manager 
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE 
Atlanta, GA 30342 
678-843-7376 - Phone 
678-843-7831 - Fax 



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Friday, December 17, 2010 12:31
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette/slide labelers - again

Sorry to boot this dog around a bit more, BUT -   We have Cerner CoPath plus 
and Dragon speak and are looking at Thermo and General Data.  Do they interface 
smoothly?  Do your cassettes get printed at accession or grossing?  Are you 
using multiple colors of cassettes?  What are you doing for slides that require 
levels or a mix of non-charged and charged slides?
Thank you for any and all input!
Nancy Schmitt, MLT, HT (ASCP)
Histology Coordinator
United Clinical Laboratories
Dubuque, IA



NOTICE: This email may contain legally privileged information. The information 
is for the use of only the intended recipient(s) even if addressed incorrectly. 
If you are not the intended recipient, please notify the sender that you have 
received it in error and then delete it along with any attachments. Thank you.



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not the intended recipient, please delete this message, and 
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[Histonet] Cap guidelines

2010-12-17 Thread Bryan Watson
Hey, I have a question. I was wondering if there are what the CAP regulations 
are for grossing, and if cutting bones for diagnosis falls into the same 
category as grossing other tissues. In out lab we have a PA who grosses all of 
the specimens. However the HT's cut down bone sections for bones that have 
avascular necrosis, fracture, etc. . . as the pre surgical diagnosis. I am 
trying to find out if this practice would be ok in the eyes of CAP or if the PA 
should be doing that as well.
Thank you,
Bryan
HT (ASCP)
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RE: [Histonet] RE: Cassette/slide labelers - again

2010-12-17 Thread Weems, Joyce
I don't have documentation to say there's a decrease or increase, but we don't 
find it to be a problem at all. The cassettes are put on top of each container 
and seem to live there. We do have them bar-coded and in our ideal world, we 
would check, but our system doesn't work all the way through yet! 

-Original Message-
From: Rathborne, Toni [mailto:trathbo...@somerset-healthcare.com] 
Sent: Friday, December 17, 2010 12:39
To: Weems, Joyce; Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Cassette/slide labelers - again

Do you find that the number of errors has decreased since you have implemented 
this? Our pathologists are hesitant because they worry too many pre-printed 
cassettes could get mixed up.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Weems, Joyce
Sent: Friday, December 17, 2010 12:36 PM
To: Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Cassette/slide labelers - again


We have GE Ultra - formerly Triple G. 

Cassettes are printed on our Sakura printer at accessioning (number is attached 
to the specimen) and more printed at grossing if needed.

We use multiple colors of cassettes - the color is tied to the specimen of can 
be changed for decal.   

Slides are printed on our Sakura slide printer in batch by case type. Charged 
slides on in one hopper and printing is directed there for the necessary 
printing through the soft ware. 

It was painful getting the interface done, but once it was, it has been a good 
thing. 

Good luck, j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax 



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Friday, December 17, 2010 12:31
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette/slide labelers - again

Sorry to boot this dog around a bit more, BUT -   We have Cerner CoPath plus 
and Dragon speak and are looking at Thermo and General Data.  Do they interface 
smoothly?  Do your cassettes get printed at accession or grossing?  Are you 
using multiple colors of cassettes?  What are you doing for slides that require 
levels or a mix of non-charged and charged slides?
Thank you for any and all input!
Nancy Schmitt, MLT, HT (ASCP)
Histology Coordinator
United Clinical Laboratories
Dubuque, IA



NOTICE: This email may contain legally privileged information. The information 
is for the use of only the intended recipient(s) even if addressed incorrectly. 
If you are not the intended recipient, please notify the sender that you have 
received it in error and then delete it along with any attachments. Thank you.



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RE: [Histonet] Physician Signatures

2010-12-17 Thread Jesus Ellin
This is true about electronic ordering but there is a provision on what
is acceptable for electronic order, just ordering in a system and
spitting out requisitions does not comply, There needs to be password
verification and review of this information by the clinician before it
is ordered and sent to the laboratory performing the service when the
requisition is created.  They go on to say that orders and requisitions
are different aspects and should not be confused. IF the orders are just
received through an electronic interface then there is a difference.
But if the specimen is received using any paper form then this needs to
be signed by the clinician either electronically or manually.

