Re: [Histonet] Personel
Like I stated there is a lot out there and I agree with you all interpretation of this can vary,, but again our world is changing and I hope our powers at be are being the advocate for these issues,, cause we then are forces to make the interpretations, which I get it we are again asking the Pathologist to do,, but this section in under General Quality Control,, not at all added to the report,, the report itself has this designated as well in that section as well as the section for predictive markers,, So again you can see the confusion and ambiguity of this situation. We need those advocates to make this clear for us for sure -Original Message- From: Willis, Donna G. [mailto:donna.wil...@bswhealth.org] Sent: Monday, November 28, 2016 8:25 AM To: Jesus Ellin; Morken, Timothy; Jennifer Valentine-Williams Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Personel My interpretation of this is that for AP the "test" is the reporting of the results. What is done in the Histology lab to prepare the slides is the pre-analytical portion of the test. For the revised ANP. 21395 the pathologist is mentioning in the report the results of the controls therefore it is in concurrent with the report. We still check our results before taking the slides to the pathologist. Donna Willis, HT/HTL(ASCP) Anatomic Pathology Manager Baylor University Medical Center 3500 Gaston Ave|Dallas, Texas 75246 214-820-2465 office|214-725-6184 mobile BaylorScottandWhite.com -Original Message----- From: Jesus Ellin via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Monday, November 28, 2016 8:04 AM To: Morken, Timothy; Jennifer Valentine-Williams Cc: Histonet Subject: [EXTERNAL] Re: [Histonet] Personel I hope that everyone had a great weekend and a good thanksgiving,, Just to shed some light on the subject on the matter to have things in perspective, when I called CAP and here is what the Rep shared with me, it wasn't the interpretation or the result but rather the QA/QC of the result. See below: now here is the rub on this, as a person doing Special Stains, IHC, Digital Path and ISH,, we as TECH's QA/QC before we hand into the Pathologist, our controls are supposed to be reviewed by the tech to make sure the reaction took place, we don't say it looks brown, or red, or hey the colorful,, WE confirm the reaction, cause if not we redo. This is what ALSO the CAP states that we do because it does say Pathologist or Designee , and it's the QA/QC step. By no means are we resulting or giving Diagnosis/interpretation. This is where I am having trouble with this statement, about testing/interpretation,, it has nothing to do with that at all. CLIA also doesnt define QA/QC , just resulting/interpretation. They are the same Steps that are being followed on digital path, were imaging of the slides require a person of High Complexity testing to be doing the scanning. Again this is another QA/QC step, so I get all the stuff about CLIA and reporting, but CAP is specific and we are doing the QA/QC of this testing. I also had a conversation about whether Licensure was acceptable or not,, without meeting the requirements, and I was told NO,, they need to meet the minimum requirements as stated in CLIA for high complexity testing,, again something to look at. I then called ASCP to ask them about where they stood with this and was told we only do the licensure not the regs. I called CMS to get a better understanding stating the issue, as for them the person interpreting and reporting is the Pathologist, but if CAP requires that the QA/QC be done with those regs,, then that is more than is required, but that is their regulation and to be adhered too. Funny thing then when you go the CLIA website you get the high complexity testing, you can see where the testing methodologies are and can see when the test system came about. I know this is going to be a debatable situation and I have to agree with Tim,, please standardize and let us know,, but it is clear what they are saying about results, testing , interpretation and now QA/QC.. Thoughts anyone,, but I see that this is going to change histology as a whole, since now this is being added too the mix. I am not saying it is right or wrong,, but it does put forth effort that we need to classify what we do and also try to align the test system accordingly, because QA/QC is almost everything,, you can put this on instrumentation, protocols, procedures, etc. Also what do we do with those that have been doing this for years,, that have the knowledge and also the background,, again I don't wish to open up PANDORA's box,, I also know we are all going to look at this differently,, but the facts are we are changing and if we do not own the processes we currently do, someone else will that's for sure. Jesus Ellin **REVISED** 08/17/2016 ANP.21395 Special Stains/Studies Phase II For spec
Re: [Histonet] Personel
I hope that everyone had a great weekend and a good thanksgiving,, Just to shed some light on the subject on the matter to have things in perspective, when I called CAP and here is what the Rep shared with me, it wasn't the interpretation or the result but rather the QA/QC of the result. See below: now here is the rub on this, as a person doing Special Stains, IHC, Digital Path and ISH,, we as TECH's QA/QC before we hand into the Pathologist, our controls are supposed to be reviewed by the tech to make sure the reaction took place, we don't say it looks brown, or red, or hey the colorful,, WE confirm the reaction, cause if not we redo. This is what ALSO the CAP states that we do because it does say Pathologist or Designee , and it's the QA/QC step. By no means are we resulting or giving Diagnosis/interpretation. This is where I am having trouble with this statement, about testing/interpretation,, it has nothing to do with that at all. CLIA also doesnt define QA/QC , just resulting/interpretation. They are the same Steps that are being followed on digital path, were imaging of the slides require a person of High Complexity testing to be doing the scanning. Again this is another QA/QC step, so I get all the stuff about CLIA and reporting, but CAP is specific and we are doing the QA/QC of this testing. I also had a conversation about whether Licensure was acceptable or not,, without meeting the requirements, and I was told NO,, they need to meet the minimum requirements as stated in CLIA for high complexity testing,, again something to look at. I then called ASCP to ask them about where they stood with this and was told we only do the licensure not the regs. I called CMS to get a better understanding stating the issue, as for them the person interpreting and reporting is the Pathologist, but if CAP requires that the QA/QC be done with those regs,, then that is more than is required, but that is their regulation and to be adhered too. Funny thing then when you go the CLIA website you get the high complexity testing, you can see where the testing methodologies are and can see when the test system came about. I know this is going to be a debatable situation and I have to agree with Tim,, please standardize and let us know,, but it is clear what they are saying about results, testing , interpretation and now QA/QC.. Thoughts anyone,, but I see that this is going to change histology as a whole, since now this is being added too the mix. I am not saying it is right or wrong,, but it does put forth effort that we need to classify what we do and also try to align the test system accordingly, because QA/QC is almost everything,, you can put this on instrumentation, protocols, procedures, etc. Also what do we do with those that have been doing this for years,, that have the knowledge and also the background,, again I don't wish to open up PANDORA's box,, I also know we are all going to look at this differently,, but the facts are we are changing and if we do not own the processes we currently do, someone else will that's for sure. Jesus Ellin **REVISED** 08/17/2016 ANP.21395 Special Stains/Studies Phase II For special stains, including histochemical stains, and studies using immunologic and ISH methodology, positive and negative controls are verified and recorded as acceptable prior to or concurrent with the reporting of patient results and records maintained. NOTE: Controls must be verified and recorded as acceptable by a pathologist or designee (provided the designee meets high complexity testing qualifications). Positive tissue controls must contain the component specific to the special stain that is being applied to the specimen. Immunohistochemical tests using polymer-based detection systems (biotin-free) are sufficiently free of background reactivity to obviate the need for a negative reagent control and such controls may be omitted at the discretion of the laboratory director following appropriate validation. If interpretation of the special stain or study is performed by a different laboratory, there must be a procedure for the laboratory performing the stain or study to verify the acceptability of the controls before transfer, if the controls are not sent with the patient slides (regardless of the outside laboratory's accrediting organization). Records of this verification must be readily ANP.23041 Testing Personnel Qualifications Phase II Personnel who are responsible for evaluating or accepting the imaging system data are qualified as high-complexity testing personnel. NOTE: The qualifications to perform high complexity testing can be accessed using the following link: CAP Personnel Requirements by Testing Complexity. available to the laboratory performing the interpretation. -Original Message- From: Morken, Timothy [mailto:timothy.mor...@ucsf.edu] Sent: Wednesday, November 23, 2016 5:12 PM To: Jennifer Valentine
Re: [Histonet] Personel
I am going to attach the information where you can find what is high complexity testing as defined by CLIA,, also CAP defines the QA/QC of this process to be the high complexity ,, also the antibody workup,, here is the website where you can get this information from. Again if you look at the CAP regs its states there the QA/QC as high complexity,, We can cut pull controls, place on machine and run,, but we can not Qa/QC reaction,, weird huh. On another note the inspector stated that the grandfather clause is good for those testing methologies and test that were pre 1997,, so if still doing same testing after 1997 then good to go,, if test have changed for instance predictive markers, testing kits that are defined by the link I sent you ,, then they are not eligible unless they meet those requirments. Your thoughts Jesus Ellin http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCLIA/Search.cfm -Original Message- From: Morken, Timothy [mailto:timothy.mor...@ucsf.edu] Sent: Tuesday, November 22, 2016 11:17 AM To: Jesus Ellin Cc: Histonet Subject: RE: Personel Jesus, that is very interesting information. Does anyone know of any CAP accreditation documents that state explicitly that IHC slide staining is high complexity? I have not seen any. If anyone has those documents I'd like to see them. The only reference from CAP about that classification I have seen was in a Q session transcript from a CAP webinar on competency testing. The webinar had no information about IHC and complexity. However, a presenter answering a question about whether IHC staining at the bench is a high complexity "test," did state that IHC staining is high complexity so the techs doing the staining must have competency testing. Very strange! That's not to say I don't think IHC is high complexity - I do, and so is every other test in histology. But under CLIA the testing personnel is the pathologist, not the bench tech. CAP can deem IHC bench testing as high complexity if it wishes (CLIA is a baseline and deemed accrediting agencies, and institutions, can have stricter requirements). But it seems the only way anyone can find out if CAP classifies IHC as high complexity is to call them and ask. Your comment about new technology is interesting. In a modern scenario, which tech is the person who is "staining" the slide? And which of these is the "high complexity" part of the process? 1) person collating slides to stain 2) Person who programs the stainer 3) Person who dilutes the antibodies (still done!) 4) person who loads reagents on the stainer 5) person who loads the slides on the stainer 6) person who starts the stainer 7) person who unloads the slides from the stainer 8) person who labels and distributes the slides. 9) Person who checks QC slides (BTW, not a "test,"). In our lab these tasks are traded off by many different people throughout the day How about the person doing the validation of the stain? They are not doing a "test" but they are making the test possible to do. Just some questions to ponder over the holidays! Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original Message- From: Jesus Ellin via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Tuesday, November 22, 2016 9:36 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Personel So I know I am going to open Pandoras box,, but have people been paying attention to the Personal requirements from CAP. I called the CAP and asked them about the criteria concerning Moderate or High complexity testing, after discussing with them the situations, IF you have a tech that is Licensed and Also has a QIHC, but does not minimum requirement Defined by CLIA in education ,, they CAN NOT do any QA/OC of IHC and antibody work up,, as IHC is defined as High complexity testing. I also asked about the test systems. The grandfather clause is only good for test systems that occurred for those time periods. For instance if CLIA defined the test system after those dates of 1997,, then they are not included and the person cannot perform test and technology created after those dates, since the testing was not in place during the grandfather clause time. In a nut shell meaning if the IHC staining and antibody was developed after those dates,, you are not covered by the grandfather clause to do the testing ,, can some help clear this up,, So any help on this matter will do __ 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 thi
[Histonet] Personel
So I know I am going to open Pandoras box,, but have people been paying attention to the Personal requirements from CAP. I called the CAP and asked them about the criteria concerning Moderate or High complexity testing, after discussing with them the situations, IF you have a tech that is Licensed and Also has a QIHC, but does not minimum requirement Defined by CLIA in education ,, they CAN NOT do any QA/OC of IHC and antibody work up,, as IHC is defined as High complexity testing. I also asked about the test systems. The grandfather clause is only good for test systems that occurred for those time periods. For instance if CLIA defined the test system after those dates of 1997,, then they are not included and the person cannot perform test and technology created after those dates, since the testing was not in place during the grandfather clause time. In a nut shell meaning if the IHC staining and antibody was developed after those dates,, you are not covered by the grandfather clause to do the testing ,, can some help clear this up,, So any help on this matter will do __ 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] slide id
We use the Sunquest PowerPath system,, it is completely Integrated and track almost all event within the facilities,, we are starting to look and track electronic assets, which are not new ideas but most systems out there are not designed with this in mind. We can print off the assets number for old cassettes and slides so we can track in from older cases since the asset ID is created from one single database,, with multiple databases there are issue with electronic assets,, this is an important fact you must discuss with your APLIS and also any third party vendor,, this becomes even more complicated when you start talking about digital slides and electronic transactions . Good luck and keep going strong Jesus Ellin Yuma Regional Medical Center Sent from my iPad On Oct 3, 2014, at 3:37 PM, Morken, Timothy timothy.mor...@ucsfmedctr.org wrote: Brian, we use Copath ABT, not Vantage, but the principle is the same. We use the old non-barcoded system for older block/slide sendouts. There is no way to barcode old blocks, unless you want to enter it as a consult, and that entails giving it a new number, which would just confuse things. It will take a few years but eventually we'll be sending out mostly barcoded items. This is just one of the things you have to work with when changing over to something new. Tim Morken Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center San Francisco, CA CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential, proprietary, and/or privileged information protected by law. If you are not the intended recipient, you may not use, copy, or distribute this email message or its attachments. If you believe you have received this email message in error, please contact the sender by reply email and destroy all copies of the original message. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cooper, Brian Sent: Friday, October 03, 2014 1:26 PM To: WILLIAM DESALVO; Rathborne, Toni Cc: Histonet@lists.utsouthwestern.edu; Tapper, Sheila J. Subject: RE: [Histonet] slide id How does Vantage work with blocks and slides that were in your institution prior to the implementation of Vantage? Suppose you needed to send materials to another institution for further testing? Do you generate new barcoded labels and affix them to the materials prior to sending them out (for tracking purposes)? Thanks, Brian -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO Sent: Friday, October 03, 2014 1:21 PM To: Rathborne, Toni Cc: Histonet@lists.utsouthwestern.edu; Tapper, Sheila J. Subject: Re: [Histonet] slide id Vantage works great. We use it to track all blocks and slides as they move in and out of the core lab and in and out of archive. You must bar code and make a decision on cassette printers. Techs scan their own bar code to log on the system. Sent from my iPhone On Oct 3, 2014, at 1:17 PM, Rathborne, Toni toni.rathbo...@rwjuh.edu wrote: How do you like Vantage? Have you experienced any problems with it, and is it easy to use? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO Sent: Friday, October 03, 2014 4:02 PM To: Tapper, Sheila J. Cc: Histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] slide id We use Vantage Quality and Tracking system and the tech is captured for embedding, microtomy and staining Sent from my iPhone On Oct 3, 2014, at 12:55 PM, Tapper, Sheila J. sheila.tap...@essentiahealth.org wrote: We have our techs fast process the slides that they cut - so the tech is documented in the processing history... same for embedding. Sheila -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence Sent: Friday, October 03, 2014 2:51 PM To: 'anita'; Histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] slide id We do. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of anita Sent: Friday, October 03, 2014 2:50 PM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] slide id just wondering if techs are putting their id on the slides that they cut, that way if a mistake is made with labeling the tech that cut it is identified. thanks for your input, anita dudley providence hosp mobile alabama ___ Histonet mailing list Histonet
[Histonet] RE: Pathology Report Templates
This is for the MU (meaningful use) -Original Message- From: Mike Pence [mailto:mpe...@grhs.net] Sent: Friday, April 25, 2014 6:00 AM To: Jesus Ellin; 'Victor A. Tobias'; histonet@lists.utsouthwestern.edu Subject: RE: Pathology Report Templates I went through all my CAP check list questions and I do not see this anywhere. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Thursday, April 24, 2014 12:54 PM To: 'Victor A. Tobias'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Pathology Report Templates This is a fact, to meet compliance the signing facility needs to be ID along with the CLIA#, ,haven't heard about the medical director issue, but who knows -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor A. Tobias Sent: Thursday, April 24, 2014 10:51 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Pathology Report Templates One of our facilities had a CAP inspection last week and I was asked to add the CLIA# and Medical Director to the template, immediately. Is this something new, as we had our CAP inspection last Aug. and there was no mention about CLIA# or having the Director's name on the templates? I haven't been able to get any follow-up from the lab supervisor. Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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 __ 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
[Histonet] RE: Pathology Report Templates
This is a fact, to meet compliance the signing facility needs to be ID along with the CLIA#, ,haven't heard about the medical director issue, but who knows -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor A. Tobias Sent: Thursday, April 24, 2014 10:51 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Pathology Report Templates One of our facilities had a CAP inspection last week and I was asked to add the CLIA# and Medical Director to the template, immediately. Is this something new, as we had our CAP inspection last Aug. and there was no mention about CLIA# or having the Director's name on the templates? I haven't been able to get any follow-up from the lab supervisor. Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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
[Histonet] Molecular tests
I would like two pose a questions out there on histonet. How is everyone handling the ordering of the molecular testing within their facility, through an electronic EMR? How are you keeping track of proper test utilization of this testing? Thanks to all for your help 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. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Anyone using Section Transfer System by Microm?
