[Histonet] high complexity testing
What is the general opinion of the level of complexity for the Mohs tech assisting in a procedure. This includes the embedding, cutting and staining of the samples only. NOt the inking and marking of margins. Thank you Mary F Benoit, MT(ASCP) The Pathology Laboratory Lake Charles, LA ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] High Complexity testing
Does anyone know where to find the High complexity testing requirements for CAP? We're about to apply for CAP accreditation and want to make sure the person working in our lab grossing has the requirements. Thanks! ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] High Complexity Testing
I would just like to thank everyone for all of your comments regarding the high complexity testing issue. I obviously opened a can of worms on that one! I think I understand it a little better now as I have come to the following conclusion: Although CAP requires strict guidelines and documentation regarding optimization, validation, controls, lot testing and storage (all of which are done by a tech.), the end result is the reading of the slide by a pathologist, who gets the credit for the high complexity testing. All of our hard work that provides the slide to him/her is considered a high complexity "task" or specimen processing. If any of you are asked this question in the future I think you will all have a better understanding of how to answer. I'm most grateful for the input. Thanks again. Sheila ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] High Complexity Testing
Completely agree with you Glen. However, do take exception to the initial comment on this thread about "a machine does all the work". The "machine does all the work" comment is very telling about what this pathologist (or group of pathologists) knows and does not know about running IHC. If the "machine does all the work" what do you need the IHC staff for? To me, that's like saying when a pathologist using image analysis, that the "machine does all the work". Granted you're going to have people with various skill sets and knowledge of histochemical processes, but comments (and attitudes) like that are degrading in nature. If the "machine does all the work" why doesn't this pathologist go to the nearest McDonald's and recruit from they're application files? Just trying to make a point here and tip my hat to everyone working diligently and intelligently even though you may have a "machine doing all the work". Tom Jasper -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen Sent: Tuesday, February 08, 2011 10:40 AM Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing Alright, if IHC is not high complexity testing, CAP should cut that massive part of their inspection in half and concentrate more on the pathologists' ability to accurately interpret the staining. Too much CAP regulation, Proficiency Testing & validation requirements involved if all IHC is is part of "Processing". My Opinion, Glen A. Dawson Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Tuesday, February 08, 2011 12:17 PM To: Whitaker, Bonnie Cc: Horn, Hazel V; Goins, Tresa; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] High Complexity Testing I should not have included CLIA in my e-mail as it would seem it has clouded things a little. I do apologize. Initially when these issues and guidelines came about CLIA and CAP dovetailed as far as Histology was concerned. Shelia you were looking for contacts that would help you with getting a more solid base to meet these regulations. If you go to the CAP website and click on the IHC link you will find links and publications to assist you. I would recommend that you contact the Applied Immunohistochemistry society as well. NSH or your state/regional society may also have additional information. Should I see something else in my searches I will most willingly forwarded them to you. Vikki On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie wrote: > Hi All, > > There is a difference in performing a task (immunostaining) that is > complex, and performing "high complexity testing" as the CLIA regulations > govern. > > Yes, staining is a complex task, and it requires knowlegable techs to > ensure that it is properly done, and to troubleshoot difficulties when > necessary. > > It is "high complexity testing" because "testing personnel" in anatomic > pathology are pathologists (and the non-physician people performing gross > examinations, who must meet "high complexity testing personnel" > requirements. > > "Testing personnel" as defined by CLIA, are the people that report results > of that test, not people who perform other related duties. > > That's my explanation of the whole mess. > > Bonnie Whitaker > AP Operations Director > Ohio State University Medical Center > Department of Pathology > 614.293.5048 > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; > Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > I must disagree with this assessment of what makes a test complex. If the > test is done properly [the responsibility of the technologist] then the > reading to the test is a visual determination that requires experience on > the part of the pathologist, but if the test is not done properly, will the > pathologist be able to tell the technologist what to do to fix the problem? > > Where's the Tylenol? > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing >
Re: [Histonet] High Complexity Testing
