Re: [Histonet] Microwave use in histo lab
There is the document from CLSI on Microwave Device Used in Histology Laboratory, GP28-A. If your lab is CAP accredited, your organization might already be a member of CLSI (Clinical and Laboratory Standards Institute) www.clsi.org so you might already have the ability to download this. It's a consensus document from experts in the field, and was put together over a several year period at the NSH Symposium, with lots on input from NSH members. Then it was open to the public, and any other histotech (researcher, electrician, whoever) could comment on it. Peggy A. Wenk, HTL(ASCP)SLS Beaumont Hospital Royal Oak, MI 48073 The opinions expressed are mine, and do not reflect Beaumont Hospital. -Original Message- From: Hart, Heather Sent: Thursday, April 05, 2012 8:05 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Microwave use in histo lab Hello everyone! I am currently taking a class titled Current Trends Applications in Applied Science Technology which is essentially a capstone course for my BSAST degree completion. This course requires a four part research paper on any technology of choice in the (students) related field. The topic I have chosen is Microwave Use in the Histology Lab. I am trying to gather information for the third module in which I need to address the topics listed below. I would appreciate any personal input or opinions about the topic per guidelines listed. Thank you for your help! Heather Hart, MLT (ASCP) Various Perspectives and Opinions Provide alternative perspectives from experts on technology Political implications and influences Public opinion on technology such as the media, consumers and community Your assessment of how effective the initial planning and risk assessment was to the implementation and usage of the technology “You are encouraged to access other users and/or associated technologists in order to gain insight into various perspectives and fully understand the applications of the technology selected.” This message (including any attachments) may contain confidential, proprietary, privileged and/or private information. The information is intended to be for the use of the individual or entity designated above. If you are not the intended recipient of this message, please notify the sender immediately, and delete the message and any attachments. Any disclosure, reproduction, distribution or other use of this message or any attachments by an individual or entity other than the intended recipient is prohibited. ___ 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
Re: [Histonet] Microwave use in histo lab
Hello, http://www.ebsciences.com/papers/microwave.htm I hope this helps.. On Fri, Apr 6, 2012 at 3:05 AM, Hart, Heather heather.h...@bms.com wrote: Hello everyone! I am currently taking a class titled Current Trends Applications in Applied Science Technology which is essentially a capstone course for my BSAST degree completion. This course requires a four part research paper on any technology of choice in the (students) related field. The topic I have chosen is Microwave Use in the Histology Lab. I am trying to gather information for the third module in which I need to address the topics listed below. I would appreciate any personal input or opinions about the topic per guidelines listed. Thank you for your help! Heather Hart, MLT (ASCP) Various Perspectives and Opinions Provide alternative perspectives from experts on technology Political implications and influences Public opinion on technology such as the media, consumers and community Your assessment of how effective the initial planning and risk assessment was to the implementation and usage of the technology “You are encouraged to access other users and/or associated technologists in order to gain insight into various perspectives and fully understand the applications of the technology selected.” This message (including any attachments) may contain confidential, proprietary, privileged and/or private information. The information is intended to be for the use of the individual or entity designated above. If you are not the intended recipient of this message, please notify the sender immediately, and delete the message and any attachments. Any disclosure, reproduction, distribution or other use of this message or any attachments by an individual or entity other than the intended recipient is prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Mehmet Fatih BOZKURT, DVM, PhD Afyon Kocatepe University Faculty of Veterinary Medicine Department of Pathology 03030, ANS Campus Afyonkarahisar-TURKEY Tel: +902722281312-109 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Molecular Testing requests