We are looking at this really closely, with using paper requisitions,
even orders from the OR for frozens, molecular studies, interoperative
work, all needs to be signed by the surgeon.  Can you imagine the impact
that this is going to cause. 

Our current solutions is to have maybe standing orders in place and move
and look at process within the  Main OR's, outpatient OR and clients.
Once again a huge problem,, but Bill is right this will lead to more and
more paperless enviroments.


Jesus Ellin
Yuma Regional Medical Center   

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strictly prohibited.  If you receive this message in error, 
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RE: [Histonet] Physician Signatures

2010-12-17 Thread Weems, Joyce
I had that concern about our electronic orders, because it certainly is just 
spitting out a paper. 

We must do something! How can we make CMS hear us? ASCP just send an email that 
a hospital is OR says it is unjust. j

-Original Message-
From: Jesus Ellin [mailto:jel...@yumaregional.org] 
Sent: Friday, December 17, 2010 12:46
To: Weems, Joyce; WILLIAM DESALVO; histonet
Subject: RE: [Histonet] Physician Signatures

This is true about electronic ordering but there is a provision on what is 
acceptable for electronic order, just ordering in a system and spitting out 
requisitions does not comply, There needs to be password verification and 
review of this information by the clinician before it is ordered and sent to 
the laboratory performing the service when the requisition is created.  They go 
on to say that orders and requisitions are different aspects and should not be 
confused. IF the orders are just received through an electronic interface then 
there is a difference.
But if the specimen is received using any paper form then this needs to be 
signed by the clinician either electronically or manually.

We are looking at this really closely, with using paper requisitions, even 
orders from the OR for frozens, molecular studies, interoperative work, all 
needs to be signed by the surgeon.  Can you imagine the impact that this is 
going to cause. 

Our current solutions is to have maybe standing orders in place and move and 
look at process within the  Main OR's, outpatient OR and clients.
Once again a huge problem,, but Bill is right this will lead to more and more 
paperless enviroments.


Jesus Ellin
Yuma Regional Medical Center   

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[Histonet] RE: Physician Signatures

2010-12-17 Thread Horn, Hazel V
We have the physicians sign the reqs.  The surgeons sign them before the req 
goes to the chart and that copy is stored electronically in the EMR. We get a 
copy in our lab.  From our clinics the docs sign the reqs in clinic.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Autopsy/Histology/Transcription
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR   72202

phone   501.364.4240
fax501.364.3155

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 Weems, Joyce
Sent: Friday, December 17, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Physician Signatures


Is everyone concerned about getting a physician's signature on requisitions, or 
do you have a fool proof plan in place? Inquiring minds want to know... TIA!

How many of you have electronic ordering for AP?

This from CodeMap Compliance that I get..

Signatures Required on Laboratory Requisitions

Although many professional groups and organizations lobbied against the 
signature requirement, CMS is implementing this provision as part of the CY 
2011 MPFS. Starting January 1, 2011, the ordering physician must sign all 
written or paper requisitions for laboratory tests and services. Clinical 
laboratories will have to scramble to revise requisitions to include a 
signature line for the ordering physician.

However, those labs that receive test orders via electronic or web-based 
interfaces should not be affected by the signature requirement included in the 
2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,

Our proposed policy does not concern electronic or telephonic requests, 
because we do not consider these types of requests to be requisitions. As we 
discussed previously, a requisition is the actual paperwork, such as a form 
that is provided to a clinical diagnostic laboratory that identifies the test 
or tests to be performed for a patient.



Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


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RE: [Histonet] Physician Signatures

2010-12-17 Thread WILLIAM DESALVO

I previously did not go into to deep detail about security and compliance, but 
in our system all computer portals are password protected, orders are signed 
with electronic signature of the ordering person and when a hard copy paper 
form is printed, the ordering physician's electronic signature is applied. It 
is the same type of process and signature that is used by the pathologist to 
electronically sign off all pathology reports. I absolutely agree that you must 
control access to ordering and maintain integrity in the system. As you work 
through your process to develop a more electronic system, you will have the 
opportunity to build in and require proper controls. With those controls 
implemented, you can then become confident that the electronic process can and 
will meet your regulatory requirements. 

