[Histonet] CAP checklist question
Good morning fellow histonetters! I was wondering if anyone in VA would know the laws in reference to checklist question ANP. 10016 in regards to the exclusion of submission of tissue and removal of objects for Pathology examination? CAP gave an example where California Department of Health Care Services requires all tissues and objects removed during surgery to be submitted for Pathology examination, unless a specific request is submitted to the state requestinga variance. Any insight would be greatly appreciated. Vanessa Keeton ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] CAP Checklist Question
Amy Self, Histology Lab Senior Tech, Tidelands Georgetown Memorial Hospital in Georgetown SC asks: >>I am going through the CAP checklist and was wondering how the following question below is being handled by everyone that gets inspected by CAP. ANP.12360 Report Completeness: Surgical pathology reports for specimens with malignant diagnosis from definitive cancer resections are outlined in the CAP Cancer Protocols are audited annually to ensure that all required elements are included.<< Your hospital should have some sort of cancer registry that's doing this, and your pathologist probably gets occasional requests to amplify reports. Ask your pathologists about this. Do you have an anatomic pathology application that generates CAP templates automatically? There are a number of these, such as mTuitive, which I've used successfully. Bob Richmond Samurai Pathologist Maryville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] CAP Checklist Question
Histonetters, I am going through the CAP checklist and was wondering how the following question below is being handled by everyone that gets inspected by CAP. ANP.12360 Report Completeness Surgical pathology reports for specimens with malignant diagnosis from definitive cancer resections are outlined in the CAP Cancer Protocols are audited annually to ensure that all required elements are included. Thanks in advance for your help, Amy Self Histology Lab Senior Tech Lab Tidelands Georgetown Memorial Hospital 606 Black River Road Georgetown, SC 29440 843-520-8711 as...@tidelandshealth.org NOTE: The information contained in this message may be privileged, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to this message and deleting it from your computer. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] CAP checklist question
Hi gang.. I am working on a self-inspection CAP checklist and came across the following: ANP.23120 Tissue Processor Tissue processing schedules are validated. Note: New tissue processing schedules must be validated against the standard laboratory processing schedule. Evidence of compliance: Written procedure for validation of new tissue processing schedules AND WC records documenting validation What do you all make of this?? We have not had any new processing schedules introduced into our lab in years. So, I really don't know how to proceed on this one. Any insite will be greatly appreciated. Valerie A. Hannen, MLT(ASCP),HTL,SU(FL) Histology Section Chief Parrish Medical Center 951 N. Washington Ave. Titusville, Florida 32976 Phone:(321) 268-6333 ext. 7506 Fax: (321) 268-6149 valerie.han...@parrishmed.com =This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you =___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] CAP checklist, question ANP.23041.
Just to clear the record, I do qualify for high-complexity testing, My doctorate is in another field, and I am very proud of my accomplishments in both areas of interest. Thanks for all the private emails and constructive remarks regarding this question. They have been very helpful. The consensus seems to be that there is no consensus Mark Turner, HT(ASCP) QIHC -Original Message- From: Horn, Hazel V [mailto:hor...@archildrens.org] Sent: Thursday, March 17, 2011 3:23 PM To: 'Mark Tarango'; Mark Turner Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] CAP checklist, question ANP.23041. A bit catty? Hazel Horn Hazel Horn, HT/HTL (ASCP) Supervisor of Autopsy/Histology/Transcription Arkansas Children's Hospital 1 Children's WaySlot 820 Little Rock, AR 72202 phone 501.364.4240 fax501.364.3155 visit us on the web at:www.archildrens.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mark Tarango Sent: Wednesday, March 16, 2011 8:03 PM To: Mark Turner Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] CAP checklist, question ANP.23041. Well I wouldn't try and use a Ph.D. in religous studies to qualify for high complexity testing... On Wed, Mar 16, 2011 at 4:36 PM, Mark Turner mtur...@csilaboratories.comwrote: 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[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
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] CAP checklist, question ANP.23041.
Well I wouldn't try and use a Ph.D. in religous studies to qualify for high complexity testing... On Wed, Mar 16, 2011 at 4:36 PM, Mark Turner mtur...@csilaboratories.comwrote: 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Cap checklist question
NO,NO,NO, CAP does not call grossing tissue, processing tissue. CAP has made two categories or specimens- Processing and grossing. ANP.11600 1. Processing is defined as a tissue examination limited to description, inking and cutting of the specimen (if applicable), and submission of the entire specimen to histology. Tissue processing can be performed according to standardized protocols. Processing is generally limited to small specimens (skin, small biopsies, curettings, etc.) and does not require knowledge of anatomy. 2. Grossing (or gross examination) is defined as a tissue examination requiring a greater exercise of judgment and a knowledge of anatomy. Dissection of the specimen and selection of tissue samples for submission to histology are generally required. The specimen description is not necessarily standardized. CAP goes on to require grossing be done by a pathologist or pathologist resident or other individuals qualifying as high complexity testing personnel under CLIA 88 regulations. The written procedures asked about in ANP.11665 apply only to processing as defined by CAP when being done by non-pathologist individuals who are not qualified as high complexity testing personnel under CLIA 88. Charles Embrey, PA(ASCP) -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce Cline Sent: Tuesday, February 03, 2009 12:21 PM To: Histonet Subject: RE: [Histonet] Cap checklist question ANP.11665 refers to a non PA or non pathologist grossing tissue. CAP calls grossing tissue processing specimens. There has to be a manual with all grossing techniques such as Ackermans' Pathology or a manual made at the site. ANP.22990 deals with performing FISH ISH, there should be tech samples that can be ordered from CAP, I would check the web site. But if you do not perform FISH or ISH, the question is N/A. +++ -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D Sent: Monday, February 02, 2009 5:44 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Cap checklist question I have a question concerning CAP checklist question ANP.11665. Are . there written procedures for processing specimens. Is this referring to tech's or to residents that are grossing. We only have pathology residents grossing and taking care of specimens. What are predictive markers, this refers to ANP.22990. This is a new checklist question. Any help would be greatly appreciated. Allison Scott HT(ASCP) Histology Supervisor LBJ Hospital 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 * CONFIDENTIALITY NOTICE * This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. ___ 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