I was devastated to learn that IHC is not considered High Complexity Testing. I agree with Bonnie that we do not report results, therefore, IHC is not considered high complexity testing. Sad but true. Somebody pass the Scotch. I'm way past Tylenol JTT - Original Message - From: "Whitaker, Bonnie" To: "'Goins, Tresa'" ; "Horn, Hazel V" ; "'Rene J Buesa'" ; ; "Sheila Fonner" Sent: Tuesday, February 08, 2011 11:43 AM Subject: RE: [Histonet] High Complexity Testing Hi All, There is a difference in performing a task (immunostaining) that is complex, and performing "high complexity testing" as the CLIA regulations govern. Yes, staining is a complex task, and it requires knowlegable techs to ensure that it is properly done, and to troubleshoot difficulties when necessary. It is "high complexity testing" because "testing personnel" in anatomic pathology are pathologists (and the non-physician people performing gross examinations, who must meet "high complexity testing personnel" requirements. "Testing personnel" as defined by CLIA, are the people that report results of that test, not people who perform other related duties. That's my explanation of the whole mess. Bonnie Whitaker AP Operations Director Ohio State University Medical Center Department of Pathology 614.293.5048 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa Sent: Tuesday, February 08, 2011 12:22 PM To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: RE: [Histonet] High Complexity Testing I must disagree with this assessment of what makes a test complex. If the test is done properly [the responsibility of the technologist] then the reading to the test is a visual determination that requires experience on the part of the pathologist, but if the test is not done properly, will the pathologist be able to tell the technologist what to do to fix the problem? Where's the Tylenol? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Tuesday, February 08, 2011 9:58 AM To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: RE: [Histonet] High Complexity Testing While the test is high complexity it is the READING of the test by the pathologist that determines its complexity. Because histotechs do not report the results our part of this test is not high complexity. 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 Rene J Buesa Sent: Tuesday, February 08, 2011 10:32 AM To: histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: Re: [Histonet] High Complexity Testing When a "machine" is doing the test, there are stringent provisions as to the preparation and validations of the test. Done manually, it requires a trained technologists and, yes, they are high complexity tests (both IHC and FISH, and their variations). René J. --- On Tue, 2/8/11, Sheila Fonner wrote: From: Sheila Fonner Subject: [Histonet] High Complexity Testing To: histonet@lists.utsouthwestern.edu Date: Tuesday, February 8, 2011, 7:45 AM Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailma
RE: [Histonet] High Complexity Testing
Could not have said it better! Beatrice Sullivan, HT(A.S.C.P.) HTL , AAS, CLSP(N.C.A.) AP Supervisor Shore Memorial Hospital 609-653-3590 Speak only well of people and you need never whisper "Dawson, Glen" To Sent by: histonet-bounces@ cc lists.utsouthwest "histonet@lists.utsouthwestern.edu" ern.edu Subject RE: [Histonet] High Complexity 02/08/2011 01:40 Testing PM Alright, if IHC is not high complexity testing, CAP should cut that massive part of their inspection in half and concentrate more on the pathologists' ability to accurately interpret the staining. Too much CAP regulation, Proficiency Testing & validation requirements involved if all IHC is is part of "Processing". My Opinion, Glen A. Dawson Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Tuesday, February 08, 2011 12:17 PM To: Whitaker, Bonnie Cc: Horn, Hazel V; Goins, Tresa; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] High Complexity Testing I should not have included CLIA in my e-mail as it would seem it has clouded things a little. I do apologize. Initially when these issues and guidelines came about CLIA and CAP dovetailed as far as Histology was concerned. Shelia you were looking for contacts that would help you with getting a more solid base to meet these regulations. If you go to the CAP website and click on the IHC link you will find links and publications to assist you. I would recommend that you contact the Applied Immunohistochemistry society as well. NSH or your state/regional society may also have additional information. Should I see something else in my searches I will most willingly forwarded them to you. Vikki On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie wrote: > Hi All, > > There is a difference in performing a task (immunostaining) that is > complex, and performing "high complexity testing" as the CLIA regulations > govern. > > Yes, staining is a complex task, and it requires knowlegable techs to > ensure that it is properly done, and to troubleshoot difficulties when > necessary. > > It is "high complexity testing" because "testing personnel" in anatomic > pathology are pathologists (and the non-physician people performing gross > examinations, who must meet "high complexity testing personnel" > requirements. > > "Testing personnel" as defined by CLIA, are the people that report results > of that test, not people who perform other related duties. > > That's my explanation of the whole mess. > > Bonnie Whitaker > AP Operations Director > Ohio State University Medical Center > Department of Pathology > 614.293.5048 > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; > Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > I must disagree with this assessment of what makes a test complex. If the > test is done properly [the responsibility of the technologist] then the > reading to the test is a visual determination that requires experience on > the part of the pathologist, but if the test is not done properly, will the > pathologist be able to tell the technologist what to do to fix the problem? > > Where's the Tylenol? > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: RE: [Histonet] High Comple