I would also like to know -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Thursday, November 14, 2013 9:55 AM To: Histonet Subject: [Histonet] Anyone using Section Transfer System by Microm? Is anyone using the Thermo/Microm Secton Transfer System on their microtome? http://cellab.se/pdfbroschyr/Microm/STS.pdf I'd like to get some input for using it to cut serial sections of microarrays. Thanks! Tim Morken Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center Box 1656 505 Parnassus Ave San Francisco, CA 94143 USA 415.353.1266 (office) tim.mor...@ucsfmedctr.orgmailto:tim.mor...@ucsfmedctr.org ___ 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] Specimen Tracking Systems
I would like to chime in on this Bill and Tim both gave great examples of what it takes to move in this direction. But I would also like to understand why there are so many challenges in getting the data back into the APLIS with updates and orders. I would tell people the biggest concern that I have the data being produced by a system should be accessible across all gradients of the workflow and not just the unique tracking system. Not only is this tracking system positioned to help out histology with what is being explained below, but it is the foundation work in taking steps to get to the next level when talking Digital Pathology, molecular, Personalized medicine, Pathologist cockpit, and algorithm analysis. With the looming cuts coming down the pike, we have to make sure the vendors understand we cannot have barriers when it comes to interface and interoperability with our system. At the same token we cannot be charges an arm, leg and torso for interfacing what is rightfully ours and that is the patients data we produce. Bill and Tim excellent job in giving a crash course in Tracking system 101,, I do believe we should see more of this explained at professional societies meeting and also what the new environments we are going to be working in because of this technology. Just my two cents Jesus Ellin -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Thursday, October 31, 2013 3:45 PM To: 'WILLIAM DESALVO'; Matthew D. Roark; histonet Subject: RE: [Histonet] Specimen Tracking Systems I agree with Bill on this. We have Cerner Copath Plus and looked at Cerebro, Vantage and Omnitrax. Only Cerebro and Vantage were capable of working with Copath. But the problem is that Copath requires you purchase their tracking system to use as an HL-7 interface to any third party system. AND there is not two-way communication between the systems. You MUST enter orders (cases, blocks, stains) in copath and it ports orders to the other system. The only feedback is status updates to copath - you cannot add items in the other system and expect them to show up in copath. That requirement effectively doubled the price of the system. So we are using only the Copath ABT system, which we are starting to implement now. They will finally have touch screen capability in the spring so we were satisfied with that. Touch screens were a primary spec we demanded. The key to tracking is how the tracking system works with your current LIS. Can it communicate in a true bi-directional fashion? Is it just an add on and all the tracking info is in the tracking component, not the LIS? There are tradeoffs and you need to figure out which you want to live with. We spent two years investigating all these systems, doing site visits, and going through a 6-month total LEAN evaluation. The one thing every institution told us was: LEAN your system BEFORE adding barcoding. Barcoding will NOT fix any inefficiencies you have. And you are pretty much stuck with what ever system you barcode - warts and all. So do all the hard work up front. We thought we were prepared but are daily finding all kinds of little details that have to be worked out. Detail out every single little thing about all your workflows before starting anything. Streamline everything. Cassette printing is the heart of barcoding. The barcoded (actually usually 2D matrix codes) on the cassette drive grossing, tracking through processing, embedding and cutting. If that does not work reliably your system will not work. We went with Leica cassette printers. They are huge, but fast (5 sec per cass). We were going to use thermo, but they had their printhead problem and we dropped the order. They are 20+ seconds per cassttes, tho have a very compact footprint. You will find there are tradeoffs to everything. Slide labeling is the other half of the equation. They must be reliable and survive all histology procedures. We will use thermal transfer label printers rather than direct slide (too expensive- we will have a printer at each microtome- and cumbersome to change out slide types). Slide labeling is a HUGE deal - you have to be sure it works for everything and can be used in your immuno stainers and coverslipping machines. We are using either Brady StainerBondz labels or LabTags Xylituff labels. These were the only ones that had the size we wanted (23 x 19 mm) and survived all processes. General data StainerShield are also good, but only come in 22 x 22 size. Plus are the most expensive. You will find it much easier if you use labels and ribbons from one manufacturer, designed to use with specific printers. That simplifies a lot of the effort. We have tried to mix and match but it is very difficult because all manufacturers do not make matching labels and ribbons for all printers. Tim Morken
RE: [Histonet] Specimen Tracking Systems
We scan in at the point of accessioning and do one piece flow. As Tim stated, even though the APLIS and technology can do certain things, it is only as good and streamlined as the process and people behind it. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Friday, November 01, 2013 9:50 AM To: 'Michael Mihalik'; 'histonet' Subject: RE: [Histonet] Specimen Tracking Systems Michael, yes that is the sort of workflow item that has to be considered. We plan to use the scanned image at the gross bench to double check. Tim Morken Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center San Francisco, CA -Original Message- From: Michael Mihalik [mailto:m...@pathview.com] Sent: Friday, November 01, 2013 9:47 AM To: Morken, Timothy; 'Bauer, Karen L.'; 'Jesus Ellin'; 'WILLIAM DESALVO'; 'Matthew D. Roark'; 'histonet' Subject: RE: [Histonet] Specimen Tracking Systems Just a quick thought If you scan your requisition into the LIS after accessioning, it might not be a bad idea to have your grossing personnel review the requisition at grossing to confirm that the patient name/specimen on the paperwork matches what's in the LIS. Yes, with barcodes this shouldn't happen, but it's a nice 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 Morken, Timothy Sent: Friday, November 01, 2013 9:23 AM To: 'Bauer, Karen L.'; 'Jesus Ellin'; 'WILLIAM DESALVO'; 'Matthew D. Roark'; 'histonet' Subject: RE: [Histonet] Specimen Tracking Systems Karen, we are going to move to a system as you describe. At accessioning all paperwork will be scanned and none will follow the specimen. The critical trick is getting residents and pathologists to look at screens rather than hard copies. We spend way too much time printing and collating hard copies of reports ever day. Tim Morken Pathology UC San Francisco Medical Center San Francisco, CA -Original Message- From: Bauer, Karen L. [mailto:bauer.ka...@mayo.edu] Sent: Friday, November 01, 2013 9:03 AM To: Morken, Timothy; 'Jesus Ellin'; 'WILLIAM DESALVO'; 'Matthew D. Roark'; 'histonet' Subject: RE: [Histonet] Specimen Tracking Systems Importance: Low Jesus, Tim, and Bill... Wonderful communication about specimen tracking, bi-directional capabilities, and creating a histology lab that will be effective in the years to come!! I loved reading your information! We also have the Vantage system and it's helped us decrease our slide labeling error rate to 0%! It's wonderful and I'm so glad we finally had it implemented last April. Our workflow seems much more efficient, since we no longer have to perform all of those manual reconciliation steps. Yes, the bi-directionality of the systems (we have Sunquest CoPath) is a downfall of the software, but the pros of Vantage outweighed that flaw. I'm hoping that in the years to come, that will be fixed. A new question for the Histo group... We are trying to get away from printed grossing working drafts that are submitted with the slides and delivered to the pathologists. We would like the docs to scan the slide at their microscope and have the patient information show up on their computer. The pathologists still want the paper requisition from the specimen, so I suggested to have the requisition scanned and attached in the digital format. This way, when the doc scans the slide, the CoPath working draft, the patient clinical hx, and the scanned req slip can be viewed. Is anyone doing this in their lab right now? If so, I would really like to hear more about how you and your LIS made that happen. Thanks so much and Happy Friday!:) Karen Karen L. Bauer HTL/HT (ASCP) | Histology Supervisor | Pathology | MOHS Lab Supervisor | Dermatology | Phone: 715-838-3205 | bauer.ka...@mayo.edu | Mayo Clinic Health System | 1221 Whipple Street | Eau Claire, WI 54702 | mayoclinichealthsystem.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Friday, November 01, 2013 10:06 AM To: 'Jesus Ellin'; 'WILLIAM DESALVO'; Matthew D. Roark; histonet Subject: RE: [Histonet] Specimen Tracking Systems Jesus, the topic of bi-directional interfaces is fraught with both technical and political issues. Technically it is certainly possible (As a software developer colleague of mine always told us - 'don't ask if I can do it, just tell me what you want. It's just software'). The issue is who pays for it, and who wants it. As I see it, the large LIS companies got caught flat-footed by the desire of histology labs to move to barcoding. Indeed, when
[Histonet] RE: Pathology charges
I did not know this was going on,, where is this being stated at -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Maray Weirauch Sent: Wednesday, October 09, 2013 9:13 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Pathology charges We've been told that before our pathologists can order/run any of these stains (CPT 88313, 88342 or 88360) on our pathology specimens, we must obtain a pre-authorization from the insurance carrier or the payment will be denied. Has anyone else run into this? How are you efficiently handling that? Maray Weirauch ___ 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] Unregistered HT
Tim Well said -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Wednesday, September 11, 2013 8:54 AM To: Histonet Subject: RE: [Histonet] Unregistered HT This discussion comes up every year and, of course is never resolved to our satisfaction because histotechs really have only a little say in it. Personally I think labs are better off with certified techs. Uncertified techs should start as lab assistants and earn their certification before getting a histotech title. The histotech title should be for someone who at least starts as a general histotech who can do the gamut of histology work - embedding, cutting, HE, specials and IHC/ISH. From that base they can branch out or specialize. It would be a dream to require formal schooling, as with med techs, but there are so few schools that it is just impractical. A certification is a baseline that shows a person who is OJT has learned the minimum required to understand histotechnology. However, because we don't report out any results on our own authority there is no impetus for a pathologist or institution to make the position more than it is: a technical position that does do require fancy work, but in the end only provides the materials for someone else to use for interpretation, decisions and reporting. We don't even pick the sample, the test or even determine how to do the test - that is all determined by the Technical Director of the lab, usually a board certified pathologist. Our primary job is to provide good quality materials so they can do their job well. That does involved a lot of knowledge, organization and skill, but it is not at the level of making actual patient care decisions. Pathologists Assistants get a bit more respect because they are required to make judgment decisions on how to sample a particular case. Even then, that sampling is strictly detailed in procedures developed by pathologists. The most we could ask for is licensing that requires certain qualifications to be a histotech. However, that has some drawbacks as well, namely the restriction of the profession to licensed people, and so is a barrier to entry. Would it lead to pay raises? Does anyone have studies showing pay before and after licesure requirements? It is questionable whether it enhances the quality of the lab since most histotechs are OJT anyway, and simple licensure may not increase actual quality of work by an individual. (does anyone know of any studies that look at quality in states with and without licensing?). The CLIA requirements at least set a baseline for education, if not actual certification. Asking pathologists to support universal certification and/or licensure is problematic - many independent labs won't support that because, as in licensure, it decreases the pool and increases costs (ie, pay). Since the pathologist is the person deemed responsible for quality and lab results, setting the bar higher is only in the interests of the technologists, not the pathologist. Now, some enlightened pathologists understand that better-educated and better-trained techs are good for the overall. So in the end the histotech community, along with a few enlightened pathologists have to lobby for anything they want. But what is that? Increased pay? More say in lab operations? My experience is that you can rise as high as you want if you take opportunities that come up. But that may mean either spending many years in one place slowly moving up, or moving around to take other opportunities. It will depend on the individual. In either case using your time in the lab to learn whatever there is to learn, even in other departments, or on various committees, pays off in the long run. And that includes management. The last thing you should do is limit yourself to a job description someone gives you. Take that as the base line, not the limit. Tim Morken Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Wednesday, September 11, 2013 6:30 AM To: 'Weems, Joyce K.'; 'Jennifer MacDonald'; Marcum, Pamela A Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu Subject: RE: [Histonet] Unregistered HT Histology does not get the respect or the recognition because histologists do not report results. All of the complex testing we do is overlooked because the pathologists report the results. CLIA standards are based on result reporting. The CAP has looked the other way for years because pathologists would hire unregistered techs. If pathologists would demand only registered techs half our battle would be won. Hazel Horn Supervisor of
Re: [Histonet] PowerPath Issues
Donna this is Jesus Ellin and I am the Sunquest POwerPath Chair,, I am cc Debbie Balli on this,, how can we help? Sent from my iPad On Jun 28, 2013, at 1:58 PM, Willis, Donna G. donna.wil...@baylorhealth.edu wrote: Anyone out there in Histoland having issues with PowerPath (Sunquest) customer service? Thanks, Donna Willis, HT/HTL (ASCP) Anatomic Pathology Manager Baylor University Medical Center-Dallas ph. 214-820-2465 office ph. 214-725-6184 mobile donna.wil...@baylorhealth.edu ** This e-mail may contain confidential and/or privileged information. This information is intended only for the use of the individual(s) and entity(ies) to whom it is addressed. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient (or have received this e-mail in error) please notify the sender immediately and destroy this e-mail. Any unauthorized copying, disclosure or distribution of the material in this e-mail is strictly forbidden and possibly a violation of federal or state law and regulations. Baylor Health Care System, its subsidiaries, and affiliates hereby claim all applicable privileges related to this information. ___ 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
[Histonet] RE: Epic and PowerPath
We use EPIC and PowerPath,, how can I help you... Jesus Ellin Yuma Regional Medical Center 928-336-1743 jel...@yumaregional.org From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Tasha Fraser [tfra...@olympicmedical.org] Sent: Tuesday, June 25, 2013 10:42 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Epic and PowerPath Does anyone out there use Epic and PowerPath together? Tasha R. Fraser, HT (ASCP) Olympic Medical Center 939 Caroline Street Port Angeles, WA 98362 - Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended individual(s) named above and may contain confidential, privileged, and/or protected information. Any unauthorized review, use, disclosure, copying, or distribution of its contents is prohibited. If you are not the intended recipient, you have received this email in error. If so, please notify the sender immediately by reply email and delete/destroy the original and all copies of this communication. Also know that Internet e-mail is not secure. In choosing to communicate with Olympic Medical Center by email you will assume these confidentiality risks. Internet messages may become corrupted, incomplete, or may incorrectly identify the sender. ___ 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] Monitoring Histology Quality
We use Sunquest PowerPath to electronically show this information as well as keep records for data minning and Quality improvement -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Tuesday, May 07, 2013 10:44 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Monitoring Histology Quality Is anyone using an electronic system to communicate histology quality info from the pathologists to Histology management? Also, do you use this same system to demonstrate to the CAP that histology quality is being checked daily, and if so, how do you indicate that slide quality was checked when there are no quality issues on a given day? We operate in Sunquest CoPath. Thank you, Roger Heyna Histology Supervisor Maywood, IL __ 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
[Histonet] RE: Ventana Melanoma Cocktail
You can only bill for 1 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of stephen.cla...@hcahealthcare.com Sent: Wednesday, April 03, 2013 10:45 AM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] Ventana Melanoma Cocktail I've got a question regarding Ventana's Melanoma Cocktail. We've never done double or triple staining at our institution so my knowledge of the CPT codes for this is vague. If we were to use this product, which has HMB-45, Tyrosinase, and Mart-1 in one dispenser, do I bill it as an 88342 three times? Or is there a separate CPT code that we would use? Thanks for your input. Steve Clark Pathology Dept. Supervisor Grand Strand Regional Medical Center 843-692-1486 Lab 843-692-1459 Desk stephen.cla...@hcahealthcare.com [cid:image001.gif@01C9DADA.65BB9E10] __ 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] Validation of Her2
What did you do to evaluate your system and algorithms. Also the cases of ER and PR. Negative vs Postive concordance. Sent from my iPad On Mar 19, 2013, at 4:57 PM, Vickroy, Jim vickroy@mhsil.com wrote: We are working on validating HER 2 testing in our laboratory. I see that the guidelines state that we should use 25 - 100 cases to complete our validation. In the past we sent our Her2 IHC testing to Clarient and they performed the technical testing and then our pathologists would do the scoring. So for validation we used 25 of the cases we sent to Clarient and then did them in house to compare. Our comparison was nearly 100%. Here is my question: Clarient uses the DAKO method while we are using Ventana's antibody Pathway (4B5). The validation guidelines state parallel by identical method in another lab with the same validated assay is also acceptable. Can I assume that this means comparison with another lab for IHC HER2 testing and does not have to be using the same clone (DAKO vs Ventana)? Jim James Vickroy BS, HT(ASCP) Surgical and Autopsy Pathology Technical Supervisor Memorial Medical Center 217-788-4046 This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. ___ 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] High complexity test
I would say this is high complexoty testing and the tech performing this has to have knowledge of the process and troubleshooting in case there is issues with the results. I do not agree with the interpretation some people give,, but this is based on individual institutions Sent from my iPad On Feb 6, 2013, at 2:05 PM, Rene J Buesa rjbu...@yahoo.com wrote: This issue has been discussed at length recently (please go to HistoNet files). The complexity does not deals with the actual test but with the ability of the technician to go above and beyond the robotic tasks but also able to think and apply knowledge when something goes wrong. Sometimes dismissal of complexity is rooted on the desire in management to pay less for tasks that require a higher licensure grade. René J. From: Sara Baldwin/mhhcc.org sbald...@mhhcc.org To: histonet@lists.utsouthwestern.edu Sent: Wednesday, February 6, 2013 2:54 PM Subject: [Histonet] High complexity test Hi histonetters Is ventana Ultra IHC only doing antibodies no FISH or CISH is this considered High complexity testing? We are doing ER/PR and some others. Thanks Histology/Cytology Supervisor S. Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-996-0210, 0216, Fax 812-996-0232, Pager 812-481-0897, Cell 812-887-3357 ___ 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] problem with 88305 reimbursement
How is this if the biopsy procedure is being done at the physician's facility? I have heard though this is just the start of including the biopsy within the DRG if it comes back with positive for cancer,, but once again this is a hear say. This is also to include any testing for IHC, ISH, or molecular testing. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cynthia Pyse Sent: Tuesday, January 29, 2013 11:51 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] problem with 88305 reimbursement Hi Histonetters We are currently having a problem with our Medicare reimbursement on the tech component of the 88305. If the patient has been seen at a hospital, either in-patient or out- patient, we are told by Medicare that we have to contract with that hospital to bill for the 88305. The biopsy was not done at the hospital but in a doctor's office. According to Medicare if there the same date of service it can only be billed through the hospital. Medicare is calling it consolidated billing. I can't see how the hospital can bill for something that was done in the doctor's office then sent to an independent lab. Is anyone else having this problem? How are you handling it with Medicare? Any help would be appreciated. Thanks in advance Cindy Cindy Pyse, CLT, HT (ASCP) Laboratory Manager X-Cell Laboratories 20 Northpointe Parkway Suite 100 Amherst, NY 14228 716-250-9235 etx. 232 e-mail cp...@x-celllab.com ___ 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
