RE: [Histonet] NY State regulations

2015-04-22 Thread Joelle Weaver
Probably CLIA related to high complexity testing. IHC is not considered under 
CLIA ( from 1988), though many people feel otherwise. Grossing is. I think that 
it is under sub part G or H if I remember correctly. 


Joelle Weaver MAOM, HTL (ASCP) QIHC


  

 
 From: gmarce...@nj-urology.com
 To: histonet@lists.utsouthwestern.edu
 Date: Wed, 22 Apr 2015 10:55:19 -0400
 Subject: [Histonet] NY State regulations
 
 Hi - I was wondering if anyone knows the regulations regarding the NY State 
 Clinical Laboratory license. I have been a Histotech and have worked in IHC 
 for 20+ years and was required to obtain a NY State Clinical Lab License in 
 2007. I don't have and associates or bachelor degree and was not required to 
 prior to 2007. I was told on a job interview that if I don't have either of 
 these degrees that I cannot gross any specimens or run IHC. I've never heard 
 this before. Has anyone else ever heard of this??? Thanks - Gail
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Re: [Histonet] NY State regulations

2015-04-22 Thread Garreyf
I believe grossing of small biopsies and  performing ihc are both considered 
high complex testing. You must fulfill the clia personnel requirements of high 
complex testing.

I also believe a histotech who only cuts and performs routine stains is not 
considered highly complex. I'm not sure why? Anyone know?

Garrey 

Sent from my iPhone

 On Apr 22, 2015, at 10:55 AM, Gail Marcella gmarce...@nj-urology.com wrote:
 
 Hi - I was wondering if anyone knows the regulations regarding the NY State 
 Clinical Laboratory license. I have been a Histotech and have worked in IHC 
 for 20+ years and was required to obtain a NY State Clinical Lab License in 
 2007. I don't have and associates or bachelor degree and was not required to 
 prior to 2007. I was told on a job interview that if I don't have either of 
 these degrees that I cannot gross any specimens or run IHC. I've never heard 
 this before. Has anyone else ever heard of this??? Thanks - Gail
 ___
 Histonet mailing list
 Histonet@lists.utsouthwestern.edu
 http://lists.utsouthwestern.edu/mailman/listinfo/histonet

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RE: [Histonet] NY State regulations

2015-04-22 Thread Pratt, Caroline
Just a CLIA reg, but you are correct microtomy, embedding and routine stains 
are only Moderate Complexity testing.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Garreyf
Sent: Wednesday, April 22, 2015 3:26 PM
To: Gail Marcella
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] NY State regulations

I believe grossing of small biopsies and  performing ihc are both considered 
high complex testing. You must fulfill the clia personnel requirements of high 
complex testing.

I also believe a histotech who only cuts and performs routine stains is not 
considered highly complex. I'm not sure why? Anyone know?

Garrey 

Sent from my iPhone

 On Apr 22, 2015, at 10:55 AM, Gail Marcella gmarce...@nj-urology.com wrote:
 
 Hi - I was wondering if anyone knows the regulations regarding the NY State 
 Clinical Laboratory license. I have been a Histotech and have worked in IHC 
 for 20+ years and was required to obtain a NY State Clinical Lab License in 
 2007. I don't have and associates or bachelor degree and was not required to 
 prior to 2007. I was told on a job interview that if I don't have either of 
 these degrees that I cannot gross any specimens or run IHC. I've never heard 
 this before. Has anyone else ever heard of this??? Thanks - Gail
 ___
 Histonet mailing list
 Histonet@lists.utsouthwestern.edu
 http://lists.utsouthwestern.edu/mailman/listinfo/histonet

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RE: [Histonet] NY State regulations

2015-04-22 Thread Joelle Weaver
The FDA categorizes and grades each test based on the complexity of the test 
method. The FDA lists the category at 
http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/IVDRegulatoryAssistance/ucm393285.htm
 on the FDA website. The FDA categorizes test methods into three levels of 
complexity:


Waived complexity, Moderate Complexity, including the subcategory of 
Provider-Performed Microscopy Procedures (PPMP); and High Complexity.When 
categorizing a test, the FDA considers the:




Amount of interpretation involved;
Calibration and quality control requirements of the instruments used;
Degree of independent judgment involved;
Difficulty of the calculations involved;
Examinations and procedures performed and the methodologies employed; and
Type of training required to operate the instruments used in the methodology.
How is it determined if a test is waived, moderate or high complexity? 
For moderate and high complexity tests, the FDA evaluates each new commercial 
test system during the premarket approval process by scoring seven criteria as 
described in the CLIA regulations.The final score is used to determine 
whether the test system  is classified as moderate or high complexity. See 42 
CFR 493.17. For more details, please also see the FDA’s webpage on the CLIA 
Categorization Criteria and CMS’ webpage on Categorization of Tests.


