[Histonet] RE: need help on a cap question
Kim, In our department, we assist in the collection of FNA's in radiology, the Pathologist comes there after the slides are prepared and gives a quick interpretation. If the specimen is deemed adequate or not, and if more material is requested, this is noted on the requisition and signed and dated by the Pathologist. This quick interpretation note is then also typed into the comments section of the patients Path. report. I hope this helps. Valerie Hannen,MLT(ASCP),HTL,SU (FL) Section Chief, Histology Parrish Medical Center 951 N. Washington Ave. Titusville,Florida 32796 T: (321)268-6333 ext. 7506 F: (321) 268-6149 valerie.han...@parrishmed.com www.parrishmed.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kolman, Kimberly D. Sent: Tuesday, October 07, 2014 12:55 PM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] need help on a cap question I could use some help clarifying this question: **NEW** 04/21/2014 ANP.11525 Tissue/Cytology Assessment Record Phase I If a statement of adequacy, preliminary diagnosis, or recommendations for additional studies is provided at the time of tissue and cytology sample collection, documentation of that statement is maintained. NOTE: Documentation might include a note in the medical record or in the final report. Is this really asking that if the ordering physician wants something in particular, it must be noted somewhere?I'm hung up on the mention of 'at the time of sample collection'. Thanks, Kim Kim Kolman Kimberly D. Kolman, HT, (ASCP) VA Eastern Kansas Health Care System Dwight D. Eisenhower VA Medical Center Histology - 115 4101 S. 4th St. Trfwy. Leavenworth, KS 66048 913-682-2000x52537 Fax: 913-758-4193 kim.kol...@va.gov ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet =This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is 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, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you = ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] TMA help
Hello Histonetters, I have a PI who made a very large TMA and it is half detatched from the base of the cassette. Does anyone have any tips on trying to stabilize it prior to cutting? Kathryn Stoll Supervisor Histology Clinical and Translational Research Core Lab Medical College of Wisconsin 9200 W. Wisconsin Ave Room 1176 Milwaukee WI 53226 Phone: 414-805-1525 Fax: 414-805-1528 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: need help on a cap question
We perform something similar to Valerie. The pathologist provides a written immediate interpretation on a FNA requisition form. If the sample is insufficient, it is documented on this form. This is performed on each pass performed. The rapid interpretation is transcribed into the final pathology report. The FNA requisition is also scanned into our EMR. The rapid interpretation for each pass is required for the pathologist to bill their professional services. Joe W. Walker, Jr. MS, SCT(ASCP)CM Manager of Anatomical Pathology, Microbiology and Reference Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hannen, Valerie Sent: Monday, October 13, 2014 11:50 AM To: 'Kolman, Kimberly D.'; Histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: need help on a cap question Kim, In our department, we assist in the collection of FNA's in radiology, the Pathologist comes there after the slides are prepared and gives a quick interpretation. If the specimen is deemed adequate or not, and if more material is requested, this is noted on the requisition and signed and dated by the Pathologist. This quick interpretation note is then also typed into the comments section of the patients Path. report. I hope this helps. Valerie Hannen,MLT(ASCP),HTL,SU (FL) Section Chief, Histology Parrish Medical Center 951 N. Washington Ave. Titusville,Florida 32796 T: (321)268-6333 ext. 7506 F: (321) 268-6149 valerie.han...@parrishmed.com www.parrishmed.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kolman, Kimberly D. Sent: Tuesday, October 07, 2014 12:55 PM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] need help on a cap question I could use some help clarifying this question: **NEW** 04/21/2014 ANP.11525 Tissue/Cytology Assessment Record Phase I If a statement of adequacy, preliminary diagnosis, or recommendations for additional studies is provided at the time of tissue and cytology sample collection, documentation of that statement is maintained. NOTE: Documentation might include a note in the medical record or in the final report. Is this really asking that if the ordering physician wants something in particular, it must be noted somewhere?I'm hung up on the mention of 'at the time of sample collection'. Thanks, Kim Kim Kolman Kimberly D. Kolman, HT, (ASCP) VA Eastern Kansas Health Care System Dwight D. Eisenhower VA Medical Center Histology - 115 4101 S. 4th St. Trfwy. Leavenworth, KS 66048 913-682-2000x52537 Fax: 913-758-4193 kim.kol...@va.gov ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet = This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is 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, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you = ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This message (and any included attachments) is from Rutland Regional Health Services and is intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail. Thank You ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] TMA help (Stoll, Kathryn)
You can try to fill the TMA through the cassette from the bottom. Place the TMA in a mold that fits the TMA, heat it for about 2 min and then try filling the TMA from the cassette side. You can also dip the heated TMA block in a paraffin bath to fill the hole or use a plastic pipette to fill the gap. Anyway you get the paraffin to fill the hole you will need to melt the whole TMA for a bit to create a uniform block. If you have more questions give me a call. Aprill Watanabe, B.S. Laboratory Coordinator Macromolecular Analyte Processing Center (MAPC) Integrated Cancer Genomics Division Translational Genomics Research Institute (TGen) 445 North 5th Street Phoenix, AZ 85004 Office: 602-343-8822 Fax: 602-343-8840 Cell: 602-481-8654 email: awatan...@tgen.org website: www.tgen.org ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] FW: H Pylori IHC
Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: H Pylori IHC
Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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] RE: H Pylori IHC
You might be able to get around this by doing the IHC on all of these as requested, but only charging for those which are indicated as being medically necessary. This could benefit your TAT, if that's the reason the pathologist wants these done routinely. The pathologist would also have to agree not to bill for the PC of this test in these cases also. You might want to do a retrospective study and determine if this was done what the financial impact would have been. Good luck. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of wanda.sm...@hcahealthcare.com Sent: Monday, October 13, 2014 2:49 PM To: sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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] RE: H Pylori IHC
You might find that the financial impact wouldn't be that great. There is a reason they are doing an EGD, most commonly for gastritis which is a valid reason to look for H pylori. There is a pretty standard list of ICD 9 codes that would trigger the justification for doing an H pylori. Also, you're going to one of two things when you have a stomach biopsy. You will either cut extra slides, (time and material there) or you will wait until its ordered (loss of TAT). So, if you are going to do a retrospective study you need to include that in your review. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni Sent: Monday, October 13, 2014 3:20 PM To: 'wanda.sm...@hcahealthcare.com'; sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC You might be able to get around this by doing the IHC on all of these as requested, but only charging for those which are indicated as being medically necessary. This could benefit your TAT, if that's the reason the pathologist wants these done routinely. The pathologist would also have to agree not to bill for the PC of this test in these cases also. You might want to do a retrospective study and determine if this was done what the financial impact would have been. Good luck. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of wanda.sm...@hcahealthcare.com Sent: Monday, October 13, 2014 2:49 PM To: sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: H Pylori IHC
I think the real question here is, Why do your pathologists want H. pylori IHC on all of these specimens? If it's TAT, maybe something can be done to improve it so that you not have to do all this unnecessary work. We only order H. pylori IHC on those cases that show the appropriate inflammatory background and organisms cannot be identified on HE. Also, IHC can be helpful when patients have been treated for H. pylori and, once again, organisms cannot be identified on HE. Richard Richard W. Cartun, MS, PhD Director, Histology Immunopathology Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital 80 Seymour Street Hartford, CT 06102 (860) 972-1596 (860) 545-2204 Fax -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, or an employee or agent responsible for delivering the message to the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message, including any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