[Histonet] RE: CAP guideline for fixation time
We have it documented within the APLIS, when the order is placed within our EMR,, for requisitions we have them document them on the requisition at the time it is taking place with a sticker,, but since the most of our orders are electronic it is part of the workflow, this is done for all specimens as we see the importance of other biomarkers for future -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Monday, January 07, 2013 11:00 AM To: 'Victor A. Tobias'; 'histonet' Subject: [Histonet] RE: CAP guideline for fixation time Our OR and Breast Health staff have done pretty well getting on board with this. We rarely have one that hasn't been documented. We have a place on the requisition (located just under the date field so they will see it) where time out of body (for the cold ischemic time), and time into formalin is documented. Then we document the rest on the requisition and the pathologist takes it from there. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital 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. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor A. Tobias Sent: Friday, January 04, 2013 6:21 PM To: 'histonet' Subject: [Histonet] CAP guideline for fixation time Per CAP guideline, in our reports of predictive markers(ER/PR/Her2), Pathologists need to check that the total fixation time of specimens is within the CAP guideline. Is this information readily available to the pathologists at the time of writing the report? How are others documenting this? Have a great weekend. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edumailto:vtob...@u.washington.edu%3cmailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edumailto: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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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
[Histonet] RE: Meaningful Use-Pathology
Meaningful use is one aspect,, but most of the time you can not do this in EPIC in a fashion that will be able to be searchable and structured. There are other ways of doing this, but most of the time this is a work around -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of jessica.va...@hcahealthcare.com Sent: Wednesday, November 07, 2012 10:21 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Meaningful Use-Pathology How is everyone addressing meeting meaningful use in regards to pathology, when a positive/negative or numeric value is looked at? Objective: Incorporate clinical lab test results into EHR as structured data. Measure: More than 40 percent of all clinical lab test results ordered by the eligible professional during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data. Jessica Vacca Epic Anatomic Pathology Application Lead HCA Clinical Services Group 2545 Park Plaza Nashville, TN 32703 t: 615-579-0121 o: 615-344-5370 e: jessica.va...@hcahealthcare.com ___ 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] Devasting news on 88305TC component--Where the $18 came from
Well in this article it does have differences, especially when talking about usage of technology,, but non the less it does expose our state of being within Anatomic Pathology,, ,, what are peoples thought on this Sent from my iPad On Nov 6, 2012, at 12:21 PM, Lester Raff MD lr...@uropartners.com wrote: Sent: Tuesday, November 06, 2012 12:35 PM To: 'histonet-boun...@lists.utsouthwestern.edu' Subject: RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from The $18.00 figure came from an article published in Archives of Pathology and Lab Medicine: Pathology Economic Model Tool A Novel Approach to Workflow and Budget Cost Analysis in an Anatomic Pathology Laboratory David Muirhead, BSc; Patricia Aoun, MD, MPH; Michael Powell, MS, FASHP; Flemming Juncker, MBA; Jens Mollerup, MSc, PhD (Arch Pathol Lab Med. 2010;134:1164-1169) Thanks to Joe Plandowski of IOL for providing me with the reference. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.492.0203 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 3:01 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20p roposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ 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] Devasting news on 88305TC component
AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ 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 __ 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] Histology Supervisor Opening
What does this lab entail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jessica-Prometheus Sent: Thursday, October 25, 2012 7:39 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Histology Supervisor Opening Hey Histonet! Prometheus Healthcare is on the search for a Histology Supervisor for a hospital in Connecticut! The ideal candidate will be HTL (ASCP), have at least 3 years of leadership experience and about ten years of histology experience. If you are interested, or know anyone who might be, please contact me at the information below. Thank you! Jessica Sanchez Account Manager Prometheus Healthcare Office 301-693-9057 Fax 301-368-2478 mailto:jess...@prometheushealthcare.com jess...@prometheushealthcare.com http://www.prometheushealthcare.com/ www.prometheushealthcare.com http://twitter.com/PrometheusBlog http://twitter.com/PrometheusBlog http://www.youtube.com/watch?v=ZxkF54CRhLc Click Here to Meet Me! ___ 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
[Histonet] FW: HT/HTL PROGRAM DIRECTORS SURVEY
Please read this and I would like to know what peoples thoughts are about this issue. Also take into consideration where we are head and also testing. This is extremely interesting. From: Robert Newberry Sent: Wednesday, October 10, 2012 3:39 PM To: Jesus Ellin Subject: FW: HT/HTL PROGRAM DIRECTORS SURVEY Importance: High FYI From: Julie Stiak [mailto:julie.st...@phoenixcollege.edu] Sent: Tuesday, October 09, 2012 11:12 AM To: algra...@email.arizona.edu; ghurf...@carondelet.org; jfille...@shc.org; joyce.h...@bannerhealth.com; lhi...@cgrmc.org; michelle.man...@mihs.gov; Amy Wendel Spiczka; Andy Burnette; Aprill Watanabe; Arthur Sitelman; barbara.blasutta; Bill Miller; Bob Wenham; Brian Stillwell; Dana Lake; Donna Vollmer; Ethel Macrea; Gary; Gwin Filleman; Holly Hanson-Kollar; Ida Male; Irene Campbell; Janani Siva; Jodi Evers-Dewald; Joe Ferreira; Joseph Berryhill; Karen Lahti; Kathy Hill-Epperson; Meredith Hale; Nicol Wargocz; Scott Cockayne; Stacie Schimke; Susan Pitts; Sutter, Katarina; mary.ac...@bannerhealth.com; patricia.tom...@bannerhealth.com; rr...@phoenixchildrens.com; Amy Spinti; Robert Newberry; Brigitte.Miedzybrocki; Cary Nava; Chelle Johnson; Cheryl Mossing; Chris Garza; Chris Westhoff; dan.otis; Diana McGregor; Eadie Baie; Elaine Fought; Fabrizio Saraceni; Georgia Koehler; Hans Baijense; Holland, Libby; James Taylor; Jeff Wolz; Jimmie Evans; joyce.santis; Judy Davis; Julie Pilkington; Kathryn Wangsness; Kathy Knight; Laura Bell; leslie.lyford; Liz Beauford; Lori Watkins; Marie Holub; Mark Wooden; Maya Sinha; McMillan, Susan - SJHMC; Merrikay Vidal; Mimi Wettach; Nancy Behling; Pamela Green; Pattie Glick; Peter Michaelson; Phil Hynes; Rachel Baker; rick.ro...@bannerhealth.com; Robert Graham; Rosemarie Prater; Ruth Spates; Salene Slader; Sally Caglioti; Shannon Sadat-Abhary; Sherry Gamble; Sponsler, Pam; Suzanne Sullivan; Tajuan Hamilton; Terri Bowen; Tim Hersom; Tony Millett; Valerie Kolody; Victor Waddell; Ward, Marilyn Subject: Fwd: HT/HTL PROGRAM DIRECTORS SURVEY This survey is very TIMELY regarding ASCP's potential interest in resurrecting the Clinical Lab Assistant national certification and to expand the role to basic embedding and processing in Histology! The timing is interesting for Phoenix College as we had record number of applicants for the current Histologic Technology and future Medical Laboratory Science cohorts, BUT just decided late last week to CANCEL the FALL Laboratory Assisting program as we only had 6 students. I am trying to garner administrative approval to facilitate an industry sponsored partnership to provide the fall cohort to a few local Lab employees to be able to complete the program via distance learning this fall. The topic of a Clinical Lab Assistant will be added to the fall HT Advisory Council meeting and the spring Medical Laboratory Science Advisory Council meeting. Please feel free to share your thoughts with me before the meeting about the potential expansion of a nationally certified Clinical Lab Assistant. Many thanks! Julie -- Forwarded message -- From: Peggy Wenk pw...@beaumont.edumailto:pw...@beaumont.edu Date: Tue, Oct 9, 2012 at 8:36 AM Subject: HT/HTL PROGRAM DIRECTORS SURVEY To: \car...@nsh.orgmailto:car...@nsh.org\.GWIA.MSD car...@nsh.orgmailto:car...@nsh.org, Aulthouse, Amy a-aultho...@onu.edumailto:a-aultho...@onu.edu, Bailey, Mark mabai...@mdanderson.orgmailto:mabai...@mdanderson.org, Barone, Carol cbar...@nemours.orgmailto:cbar...@nemours.org, Beamon, Nancy nancy.bea...@darton.edumailto:nancy.bea...@darton.edu, Becker, Carol carol.e.bec...@osfhealthcare.orgmailto:carol.e.bec...@osfhealthcare.org, Bischof, Carol carol.bisc...@minnesota.edumailto:carol.bisc...@minnesota.edu, Campagna, Gerard gcam...@conemaugh.orgmailto:gcam...@conemaugh.org, Christopher Mignogna (christopher.migno...@drexel.edumailto:christopher.migno...@drexel.edu) christopher.migno...@drexel.edumailto:christopher.migno...@drexel.edu, Colony, Pamela colo...@cobleskill.edumailto:colo...@cobleskill.edu, Counts, Lisa lisa...@yahoo.commailto:lisa...@yahoo.com, Cox, Beth bethc...@gmail.commailto:bethc...@gmail.com, Davidson, Kelli jreyno...@mail.accd.edumailto:jreyno...@mail.accd.edu, Della Speranza, Vincent del...@musc.edumailto:del...@musc.edu, Delost, Maria medel...@ysu.edumailto:medel...@ysu.edu, DiNardo, Helen helen.dina...@shermanhospital.orgmailto:helen.dina...@shermanhospital.org, Donna Broderick (dbroder...@harcum.edumailto:dbroder...@harcum.edu) dbroder...@harcum.edumailto:dbroder...@harcum.edu, Durkin, Zoe Ann zdur...@goodwin.edumailto:zdur...@goodwin.edu, Feaster, Kimberly kfeas...@hsc.wvu.edumailto:kfeas...@hsc.wvu.edu, lfoster-br...@christianacare.orgmailto:lfoster-br...@christianacare.org lfoster-br...@christianacare.orgmailto:lfoster-br...@christianacare.org, Galina Negrouk (gnegr
Re: [Histonet] Facility Name on Slides
To my knowledge there is no regulation rather than having 2 identifiers,, Sent from my iPad On Oct 8, 2012, at 1:46 PM, histot...@imagesbyhopper.com histot...@imagesbyhopper.com wrote: Does anyone have any regs that you can point me to for both Joint Commission and CAP which details definitively whether or not a facility name is *required* to be included on slides? I know it's a good idea, the larger question here is whether or not there is a specific regulation for it? Thanks for all your help! Michelle ___ 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] Changing dynamics in histotechnology
With mixed emotions I read this article, not because of its context or information, but rather the outlook for our future. I would like to pole on the histonet today, who is enter in: 1. Digital Pathology 2. Molecular Testing (ISH, PCR, Next Gene Sequencing) 3. Automation Semi to complete 4. Barcoding A good question to ask is, are we, as Histology professionals, positioned to make this change. Case in point, how many people are signed up and preparing for this transition at the NSH convention this year? Sent from my iPad On Sep 17, 2012, at 8:29 AM, Judy O'Rourke jorou...@allied360.com wrote: Hello... In Clinical Lab Products’ just-released September issue, the article “Changing Dynamics in Histotechnology” addresses the challenges and trends you face daily. William DeSalvo, B.S., HTL(ASCP), chair, NSH Quality Control Committee, is quoted. Please share comments on CLP’s Facebook page, where I’ve just posted the article: http://www.facebook.com/pages/Clinical-Lab-Products/56624886500#!/pages/Clin ical-Lab-Products/56624886500 Thank you! Judy JUDY O’ROURKE | Editor Clinical Lab Products 6100 Center Drive, Suite 1020, Los Angeles, CA 90045 office 619.659.1065 | fax 619.659.1065 jorou...@allied360.com | www.clpmag.com Follow us on Facebook, and follow me on Twitter at @editorCLPmag ___ 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] Changing dynamics in histotechnology
I do agree with both Rene and Elizabeths assessment, but what are we doing as a profession to secure our foot hold in the future of pathology? Are we teaching our students and staff members the new techniques and trouble shooting skills needed for this advancement in skills, or are we just still doing the basics? Don't get me wrong the basics are needed, but there are new basics that have presented themselves to us within out profession. Such examples would be image theory, computational analysis, bio analytics, bio informatics, and Computer systems interoperability, etc... where are these items being taught to the techs of the future? I know that there will always be a need for the basic techs, but even as the article stated, we are the ones that know tissue and its function,, we are the ones that understand the pre-analytics to make it successful. But then again every where i go i hear of not being able to keep up with the demand of our basic routine of getting the H and E out,, or not enough time to think about this. Then the solutions becomes out of sight out of mind,, or we can get to that later. The problem is that currently our governing agencies, CAP, ASCP, NSH, CMS, CLSI, etc are creating the frame work for the lab of the future that will handle this testing, and guess what Histotechs are NOT apart of this equation. YOur thoughts Sent from my iPad On Sep 17, 2012, at 12:42 PM, Elizabeth Chlipala l...@premierlab.com wrote: I do agree that as histotechs we need to very much involved in Digital Pathology and new technologies as much as possible, if we do not we will be left behind. Here is a quote that I reference with respects to new technologies. But I am an early adopter of digital pathology. Once a new technology hits you, if you are not part of the steamroller you are part of the road - Lee A. Iacocca 1. Digital Pathology - We have been scanning slides since 2007, very active in this technology, board member of the Digital Pathology Association. 2. Molecular Testing (ISH, PCR, Next Gene Sequencing) - we will be actively running ISH in the next couple months, have looked at the other technologies but have not made the move yet to bring those into the lab yet, but its on our radar. 3. Automation Semi to complete - automated HE, and immunostainers. 4. Barcoding - would love to barcode, its difficult in the research setting, software is available in the clinical setting but not for research, we have been looking for over a year on a system that would work in research and in our setting. Liz Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC Manager Premier Laboratory, LLC PO Box 18592 Boulder, CO 80308-1592 (303) 682-3949 office (303) 682-9060 fax (303) 881-0763 cell www.premierlab.com Ship to address: 1567 Skyway Drive, Unit E Longmont, CO 80504 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Monday, September 17, 2012 1:22 PM To: Judy O'Rourke Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Changing dynamics in histotechnology With mixed emotions I read this article, not because of its context or information, but rather the outlook for our future. I would like to pole on the histonet today, who is enter in: 1. Digital Pathology - We have been scanning slides since 2007, very active in this technology. 2. Molecular Testing (ISH, PCR, Next Gene Sequencing) - we will be actively running ISH in the next couple months, have looked at the other technologies but have not made the move yet to bring those into the lab yet, but its on our radar. 3. Automation Semi to complete - automated HE, and immunostainers. 4. Barcoding - would love to barcode, its difficult in the research setting, software is available in the clinical setting but not for research, we have been looking for over a year on a system that would work in research. A good question to ask is, are we, as Histology professionals, positioned to make this change. Case in point, how many people are signed up and preparing for this transition at the NSH convention this year? Sent from my iPad On Sep 17, 2012, at 8:29 AM, Judy O'Rourke jorou...@allied360.com wrote: Hello... In Clinical Lab Products' just-released September issue, the article Changing Dynamics in Histotechnology addresses the challenges and trends you face daily. William DeSalvo, B.S., HTL(ASCP), chair, NSH Quality Control Committee, is quoted. Please share comments on CLP's Facebook page, where I've just posted the article: http://www.facebook.com/pages/Clinical-Lab-Products/56624886500#!/pages/Clin ical-Lab-Products/56624886500 Thank you! Judy JUDY O'ROURKE | Editor Clinical Lab Products 6100 Center Drive, Suite 1020, Los Angeles, CA 90045 office 619.659.1065 | fax 619.659.1065 jorou...@allied360.com
Re: [Histonet] Changing dynamics in histotechnology
they can and promoting getting more involved with the entire system. Tim Morken -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Monday, September 17, 2012 12:22 PM To: Judy O'Rourke Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Changing dynamics in histotechnology With mixed emotions I read this article, not because of its context or information, but rather the outlook for our future. I would like to pole on the histonet today, who is enter in: 1. Digital Pathology 2. Molecular Testing (ISH, PCR, Next Gene Sequencing) 3. Automation Semi to complete 4. Barcoding A good question to ask is, are we, as Histology professionals, positioned to make this change. Case in point, how many people are signed up and preparing for this transition at the NSH convention this year? Sent from my iPad On Sep 17, 2012, at 8:29 AM, Judy O'Rourke jorou...@allied360.com wrote: Hello... In Clinical Lab Products' just-released September issue, the article Changing Dynamics in Histotechnology addresses the challenges and trends you face daily. William DeSalvo, B.S., HTL(ASCP), chair, NSH Quality Control Committee, is quoted. Please share comments on CLP's Facebook page, where I've just posted the article: http://www.facebook.com/pages/Clinical-Lab-Products/56624886500#!/page s/Clin ical-Lab-Products/56624886500 Thank you! Judy JUDY O'ROURKE | Editor Clinical Lab Products 6100 Center Drive, Suite 1020, Los Angeles, CA 90045 office 619.659.1065 | fax 619.659.1065 jorou...@allied360.com | www.clpmag.com Follow us on Facebook, and follow me on Twitter at @editorCLPmag ___ 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 __ 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] Changing dynamics in histotechnology
Sorry hit the sent button,, but as for this we are going to be required to be even more accurate with the uses of our tools for diagnosis. As for the LIS,, we are still creating the same LIS to do the same process we currently have and not help us transform into this new world of technology and application Digital Pathology,, all I can say is that why are we trying to make this thing do what a microscope does,, I have yet to understand that thinking. It is not a microscope, because it offers more than it. But no one has taken a look at what is the histologys usage of this technology Sent from my iPad On Sep 17, 2012, at 2:12 PM, Jesus Ellin jel...@yumaregional.org wrote: Tim, I think basic histology is going to be manual,, but i see the explosion of technology sweeping our field. As Bill states it all about standardization,, but try getting the same H and E across the board,, thats not going to happen IHC will always we a bread and butter, but now since the government has limited the amoun t of IHC per patient, we are going to see a lot changes here. With only 4 IHC per patient Sent from my iPad On Sep 17, 2012, at 2:00 PM, Morken, Timothy timothy.mor...@ucsfmedctr.org wrote: Histology is going to have a huge manual component for a long time. Even though embedding has been automated to a certain extent it has not been accepted by many...yet. Automated sectioning is a long way off - and who would have the money to buy sectioning robots that could do as well as a human? Would it even be cost effective (and that IS the question!)? Much of this could be made much easier by proper application of grossing/processing/embedding procedures. But we can't even get pathologists to agree how long any particular tissue should be fixed - no matter what the literature says. Good luck standardizing grossing and tissue processing across a single large department, let alone the entire industry (though I know Bill has done wonders with this in his company). Simply due to that lack of standardization manual work will be with us for a LONG time since every block requires individual care and decision making by the person sectioning it. IHC is bread and butter to the lab now. ISH is coming along but still too rare to make much money off of it, if any at all. I don't think we do much more of it percentage wise than 20 years ago. The best IHC techs take interest in the cases, learn what the antibodies are for and pay attention to the staining they get (if they have time before the TAT deadline!). They do research on diseases and can converse with pathologist about the results. Molecular methods (ie, DNA/RNA, besides ISH) is quite different than histology. Completely different training required, though I have no doubt histotechs could do it, why would they hire a histotech when there are umpteen biochemists applying for every biology job advertised (including histology!!)? Digital pathology is still promising, just as it was 10 years ago, and will be promising 5 or 10 years from now unless a technology comes along to scan slides FAST - ie 10 seconds, not 5 minutes. Maybe someone will adapt the Lytro Light Field Camera to slide scanning. Seems a perfect match (google it!). Barcoding is on the way in. We are going to have a system by June 2013. But it is in the growing stage and there are lots of tradeoffs. The hardware has just become available in the last 5 years to make it reliable. Now the vendors have to get going. Some have with great systems - Ventana, possibly Leica, Omnitrax. The LIS vendors have fallen flat on their faces on this - totally missed the boat and ceded the specimen tracking space to histology and IHC vendors. Shows what happens when your company is too big and you don't pay attention to the possibilities. As recently as 3 years ago I had an LIS vendor technical person ask me what on earth I would use bar coding for in histology. I hope that guy has been fired by now for ignorance! Of course one huge disadvantage to having histology and IHC vendors providing barcoding/tracking systems is some want to limit your choices to their instruments. That is a big bugaboo right now. But I understand Clinical Chemistry is dealing with the same issue - instrument vendors forcing certain parameters on the lab. Training of histotechs is and always will be a problem. 95+% of histotechs are trained OJT. I think there is only one program on the west coast. So, for the most part forget formally trained techs (and those that are formally trained should make the most of it!). It is all dependent on individual initiative and the training skill of the lab managers they work for. NSH is doing a pretty good job - and I only say that because while the various meetings are great, only a small percentage attend. The vast majority of histotechs don't ever get outside training