RE: [Histonet] High Complexity Testing
I completely agree!!! Martha Ward, MT (ASCP) QIHC Assistant Manager Molecular Diagnostics Lab Dept. of Pathology Wake Forest University Baptist Medical Center Winston-Salem, NC 27157 336-716-2104 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen Sent: Tuesday, February 08, 2011 1:40 PM Cc: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing Alright, if IHC is not high complexity testing, CAP should cut that massive part of their inspection in half and concentrate more on the pathologists' ability to accurately interpret the staining. Too much CAP regulation, Proficiency Testing & validation requirements involved if all IHC is is part of "Processing". My Opinion, Glen A. Dawson Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Tuesday, February 08, 2011 12:17 PM To: Whitaker, Bonnie Cc: Horn, Hazel V; Goins, Tresa; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] High Complexity Testing I should not have included CLIA in my e-mail as it would seem it has clouded things a little. I do apologize. Initially when these issues and guidelines came about CLIA and CAP dovetailed as far as Histology was concerned. Shelia you were looking for contacts that would help you with getting a more solid base to meet these regulations. If you go to the CAP website and click on the IHC link you will find links and publications to assist you. I would recommend that you contact the Applied Immunohistochemistry society as well. NSH or your state/regional society may also have additional information. Should I see something else in my searches I will most willingly forwarded them to you. Vikki On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie wrote: > Hi All, > > There is a difference in performing a task (immunostaining) that is > complex, and performing "high complexity testing" as the CLIA > regulations govern. > > Yes, staining is a complex task, and it requires knowlegable techs to > ensure that it is properly done, and to troubleshoot difficulties > when necessary. > > It is "high complexity testing" because "testing personnel" in > anatomic pathology are pathologists (and the non-physician people > performing gross examinations, who must meet "high complexity testing > personnel" > requirements. > > "Testing personnel" as defined by CLIA, are the people that report > results of that test, not people who perform other related duties. > > That's my explanation of the whole mess. > > Bonnie Whitaker > AP Operations Director > Ohio State University Medical Center > Department of Pathology > 614.293.5048 > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; > Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > I must disagree with this assessment of what makes a test complex. If > the test is done properly [the responsibility of the technologist] > then the reading to the test is a visual determination that requires > experience on the part of the pathologist, but if the test is not done > properly, will the pathologist be able to tell the technologist what to do to > fix the problem? > > Where's the Tylenol? > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > While the test is high complexity it is the READING of the test by the > pathologist that determines its complexity. Because histotechs do not > report the results our part of this test is not high complexity. > > 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 Rene J Buesa > Sent: Tuesday, February 08, 2011 10:32 AM > To: histonet@lists.utsouthwestern.edu
RE: [Histonet] High Complexity Testing
Alright, if IHC is not high complexity testing, CAP should cut that massive part of their inspection in half and concentrate more on the pathologists' ability to accurately interpret the staining. Too much CAP regulation, Proficiency Testing & validation requirements involved if all IHC is is part of "Processing". My Opinion, Glen A. Dawson Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Tuesday, February 08, 2011 12:17 PM To: Whitaker, Bonnie Cc: Horn, Hazel V; Goins, Tresa; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] High Complexity Testing I should not have included CLIA in my e-mail as it would seem it has clouded things a little. I do apologize. Initially when these issues and guidelines came about CLIA and CAP dovetailed as far as Histology was concerned. Shelia you were looking for contacts that would help you with getting a more solid base to meet these regulations. If you go to the CAP website and click on the IHC link you will find links and publications to assist you. I would recommend that you contact the Applied Immunohistochemistry society as well. NSH or your state/regional society may also have additional information. Should I see something else in my searches I will most willingly forwarded them to you. Vikki On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie wrote: > Hi All, > > There is a difference in performing a task (immunostaining) that is > complex, and performing "high complexity testing" as the CLIA regulations > govern. > > Yes, staining is a complex task, and it requires knowlegable techs to > ensure that it is properly done, and to troubleshoot difficulties when > necessary. > > It is "high complexity testing" because "testing personnel" in anatomic > pathology are pathologists (and the non-physician people performing gross > examinations, who must meet "high complexity testing personnel" > requirements. > > "Testing personnel" as defined by CLIA, are the people that report results > of that test, not people who perform other related duties. > > That's my explanation of the whole mess. > > Bonnie Whitaker > AP Operations Director > Ohio State University Medical Center > Department of Pathology > 614.293.5048 > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; > Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > I must disagree with this assessment of what makes a test complex. If the > test is done properly [the responsibility of the technologist] then the > reading to the test is a visual determination that requires experience on > the part of the pathologist, but if the test is not done properly, will the > pathologist be able to tell the technologist what to do to fix the problem? > > Where's the Tylenol? > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > While the test is high complexity it is the READING of the test by the > pathologist that determines its complexity. Because histotechs do not > report the results our part of this test is not high complexity. > > 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 Rene J Buesa > Sent: Tuesday, February 08, 2011 10:32 AM > To: histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: Re: [Histonet] High Complexity Testing > > When a "machine" is doing the test, there are stringent provisions as to > the preparation and validations of the test. > Done manually, it requires a trained technologists and, yes, they are high > complexity tests (both IHC and FISH, and their variations). > René J. > > --- On Tue, 2/8/11, Sheila Fonner wrote: > > > From: Sheila Fonner > Subject: [Histonet] High Complexity Testing > To: h
Re: [Histonet] High Complexity Testing
I should not have included CLIA in my e-mail as it would seem it has clouded things a little. I do apologize. Initially when these issues and guidelines came about CLIA and CAP dovetailed as far as Histology was concerned. Shelia you were looking for contacts that would help you with getting a more solid base to meet these regulations. If you go to the CAP website and click on the IHC link you will find links and publications to assist you. I would recommend that you contact the Applied Immunohistochemistry society as well. NSH or your state/regional society may also have additional information. Should I see something else in my searches I will most willingly forwarded them to you. Vikki On Tue, Feb 8, 2011 at 12:43 PM, Whitaker, Bonnie wrote: > Hi All, > > There is a difference in performing a task (immunostaining) that is > complex, and performing "high complexity testing" as the CLIA regulations > govern. > > Yes, staining is a complex task, and it requires knowlegable techs to > ensure that it is properly done, and to troubleshoot difficulties when > necessary. > > It is "high complexity testing" because "testing personnel" in anatomic > pathology are pathologists (and the non-physician people performing gross > examinations, who must meet "high complexity testing personnel" > requirements. > > "Testing personnel" as defined by CLIA, are the people that report results > of that test, not people who perform other related duties. > > That's my explanation of the whole mess. > > Bonnie Whitaker > AP Operations Director > Ohio State University Medical Center > Department of Pathology > 614.293.5048 > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa > Sent: Tuesday, February 08, 2011 12:22 PM > To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; > Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > I must disagree with this assessment of what makes a test complex. If the > test is done properly [the responsibility of the technologist] then the > reading to the test is a visual determination that requires experience on > the part of the pathologist, but if the test is not done properly, will the > pathologist be able to tell the technologist what to do to fix the problem? > > Where's the Tylenol? > > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu [mailto: > histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V > Sent: Tuesday, February 08, 2011 9:58 AM > To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: RE: [Histonet] High Complexity Testing > > While the test is high complexity it is the READING of the test by the > pathologist that determines its complexity. Because histotechs do not > report the results our part of this test is not high complexity. > > 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 Rene J Buesa > Sent: Tuesday, February 08, 2011 10:32 AM > To: histonet@lists.utsouthwestern.edu; Sheila Fonner > Subject: Re: [Histonet] High Complexity Testing > > When a "machine" is doing the test, there are stringent provisions as to > the preparation and validations of the test. > Done manually, it requires a trained technologists and, yes, they are high > complexity tests (both IHC and FISH, and their variations). > René J. > > --- On Tue, 2/8/11, Sheila Fonner wrote: > > > From: Sheila Fonner > Subject: [Histonet] High Complexity Testing > To: histonet@lists.utsouthwestern.edu > Date: Tuesday, February 8, 2011, 7:45 AM > > > Hello All, > > > > I would really appreciate it if anyone has information on whether IHC/ISH > are considered high complexity testing for histotechs. Our pathologist > believes that ALL histology low complexity testing since a "machine" is > doing the work. Can anyone help me out with some guidelines, literature, > etc. that says otherwise? I would really appreciate it. We just want to > know which on
RE: [Histonet] High Complexity Testing
oblems requires limited independent interpretation and judgment; and Score 3. (A) Extensive independent interpretation and judgment are required to perform the preanalytic, analytic or postanalytic processes; and (B) Resolution of problems requires extensive interpretation and judgment. Tim Morken Supervisor, Histology, IPOX UCSF Medical Center San Francisco, CA, USA -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 4:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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] High Complexity Testing