William DeSalvo, B.S., HTL(ASCP)





 Subject: RE: [Histonet] Physician Signatures
 Date: Fri, 17 Dec 2010 10:46:15 -0700
 From: jel...@yumaregional.org
 To: jwe...@sjha.org; wdesalvo@hotmail.com; 
 histonet@lists.utsouthwestern.edu
 
 This is true about electronic ordering but there is a provision on what
 is acceptable for electronic order, just ordering in a system and
 spitting out requisitions does not comply, There needs to be password
 verification and review of this information by the clinician before it
 is ordered and sent to the laboratory performing the service when the
 requisition is created.  They go on to say that orders and requisitions
 are different aspects and should not be confused. IF the orders are just
 received through an electronic interface then there is a difference.
 But if the specimen is received using any paper form then this needs to
 be signed by the clinician either electronically or manually.
 
 We are looking at this really closely, with using paper requisitions,
 even orders from the OR for frozens, molecular studies, interoperative
 work, all needs to be signed by the surgeon.  Can you imagine the impact
 that this is going to cause. 
 
 Our current solutions is to have maybe standing orders in place and move
 and look at process within the  Main OR's, outpatient OR and clients.
 Once again a huge problem,, but Bill is right this will lead to more and
 more paperless enviroments.
 
 
 Jesus Ellin
 Yuma Regional Medical Center   
 
 __
 This message is confidential, intended only for the named 
 recipient(s) and may contain information that is privileged 
 or exempt from disclosure under applicable law.  If you are 
 not the intended recipient(s), you are notified that the 
 dissemination, distribution, or copying of this message is 
 strictly prohibited.  If you receive this message in error, 
 or are not the named recipient(s), please notify the sender 
 at either the e-mail, fax, address, or telephone number 
 listed above and delete this e-mail from your computer. 
 Thank You.
 __
  
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RE: [Histonet] Physician Signatures

2010-12-17 Thread Rathborne, Toni
So how do the surgeons electronically order a test? Do they order it before the 
procedure? What if they discover something and need to add an additional 
specimen? Our orders are electronically entered in the OR during the procedure. 
The surgeon is scrubbed and performing the procedure while the circulating 
nurse places the order.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of WILLIAM
DESALVO
Sent: Friday, December 17, 2010 1:56 PM
To: Jesus Ellin; jwe...@sjha.org; histonet
Subject: RE: [Histonet] Physician Signatures



I previously did not go into to deep detail about security and compliance, but 
in our system all computer portals are password protected, orders are signed 
with electronic signature of the ordering person and when a hard copy paper 
form is printed, the ordering physician's electronic signature is applied. It 
is the same type of process and signature that is used by the pathologist to 
electronically sign off all pathology reports. I absolutely agree that you must 
control access to ordering and maintain integrity in the system. As you work 
through your process to develop a more electronic system, you will have the 
opportunity to build in and require proper controls. With those controls 
implemented, you can then become confident that the electronic process can and 
will meet your regulatory requirements. 

William DeSalvo, B.S., HTL(ASCP)





 Subject: RE: [Histonet] Physician Signatures
 Date: Fri, 17 Dec 2010 10:46:15 -0700
 From: jel...@yumaregional.org
 To: jwe...@sjha.org; wdesalvo@hotmail.com; 
 histonet@lists.utsouthwestern.edu
 
 This is true about electronic ordering but there is a provision on what
 is acceptable for electronic order, just ordering in a system and
 spitting out requisitions does not comply, There needs to be password
 verification and review of this information by the clinician before it
 is ordered and sent to the laboratory performing the service when the
 requisition is created.  They go on to say that orders and requisitions
 are different aspects and should not be confused. IF the orders are just
 received through an electronic interface then there is a difference.
 But if the specimen is received using any paper form then this needs to
 be signed by the clinician either electronically or manually.
 