Re: [Histonet] Changing dynamics in histotechnology
Go to CMS MUE's where only 4 IHC will be reimbursed for medicare patients,, granted you can add a modifier to justify usage, but you are not getting anymore money,, but this is been in place since last year and took into affect this year. Sent from my iPad On Sep 17, 2012, at 2:17 PM, Mike Pence mpe...@grhs.net wrote: Just to shed more light on one thing: can you direct me to where it states that you can only bill for 4 IHC per patient. I am not questioning what you are saying, just want more info on this subject. Thanks, Mike -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Monday, September 17, 2012 4:12 PM To: Morken, Timothy Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Changing dynamics in histotechnology Tim, I think basic histology is going to be manual,, but i see the explosion of technology sweeping our field. As Bill states it all about standardization,, but try getting the same H and E across the board,, thats not going to happen IHC will always we a bread and butter, but now since the government has limited the amoun t of IHC per patient, we are going to see a lot changes here. With only 4 IHC per patient Sent from my iPad On Sep 17, 2012, at 2:00 PM, Morken, Timothy timothy.mor...@ucsfmedctr.org wrote: Histology is going to have a huge manual component for a long time. Even though embedding has been automated to a certain extent it has not been accepted by many...yet. Automated sectioning is a long way off - and who would have the money to buy sectioning robots that could do as well as a human? Would it even be cost effective (and that IS the question!)? Much of this could be made much easier by proper application of grossing/processing/embedding procedures. But we can't even get pathologists to agree how long any particular tissue should be fixed - no matter what the literature says. Good luck standardizing grossing and tissue processing across a single large department, let alone the entire industry (though I know Bill has done wonders with this in his company). Simply due to that lack of standardization manual work will be with us for a LONG time since every block requires individual care and decision making by the person sectioning it. IHC is bread and butter to the lab now. ISH is coming along but still too rare to make much money off of it, if any at all. I don't think we do much more of it percentage wise than 20 years ago. The best IHC techs take interest in the cases, learn what the antibodies are for and pay attention to the staining they get (if they have time before the TAT deadline!). They do research on diseases and can converse with pathologist about the results. Molecular methods (ie, DNA/RNA, besides ISH) is quite different than histology. Completely different training required, though I have no doubt histotechs could do it, why would they hire a histotech when there are umpteen biochemists applying for every biology job advertised (including histology!!)? Digital pathology is still promising, just as it was 10 years ago, and will be promising 5 or 10 years from now unless a technology comes along to scan slides FAST - ie 10 seconds, not 5 minutes. Maybe someone will adapt the Lytro Light Field Camera to slide scanning. Seems a perfect match (google it!). Barcoding is on the way in. We are going to have a system by June 2013. But it is in the growing stage and there are lots of tradeoffs. The hardware has just become available in the last 5 years to make it reliable. Now the vendors have to get going. Some have with great systems - Ventana, possibly Leica, Omnitrax. The LIS vendors have fallen flat on their faces on this - totally missed the boat and ceded the specimen tracking space to histology and IHC vendors. Shows what happens when your company is too big and you don't pay attention to the possibilities. As recently as 3 years ago I had an LIS vendor technical person ask me what on earth I would use bar coding for in histology. I hope that guy has been fired by now for ignorance! Of course one huge disadvantage to having histology and IHC vendors providing barcoding/tracking systems is some want to limit your choices to their instruments. That is a big bugaboo right now. But I understand Clinical Chemistry is dealing with the same issue - instrument vendors forcing certain parameters on the lab. Training of histotechs is and always will be a problem. 95+% of histotechs are trained OJT. I think there is only one program on the west coast. So, for the most part forget formally trained techs (and those that are formally trained should make the most of it!). It is all dependent on individual initiative and the training skill of the lab managers they work for. NSH is doing a pretty good job
[Histonet] RE: Slide printing systems
Have you looked at the type of slides you are using? We have both instruments as we do have challenges with printing in the beginning , we now do not have issues -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mitchell, Janice A Sent: Wednesday, August 15, 2012 7:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Slide printing systems Good Morning, We currently are using Thermo-Fisher print-mate and slide-mate. I am not very happy with the printing of the slides. Some days I feel like spend most of my time re-writing and labeling printed slides. Then when the units are sent out for repair and it arrives back it is not a whole lot better. Before we get our new LIS system and our Docs will be scanning the bar code(that sometimes do not print) I need to find a better system. I will not be able to deal with how often my name will be called out when the scanning of the slides fail. I would like any input on other systems pros and cons that are currently being used in histology labs. I know no system will be perfect but something has to be better. Thanks, Janice Janice A. Mitchell, BS, HT(ASCP) Histology Lead Tech Children's Hospital of Philadelphia Anatomic Pathology and Laboratory Medicine 324 S. 34th Street Philadelphia, Pa 19104-4399 215-590-1738(lab) 267-426-7754(office) ___ 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] compatibility of Thermo slide printers with Leica cassette printer
We use both the Printmate and slidemate from Thermo. We also have used the Leica IPS for slides. The biggest thing to remember is when using these items is if you are passing them through your APLIS or the printers own proprietary software. Either was you are going to have to look at this with a critical eye. I would suggest using 2D barcodes for both items. 1D tend to increase as the data increases. But this hold true for all barcodes you place on either a slide or cassette. The main thing is the symobology you need in order to produce the barcode. There are several symoblogies out there to use. We currently use the Datamatrix one. This is all driven by either the APLIS or the database you are using. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morphisto GmbH Sent: Tuesday, May 29, 2012 11:14 PM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] compatibility of Thermo slide printers with Leica cassette printer Hello Sandy, we use a Leica Cassette and Slide Printer which are both connected to a database in which we organize all our specimens and print cassettes and slides, so it is not necessary to read the barcodes from cassettes to print them on the slides. However, there is of course not much space for barcode on the cassettes, but in most cases we can read the barcode with our smart phones. I do not know if the barcodes of Leica and Thermo are compatible. I think you have to use the same type of barcode in both machines, so that the other one can read it. Best regards Michael Am 29.05.2012 um 22:12 schrieb Harrison, Sandra C.: 1) Does anyone have a Leica Cassette Printer on which they are printing 2-Dimensional barcodes? 2) Is anyone using a Thermo slide printer, with bar code reader, to read cassettes printed off of a Leica Cassette Printer with 2-D bar codes? Thanks for your input. Sandy C. Harrison, HTL (ASCP) Histology Supervisor Minneapolis VA 612-467-2449 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet MORPHISTO Evolutionsforschung und Anwendung GmbH Weismüllerstr. 45 60314 Frankfurt am Main Telefon:069 / 400 3019 60 Telefax:069 / 989 72 1100 E-Mail: i...@morphisto.de Internet: http://www.morphisto.de/ Vertretungsberechtigter Geschäftsführer: Dr. Michael Gudo Registergericht: Amtsgericht Frankfurt Registernummer: HRB 74954 Umsatzsteuer-Identifikationsnummer gemäß § 27 a Umsatzsteuergesetz: DE243397199 Diese Nachricht ist ausschliesslich fuer den bezeichneten Adressaten oder dessen Vertreter bestimmt. Beachten Sie bitte, dass jede Form der unautorisierten Nutzung, Veroeffentlichung, Vervielfaeltigung oder Weitergabe des Inhaltes der Email nicht gestattet ist. Sollten Sie nicht der vorgesehene Adressat dieser Email oder dessen Vertreter sein, so bitten wir Sie, sich mit dem Absender der Email in Verbindung zu setzen und anschliessend diese Email und saemtliche Anhaenge zu loeschen. This message is exclusively for the person addressed or their representative. Any form of the unauthorized use, publication, reproduction, copying or disclosure of the content of this e-mail is not permitted. If you are not the intended recipient of this message and its contents, please notify this sender immediately and delete this message and all its attachments subsequently. ___ 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
[Histonet] RE: CAP
Have fun and good luck -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bernice Frederick Sent: Wednesday, May 30, 2012 7:16 AM To: Fellow HistoNetters Subject: [Histonet] CAP They're here! Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edumailto:b-freder...@northwestern.edu ___ 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] RE: CAP vs. CLIA
Bill I have to agree with you on this, but then again we have always been looked as a step children within the lab. What I see is word play here, Cyto tech and Med Tech (CLS) are to be credited with release of a result. But because there Tech ID number is on the result they are accountable for this. As we move forward in the computer age within Anatomic Pathology we are going to be seeing the same shift, but we need our professional societies, to start to transform our profession. I am talking about algorithm analysis, special stains, IHC, bio banking, etc. There are many decisions that make us more than just a point and push tech, for lack there of a better term. I do agree education is a barrier, but once again how did the CLS (Med Tech), Cyto tech evelove? I do recall when they were taught on the job or through military training, so to say they are better because of a degree is far from the truth. Many MANY tech these days are assets to our profession and as we move forward in the future they we need to look for ways to have properly credentialed and EXPERIANCED staff. I my self am witness to the lack of basic lab knowledge a new grads have, but we are also responsible because our clinical rotation programs are scares and we do not have time to train. The future is full of opportunity for all histology tech, educated and experience, we just need to move forward and have the healthy discussion and make the changes needed in order to establish our profession. From: WILLIAM DESALVO [mailto:wdesalvo@hotmail.com] Sent: Sunday, May 20, 2012 8:38 PM To: Jesus Ellin; Timothy Morken; histonet Subject: RE: [Histonet] RE: CAP vs. CLIA I seemed to have missed something or it might have been all the fresh sea air I got in Tampa at the FSH, but I do not understand the outrage expressed towards CLIA and CAP because we are not listed as testing personnel. I applaud everyone's passion for Histotechnology and the outrage that we are not allowed to fully participate in the test system model, but I think we should be directing more of our outrage to the individuals working in Histotechnology that are not and will not take responsibility to increase the professionalism of our profession and our own acceptance of the current state of Histotechnology. A TEST SYSTEM is the process that includes pre-analytic, analytic, and post-analytic steps used to produce a test result or set of results. As good as we are and as complex parts of the Histotechnology process may be, Histotechnicians, Histotechnologists and Pathology Assistants do not meet the standard stated and do not participate in the post-analytic phase, produce and release patient results. We simply are not able to be credentialed as is the Medical Technologists and Cytotechnologist. I am not saying any one laboratory professional group is better than the other, just that to be considered testing personnel, we must be properly credentialed. Collectively, we as a discipline, science and group should be working to upgrade our education requirements and training so that we can become fully invested partners with the Pathologist. We, not CAP or CLIA, must greatly increase our professionalism before we can truly be considered competent to work in the post-analytical phase. I cannot today accept that every working Histotechnician, Histotechnologist and Pathologist Assistant is able to produce the result and release. I am quite sure that every Medical Technologist and Cytotechnologist is capable and competent to produce and release a patient result. As things stand today, Histotechnology and all of us the working in this discipline are a support function to the one person in our discipline, the Pathologist, that is educated, trained, credentialed and competent to produce and release a patient result. I also believe there are many opportunities within our process available now, such as histochemical staining for organisms, that could allow us to participate in the post-analytic step. There will be many more as personalized medicine continues to transform Histotechnology. That said, how can we honestly promote our participation in the post-analytic phase, when there are far too many individuals (good, decent and hard working) that work every day, in every type and complexity of lab, that do not have a formal secondary education, have participated in defined clinical trials or have completed a certification exam (required and necessary credentials). Just think how many practitioners of Histotechnology are out there working today that are not properly credentialed. Now think if you know of any Medical Technologist or Cytotechnologist are working that do not have the required credentials. We have many obstacles to increasing the professionalism of Histotechnology; wide and varied backgrounds, lack of standards, lack of automation, lack of certification, but I do not think
[Histonet] RE: CAP vs. CLIA
I am going to have to go there,, sorry all I know I am going to stir-up a hornets nest, but here it goes, don't we think that this is done in lue of the fact that CAP are representing the Pathologist interest and not the interest of the Technicians. Times have changed and the CAP is asking for more and more from Anatomic Pathology questions every year, not only to include technical, but also instrumentation (simple and complex), as well as information systems, predictive markers, Digital Pathology ( a huge one), etc. I think the CAP need to re-evaluate this and re consider what high complexity testing is, because CLIA defines it not the CAP. Remember CAP enforces CLIA regulation as well as their own. I would challenge this. I feel the staff under me do more than turn a wheel, or place tissue in a mold. With Passion comes a need to start to create change, we need this done. Jesus Ellin HT/PA ASCP, BSBE,MSBE Yuma Regional Medical Center Anatomic Pathology Supervisor -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Thursday, May 17, 2012 7:05 AM To: 'Willis, Donna G.'; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA It was a CAP e alert dated April 2, 2012 Hazel Horn Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas Children's Hospital 1 Children's Way | Slot 820| Little Rock, AR 72202 501.364.4240 direct | 501.364.1302 office | 501.364.1241 fax hor...@archildrens.org archildrens.org 100 YEARS YOUNG! JOIN THE PARTY AT ach100.org -Original Message- From: Willis, Donna G. [mailto:donna.wil...@baylorhealth.edu] Sent: Thursday, May 17, 2012 8:42 AM To: Horn, Hazel V; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: RE: CAP vs. CLIA I have to say I disagree with this interpretation. The commentary in the 7/11/2011 checklists indicates that regulations apply to A laboratory must evaluate and document the competency of all testing personnel for each test system. A TEST SYSTEM is the process that includes pre-analytic, analytic, and post-analytic steps used to produce a test result or set of results. To me this includes both histology and pathology office staff. This is the opinion on myself and our compliance person. Hazel can you tell us where to find the CAP quote. Thanks, Donna Willis, HT/HTL (ASCP) Histology Lab Manager Baylor University Medical Center-Dallas ph. 214-820-2465 office ph. 214-725-6184 mobile donna.wil...@baylorhealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Thursday, May 17, 2012 7:26 AM To: 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA CAP does not consider us testing personnel. How they come by this is a mystery to me. In a recent memo from CAP it describes this: Why does CAP require the completion of the Laboratory Personnel Evaluation Roster form and when was this process implemented? As part of CAP's deemed status with CMS as an accrediting organization, CMS required CAP to implement a more stringent process to document that accredited laboratories have appropriately qualified personnel and adequate documentation of personnel qualifications. The Laboratory Personnel Evaluation Roster form requires laboratories to confirm that personnel files contain the information necessary for laboratories to be in compliance with the CLIA personnel qualification regulations and CAP Checklist requirements prior to the inspection. It is also used by the inspection team to assist in the auditing of the records during the inspection to confirm compliance with the Checklist requirements. The process of completing the personnel form took effect in August 2009. And goes on to say: Do I need to list histologists on the Laboratory Personnel Evaluation Roster? Typical histologist duties (e.g., fixation, embedding, microtomy, staining and cover slipping) are not considered testing. Therefore, it is not necessary to list these personnel on the roster. However, if the histologist is performing any part of the macroscopic tissue examination which is considered high complexity testing, it is necessary to list those personnel on the roster. Such personnel must provide documentation at minimum of an associate's degree/transcripts or high school diploma or equivalent for individuals performing grossing at the same laboratory prior to September 1, 1997. Hazel Horn Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas Children's Hospital 1 Children's Way | Slot 820| Little Rock, AR 72202 501.364.4240 direct | 501.364.1302 office | 501.364.1241 fax hor...@archildrens.org archildrens.org 100 YEARS YOUNG! JOIN THE PARTY AT ach100.org -Original Message
[Histonet] RE: CAP vs. CLIA