Hi All, There is a difference in performing a task (immunostaining) that is complex, and performing "high complexity testing" as the CLIA regulations govern. Yes, staining is a complex task, and it requires knowlegable techs to ensure that it is properly done, and to troubleshoot difficulties when necessary. It is "high complexity testing" because "testing personnel" in anatomic pathology are pathologists (and the non-physician people performing gross examinations, who must meet "high complexity testing personnel" requirements. "Testing personnel" as defined by CLIA, are the people that report results of that test, not people who perform other related duties. That's my explanation of the whole mess. Bonnie Whitaker AP Operations Director Ohio State University Medical Center Department of Pathology 614.293.5048 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa Sent: Tuesday, February 08, 2011 12:22 PM To: Horn, Hazel V; 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: RE: [Histonet] High Complexity Testing I must disagree with this assessment of what makes a test complex. If the test is done properly [the responsibility of the technologist] then the reading to the test is a visual determination that requires experience on the part of the pathologist, but if the test is not done properly, will the pathologist be able to tell the technologist what to do to fix the problem? Where's the Tylenol? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Tuesday, February 08, 2011 9:58 AM To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: RE: [Histonet] High Complexity Testing While the test is high complexity it is the READING of the test by the pathologist that determines its complexity. Because histotechs do not report the results our part of this test is not high complexity. 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 Rene J Buesa Sent: Tuesday, February 08, 2011 10:32 AM To: histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: Re: [Histonet] High Complexity Testing When a "machine" is doing the test, there are stringent provisions as to the preparation and validations of the test. Done manually, it requires a trained technologists and, yes, they are high complexity tests (both IHC and FISH, and their variations). René J. --- On Tue, 2/8/11, Sheila Fonner wrote: From: Sheila Fonner Subject: [Histonet] High Complexity Testing To: histonet@lists.utsouthwestern.edu Date: Tuesday, February 8, 2011, 7:45 AM Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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
RE: [Histonet] High Complexity Testing
We were recently inspected and were told the same thing by CAP about 4 months ago. Joe Milano -Original Message- From: Inman, Anna [mailto:anna.in...@stmarygj.org] Sent: Tuesday, February 08, 2011 9:27 AM To: Dawson, Glen; Sheila Fonner; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing This is the response I received a year ago from CAP when asked the same question regarding high complexity testing - "Immunohistochemistry staining (manual or automated) is considered specimen processing and is not assigned a test complexity" Has something changed recently? Anna -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen Sent: Tuesday, February 08, 2011 6:13 AM To: 'Sheila Fonner'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing Sheila, Yes, IHC/ISH is considered high complexity testing. Sounds like you have a real gem for a pathologist...sorry to hear that. Just don't let him/her pay you like a janitor just because that's what he/she thinks that is what you are. Glen Dawson BS, HT(ASCP) & QIHC IHC Manager Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 6:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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 CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] High Complexity Testing
Honey... Estrogen won't do a thing!!! j:>) -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victoria Baker Sent: Tuesday, February 08, 2011 11:59 To: O'Donnell, Bill Cc: Dawson, Glen; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] High Complexity Testing The performance of ISH/IHC is in many laboratories considered high complexity testing - however - as the technologist doing the work does not make the diagnosis it is considered to be a part of specimen processing. (How's that for political double talking!) Use of automation in these procedures provides standardization of the protocols, but it is still a 'machine' it would not know how to recognize a staining or processing issue along with other possible faults. The purpose of automation was to provide standardization and consistent reproducibility of protocols, reduce antibody/reagent amounts, free the technologist for other needs in the lab and reduce turn around time required for this procedure. In essence it is hands off BUT not brains off. Short history is that when CLIA and CAP first started doing these ratings of low - high complexity testing Histology was a grey/special area in that the staff performed the technical aspect of the work, but did not sign off or make the diagnosis. Since then we have had revisions in CLIA and even with CAP guidelines there is still an aspect of subjectivity based upon the inspector's interpretation of the guidelines. It's frustrating, infuriating at and at times totally exasperating as you are trying to comply with all the requirements and regulations that are supposed to be clear. If your pathologist is considering all Histology work as low complexity I would wonder why they thought that? Is the lab participating in any of the CAP QA/QI programs? Does he/she participate in doing any In services with the staff? Do they interact with the staff and share anything with them in regards to the work or any specific concerns they may have? Does the department have reference material available to the staff for further study or understanding of the work they do and how important it is to patient care? Is the department willing to assist with $$'s for in-house CE courses or local Histology societies to further the laboratory staff development? One thing that I would wonder most is if they think that what you do is 'low complexity' could they go into the lab and perform the work themselves? Okay my morning rant is complete --- now I guess I should take my Estrogen ;-) If I have offended anyone, I apologize in advance. Hope everyone has a nice day. Vikki On Tue, Feb 8, 2011 at 10:06 AM, O'Donnell, Bill < billodonn...