 We are looking at this really closely, with using paper requisitions,
 even orders from the OR for frozens, molecular studies, interoperative
 work, all needs to be signed by the surgeon.  Can you imagine the impact
 that this is going to cause. 
 
 Our current solutions is to have maybe standing orders in place and move
 and look at process within the  Main OR's, outpatient OR and clients.
 Once again a huge problem,, but Bill is right this will lead to more and
 more paperless enviroments.
 
 
 Jesus Ellin
 Yuma Regional Medical Center   
 
 __
 This message is confidential, intended only for the named 
 recipient(s) and may contain information that is privileged 
 or exempt from disclosure under applicable law.  If you are 
 not the intended recipient(s), you are notified that the 
 dissemination, distribution, or copying of this message is 
 strictly prohibited.  If you receive this message in error, 
 or are not the named recipient(s), please notify the sender 
 at either the e-mail, fax, address, or telephone number 
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 Thank You.
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RE: [Histonet] RE: Cassette/slide labelers - again

2010-12-17 Thread Michael Mihalik
I'm sorry to say, but I think you're missing a major point here.  Ideally, the 
cassettes should print when the specimen is scanned at the grossing station.  
Only the cassettes for the specific specimen should print.  In that manner, 
there are no pre-printed cassettes and no cassettes wrongly associated with the 
specimen.

Unfortunately, not all systems work that way.  If your system does not work 
that way, then 'yes' there is still an advantage to using machine imprinted 
cassettes, but you're not getting ALL the benefits.

I guess, I tend to agree with your pathologists.  Pre-printed anything can get 
mixed up.  If you have to do that, you need to have some sort of manual or 
automated double check.


Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369
 
 
 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Friday, December 17, 2010 11:39 AM
To: Weems, Joyce; Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Cassette/slide labelers - again

Do you find that the number of errors has decreased since you have implemented 
this? Our pathologists are hesitant because they worry too many pre-printed 
cassettes could get mixed up.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Weems, Joyce
Sent: Friday, December 17, 2010 12:36 PM
To: Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Cassette/slide labelers - again


We have GE Ultra - formerly Triple G. 

Cassettes are printed on our Sakura printer at accessioning (number is attached 
to the specimen) and more printed at grossing if needed.

We use multiple colors of cassettes - the color is tied to the specimen of can 
be changed for decal.   

Slides are printed on our Sakura slide printer in batch by case type. Charged 
slides on in one hopper and printing is directed there for the necessary 
printing through the soft ware. 

It was painful getting the interface done, but once it was, it has been a good 
thing. 

Good luck, j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax 



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Friday, December 17, 2010 12:31
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette/slide labelers - again

Sorry to boot this dog around a bit more, BUT -   We have Cerner CoPath plus 
and Dragon speak and are looking at Thermo and General Data.  Do they interface 
smoothly?  Do your cassettes get printed at accession or grossing?  Are you 
using multiple colors of cassettes?  What are you doing for slides that require 
levels or a mix of non-charged and charged slides?
Thank you for any and all input!
Nancy Schmitt, MLT, HT (ASCP)
Histology Coordinator
United Clinical Laboratories
Dubuque, IA



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Be sure to visit Somerset Medical Center's Web site - 

[Histonet] cassette labelers, etc

2010-12-17 Thread Tench, Bill
The response by M. Mihalik nails the problem.  Anything that is batched
(cassette labeling, slide labeling, case labeling) is known to be high
risk for mistakes even though it may seem to be more efficient.
On-demand-labeling is the key to significantly reducing identification
errors.
 
Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604
 

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which it is addressed, and may contain information that is privileged, 
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RE: [Histonet] Physician Signatures

2010-12-17 Thread WILLIAM DESALVO

They sign into the case prior to surgery, they have Physician Assistant (PA) 
assigned to the case, a nurse is assigned to the case and they then enter 
additional information into the system after they complete surgery. It meets 
requirements. In Pathology, many of your Frozen Section specimens arrive in the 
lab on verbal orders or nursing applying a signature and we have processed for 
years. I believe the key point that you have to wrap your head around is that 
the electronic orders by the surgeon are complete before there is any delivery 
of results, the signed and preliminary or final report by the pathologist and 
that meets regulatory requirements. I have more concern on the clinical side. 
Orders can be entered, tests performed and results delivered more easily than 
in Pathology.