I completely agree with you on this. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Thursday, May 17, 2012 10:46 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA Jesus wrote: I think the CAP need to re-evaluate this and re consider what high complexity testing is, because CLIA defines it not the CAP. Remember CAP enforces CLIA regulation as well as their own. Certainly the regulations limit the high complexity designation to interpretation of procedure results, but that does not mean a facility does not need very highly trained and competent technologists to do the protocols that lead to good interpretation. It simply highlights the difference between running slides through protocols vs looking at the result and determining a diagnosis. I'm sure most here will see the difference. Remember that CAP is a simply a deemed agency of CLIA - that is, CMS (Centers for Medicare and Medicaid, which administers the CLIA regulations) delegates to CAP (and Joint Commission) the authority to accredit laboratories. CAP cannot make up new regulations, only enforce existing CLIA regulations. However, the CLIA regulations are by necessity very general so they can apply to any kind of laboratory operations, current or future. CAP has the leeway to look at what labs are doing and determine if the CLIA regulations apply to those tasks. However, CAP must submit their proposals to CMS/CLIA and CMS/CLIA must pass off on them before they are implemented. CAP checklists are far more complex than they were 20 years ago. But the histo lab is far more complex as well, and regulators (as well as the public) are looking much more closely at histology because of some major mistakes that have happened largely due to lack of rigor in testing validation and implementation. A lot of that has to do with small labs doing complex testing (interpretation) with methods they were/are not fully competent to do primarily due to lack of experience and expertise. While the accreditation process is getting more onerous, it is also forcing labs to be much more professional in their operations - always a good thing, I think. Tim Morken -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Willis, Donna G. Sent: Thursday, May 17, 2012 7:26 AM To: 'Jesus Ellin'; 'Horn, Hazel V'; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA Very well said Jesus. I agree. Donna Willis, HT/HTL (ASCP) Histology Lab Manager Baylor University Medical Center-Dallas ph. 214-820-2465 office ph. 214-725-6184 mobile donna.wil...@baylorhealth.edu -Original Message- From: Jesus Ellin [mailto:jel...@yumaregional.org] Sent: Thursday, May 17, 2012 9:24 AM To: 'Horn, Hazel V'; Willis, Donna G.; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: RE: CAP vs. CLIA I am going to have to go there,, sorry all I know I am going to stir-up a hornets nest, but here it goes, don't we think that this is done in lue of the fact that CAP are representing the Pathologist interest and not the interest of the Technicians. Times have changed and the CAP is asking for more and more from Anatomic Pathology questions every year, not only to include technical, but also instrumentation (simple and complex), as well as information systems, predictive markers, Digital Pathology ( a huge one), etc. I think the CAP need to re-evaluate this and re consider what high complexity testing is, because CLIA defines it not the CAP. Remember CAP enforces CLIA regulation as well as their own. I would challenge this. I feel the staff under me do more than turn a wheel, or place tissue in a mold. With Passion comes a need to start to create change, we need this done. Jesus Ellin HT/PA ASCP, BSBE,MSBE Yuma Regional Medical Center Anatomic Pathology Supervisor -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Thursday, May 17, 2012 7:05 AM To: 'Willis, Donna G.'; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: CAP vs. CLIA It was a CAP e alert dated April 2, 2012 Hazel Horn Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas Children's Hospital 1 Children's Way | Slot 820| Little Rock, AR 72202 501.364.4240 direct | 501.364.1302 office | 501.364.1241 fax hor...@archildrens.org archildrens.org 100 YEARS YOUNG! JOIN THE PARTY AT ach100.org -Original Message- From: Willis, Donna G. [mailto:donna.wil...@baylorhealth.edu] Sent: Thursday, May 17, 2012 8:42 AM To: Horn, Hazel V; 'Courtney Pierce' Cc: histonet@lists.utsouthwestern.edu Subject: RE: CAP vs. CLIA I have to say I disagree
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
I think this is just the beginning,, hold on to your pants Sent from my iPad On Apr 5, 2012, at 2:16 PM, Kim Donadio one_angel_sec...@yahoo.com wrote: http://www.mohscollege.org/president/AETNAletter.pdf Sent from my iPhone On Apr 5, 2012, at 5:09 PM, Kim Donadio one_angel_sec...@yahoo.com wrote: Hmm I found a letter regarding this. mohscollege.org/president/AETNAletter I must say the time restraint seems short but I am not surprised they are wanting it. With today's reimbursement rates and the economy we are in ins companies want to insure they get the highest quality of service for their dollars. I'm a little surprised they specifically want CAP though but nit that much. CLIA has deemed CAP authority to guide in the area of quality accreditation. No need to panic though. Remember. Times are changing and prosperity favors the ones who act upon knowledge :) Kim D Sent from my iPhone. On Apr 5, 2012, at 3:16 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] RE: NCCI policy update
Don't you think we havea hand in this reporting out this CPT code so much,, I would expect this to be bundled here soon in a DRG for pathology services,, that's where it is headed. Sent from my iPad On Dec 30, 2011, at 2:22 PM, histot...@imagesbyhopper.com histot...@imagesbyhopper.com wrote: Wow. What made them change their minds? There are many times when we stain different blocks of a single specimen and only one lights up. I, too, would be interested in an official document stating the change. Thanks! Michelle -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie Sent: Friday, December 30, 2011 3:07 PM To: Martha Ward-Pathology; Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] RE: NCCI policy update Where can I get the article to show my billing dept/pathologists? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martha Ward-Pathology Sent: Friday, December 30, 2011 1:13 PM To: Webb, Dorothy L; 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] RE: NCCI policy update Oh yes, we are very aware and quite upset at the change! Martha Ward, MT (ASCP) QIHC 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 Webb, Dorothy L Sent: Friday, December 30, 2011 1:33 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] NCCI policy update Is everyone aware that beginning 1/1/12, we can no longer bill for each block regarding IHC billing, only one unit of billing for each part type no matter how many blocks are stained? Also IHC cocktail stains, such as PIN4 must now be billed as one unit even though multiple antibodies are reported out. Kind of a surprising reversal of the policy set in motion 10/1/2009. SPECIMEN becomes the unit of service rather than block(s) for IHC codes 88342, 88360, and 88361. Happy New Year to everyone out there. May 2012 find you happiness and health! Dorothy Webb, HT Regions Histology TS 651-254-2962 This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ 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 - No virus found in this message. Checked by AVG - www.avg.com Version: 2012.0.1901 / Virus Database: 2109/4712 - Release Date: 12/30/11 ___ 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
[Histonet] RE: Tissue Cassette Printer Recommendations
I would look at Thermo, Leica and General Data printers . Jesus Ellin Yuma Regional Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rodriguez, Arnold Sent: Thursday, July 07, 2011 9:38 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Tissue Cassette Printer Recommendations Hello All, We are interested in purchasing a new cassette printer and I would sincerely appreciate any recommendations for this instrument. We are particularly looking for reliability, print speed, LIS connectivity and barcode technology. Thank you very much. Arnold Rodriguez, HT (ASCP) Supervisor, Anatomic Pathology Eisenhower Medical Center ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet DISCLAIMER: 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. __ 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
[Histonet] RE: Tissue Cassette Printer Recommendations
I do not have Vantage, so I cannot comment on that. But you have to take into account the environment and the scanning quality of the print. I would also look at space, location, downtime, workflow, even clarity of barcode meaning Datamatirx, ect. There are also issues with specific cassette colors and cassette surface texture playing a part in the scanning. -Original Message- From: Carol Bryant [mailto:cb...@lexclin.com] Sent: Thursday, July 07, 2011 9:55 AM To: 'Elizabeth Chlipala'; Jesus Ellin; 'Rodriguez, Arnold'; histonet@lists.utsouthwestern.edu Subject: RE: Tissue Cassette Printer Recommendations I am intersted in this info also. I would like to know what printers everyone are using with the Vantage system or a bar coding system. Thank you, Carol -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Elizabeth Chlipala Sent: Thursday, July 07, 2011 12:53 PM To: 'Jesus Ellin'; 'Rodriguez, Arnold'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Tissue Cassette Printer Recommendations I second Jesus's comments especially if you are moving towards bar coding. You will need a cassette printer that can print a high quality 2D bar code. Liz Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC Manager Premier Laboratory, LLC PO Box 18592 Boulder, CO 80308-1592 (303) 682-3949 office (303) 682-9060 fax (303) 881-0763 cell www.premierlab.com Ship to address: 1567 Skyway Drive, Unit E Longmont, CO 80504 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Thursday, July 07, 2011 10:49 AM To: 'Rodriguez, Arnold'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Tissue Cassette Printer Recommendations I would look at Thermo, Leica and General Data printers . Jesus Ellin Yuma Regional Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rodriguez, Arnold Sent: Thursday, July 07, 2011 9:38 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Tissue Cassette Printer Recommendations Hello All, We are interested in purchasing a new cassette printer and I would sincerely appreciate any recommendations for this instrument. We are particularly looking for reliability, print speed, LIS connectivity and barcode technology. Thank you very much. Arnold Rodriguez, HT (ASCP) Supervisor, Anatomic Pathology Eisenhower Medical Center ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet DISCLAIMER: 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. __ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet NOTICE OF CONFIDENTIALITY This message, including any attachments, is intended only for the sole use of the addressee and may contain confidential or privileged information that is protected by the State of Kentucky and/or Federal regulations. If you are not the intended recipient, do not read, copy, retain or disseminate this message or any attachment. If you have received this message in error, please call the sender immediately at (859)258-4000 and delete all copies of this message and any attachment. Any unauthorized review, use, disclosure, copying or distribution is strictly prohibited. Neither the transmission of this message or any attachment
RE: [Histonet] VENTANA ULTRA ER,PR,HER2
We will be going through this transition, here at Yuma Regional Medical Center.. Call me if you have questions Jesus Ellin 928-336-1743 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of barbara.cr...@lpnt.net Sent: Tuesday, June 28, 2011 7:54 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] VENTANA ULTRA ER,PR,HER2 We are investigating getting the Ventana Ultra. I discovered that the ER, PR, HER2 are not yet FDA approved. If you are using the Ventana Ultra how are you doing the ER, PR, HER2? Do you use the Benchmark XT? Is anyone using the INFORM HER2 Dual ISH DNA Probe Cocktail Assay? ANTOINETTE CRILL, E-mail: barbara.cr...@lpnt.netmailto:barbara.cr...@lpnt.net ___ 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] QC documentation
We currently use our LIS to support this issue,, the tech are able to go into the case and make comments about controls, staining, technical work etc. There are places for comment section, etc. I also use the LIS to document Fixation time for specimens. Multiple specimens are an issue, but we are able to document that as well. I then use the LIS to drill down the data and get me what I want. I still am using paper work, since the Pathologist needs to sign off. But the reports are attached and reviewed by the Pathologist. This also allows us to trend issues we are having within the Department. I like it a lot. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias Sent: Thursday, April 07, 2011 11:15 AM To: Webb, Dorothy L Cc: 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] QC documentation Dorothy, I'm only going to address what we are doing for IHC. We have a custom worksheet that is printed from the LIS for each patient. We were totally manual until 3 weeks ago when we went live with the Bond. We are still using our custom worksheet for the techs and pathologists. Boxes for them to check off and write comments. We just modified our IHC resulting tool and added fields for the pathologist to electronically record the QC. The manual QC paperwork gets returned to the lab and can be used for CAP and we can generate an electronic report also. Hopefully we'll get more paperless with time. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. On 4/7/2011 9:59 AM, Webb, Dorothy L wrote: How does everyone handle their QC documentation on special stains and IHC? We currently print out the run information from our stainer(s) and have the tech initial for her QC and the pathologist sign after they review the slides. I am hoping that someone has a way of doing this electronically. I hope to learn of a better way to save some trees!!! Thank you ahead of time! Dorothy Webb, HT Regions Histology Technical Specialist This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 ___ 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] CAP checklist, question ANP.23041.
Mark this is a new question and let me answer this for you from a inspection point of view. Currently there are 15 to 18 new questions that deal with predicative markers and the digital images, most of these are QA/QC related. But the issue with images is that your people are inspecting them. When you are looking at an image it is more than just click and go. There are technical issues of Tiling, focus with z stacking, AOI ( if the full image was captured), magnification, etc. This is just technical to images, but then there are the aspects that are to the histology world as in staining components, microtomy, fixation, etc. To say that they don't make a decision is a huge understatement. As far as I know CAP put this in because people were just scanning images and sending them off. There are also issues were the scanner scans for possible algorithm studies. You have to make sure this is inline. So as for the High complexity testing to what CLIA defines, that is a back and forth issue. Currently within our facility you have to be licensed HT/HTL to do scanning. This comes in line with the CAP looking at creating a QM program and having the technician/Technologist maintain competencies and assessments for this technology. There is also a competency and assessment due for the pathologist as well for this technology. I can go on and on, but you can contact me off line for this. Jesus Ellin Yuma Regional Medical Center 928-336-1743 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mark Turner Sent: Wednesday, March 16, 2011 4:36 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] CAP checklist, question ANP.23041. Regarding CAP checklist, question ANP.23041. The operation of the imaging system is performed by high-complexity testing personnel. We have a question regarding the qualifications of the operators. The operators of the Aperio system are simply scanning entire slides to make a record for us prior to returning slides to the client. Our operators make no evaluation of the image other than whether the scan is adequate for recording purposes, and this is verified by our medical staff prior to release of the materials. In your opinion, does this constitute high-complexity testing and require CLIA compliant qualifications for the operators? Mark Turner, Ph.D, HT(ASCP) QIHC IHC / Histology Manager CSI Laboratories 770-817-0817 x 394 678-205-4669 FAX mtur...@csilaboratories.com mailto:nmon...@csilaboratories.com csilaboratories.com https://csi-srv-007/exchweb/bin/redir.asp?URL=http://www.csi-labs.com/ 11525 Park Woods Circle Alpharetta, GA 30005 Important Warning: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this e-mail is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify us immediately and delete the related e-mail. ___ 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] Her2 Gastric cases
Mark can you send me the information as well, Thanks -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mark Tarango Sent: Friday, March 11, 2011 10:03 AM To: Coppin, Margaret Cc: Histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Her2 Gastric cases We do use the Ventana antibody for gastric cases. There is some difference in reading the slide for the pathologist. I'll send you an article on it in a seperate e-mail (so I can attach it). Mark On Fri, Mar 11, 2011 at 8:54 AM, Coppin, Margaret copp...@aruplab.comwrote: Hello, I am hoping someone can shed some light on whether or not Her2 4B5 (Ventana's antibody) is okay to run on gastric biopsies. We are getting some client requests for this and I wonder if I should re-direct them toward the Dako Hercep Test instead. Thank you. Margaret G. Coppin, HT(ASCP) Technical Supervisor--Immunohistochemistry ARUP Laboratories 500 Chipeta Way Salt Lake City, UT 84108 (801)583-2787 X3869 copp...@aruplab.com - -- The information transmitted by this e-mail and any included attachments are from ARUP Laboratories and are intended only for the recipient. The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws, or protected health information and is intended only for the use of the recipient. Unauthorized forwarding, printing, copying, distributing, or use of such information is strictly prohibited and may be unlawful. If you are not the intended recipient, please promptly delete this e-mail and notify the sender of the delivery error or you may call ARUP Laboratories Compliance Hot Line in Salt Lake City, Utah USA at (+1 (800) 522-2787 ext. 2100 ___ 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] Histology Workflow Solutions
Vendor's, whether we like it or not are going to monitor areas where we are expressing ideas and concerns. This cuts down on the need to do studies and customer data mining. I to think that vendors need to stay neutral, but the email clearly has a disclaimer,, so I think enough said on this one. -Original Message- From: Rathborne, Toni [mailto:trathbo...@somerset-healthcare.com] Sent: Monday, February 28, 2011 11:03 AM To: Mahoney,Janice A; Jesus Ellin; Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions I can say that I appreciated Michael's comments, but also think that he should have left his contact information and the company he represents off of the email. If anyone would have been interested in replying to him privately, they still could have done so. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]On Behalf Of Mahoney,Janice A Sent: Monday, February 28, 2011 12:56 PM To: 'Jesus Ellin'; Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions Histonet Users. Please help me understand something. I may be opening a big can of worms here but I'm confused. Why is it that Michael Mihalik is allowed to expound on the subject of workflow solutions when he is a competitor in that market? I'm not saying that some of his comments are not helpful but I thought this was a users forum? People usually freak out when a vendor tries to put comment on a competitors products, what is the difference here? I personally do not want to hear what he has to say here because he obviously has another agenda regardless of how it is disguised. I openly admit that I am a Ventana Vantage user and will stand by that system because I know it so well and know it's capabilities. The BIG difference is, I am a user, not a Vendor. Jan Omaha -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Monday, February 28, 2011 11:40 AM To: Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions Well put Michael!! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael Mihalik Sent: Monday, February 28, 2011 10:35 AM To: 'CHRISTIE GOWAN'; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions As many as you know this is a topic that is near and dear to my heart so I'd like to expound on this subject if you'll permit me. For those of you who already have solutions, or perhaps have more favored topics, please feel to move on to the next subject. First off, while I have some knowledge of both products, I am a user of neither. In fact I am a competitor of both, to some degree. Both products offer advantages and disadvantages. You really need to think about how they fit in your lab. When I say 'in your lab', I mean not only the histology area, but everyone, including the accessioning clerks, secretaries, pathologists, and even cytotechnologists. To me, one of the items that is more relevant to your situation is whether you want an integrated solution (IMPAC) or a standalone/interfaced solution. For instance, 1. How will information get into Vantage? Will it have to be manually accessioned/entered or will there be an interface? In the IMPAC solution this is a non issue. Also, keep in mind that there may be an interface cost from BOTH vendors should you decide an interface is in order. 2. How will information get OUT of Vantage or put another way, does the pathologist or secretary need to see information gathered/stored by Vantage? This may be resolved by another interface, but it may also be resolved by putting Vantage on more and more PCs. 3. Who is going to configure, manage and maintain Vantage? This is going to be a whole other computer system in your lab. Will your IT department support it, maintain it, administer it, etc. Who will understand and set up the files, etc.? You have the same issue with IMPAC, but I bet someone is already handling all these issues. 4. Can you use barcodes generated from Ventana on IMPAC? I don't know the answer to this question. It's not that each system can't read the barcode. It's a matter of whether IMPAC calls their slide, slide X and Vantage calls it 'y'. For instance, maybe IMPAC calls it case#.spnid.blockid.slideid and maybe Vantage calls it slideidNN. That means whenever the pathologist scans the slide at his IMPAC workstation, IMPAC won't recognize it. Perhaps this is not an issue, but I thought I would bring it up. 5. Management Reports: I know IMPAC supports Crystal
RE: [Histonet] Histology Workflow Solutions