@catholichealth.net> wrote: > I don't actually have an answer, but rather an observation. > > How many med techs are still doing glusoses in test-tubes, or manual > drug screenings or hcg's? It would seem, by deduction that an > automated glucose, if only because who it performing it, is a complex > test. If measuring a bowel biopsy is now "complex", why should the > critical judgements and skills needed to cut a section, place it > correctly on a slide and load the machine be considered not complex. > > If it comes down to "who" is doing it, then all of our efforts to > elevate the field, gain higher and more competative wages and > education requirements have done little except in isolated regions or > laboratories. > > Morning rant Need to start getting more sleep. > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu > [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila > Fonner > Sent: Tuesday, February 08, 2011 6:45 AM > To: histonet@lists.utsouthwestern.edu > Subject: [Histonet] High Complexity Testing > > Hello All, > > > > I would really appreciate it if anyone has information on whether > IHC/ISH are considered high complexity testing for histotechs. Our > pathologist believes that ALL histology low complexity testing since a > "machine" is doing the work. Can anyone help me out with some > guidelines, literature, etc. that says otherwise? I would really > appreciate it. We just want to know which one it is. > > > > Thanks so much Histoland! > > > > > > > > ___ > 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] High Complexity Testing
I must disagree with this assessment of what makes a test complex. If the test is done properly [the responsibility of the technologist] then the reading to the test is a visual determination that requires experience on the part of the pathologist, but if the test is not done properly, will the pathologist be able to tell the technologist what to do to fix the problem? Where's the Tylenol? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V Sent: Tuesday, February 08, 2011 9:58 AM To: 'Rene J Buesa'; histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: RE: [Histonet] High Complexity Testing While the test is high complexity it is the READING of the test by the pathologist that determines its complexity. Because histotechs do not report the results our part of this test is not high complexity. 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 Rene J Buesa Sent: Tuesday, February 08, 2011 10:32 AM To: histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: Re: [Histonet] High Complexity Testing When a "machine" is doing the test, there are stringent provisions as to the preparation and validations of the test. Done manually, it requires a trained technologists and, yes, they are high complexity tests (both IHC and FISH, and their variations). René J. --- On Tue, 2/8/11, Sheila Fonner wrote: From: Sheila Fonner Subject: [Histonet] High Complexity Testing To: histonet@lists.utsouthwestern.edu Date: Tuesday, February 8, 2011, 7:45 AM Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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 mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] High Complexity Testing
That was a hole in 1, Vikki. Viva la rant!! >>> Victoria Baker 2/8/2011 11:58 AM >>> The performance of ISH/IHC is in many laboratories considered high complexity testing - however - as the technologist doing the work does not make the diagnosis it is considered to be a part of specimen processing. (How's that for political double talking!) Use of automation in these procedures provides standardization of the protocols, but it is still a 'machine' it would not know how to recognize a staining or processing issue along with other possible faults. The purpose of automation was to provide standardization and consistent reproducibility of protocols, reduce antibody/reagent amounts, free the technologist for other needs in the lab and reduce turn around time required for this procedure. In essence it is hands off BUT not brains off. Short history is that when CLIA and CAP first started doing these ratings of low - high complexity testing Histology was a grey/special area in that the staff performed the technical aspect of the work, but did not sign off or make the diagnosis. Since then we have had revisions in CLIA and even with CAP guidelines there is still an aspect of subjectivity based upon the inspector's interpretation of the guidelines. It's frustrating, infuriating at and at times totally exasperating as you are trying to comply with all the requirements and regulations that are supposed to be clear. If your pathologist is considering all Histology work as low complexity I would wonder why they thought that? Is the lab participating in any of the CAP QA/QI programs? Does he/she participate in doing any In services with the staff? Do they interact with the staff and share anything with them in regards to the work or any specific concerns they may have? Does the department have reference material available to the staff for further study or understanding of the work they do and how important it is to patient care? Is the department willing to assist with $$'s for in-house CE courses or local Histology societies to further the laboratory staff development? One thing that I would wonder most is if they think that what you do is 'low complexity' could they go into the lab and perform the work themselves? Okay my morning rant is complete --- now I guess I should take my Estrogen ;-) If I have offended anyone, I apologize in advance. Hope everyone has a nice day. Vikki On Tue, Feb 8, 2011 at 10:06 AM, O'Donnell, Bill < billodonn...