William DeSalvo, B.S., HTL(ASCP)





 Subject: RE: [Histonet] Physician Signatures
 Date: Fri, 17 Dec 2010 14:06:04 -0500
 From: trathbo...@somerset-healthcare.com
 To: wdesalvo@hotmail.com; jel...@yumaregional.org; jwe...@sjha.org; 
 histonet@lists.utsouthwestern.edu
 
 So how do the surgeons electronically order a test? Do they order it before 
 the procedure? What if they discover something and need to add an additional 
 specimen? Our orders are electronically entered in the OR during the 
 procedure. The surgeon is scrubbed and performing the procedure while the 
 circulating nurse places the order.
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of WILLIAM
 DESALVO
 Sent: Friday, December 17, 2010 1:56 PM
 To: Jesus Ellin; jwe...@sjha.org; histonet
 Subject: RE: [Histonet] Physician Signatures
 
 
 
 I previously did not go into to deep detail about security and compliance, 
 but in our system all computer portals are password protected, orders are 
 signed with electronic signature of the ordering person and when a hard copy 
 paper form is printed, the ordering physician's electronic signature is 
 applied. It is the same type of process and signature that is used by the 
 pathologist to electronically sign off all pathology reports. I absolutely 
 agree that you must control access to ordering and maintain integrity in the 
 system. As you work through your process to develop a more electronic system, 
 you will have the opportunity to build in and require proper controls. With 
 those controls implemented, you can then become confident that the electronic 
 process can and will meet your regulatory requirements. 
 
 William DeSalvo, B.S., HTL(ASCP)
 
 
 
 
 
  Subject: RE: [Histonet] Physician Signatures
  Date: Fri, 17 Dec 2010 10:46:15 -0700
  From: jel...@yumaregional.org
  To: jwe...@sjha.org; wdesalvo@hotmail.com; 
  histonet@lists.utsouthwestern.edu
  
  This is true about electronic ordering but there is a provision on what
  is acceptable for electronic order, just ordering in a system and
  spitting out requisitions does not comply, There needs to be password
  verification and review of this information by the clinician before it
  is ordered and sent to the laboratory performing the service when the
  requisition is created.  They go on to say that orders and requisitions
  are different aspects and should not be confused. IF the orders are just
  received through an electronic interface then there is a difference.
  But if the specimen is received using any paper form then this needs to
  be signed by the clinician either electronically or manually.
  
  We are looking at this really closely, with using paper requisitions,
  even orders from the OR for frozens, molecular studies, interoperative
  work, all needs to be signed by the surgeon.  Can you imagine the impact
  that this is going to cause. 
  
  Our current solutions is to have maybe standing orders in place and move
  and look at process within the  Main OR's, outpatient OR and clients.
  Once again a huge problem,, but Bill is right this will lead to more and
  more paperless enviroments.
  
  
  Jesus Ellin
  Yuma Regional Medical Center   
  
  __
  This message is confidential, intended only for the named 
  recipient(s) and may contain information that is privileged 
  or exempt from disclosure under applicable law.  If you are 
  not the intended recipient(s), you are notified that the 
  dissemination, distribution, or copying of this message is 
  strictly prohibited.  If you receive this message in error, 
  or are not the named recipient(s), please notify the sender 
  at either the e-mail, fax, address, or telephone number 
  listed above and delete this e-mail from your computer. 
  Thank You.
  __
 
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 Histonet@lists.utsouthwestern.edu
 

[Histonet] elecron microscope needed

2010-12-17 Thread mohamed abd el razik
hi all 
i miss you several days. 
we are medium research lab and looking forward to bring scanning  transmission 
electron microscope . so which manufacture or brand and model you recommend us 
and average price ??
any offers are welcomed to my mail 
 
thanx in advance
 
mohamed



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RE: [Histonet] Grossing Hood Velocity Requirements

2010-12-17 Thread Feher, Stephen
We purchased Thermo's Gross Lab Senior grossing stations.  A rule of
thumb is for these to pull at 450-500 CFM.  If you purchase the hoods
that include the fan motor, these are factory set to this.  We hooked
ours in to the hospital ventilation system so it was a bit trickier to
achieve this velocity.  We currently are pulling at 550 CFM per hood. 