I am coming from the stand point of an informed decision, there are a lot of other products out there other than a Vantage,, but it is the one with the most visibility currently. I do agree that Vendors do need to be neutral when giving perspective. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Monday, February 28, 2011 11:10 AM To: 'Rathborne, Toni'; Jesus Ellin; Michael Mihalik; CHRISTIEGOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions So you suggest that vendors pretend to be users by not stating who they are? I don't get it? I do not mean to be argumentative, I REALLY do not see how we are allowing this. Jan -Original Message- From: Rathborne, Toni [mailto:trathbo...@somerset-healthcare.com] Sent: Monday, February 28, 2011 12:03 PM To: Mahoney,Janice A; Jesus Ellin; Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions I can say that I appreciated Michael's comments, but also think that he should have left his contact information and the company he represents off of the email. If anyone would have been interested in replying to him privately, they still could have done so. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu]On Behalf Of Mahoney,Janice A Sent: Monday, February 28, 2011 12:56 PM To: 'Jesus Ellin'; Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions Histonet Users. Please help me understand something. I may be opening a big can of worms here but I'm confused. Why is it that Michael Mihalik is allowed to expound on the subject of workflow solutions when he is a competitor in that market? I'm not saying that some of his comments are not helpful but I thought this was a users forum? People usually freak out when a vendor tries to put comment on a competitors products, what is the difference here? I personally do not want to hear what he has to say here because he obviously has another agenda regardless of how it is disguised. I openly admit that I am a Ventana Vantage user and will stand by that system because I know it so well and know it's capabilities. The BIG difference is, I am a user, not a Vendor. Jan Omaha -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Monday, February 28, 2011 11:40 AM To: Michael Mihalik; CHRISTIE GOWAN; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions Well put Michael!! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael Mihalik Sent: Monday, February 28, 2011 10:35 AM To: 'CHRISTIE GOWAN'; dana.spen...@pcmh.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Histology Workflow Solutions As many as you know this is a topic that is near and dear to my heart so I'd like to expound on this subject if you'll permit me. For those of you who already have solutions, or perhaps have more favored topics, please feel to move on to the next subject. First off, while I have some knowledge of both products, I am a user of neither. In fact I am a competitor of both, to some degree. Both products offer advantages and disadvantages. You really need to think about how they fit in your lab. When I say 'in your lab', I mean not only the histology area, but everyone, including the accessioning clerks, secretaries, pathologists, and even cytotechnologists. To me, one of the items that is more relevant to your situation is whether you want an integrated solution (IMPAC) or a standalone/interfaced solution. For instance, 1. How will information get into Vantage? Will it have to be manually accessioned/entered or will there be an interface? In the IMPAC solution this is a non issue. Also, keep in mind that there may be an interface cost from BOTH vendors should you decide an interface is in order. 2. How will information get OUT of Vantage or put another way, does the pathologist or secretary need to see information gathered/stored by Vantage? This may be resolved by another interface, but it may also be resolved by putting Vantage on more and more PCs. 3. Who is going to configure, manage and maintain Vantage? This is going to be a whole other computer system in your lab. Will your IT department support it, maintain it, administer it, etc. Who will understand and set up the files, etc.? You have the same issue with IMPAC, but I bet someone is already handling all these issues. 4. Can you use barcodes generated from Ventana on IMPAC? I
RE: [Histonet] CAP
Akemi, were you inspected with the new CAP checklist or the old one? The situation in our lab is that we were given the checklist and then they changed us to the new format. Your thoughts -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Akemi Allison Sent: Wednesday, February 23, 2011 7:03 AM To: histonet Subject: [Histonet] CAP Lot's of Labs in LA are in their CAP window! We had our CAP inspection yesterday and having our summation this morning at 9:00. I think our department did pretty good. Keeping my fingers crossed. Akemi Allison BS, HT(ASCP)HTL ___ 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
[Histonet] Information Please
Wanting to get information on anyone that has already implemented Epic and offered the Epic ambulatory piece to there clients. Are you also offering this technology with interface to competitive laboratories like, Quest, Lab Corp, etc? __ 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
[Histonet] Re: CMS Postpones Deadline for Physician Signatures
Yes we received the update. But there is still questions about difference from electronic ordering CPOE vs review and verify correct entry before proccessing by a clinician. Even though it states that this does not address electronic orders. We feel that this can be a problem for the future. Sent via DROID one Verizon Wireless -Original message- From: WILLIAM DESALVO wdesalvo@hotmail.com To: trathbo...@somerset-healthcare.com, Jesus Ellin jel...@yumaregional.org, jwe...@sjha.org, histonet histonet@lists.utsouthwestern.edu Sent: Wed, Dec 22, 2010 15:44:34 GMT+00:00 Subject: CMS Postpones Deadline for Physician Signatures I have just received notice that the CMS requirement for Physician Signature Deadline of Jan 1, 2011 has been postponed. http://www.cms.gov/ClinicalLabFeeSched/ CMS has decided that in the first quarter of 2011 they will be developing educational and outreach materials to help educate all of us that are affected by the policy change. Looks like we have a little more time to figure this new process out. William DeSalvo, B.S., HTL(ASCP) From: wdesalvo@hotmail.com To: trathbo...@somerset-healthcare.com; jel...@yumaregional.org; jwe...@sjha.org; histonet@lists.utsouthwestern.edu Date: Fri, 17 Dec 2010 12:38:12 -0700 Subject: RE: [Histonet] Physician Signatures CC: 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
RE: [Histonet] CAP Question regarding procedure manual
Currently Victor we use to have the techs sign off on all the policies and procedures. As Bill stated this is a big pain. We are now all electonic and have gone live with I-Passport our document control software,, this has saved tons of time and effort. Electronic is the way to go especially for updates and new information. Users are notifed by email and it allows the supervisor to keep track of edits and much more. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO Sent: Wednesday, December 22, 2010 4:46 PM To: vic...@pathology.washington.edu; histonet Subject: RE: [Histonet] CAP Question regarding procedure manual You will need a signature for the manual and for each procedure that is implemented or amended during your cycle year. If your manual is very stable, a yearly signature page for the entire manual may suffice, but the inspector will note the date everyone signed the manual review page and then go through the manual to see if there are any implementation dates or procedure change dates after the manual review date. Each occurrence found one can be a deficiency. In my lab, it is not uncommon for new procedures to be written and implemented or existing procedures implemented during a cycle year and all these events require a signature by System Medical Director, Site Medical Director, Site Lab Director, System Technical Specialist (responsible for physically writing) and all employees affected. You must prove to CAP that all personnel know where the procedure manual is located, that they have reviewed the manual as a whole and that they have reviewed all additions implemented. We have employees sign each technical alert, procedure update/change and new procedures, along with a once a year review of all manuals. This type of signature trail is part of and right in line with quality management and document control. This process alone can be a daunting task and requires a lot or forethought. To better manage this process, we are moving to an electronic on-line, web based procedure manual with document control functions that tracks usage by employee and captures electronic signatures for each step of the creation, review and implementation process. Thankfully, this process is the responsibility of our Technical Specialist for Anatomic Pathology and our System Quality Department. William DeSalvo, B.S., HTL(ASCP) Date: Wed, 22 Dec 2010 15:16:37 -0800 From: vic...@pathology.washington.edu To: Histonet@lists.utsouthwestern.edu CC: Subject: [Histonet] CAP Question regarding procedure manual Is there a requirement to have a signature of every staff member on a procedure if they perform that procedure in a manual? Wouldn't one signature on a cover page suffice that you have read and understand what is in the manual? Victor -- Victor Tobias Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-598-2792 206-598-7659 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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
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 __ 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] Tissue Processor Advice
How are you meeting the hours of fixation requirement for Breast? With 2 and 4 and 8 hours,, But recently there are articles calling for Her 2 to be done on GI cases. Just want to know you insight on this? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher, Stephen Sent: Friday, October 22, 2010 2:12 PM To: caymanfl...@gmail.com; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Tissue Processor Advice We are using the Peloris with a 2 hr, 4 hr and 8 hr protocol. We run 2 hour protocols throughout the day with an average of 4-5 runs per day depending on specimen volume. We really like this processor. We have had them for 10 months now, are using factory protocols and have not had any specimens that have been either under or over processed. The techs and the pathologists are very pleased with it. Steve -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of caymanfl...@gmail.com Sent: Friday, October 22, 2010 4:17 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Tissue Processor Advice We are in need of some advice regarding rapid tissue processors. Models we are considering: Sakura Xpress Leica Peloris Thermo STP 420 It seems none of these models are perfect in every respect. I'm interested in anyone's opinions of these processors and your experience with them. All input is appreciated! ___ 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] RE: New Cap Guidelines for Her2 and ER/PR
OK I usually do not like to chime in on this, but here I go. How can a true validation of a specific target be obtained if the wiggle room is 6 to 48 hr, or 8 to 72 hr. Where is the precision and accuracy on the results for this testing if you are going to be varying process for the weekend vs weekday? This is the flaw in the guidelines in my perspective, when this much time is allowed it is like anything else. We are going to go the path of least resistance to change, instead of what is right. I know that as techs we always want the best, but are pushed to produce next day. Techs for years have been saying more fixation is needed on tissue. Well enough of that. What we do is we hold at 12 hours of fixation for all specimens no matter what? We document ischemic cold time through our LIS, to include time placed in formalin, and time of first cut. We feel that all specimens need the same fixation times. This is imperative to standardize the process, but once again we also have our processors set up in such a way that they come off at different times and our production of H an E is in sync with this. It might sound like a lot, but we get most of our work done around 96 to 97 % of cases within 24 hours or less using conventional processing techniques. With the future relying more and more on, patient centered care, through personalized medicine, we need to really look on how we can do the optimal requirements, not do the minimal requirements to reach our goals. Jesus Ellin -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kuhnla, Melissa Sent: Wednesday, October 13, 2010 7:45 AM To: Phyllis Thaxton; Mahoney,Janice A; Mike Pence; Joyce Cline; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR For the weekend, we have our processor set for 36 hours in formalin and then a hold in 70%. This allows for complete fixation and cuts down on prolonged time in 70% From: Phyllis Thaxton [mailto:dch...@yahoo.com] Sent: Wednesday, October 13, 2010 10:32 AM To: Kuhnla, Melissa; Mahoney,Janice A; Mike Pence; Joyce Cline; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR We run a weekend (Friday til Monday AM) breast run where the tissues are in 10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete processing on Monday morning. So far no problems. Phyllis Thaxton HT(ASCP)QIHC DCH Regional Medical Center Tuscaloosa, AL From: Kuhnla, Melissa melissa.kuh...@chsli.org To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; histonet@lists.utsouthwestern.edu Sent: Tue, October 12, 2010 12:02:32 PM Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR I disagree. Prolonged formalin fixation (over 48 hrs), diminishes signals -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Tuesday, October 12, 2010 12:05 PM To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR Formalin fixation time does not impact the results of FISH as it does IHC. Jan M Omaha -Original Message- From: Mike Pence [mailto:mpe...@grhs.net] Sent: Tuesday, October 12, 2010 11:00 AM To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR I don't think it matters if you do Her2 by FISH or IHC the time is still 48hr. I hope I am wrong, but I don't think I am. Mike -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Tuesday, October 12, 2010 10:25 AM To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR We have decided to reflex to FISH those breasts that do not fall within the recommended formalin fixation time. We do work on Saturdays so it is only the rare 3 day weekends that this comes into play. Jan M Omaha -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce Cline Sent: Tuesday, October 12, 2010 10:10 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR Does anyone have any experience with storing formalin fixed breast tissue in 70% before processing? I am trying to comply with the new guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and since my lab does not operate on the weekend we have been well above the 48 hour recommended formalin fixation time. Does 70% affect
RE: [Histonet] Quality Assurance for Histology
We have a place in out LIS that the Pathologist can choose and document everything, then we run a report that tabulates and give us the values and solutions. One thing I am seeing here is that we also need to address the solution. A lot of people that I have inspected do great with marking the issues, but solutions and tracking they do not do well. Jesus Ellin -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench, Bill Sent: Monday, October 11, 2010 9:02 AM To: Podawiltz, Thomas; Rene J Buesa; histonet@lists.utsouthwestern.edu; Laurie Colbert Subject: RE: [Histonet] Quality Assurance for Histology Why would you want to have the pathologists fill out a QA sheet for a function you have already performed (and should document). This would seem to be a meaningless exercise (ie, waste of time) for the pathologist. 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 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, Thomas Sent: Monday, October 11, 2010 8:28 AM To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Laurie Colbert Subject: RE: [Histonet] Quality Assurance for Histology I actually randomly review the slides before they are sent to the Pathologist any slide with incomplete sections, chatter or other major defects get re-cut at that time. Since doing this complaints from the Pathologist disappeared about the quality of the slides they were getting. They get the QA form with the last book of slides for the day. They fill it out then give it back to me. Works well for us. I do know this will not work for others, but it works for us. Tom -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Monday, October 11, 2010 11:21 AM To: histonet@lists.utsouthwestern.edu; Laurie Colbert Subject: Re: [Histonet] Quality Assurance for Histology After many different forms and many efforts to make the pathologists to provide feed back about the quality of the sections and procedures, this is what I finished doing: to ask the pathologists to simply separate the slides they considered of poor quality and those unacceptable for diagnoses. It was then my job to define the problem and to addressed it with the histotech who made the slide, to determine the re-training or any other administrative action deemed necessary. After I did that I started to receive slides while before seldom any pathologist was willing to use any time to evaluate the slides. In all reality they are quite busy to take time to fill forms that, in any event, I also had to review, re-evaluate and discuss with the histotech. This procedure worked very well for me and the quality of the work was improved considerably, as well as the rejections diminished. Try this approach. René J. --- On Mon, 10/11/10, Laurie Colbert laurie.colb...@huntingtonhospital.com wrote: From: Laurie Colbert laurie.colb...@huntingtonhospital.com Subject: [Histonet] Quality Assurance for Histology To: histonet@lists.utsouthwestern.edu Date: Monday, October 11, 2010, 11:08 AM I am revising our daily QA sheet that we hand out to the pathologists with the HE's in the morning. I would like to gather some ideas from other sites. Does anyone have a form/chart that they would be willing to share with me? Laurie Colbert Huntington Hospital Pasadena CA ___ 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. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not the intended recipient, you may not print,distribute, or copy this message or any attachments. If you have received this communication in error, please notify the sender by return e-mail and delete this message and any attachments from your computer. Any views or opinions expressed are solely those of the author and do not necessarily represent those of LRGHealthcare. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet [None] made the following annotations - Confidential E-Mail: This e-mail is intended only for the person or entity to which
RE: [Histonet] RE: LIS systems
We have used PowerPath here and it works great for us. It also depends on what you want to accomplish with the LIS. This is very important to look at this aspect and define what your goals are, costs, and future functionality. The smaller system will be able to customize well, while the larger systems are pretty much set in there ways. If I had to pick top 3 it would be PowerPath, Pathview, and Pathlogic. The larger systems have issues and unless if you are part of an enterprise system that requires you to be one vendor, I would keep my mind open. But ask these systems about workflow and how they are going to meet the role of the new future of QA and QC within the AP Laboratory. They are so pathologist centric and they forget about the other aspects of the AP lab to include cytology, molecular, grossing, etc. Jesus Ellin HT/PA ASCP BSBE Anatomic Pathology Supervisor Department of Pathology Information Systems Yuma Regional Medical Center Yuma,AZ jel...@yumaregional.org 928-336-1743 928-336-7319 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias Sent: Tuesday, August 31, 2010 7:30 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] RE: LIS systems We have used PowerPath since 1999 and have made so many custom changes that we probably can't ever leave. If I were looking today I would consider http://www.pathview.com/. Victor Victor Tobias Clinical Applications Analyst University of Washington Medical Center Dept of Pathology Room BB220 1959 NE Pacific Seattle, WA 98195 vic...@pathology.washington.edu 206-598-2792 206-598-7659 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. On 8/31/2010 7:23 AM, Blazek, Linda wrote: I've never used Meditech so I don't know what the down side is to that system. I have used PowerPath and it was a great system but if you want a system that has most of what PowerPath has but not the enormous cost you may want to look at Pathlogix. http://www.pathlogix.com/ I use it now and like it. It does have some glitch things but they are not major and there is a simple workaround for them. Linda Blazek HT (ASCP) Manager/Supervisor GI Pathology of Dayton Digestive Specialists, Inc 7415 Brandt Pike Huber Heights, OH 45424 Phone: (937) 396-2623 Email: lbla...@digestivespecialists.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mitchell, Janice A Sent: Tuesday, August 31, 2010 9:43 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] LIS systems Good Morning, We are looking for new LIS system. Right now there are two options, a system for all of Clinical Labs AP or a new system for just AP. Right now we use Meditech. Any advice on which systems work best for AP. I know each system will have some flaw since nothing is perfect but, anything has got to be better than Meditech. Thanks, Janice Janice A. Mitchell, BS, HT(ASCP) Assistant Histology Supervisor Children's Hospital of Philadelphia Anatomic Pathology and Laboratory Medicine 324 S. 34th Street Philadelphia, Pa 19104-4399 215-590-1738(lab) 267-426-7754(office) ___ 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
RE: [Histonet] decontamination of cryostat
Bill and company This is a very difficult, there are times were decontamination is needed immediately depending on the outcome of the frozen or there is scheduled maintenance that needs to occur with the decontamination as well. The UV light is not sufficient enough to call this decontamination. CAP has stated that it needs a specific reagent used in this decontamination procedure. My Chair was upset by this statement from the College and called them to ask for clarification. The main purpose is documented and scheduled times of decontamination is what we received back from the College. Of course there are circumstances when a case presents itself, action needs to be taken and documented. I would say is look at creating a scheduled decontamination that is appropriate for you facility. We have elected for a monthly Decontamination of cryostats, this is based on usage and history. This is documented and the appropriate solution is used during decontamination. This is done during the normally work day since we have two cryostats. This usually takes 3 days to do right, but some facilities might not be able to do this. Jesus Ellin Yuma Regional Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench, Bill Sent: Wednesday, July 21, 2010 8:36 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] decontamination of cryostat I would suggest that if you are a CAP certified lab that you read the appropriate section in the current LAP standards list. The note associated with the standard is pretty specifiic. I believe that if you use the cryostat daily, you need to decontaminate once a week, but i don't have the standard available. 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 [None] made the following annotations - NOTICE: This email message 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, please contact the sender by reply email and destroy all copies of the original message. This message has been content scanned by the Axway MailGate. MailGate uses policy enforcement to scan for known viruses, spam, undesirable content and malicious code. For more information on Axway products please visit www.axway.com. - ___ 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] decontamination of cryostat