@catholichealth.net> wrote: > I don't actually have an answer, but rather an observation. > > How many med techs are still doing glusoses in test-tubes, or manual > drug screenings or hcg's? It would seem, by deduction that an automated > glucose, if only because who it performing it, is a complex test. If > measuring a bowel biopsy is now "complex", why should the critical > judgements and skills needed to cut a section, place it correctly on a > slide and load the machine be considered not complex. > > If it comes down to "who" is doing it, then all of our efforts to > elevate the field, gain higher and more competative wages and education > requirements have done little except in isolated regions or > laboratories. > > Morning rant Need to start getting more sleep. > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu > [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila > Fonner > Sent: Tuesday, February 08, 2011 6:45 AM > To: histonet@lists.utsouthwestern.edu > Subject: [Histonet] High Complexity Testing > > Hello All, > > > > I would really appreciate it if anyone has information on whether > IHC/ISH are considered high complexity testing for histotechs. Our > pathologist believes that ALL histology low complexity testing since a > "machine" is doing the work. Can anyone help me out with some > guidelines, literature, etc. that says otherwise? I would really > appreciate it. We just want to know which one it is. > > > > Thanks so much Histoland! > > > > > > > > ___ > 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely
RE: [Histonet] High Complexity Testing
While the test is high complexity it is the READING of the test by the pathologist that determines its complexity. Because histotechs do not report the results our part of this test is not high complexity. 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 Rene J Buesa Sent: Tuesday, February 08, 2011 10:32 AM To: histonet@lists.utsouthwestern.edu; Sheila Fonner Subject: Re: [Histonet] High Complexity Testing When a "machine" is doing the test, there are stringent provisions as to the preparation and validations of the test. Done manually, it requires a trained technologists and, yes, they are high complexity tests (both IHC and FISH, and their variations). René J. --- On Tue, 2/8/11, Sheila Fonner wrote: From: Sheila Fonner Subject: [Histonet] High Complexity Testing To: histonet@lists.utsouthwestern.edu Date: Tuesday, February 8, 2011, 7:45 AM Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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
Re: [Histonet] High Complexity Testing
The performance of ISH/IHC is in many laboratories considered high complexity testing - however - as the technologist doing the work does not make the diagnosis it is considered to be a part of specimen processing. (How's that for political double talking!) Use of automation in these procedures provides standardization of the protocols, but it is still a 'machine' it would not know how to recognize a staining or processing issue along with other possible faults. The purpose of automation was to provide standardization and consistent reproducibility of protocols, reduce antibody/reagent amounts, free the technologist for other needs in the lab and reduce turn around time required for this procedure. In essence it is hands off BUT not brains off. Short history is that when CLIA and CAP first started doing these ratings of low - high complexity testing Histology was a grey/special area in that the staff performed the technical aspect of the work, but did not sign off or make the diagnosis. Since then we have had revisions in CLIA and even with CAP guidelines there is still an aspect of subjectivity based upon the inspector's interpretation of the guidelines. It's frustrating, infuriating at and at times totally exasperating as you are trying to comply with all the requirements and regulations that are supposed to be clear. If your pathologist is considering all Histology work as low complexity I would wonder why they thought that? Is the lab participating in any of the CAP QA/QI programs? Does he/she participate in doing any In services with the staff? Do they interact with the staff and share anything with them in regards to the work or any specific concerns they may have? Does the department have reference material available to the staff for further study or understanding of the work they do and how important it is to patient care? Is the department willing to assist with $$'s for in-house CE courses or local Histology societies to further the laboratory staff development? One thing that I would wonder most is if they think that what you do is 'low complexity' could they go into the lab and perform the work themselves? Okay my morning rant is complete --- now I guess I should take my Estrogen ;-) If I have offended anyone, I apologize in advance. Hope everyone has a nice day. Vikki On Tue, Feb 8, 2011 at 10:06 AM, O'Donnell, Bill < billodonn...