Hi all! Just wondered how other histology labs are handling this scenario. We've noticed with the increase in physician options for Molecular Testing that we are being inundated with requests from physicians for testing from various reference labs. CAP has specific requirements for reference lab testing and so far our policy is to accept request from physician after checking that reference lab meets accrediting agency criteria. Now that there are so many, it gets cumbersome (not to mention confusing) when trying to write procedures for the testing and educate staff. How are others handling this? Do you request all new reference labs must be submitted for approval to physician executive committee or just pathologist prior to sending any test requests? How are you managing send-out involvement? Do you bill the patient (when Medicare 14 day rule not involved), or does the reference lab? Would greatly appreciate hearing from you concerning any processes you follow or insights you might have. Thanks! Sue Breckenridge, Histology Supervisor Cape Regional Medical Center Cape May Court House, NJ Confidentiality Notice: This e-mail message, including any attachments, from Cape Regional Health System contains information which is CONFIDENTIAL AND/OR LEGALLY PRIVILEGED.The information is intended only for the use of the individual named above and may not be disseminated to any other party without Cape Regional Health System's written permission. If you are not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, disclosure, distribution, copying or taking of any action in reliance on the contents of this e-mailed information is strictly prohibited. If you have received this e-mail in error, please notify us immediately by telephone at 609-463-2163 to arrange for the return of these documents to us without cost to you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Re: Let's talk forceps
Bob, I am so glad that someone else feels the same way as I do. I'm not the only person of a certain age in this histo world. Everytime I hear the word forceps, I think about giving birth. Both my kids were pulled out with forceps back in the '70's. I HATE that word! In histology I use tweezers! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond Sent: Friday, April 06, 2012 1:09 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: Let's talk forceps Arrrgh! Tweezers. Pickups. Grumpy old doc notes that in his day (1960s) the word forceps meant obstetrical forceps and nothing else. I was taught how to apply forceps, though medical students weren't actually allowed to. My eldest daughter was delivered by the Professor of Forceps (a much beloved practicing obstetrician with ideas far ahead of his time) to a crowd of admiring medical students, with an axis traction bar forceps (don't ask!) in the greatest feat of obstetrical grandstanding I ever witnessed. I'm quite sure that nobody misses obstetrical forceps! The VBAC came into use not long after I graduated. Thanks for the tip about the ergonomic, uh, tweezers. Filed for future reference. Bob Richmond Samurai Pathologist Knoxville TN ___ 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
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
We are a small GI lab. While we have not yet received this notice, we have heard the rumors and found a letter via Google. We are State compliant as we cannot solicit other practices for work. The idea we have to be CAP accredited seems a little much. As stated by someone else, CLIA has granted the privilege of certifying labs to many other governing bodies. i believe our State inspector is just as competent and demanding of a quality product for quality patient care as any CAP inspector would be. Also, the time constraint is completely unreasonable. We just passed our State inspection with no deficiencies last month and have no intentions of making any changes until otherwise forced! In speaking with my director, I believe it is our plan to appeal and protest if we receive do receive this notice. Thanks Cristi From: Katelin Lester katelin09...@gmail.com To: Carol Torrence ctorre...@kmcpa.com Cc: histonet@lists.utsouthwestern.edu Sent: Thu, April 5, 2012 4:00:44 PM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] stainer and coverslipper recommendations for periodic use
Histonet colleagues, We are interested in purchasing an automatic stainer and glass coverslipper, however as only part of a large research facility our histology laboratory receives sporadic use. Depending on studies, our lab may have several weeks or months of intensive use generating thousands of slides followed by weeks or months of disuse. Given our unique work load, I am concerned that such periods of inactivity maybe hard on a stainer and coverslipper. Keeping that in mind, can anyone recommend a stainer/coverslipper that can withstand inactivity and or that can be easily put in hibernation mode until needed? The stainer would be used primarily for H E. Vendors please feel free to contribute. Thank you in advance! Mandy ** Mandy L. Annis United States Geological Survey Columbia Environmental Research Center 4200 New Haven RD Columbia, MO 65201 Phone:(573)-441-2940 Fax:(573)-876-1896 e-mail:man...@usgs.gov ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
I agree it's to short of a time frame. I wonder if it has some to do with the affordable care act ? http://publications.milliman.com/publications/healthreform/pdfs/rating-underwriting-under-new.pdf Sent from my iPhone On Apr 6, 2012, at 4:40 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ Histonet mailing list Histonet@lists.utsouthwestern.edu