We use the Lysol Brand IC and Envirocide. We switch off every other month to prevent resistance to the cleaner that is being used within the instrument. Jesus Ellin Yuma Regional Medical Center 928-336-1743 -Original Message- From: anni...@gmail.com [mailto:anni...@gmail.com] Sent: Wednesday, July 21, 2010 9:24 AM To: Jesus Ellin; histonet-boun...@lists.utsouthwestern.edu; Tench, Bill; Histonet Subject: Re: [Histonet] decontamination of cryostat If I may ask, what do you contaminate with when doing a full meltdown defrost clean up after a suspect TB or hep B pos case? Formalin? Some proprietary decontaminant? AnnieinArabia Empower your Business with BlackBerry(r) and Mobile Solutions from Etisalat -Original Message- From: Jesus Ellin jel...@yumaregional.org Sender: histonet-boun...@lists.utsouthwestern.edu Date: Wed, 21 Jul 2010 09:01:19 To: Tench, Billbill.te...@pph.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] decontamination of cryostat Bill and company This is a very difficult, there are times were decontamination is needed immediately depending on the outcome of the frozen or there is scheduled maintenance that needs to occur with the decontamination as well. The UV light is not sufficient enough to call this decontamination. CAP has stated that it needs a specific reagent used in this decontamination procedure. My Chair was upset by this statement from the College and called them to ask for clarification. The main purpose is documented and scheduled times of decontamination is what we received back from the College. Of course there are circumstances when a case presents itself, action needs to be taken and documented. I would say is look at creating a scheduled decontamination that is appropriate for you facility. We have elected for a monthly Decontamination of cryostats, this is based on usage and history. This is documented and the appropriate solution is used during decontamination. This is done during the normally work day since we have two cryostats. This usually takes 3 days to do right, but some facilities might not be able to do this. Jesus Ellin Yuma Regional Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench, Bill Sent: Wednesday, July 21, 2010 8:36 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] decontamination of cryostat I would suggest that if you are a CAP certified lab that you read the appropriate section in the current LAP standards list. The note associated with the standard is pretty specifiic. I believe that if you use the cryostat daily, you need to decontaminate once a week, but i don't have the standard available. 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 [None] made the following annotations - NOTICE: This email message 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, please contact the sender by reply email and destroy all copies of the original message. This message has been content scanned by the Axway MailGate. MailGate uses policy enforcement to scan for known viruses, spam, undesirable content and malicious code. For more information on Axway products please visit www.axway.com. - ___ 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 __ 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
RE: [Histonet] New CAP question ANP.22760
I have been reading the post to this question and it seems to me that there are different standards depending on the lab that is operating the methodology. I do agree that the core lab for years have had the instruction and training in the performance of validation. One thing that comes to mind as well is why has histology not had this training? Why are we not getting this from our certification agency, our professional societies and biggest reason where is our standardization. It seems to me that with all these regualtions in plac for so long, why were we missed. Is it because when inspected through CAP we are being inspected by a pathologist rather than a histo tech? These are some of the questions at hand. I to see new standards within the CAP checklist as well as other regulatory organizations that will affect the future of the Anatomic Pathology community. But I think we need is to provide a underlying architecture for our peers, so that we can begin the transition to the future. This is only the beginning, there is still Digital Image Analysis and Telepathology. It funny we are looking to become a hybrid of radiology and the core lab, but with the best of both worlds. Tim great structure for the validation study. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu on behalf of Morken, Tim Sent: Wed 6/23/2010 9:48 AM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] New CAP question ANP.22760 Joe, You wrote : The folks in the 'clinical' lab have been performing more comprehensive and complex validation procedures for a very long time ... Those were my thoughts exactly. While the person replying may or may not have specific histology experience she will have clinical lab experience (however, my guess is that she is exposed to histology regularly at CAP). Clinical labs have a bit of an easier time, actually, because they validate primarily to known concentration controls - analytical controls manufactured at a range of known concentrations for instance. The institution then adds in their normal controls for validation. As far as the current question about validating a new lot of reagent the best practice is to run parallel tests on the same machine. If that is not easily possible on a particular manufacturer's instrument then the question should be asked of them: Why not? If this is a requirement the manufacturer should provide an easy path to meeting the requirement. However, if that is not the case then the institution simply writes a procedure to get around the inadequacies of the instrument (Maybe the vendor can help with that). Then follow the procedure. That should satisfy inspectors. An ...appropriate panel of tissues... is whatever the institution deems appropriate for the given antibody or reagent. This is a perfect place for tissue arrays. You can make your own or buy them. IHC must meet CLIA validation guidelines but since IHC is generally qualitative the requirements must be understood and methods adapted to a qualitative scenario. Several IHC and Histotechnology books discuss the subject at length (Taylor, Dabbs, Bancroft for instance). Below is a brief overview of how to do that. (for more in-depth info this was covered in an NSH teleconference I gave last year - PowerPoint, audio and references available from NSH-, and will be covered in a similar workshop at NSH in Seattle this year). 1) CAP General Validation CAP GEN.42020-42163 Test Method Validation Follows CLIA CFR Sec 493.1253 Does not apply well to IHC (IHC is usually qualitative) But the general principle applies: The laboratory must have data on each test's accuracy, precision, analytic sensitivity, interferences and reportable range. Unmodified FDA-cleared or approved tests: the lab may use manufacturer information or published reports but lab must verify outside data. Non-FDA cleared: Lab MUST verify or establish analytic accuracy, precision, sensitivity, specificity and reportable range. 2) Validation includes: Accuracy: Compare results with New antibody to a previously validated antibody on the same tissues Precision: Test samples with varying antigen expression Intra-run, Inter-run tests, 10 slides each (reproducibility) Sensitivity: True Positive vs False Negative (higher % FN = less sensitive) Interferences [Specificity]: True Negative vs False Positive (Higher % FP = less specific) Delineate what could interfere to give a false positive or false negative result. Reportable Range Establish a scoring system Provide the definition of a positive result 3)Sensitivity Analytic Sensitivity: Lowest amount of substance detectable by the test Can only be done with controls of known concentration Diagnostic Sensitivity: Ability of the test to determine true diagnostic positive verses false negative (higher % FN = less
RE: [Histonet] Antibody Validation
There are other issue that you have to take into consideration with both instruments, With digital image analysis you also have to look at the questions that CAP just instituted for this. This includes the machine being run by someone that can do high complexity testing. This means that you have to have a tech do this machine, not a TA or Lab aid. There are also issue with consistent calibration of the Image analysis machines, continued education of the techs, and validating not only anitbodies but continued validation of the image algorythms.. Do not listen to vendors, rely on your instinct and validate. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org __ 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] Antibody Validation - long response
Well said Elizabeth Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Liz Chlipala Sent: Tuesday, June 15, 2010 9:01 AM To: Rene J Buesa; histo...@pathology.swmed.edu; teri.hall...@midmichigan.org Subject: RE: [Histonet] Antibody Validation - long response Bottom line it's not the vendors responsibility to validate their equipment or antibodies in your lab. Some vendors may help you do this, but ultimately the lab needs to validate the equipment and IHC in their lab. The vendors normally calibrate the equipment prior to shipment and once they set the instrument up in your lab, they should be able to provide you with the documentation that states that they calibrated the instrument. Your instruments need to be calibrated prior to being validated. As far as your scanner goes some vendors can provide validation, but it's at a cost and that cost is not cheap depending upon what you actually want validated. If you are using the scanner and associated algorithms for analysis then you need to validate that separately. There are several steps required to validate a scanner - 1. you validate the scanner 2. if you are using a database to store your images then that also may need to be validated and 3. if you are using algorithms that provide you with data then those algorithms need to be validated. For example prior to running a validation protocol on a tissue processor its needs to be calibrated for temperature. All of your major equipment needs to be on a calibration schedule. We calibrate all of our instruments once a year and validation is completed only once unless we change the instrument location or how we use the instrument. Pipettors are calibrated every 6 months. All instruments are validated it may just be a one pager for the basic lab equipment but instruments like the tissue processor, slide staining, IHC stainer and scanner require written protocols some of these are 80 pages in length and go into great detail. The same goes for your antibodies. Antibodies are validated initially with 25 tissue samples (10 strongly positive tissues, 10 moderate to weakly positive tissues and 5 tissues that have no reactivity) This type of validation is required for routine antibodies, prognostic markers such as Her-2, ER and PR require additional tissue samples. New lots require 3 tissue samples one strongly positive on moderate to weakly positive and one negative. If you change the antibody source or detection system or retrieval it needs to be validated again - This information comes from the paper Standarization of Immunohistochemistry from CAP its available on line - I have a copy if you need it. There are also new guidelines for ER/PR and a new article on validation of ER/PR in the June issue of Archives of pathology from CAP. Liz Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC Manager Premier Laboratory, LLC PO Box 18592 Boulder, Colorado 80308 office (303) 682-3949 fax (303) 682-9060 www.premierlab.com Ship to Address: 1567 Skyway Drive, Unit E Longmont, Colorado 80504 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, June 15, 2010 8:50 AM To: histo...@pathology.swmed.edu; teri.hall...@midmichigan.org Subject: Re: [Histonet] Antibody Validation Teri: You are right about the validations you propose although I am not surprised that your vendor does not think it is necessary. They are in the business of selling and you are in the business of assuring the high quality of your work to obtaining the most accurate work for patients' sake. There is where the difference resides. Ignore your vendor and keep validating your protocols. René J. --- On Tue, 6/15/10, teri.hall...@midmichigan.org teri.hall...@midmichigan.org wrote: From: teri.hall...@midmichigan.org teri.hall...@midmichigan.org Subject: [Histonet] Antibody Validation To: histo...@pathology.swmed.edu Date: Tuesday, June 15, 2010, 7:55 AM I am being questioned by our vendor as to why we need to validate our automated immunostainer and image analysis instrument. They would like documentation pertaining to the requirement of validation and the number of specimens utilized for validation. I am requesting that each antibody be validated on the instrument against a previously validated instrument. Additionally, I am requesting that each new lot of antibody be validated upon receipt against previously ran specimens. This would also apply to the image analysis antibodies. (Her2 has been validated by FISH.) The vendor has apparently polled users in the area and
RE: [Histonet] Barcoding and Tracking Information
There are several systems that are out there. But I am glad to see that you are wanting to interface with the LIS. That is a key step. But I would look at all of them and come up with a pretty good RFP process for selection. Make sure also they are live with at least 3 to 4 sites with the interface. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blake Taylor Sent: Monday, May 03, 2010 6:43 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Barcoding and Tracking Information Does anyone currently use an automated barcoding and tracking system that interfaces with CoPath-Sunquest?? If so can you please tell me which company you are using? Thanks so much Blake Taylor Section Supervisor Dept. of Pathology Lexington Medical Center 803-936-8214 bcdu...@lexhealth.org __ PRIVILEGED AND CONFIDENTIAL: This electronic message and any attachments are confidential property of the sender. The information is intended only for the use of the person to whom it was addressed. Any other interception, copying, accessing, or disclosure of this message is prohibited. The sender takes no responsibility for any unauthorized reliance on this message. If you have received this message in error, please immediately notify the sender and purge the message you received. Do not forward this message without permission. ___ 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] (no subject)
I would look at this very carefully, especially in light of the new regulation that were just released by the CAP on ER and PR. But that is up to each individual lab Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Urim, Lyudmila Sent: Monday, April 26, 2010 8:10 AM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] (no subject) Hi, I am looking into purchasing a microwave tissue processor. I would be interested to hear from people who has had experience with microwave tissue processing. And what brands would you recommend? Thanks a lot, Lucy ___ 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] Leica Peloris
Please answer this we are looking at buying one next year! Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence Sent: Thursday, April 15, 2010 11:58 AM To: Davis, Michael J; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Leica Peloris We use the Peloris and have had no big problems with it. Certainly not that affect our stain, however, we do not use it xylene-free. Her may lay the problem. I think the FDA question should be answered by someone from Leica. Mike -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davis, Michael J Sent: Thursday, April 15, 2010 1:33 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Leica Peloris Moving into a new lab and have tested several processors. Need some info on the peloris. Good and Bad. We demoed the machine for about 2 months and had an issue with our biopsy tissue staining too light (HE). We could not get this problem resolved - we were running our tissue thru the xylene free process. Also any truth to the rumor that I heard today thay the FDA has placed a hold on this machine? Michael J Davis, HT (ASCP) Histology Lancaster General Hospital 555 N Duke St Lancaster, PA 17601 Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of 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, please contact the sender by reply e-mail and destroy all copies of the original message. ___ 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] Communication when pathologist are not in sameareaas lab
I agree with Janice processes need to be defined and then look at the right technology to implement. This is were LIS plays a key role. But I would warn you that the LIS company needs to be forward thinking and open to ingtergration with vendors. Just my thoughts. Michael Mihalik m...@pathview.com wrote: Thank you for heading in that direction. The 'right' LIS makes a BIG difference. 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 Mahoney,Janice A Sent: Wednesday, April 14, 2010 2:47 PM To: 'malbena...@gmail.com'; Scott, Allison D Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Communication when pathologist are not in same area as lab With the right LIS and standard work you may never have to or get to, depending on your perspective, speak with a Pathologist again. Jan Omaha -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Malika Benatti Sent: Wednesday, April 14, 2010 2:38 PM To: Scott, Allison D Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Communication when pathologist are not in same area as lab Well our 5 pathologists, advance practitioner and SPR are just across the way from us, until last July all request were made personally by pathologist to staff and if there were any query with regard to the request made it was sorted then and then and it was pretty straight forward. But the good all days of face to face communication changed when we started to get requests via email, although a good idea, in principle, requests via email are not without pitfalls and therefore face to face communication between lab staff and pathologist is still necessary. say email request can be problematic as very often request. On Wed, Apr 14, 2010 at 4:09 PM, Scott, Allison D allison_sc...@hchd.tmc.edu wrote: Hello to all in histoland. What are you doing to minimize the communication breakdown, when the pathologist are not housed in the lab. We will be moving to a new lab and the pathologist will not be in the new bldg with us. They will be in the old building next door. Are you relying upon email and phone interactions. My directors concern is how will this effect the flow of information, especially when they are used to face to face interactions. Allison Scott HT(ASCP) LBJ Hospital 5656 Kelley Houston, Texas 77026 CONFIDENTIALITY NOTICE: If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail and any attachments from your computer system. To the extent the information in this e-mail and any attachments contain protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), PL 104-191; 45 CFR Parts 160 and 164; or Chapter 181, Texas Health and Safety Code, it is confidential and/or privileged. This e-mail may also be confidential and/or privileged under Texas law. The e-mail is for the use of only the individual or entity named above. If you are not the intended recipient, or any authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments is strictly prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Smile it confuses people ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Sponsored by Catholic Health Initiatives and Immanuel Health Systems, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person. The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening. Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list
RE: [Histonet] (no subject)
I have to agree Vantage is an excellent system, just make sure that other basis are covered, interfacing, future instrumentation costs and also bi directional interfacing with LIS. These are costly -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mahoney,Janice A Sent: Wednesday, April 07, 2010 10:21 AM To: 'Santiago, Albert'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] (no subject) In my opinion Ventana's Vantage is miles ahead of anyone else. We've had the system for over a year and love it. My techs would not want to work without it. It is much more than a tracking system, you will be amazed at the information Vantage can give you. Very user friendly and takes very little space. Jan Mahoney Omaha, NE -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Santiago, Albert Sent: Wednesday, April 07, 2010 11:57 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] (no subject) Hello fellow histonetters, we're in the process of researching bar coding/specimen tracking system for our lab and I was wondering if anyone had any recommendation of any particular system and/or vendor that I should look into. Thank you Albert Santiago, HT(ASCP) Laboratory Manager Dermatopathology 215-662-6759/6539-office 215-662-6150-fax Sponsored by Catholic Health Initiatives and Immanuel Health Systems, Alegent Health is faithful to the healing ministry of Jesus Christ, providing high quality care for the body, mind and spirit of every person. The information contained in this communication, including attachments, is confidential and private and intended only for the use of the addressees. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you received this communication in error, please inform us of the erroneous delivery by return e-mail message from your computer. Additionally, although all attachments have been scanned at the source for viruses, the recipient should check any attachments for the presence of viruses before opening. Alegent Health accepts no liability for any damage caused by any virus transmitted by this e-mail. Thank you for your cooperation. ___ 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] Thermo Slide and Cassette printers