@catholichealth.net> wrote: > I don't actually have an answer, but rather an observation. > > How many med techs are still doing glusoses in test-tubes, or manual > drug screenings or hcg's? It would seem, by deduction that an automated > glucose, if only because who it performing it, is a complex test. If > measuring a bowel biopsy is now "complex", why should the critical > judgements and skills needed to cut a section, place it correctly on a > slide and load the machine be considered not complex. > > If it comes down to "who" is doing it, then all of our efforts to > elevate the field, gain higher and more competative wages and education > requirements have done little except in isolated regions or > laboratories. > > Morning rant Need to start getting more sleep. > > -Original Message- > From: histonet-boun...@lists.utsouthwestern.edu > [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila > Fonner > Sent: Tuesday, February 08, 2011 6:45 AM > To: histonet@lists.utsouthwestern.edu > Subject: [Histonet] High Complexity Testing > > Hello All, > > > > I would really appreciate it if anyone has information on whether > IHC/ISH are considered high complexity testing for histotechs. Our > pathologist believes that ALL histology low complexity testing since a > "machine" is doing the work. Can anyone help me out with some > guidelines, literature, etc. that says otherwise? I would really > appreciate it. We just want to know which one it is. > > > > Thanks so much Histoland! > > > > > > > > ___ > 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] High Complexity Testing
When a "machine" is doing the test, there are stringent provisions as to the preparation and validations of the test. Done manually, it requires a trained technologists and, yes, they are high complexity tests (both IHC and FISH, and their variations). René J. --- On Tue, 2/8/11, Sheila Fonner wrote: From: Sheila Fonner Subject: [Histonet] High Complexity Testing To: histonet@lists.utsouthwestern.edu Date: Tuesday, February 8, 2011, 7:45 AM Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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] High Complexity Testing
I don't actually have an answer, but rather an observation. How many med techs are still doing glusoses in test-tubes, or manual drug screenings or hcg's? It would seem, by deduction that an automated glucose, if only because who it performing it, is a complex test. If measuring a bowel biopsy is now "complex", why should the critical judgements and skills needed to cut a section, place it correctly on a slide and load the machine be considered not complex. If it comes down to "who" is doing it, then all of our efforts to elevate the field, gain higher and more competative wages and education requirements have done little except in isolated regions or laboratories. Morning rant Need to start getting more sleep. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 6:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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] High Complexity Testing
This is the response I received a year ago from CAP when asked the same question regarding high complexity testing - "Immunohistochemistry staining (manual or automated) is considered specimen processing and is not assigned a test complexity" Has something changed recently? Anna -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen Sent: Tuesday, February 08, 2011 6:13 AM To: 'Sheila Fonner'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing Sheila, Yes, IHC/ISH is considered high complexity testing. Sounds like you have a real gem for a pathologist...sorry to hear that. Just don't let him/her pay you like a janitor just because that's what he/she thinks that is what you are. Glen Dawson BS, HT(ASCP) & QIHC IHC Manager Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 6:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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 CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, 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
RE: [Histonet] High Complexity Testing
Sorry for the early morning grammar everyone... -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen Sent: Tuesday, February 08, 2011 7:13 AM To: 'Sheila Fonner'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] High Complexity Testing Sheila, Yes, IHC/ISH is considered high complexity testing. Sounds like you have a real gem for a pathologist...sorry to hear that. Just don't let him/her pay you like a janitor just because that's what he/she thinks that is what you are. Glen Dawson BS, HT(ASCP) & QIHC IHC Manager Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 6:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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] High Complexity Testing
Sheila, Yes, IHC/ISH is considered high complexity testing. Sounds like you have a real gem for a pathologist...sorry to hear that. Just don't let him/her pay you like a janitor just because that's what he/she thinks that is what you are. Glen Dawson BS, HT(ASCP) & QIHC IHC Manager Milwaukee, WI -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Fonner Sent: Tuesday, February 08, 2011 6:45 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] High Complexity Testing Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ 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] High Complexity Testing
Hello All, I would really appreciate it if anyone has information on whether IHC/ISH are considered high complexity testing for histotechs. Our pathologist believes that ALL histology low complexity testing since a "machine" is doing the work. Can anyone help me out with some guidelines, literature, etc. that says otherwise? I would really appreciate it. We just want to know which one it is. Thanks so much Histoland! ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