Steve

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
thisis...@aol.com
Sent: Friday, December 17, 2010 11:34 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Grossing Hood Velocity Requirements


I am looking to purchase a grossing hood and am in need of the
requirements for fpm's (feet per minute).  Can anyone tell me where to
find them? Thank you, Ann



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RE: [Histonet] Grossing Hood Velocity Requirements

2010-12-17 Thread Maria Katleba
You should call Tony from Mopec... we got ours from him and he goes the extra 
mile...
He was there at installation and did a few separate in-service training.  He 
and his engineers even customized the CFM to give us greater suction!

www.MOPEC.com

Tony Carrillo (MOPEC)
ab...@hotmail.com
1-951-377-5955
1-800-377-5395

Maria Katleba MS HT(ASCP)
Pathology Dept. Mgr
Queen of the Valley Medical Center
1000 Trancas Street
Napa CA 94558
(707) 252-4411 x3689 direct
(707) 226-4385 pager
(707) 294-9229 cell- anytime
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher, Stephen
Sent: Friday, December 17, 2010 1:05 PM
To: thisis...@aol.com; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Grossing Hood Velocity Requirements

We purchased Thermo's Gross Lab Senior grossing stations.  A rule of
thumb is for these to pull at 450-500 CFM.  If you purchase the hoods
that include the fan motor, these are factory set to this.  We hooked
ours in to the hospital ventilation system so it was a bit trickier to
achieve this velocity.  We currently are pulling at 550 CFM per hood.


Steve

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
thisis...@aol.com
Sent: Friday, December 17, 2010 11:34 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Grossing Hood Velocity Requirements


I am looking to purchase a grossing hood and am in need of the
requirements for fpm's (feet per minute).  Can anyone tell me where to
find them? Thank you, Ann



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Please note that the information contained in this message may be privileged 
and confidential and protected from disclosure.



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[Histonet] Laura Miller is Out of the Office.

2010-12-17 Thread Laura . Miller

I will be out of the office starting  12/17/2010 and will not return until
12/28/2010.

I will be out of the country and I will have limited access to emails,  I
will try my best to answer as soon as possible.

Have a safe and merry holiday season!!!


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Re: [Histonet] No Mail??

2010-12-17 Thread histot...@imagesbyhopper.com
Oh man!  The first time Histonet stopped working, I thought it was my email... 
but this time I knew better!  And I too didn't realize how much I looked 
forward to the messages/thoughts/questions shared on this board.

So histonet, what's been causing the problem?


Michelle

On Dec 17, 2010, at 11:29 AM, Harrison, Sandra C. sandra.harris...@va.gov 
wrote:

 Wow...didn't realize how addicted to Histonet I'd become till
 this week!
 
 Sandy Harrison
 Histology Supervisor
 VA Medical Center
 Minneapolis, MN 55417
 612-467-2449
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems,
 Joyce
 Sent: Friday, December 17, 2010 9:54 AM
 To: Behnaz Sohrab; histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] No Mail??
 
 And I kept getting a returned msg yesterday that I was trying to post. I
 am experiencing withdrawal!!! :)j
 
 Joyce Weems 
 Pathology Manager 
 Saint Joseph's Hospital 
 5665 Peachtree Dunwoody Rd NE 
 Atlanta, GA 30342 
 678-843-7376 - Phone 
 678-843-7831 - Fax 
 
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Behnaz
 Sohrab
 Sent: Friday, December 17, 2010 10:48
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] No Mail??
 
 Any Problem? I have not received any email from Histo-net last few days
 ??
 Behnaz
 
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 not the intended recipient, please delete this message, and 
 reply to the sender regarding the error in a separate email. 
 
 
 
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