We have the Printmate coming on board and have used the slide mate. The Printmate is excellent, the slide mate is good but if you have it connected to LIS there is lag time. Also take into consideration that the barcodes have to be read and that traditional scrapping does hinder this. You will need to look at getting a hot plate for the blocks so that the read is clear, clean and concise. Also the color will play in issue. AS mike said there are different vendors out there, but for me for space and accuracy, since every histology labs has space, I would go with looking at thermo or General Data. If you have any questions feel free to give me a call. Jesus Ellin HT/PA ASCP Yuma Regional Medical Center 928-336-1743 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael Mihalik Sent: Thursday, March 18, 2010 8:48 AM To: 'Sharon.Davis-Devine'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Thermo Slide and Cassette printers Hi Sharon, We're an LIS vendor working with a client that just purchased 6 of these. They're 30 days away from go live, but we've played with them for a bit. If you or anyone else is curious about what our experiences have been, feel free to email me. We also trialed cassette labelers from several other companies before our client selected these labelers. 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 Sharon.Davis-Devine Sent: Thursday, March 18, 2010 10:30 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Thermo Slide and Cassette printers Does anyone out there in Histo land have any experience with the new Thermo Scientific PrintMate and SlideMate system? Or do any of you have another system similar to this that you have experience with? We are looking into some of these systems to help reduce errors and make our laboratory more lean. I would appreciate any and all opinions and advice. Thank you. Sharon Davis-Devine, CT (ASCP) Cytology-Histology Supervisor Carle Foundation Hospital Laboratory and Pathology Services 611 West Park Street Urbana, Illinois 61801 217-383-3572 sharon.davis-dev...@carle.com ___ 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] Block patient IDs
In the latest CAP inspection list that we were handed, block and slides are said to have two perminant identifiers. There are alot of new items in this checklist that raise questions. This raises the question if there are alot of labs out of compliance? There are also new questions that pertain to fna samples at the bedside, etc. Also those doing digital imaging there are about 15 new questions from calibration to personal able to do the testing. There are new revisions on how we should be validating antibodies. What we are seeing is a paradigm shift in quality management. This is the biggest thing that I see, but what we are not seeing the resources that need to be deployed for this type of shift. Any takers on this. I acctually gave a presentation on this for the Arizona Society of Histology last November in Tucson. Jesus Ellin HT/PA ASCP Yuma Regional Medical Center 928-336-1144 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu on behalf of hymclab Sent: Fri 3/12/2010 10:08 AM To: 'Nails, Felton'; 'Anne van Binsbergen'; histonet-requ...@lists.utsouthwestern.edu; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Block patient IDs It refers to the original container the specimen came to you in. The block is considered a secondary container, therefore, two identifiers are not required. Dawn -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [https://connect.yumaregional.org/CitrixFEI/composemessage.asp?to=histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton Sent: Friday, March 12, 2010 9:55 AM To: 'Anne van Binsbergen'; histonet-requ...@lists.utsouthwestern.edu; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Block patient IDs It is my understand that the two patient identifier applies to the completed slide not the block. You can verify this by looking at the CAP Checklist for anatomical pathology -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [https://connect.yumaregional.org/CitrixFEI/composemessage.asp?to=histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Anne van Binsbergen Sent: Friday, March 12, 2010 9:42 AM To: histonet-requ...@lists.utsouthwestern.edu; histonet@lists.utsouthwestern.edu Subject: [Histonet] Block patient IDs A question for all you CAP fundis: how many patient Identifiers are needed on each paraffin block We currently just write the unique, LIS generated number on the block face, but have recently been advised that CAP and JCIA require not one, but TWO patient IDS on the block Comments please -- Anne van Binsbergen (Hope) Abu Dhabi UAE ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination, or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail from your computer system. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation. ___ 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
RE: [Histonet] New cryostat decontamination CAP statndard
To me the key word in here is interval. If a regularly scheduled interval is set, this could be daily , weekly, monthly or quarterly. Obviously there are going to be the times when a contaminant is there and the machine has to be brought down, but also I do not see the mention of the UV light. We have a Leica that has an internal UV button. This is pressed everyday as well as normal daily maintenance. Once a month our cryostat is brought down for decontamination. This is part of the normal maintenance. I agree that is the CAP wants this to happen, it needs to be clearly defined within the question and not up to interpretation. Jesus Ellin HT/PA ASCP -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence Sent: Tuesday, February 23, 2010 8:18 AM To: Pamela Marcum; Jeffrey Silverman Cc: histonet@lists.utsouthwestern.edu; Jeffrey Silverman Subject: RE: [Histonet] New cryostat decontamination CAP statndard The way I read this is if I don't use my cryostat 7 days a week, 365 days a year, then I don't use it daily and therefore I will set my own routine decontamination schedule. Mike -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pamela Marcum Sent: Tuesday, February 23, 2010 9:06 AM To: Jeffrey Silverman Cc: histonet@lists.utsouthwestern.edu; Jeffrey Silverman Subject: Re: [Histonet] New cryostat decontamination CAP statndard Thank you Jeffery. I am not sure how we get to CAP on this however; it makes no sense for a really busy lab unless they want to give us enough cryostats to make up for the problem this will cause. Is this something NSH might decide to help with? It may be time to bombard them (CAP) with questions and report the issues it will cause with patient care. None of us want to use a contaminated cryostat but we also know how to decontaminate without being in danger and stopping surgery for frozens . Pam Marcum UAMS - Anatomic Pathology - Original Message - From: Jeffrey Silverman JSilverman @ NSHS . edu To: histonet @lists. utsouthwestern . edu Cc: Jeffrey Silverman JSilverman @ NSHS . edu Sent: Tuesday, February 23, 2010 8:23:39 AM GMT -06:00 US/Canada Central Subject: [ Histonet ] New cryostat decontamination CAP statndard Here is the new standard for cryostat decontamination. No references are given documenting or supporting the need for this onerous and cumbersome weekly requirement. I suggest we lobby the CAP and demand both documentation supporting the need for weekly defrosting or, better, a more user friendly and sensible standard. Jeff Silverman **REVISED** 06/15/2009 ANP .12087 Phase II N/A YES NO Is there a documented procedure for the routine decontamination of the cryostat at defined intervals, and are decontamination records evident? NOTE: The cryostat must be defrosted and decontaminated with a tuberculocidal disinfectant at an interval appropriate for the institution; this must be weekly for instruments used daily. Trimmings and sections of tissue that accumulate inside the cryostat must be removed during decontamination. Although not a requirement, steel mesh gloves should be worn when changing knife blades. - The information contained in this electronic e-mail transmission and any attachments are intended only for the use of the individual or entity to whom or to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering this communication to the intended recipient, you are hereby notified that any dissemination, distribution, copying or disclosure of this communication and any attachment is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by telephone and electronic mail, and delete the original communication and any attachment from any computer, server or other electronic recording or storage device or medium. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client, physician-patient or other privilege. Thank you. ___ 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] Ventana ULTRA Immuno Stainer
Excellent stainer, but you need to look at your process to help facilitate the technology. if you have nay questions you can reach me. Jesus Ellin Yuma Regional Medical Center 928-336-1144 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu on behalf of Gomez, Milton Sent: Thu 9/10/2009 7:35 PM To: Histonet Subject: [Histonet] Ventana ULTRA Immuno Stainer Dear Histonetters, Is anyone out there using the Ventana ULTRA Immuno Stainer? What is your experience with them? What are the advantages, disadvantages, pros and cons? Thank you very much in advance? Milton A. Gomez, HTL (ASCP) Technical Supervisor Immunohistochemistry Department ARUP Laboratories, Inc. 500 Chipeta Way Salt Lake City, UT 84108-1221 Desk Phone: 801-583-2787, ext.3869 Lab. Phone: 801-584-5257/5242 Fax: 801-584-5217 E-mail: milton.go...@aruplab.com https://connect.yumaregional.org/CitrixFEI/composemessage.asp?to=milton.go...@aruplab.com Web: www.aruplab.com http://www.aruplab.com/ - -- The information transmitted by this e-mail and any included attachments are from ARUP Laboratories and are intended only for the recipient. The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws, or protected health information and is intended only for the use of the recipient. Unauthorized forwarding, printing, copying, distributing, or use of such information is strictly prohibited and may be unlawful. If you are not the intended recipient, please promptly delete this e-mail and notify the sender of the delivery error or you may call ARUP Laboratories Compliance Hot Line in Salt Lake City, Utah USA at (+1 (800) 522-2787 ext. 2100 ___ 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] ABT systems
There are several ones that are out there, Ventana-vantage, Dako-TPID, Cerner's solution, There is also Omintrax, but the majority of the solutions are primarly barcode with some tracking feature.. I would ask you if you have an LIS to communicate see if they would interface to a third party vendor,, this usually costs extra. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Donna Millard Sent: Tuesday, August 25, 2009 1:20 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] ABT systems Hello, We are investigating purchasing an Automated Bar Code and Tracking System. So far we're looking at Ventana's Vantage system, and Cerner CoPath's system. Is anyone aware of other systems out there? We're not looking for just the bar-coding, we also want the tracking features. Thanks Donna Millard, B.S. Histology Supervisor Physicians Reference Laboratory, LLC 7800 W. 110th Street Overland Park, KS 66210 Direct: 913-339-0485 Fax: 913-319-4156 CONFIDENTIALITY NOTICE This message and any included attachments are from Physicians Reference Laboratory, LLC and are intended only for the addressee.The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call PRL's corporate offices in Overland Park, Kansas, U.S.A at (913)338-4070. ___ 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] Information Systems: Specimen Tracking MiddleWare
I do agree that computers are tools that are indeed an asset to anatomic path laboratories. Michael I applaud you for your efforts in getting the staff and engaging them. This is the basis of my entire theory, in order to create efficiencies within histology that there are 3 distinct area of the process Histology, Transcription, and Pathologist. Unlike the clinical laboratory we are not a straight test result type of methodology, rather a fair straight forward process that has inter-connected components. Those components have for so long relied o the fact of internal checks and balances, but with the explosion that has happened within AP in the last 10-15 years we are seeing those checks and balances begin to have cracks and stress points. I would applaud anyone that takes advance courses in anything, but I would caution an IT person looking at Anatomic Pathology that does not have the clinical background that is necessary to see the cracks and stress points. I use PowerPath as my LIS and as the University of Washington our facility has made strides in stream lining and innovation with our LIS,, but I am open to help anyone that is looking to get information on this subject. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: jel...@yumaregional.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver Sent: Friday, March 27, 2009 2:48 AM To: m...@pathview.com; Histonet Subject: RE: [Histonet] Information Systems: Specimen Tracking MiddleWare Yes, I do agree, that is why I call it a tool for people to use. I think that it is a stereotype to think that histologists are not experienced or knowledgable about computers. There are some histologists who have had a fairly good introduction to computer systems, how computers work, what they can and cannot do, software, applications, interfaces, databases, and have worked with 5 or more LIS systems, barcodes etc. Though admittedly, in my experience this is a rarity. Most of what I have learned about computers, I have gotten from formal classes, but I also have used this knowledge in other arenas, and wish I could use it more in my job. I am just not fortunate enough to have been given the opportunity to have much influence on the processes, or the computer systems. I think that many who have been promoted into management simply also accept this stereotype that histologists know only technical information, and so we are not consulted, though we do the work everyday.I wish that you could come to our lab and educate those who have been given this authority! I would love to have a computer geek come to our lab and inform us of what is available to help us to our jobs better. Joelle Weaver HTL (ASCP) From: m...@pathview.com To: joellewea...@hotmail.com; jel...@yumaregional.org; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Information Systems: Specimen Tracking MiddleWare Date: Thu, 26 Mar 2009 18:14:21 -0500 People are always at the forefront. Someone has to build that new tool, or come up with some new process or whatever. That's why before we do any installation of our software, we spend what probably amounts to 100 to 200 hours interviewing and watching each clerk, PA, histotech, secretary, cytotech, and pathologist and THEN we propose how we would install and tailor our software. By the way, at the end of that analysis, people are usually pretty tired of hearing me ask 'why do you do that', but guess what -- you are way, way more likely to get 'buy in' from the staff. That tech you spoke to at 3 a.m. remembers that some computer geek took the time and effort and asked them how they would do things better. ...but let me address a real world issue. I am not versed in the technologies of many aspects of the AP/Cytology department (you'll never hear me speak on subjects of which stainer is better for instance), but I do know a few things about work flow and computerization. I like to illustrate via example, so let's try this one: In the real world, a histotechnologist may have only worked in let's say 3 or 4different labs in their life, and perhaps only 1 or 2 different computer systems. With that background, how are they supposed to know what's possible or not possible to do with computer technology. Personally, I think it's the job of the LIS vendor to work TOGETHER with the histotechnologist and other department personnel to come up with better solutions. In this example, each side has knowledge and experience that needs to be conveyed to the other. When that communication occurs, magic happens. Barcodes are not the magic. It's how you use those barcodes in your work flow. It's always about the people.
[Histonet] Error question
Was wanting to know how people handle accession errors within the pathology information system,, to elaborate on this, is when a person receives in the specimen with a requisition and they have to do data entry into the system. What is allowable?, what is the percent error rate?, how are people dealing with errors? How are you dealing with personnel?? This is becoming an issue and I wanted to survey people out there how they are handling this issue,? Any help would greatly be appreciated. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 * Office: (928) 336-1743 *Fax: (928) 336-7319 *Email: [EMAIL PROTECTED] 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
[Histonet] Antibody protocol
Needing some help with the staining protocol for HSA (Hepatocyte Specific Antigen) clone OCH1E5, made by Cell marquee to be ran on the Ventana LT/Benchmark platform.. Would anyone be willing to share protocol information with us, as well as staining methodology. Thank you for the help. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: [EMAIL PROTECTED] 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] HT grossing specimens
$1.00 dollar per hour Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: [EMAIL PROTECTED] -Original Message- From: Tom McNemar [mailto:[EMAIL PROTECTED] Sent: Friday, October 17, 2008 10:13 AM To: Jesus Ellin; Weems, Joyce; Snyder, Wendy; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] HT grossing specimens Is that $1 per specimen or $1 per hour? Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 [EMAIL PROTECTED] www.LMHealth.org -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Jesus Ellin Sent: Friday, October 17, 2008 11:38 AM To: Jesus Ellin; Weems, Joyce; Snyder, Wendy; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] HT grossing specimens But did not finish answering the question, there is a augmentation of pay depending on years of experience and specimen type,, most of these specimens are GI or Prostate so we give a $1.00 augmentation,, but most of the time the PA do the gross and the Pathologist still like doing the large specimens or complex ones. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: [EMAIL PROTECTED] -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jesus Ellin Sent: Friday, October 17, 2008 8:35 AM To: Weems, Joyce; Snyder, Wendy; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] HT grossing specimens Just for everyone's FYI if you are Processing specimen's under CAP regulation, but you are collecting from Medicare, The Medicare regulation is completely different and if audited by Medicare can be subject to huge fines for not meeting the requirement.. Help me out on this one Charles E. Jesus A Ellin HT/PA ASCP Department of Pathology/Histology Yuma Regional Medical Center 2400 South Ave A Yuma, AZ 85364 - 7170 ( Office: (928) 336-1743 (Fax: (928) 336-7319 *Email: [EMAIL PROTECTED] -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Weems, Joyce Sent: Friday, October 17, 2008 8:30 AM To: Snyder, Wendy; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] HT grossing specimens Just part of the gross room position here.. But it is called Processing according to the latest CAP check list... Joyce -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Snyder, Wendy Sent: Friday, October 17, 2008 11:25 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] HT grossing specimens I am looking for HT and or MLT/MT's grossing small specimens. If so, are you getting a difference in your salary/hourly wage for this added responsibility. Thanks, Wendy Snyder, HT(ASCP), MT(AMT), MLT(ASCP) Lead Histology Technician United Hospital Center (304) 624-2652 [EMAIL PROTECTED] ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Confidentiality Notice: This email, 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 reply to the sender that you have received the message in error, then delete this message. ___ 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 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
RE: [Histonet] Waste on Benchmark XT
I am surprised that ,, and also Ventana has not informed you of a way to neutralize the waste.. I know that they have the protocols you might want to get intouch with them about this.. and also follow your facilites regulatory guidlines,, Jesus Ellin HT/PA ASCP -Original Message- From: [EMAIL PROTECTED] on behalf of Laurie Colbert Sent: Tue 10/7/2008 7:19 AM To: Senn, Amy R; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Waste on Benchmark XT We have the same hazardous waste company that picks up our formalin, alcohol, xylene waste pick up all of the waste from the Benchmarks. Laurie Colbert -Original Message- From: [EMAIL PROTECTED] [https://connect.yumaregional.org/CitrixFEI/[EMAIL PROTECTED] On Behalf Of Senn, Amy R Sent: Tuesday, October 07, 2008 5:34 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Waste on Benchmark XT From: Senn, Amy R Sent: Tuesday, October 07, 2008 8:33 AM To: Senn, Amy R Subject: Hello Histoland, We have a Benchmark XT. The sales rep told us it was ok to dump the waste down the drain. THEN we were told that the waste is hazardous and actually causes mutant changes in lab animals. (wow, I could turn into Rogue or Storm! My luck, I'd be Beast or Toad . . . . .) Anyway, can I get some feedback from you guys about how you dispose of the waste from the Benchmark XT? We had someone here to test it, but we're still waiting for results. Thanks! Amy, Camp Hill PA Confidentiality Disclaimer: The information contained in this communication may be confidential, is intended for the use of the recipient named above, and may be legally privileged.If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication, or any of its contents, is strictly prohibited. If you received this communication in error, please resend this communication to the sender and delete the original message and any copy of it from your computer system. Thank You ___ 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