Joelle Weaver MAOM, HTL (ASCP) QIHC


  

  From: caroline.pr...@uphs.upenn.edu
 To: garr...@gmail.com; gmarce...@nj-urology.com
 Date: Wed, 22 Apr 2015 19:33:35 +
 Subject: RE: [Histonet] NY State regulations
 CC: histonet@lists.utsouthwestern.edu
 
 Just a CLIA reg, but you are correct microtomy, embedding and routine stains 
 are only Moderate Complexity testing.
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Garreyf
 Sent: Wednesday, April 22, 2015 3:26 PM
 To: Gail Marcella
 Cc: histonet@lists.utsouthwestern.edu
 Subject: Re: [Histonet] NY State regulations
 
 I believe grossing of small biopsies and  performing ihc are both considered 
 high complex testing. You must fulfill the clia personnel requirements of 
 high complex testing.
 
 I also believe a histotech who only cuts and performs routine stains is not 
 considered highly complex. I'm not sure why? Anyone know?
 
 Garrey 
 
 Sent from my iPhone
 
  On Apr 22, 2015, at 10:55 AM, Gail Marcella gmarce...@nj-urology.com 
  wrote:
  
  Hi - I was wondering if anyone knows the regulations regarding the NY State 
  Clinical Laboratory license. I have been a Histotech and have worked in IHC 
  for 20+ years and was required to obtain a NY State Clinical Lab License in 
  2007. I don't have and associates or bachelor degree and was not required 
  to prior to 2007. I was told on a job interview that if I don't have either 
  of these degrees that I cannot gross any specimens or run IHC. I've never 
  heard this before. Has anyone else ever heard of this??? Thanks - Gail
  ___
  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
 
 ___
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 Histonet@lists.utsouthwestern.edu
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Re: [Histonet] NY State regulations

2015-04-22 Thread Garrey Faller
Check this link out from CAP.
http://www.cap.org/apps/docs/education/lapaudio/pdf/031710_qa.pdf
Scroll down to #17. It address IHC.
Garrey

On Wed, Apr 22, 2015 at 4:32 PM, Joelle Weaver joellewea...@hotmail.com
wrote:

 The FDA categorizes and grades each test based on the complexity of the
 test method. The FDA lists the category at

 *http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/IVDRegulatoryAssistance/ucm393285.htm
 http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/IVDRegulatoryAssistance/ucm393285.htm
 *on the FDA website. The FDA categorizes test methods into three levels
 of complexity:

 Waived complexity, Moderate Complexity, including the subcategory of
 Provider-Performed Microscopy Procedures (PPMP); and High Complexity.

 When categorizing a test, the FDA considers the:




1. Amount of interpretation involved;
2. Calibration and quality control requirements of the instruments
used;
3. Degree of independent judgment involved;
4. Difficulty of the calculations involved;
5. Examinations and procedures performed and the methodologies
employed; and
6. Type of training required to operate the instruments used in the
methodology.


 How is it determined if a test is waived, moderate or high complexity?
 For moderate and high complexity tests, the FDA evaluates each new
 commercial test system during the premarket approval process by scoring
 seven criteria as described in the CLIA regulations. The final score is
 used to determine whether the test system is classified as moderate or high
 complexity. See 42 CFR 493.17. For more details, please also see the FDA’s
 webpage on the CLIA Categorization Criteria
 http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/IVDRegulatoryAssistance/ucm124208.htm[image:
 External Web Site Icon] http://www.cdc.gov/Other/disclaimer.html and
 CMS’ webpage on Categorization of Tests
 http://www.cms.gov/Regulations-and-Guidance/Legislation/CLIA/Categorization_of_Tests.html[image:
 External Web Site Icon] http://www.cdc.gov/Other/disclaimer.html.

 Joelle Weaver MAOM, HTL (ASCP) QIHC





  From: caroline.pr...@uphs.upenn.edu
  To: garr...@gmail.com; gmarce...@nj-urology.com
  Date: Wed, 22 Apr 2015 19:33:35 +
  Subject: RE: [Histonet] NY State regulations
  CC: histonet@lists.utsouthwestern.edu
 
  Just a CLIA reg, but you are correct microtomy, embedding and routine
 stains are only Moderate Complexity testing.
 
  -Original Message-
  From: histonet-boun...@lists.utsouthwestern.edu [mailto:
 histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Garreyf
  Sent: Wednesday, April 22, 2015 3:26 PM
  To: Gail Marcella
  Cc: histonet@lists.utsouthwestern.edu
  Subject: Re: [Histonet] NY State regulations
 
  I believe grossing of small biopsies and performing ihc are both
 considered high complex testing. You must fulfill the clia personnel
 requirements of high complex testing.
 
  I also believe a histotech who only cuts and performs routine stains is
 not considered highly complex. I'm not sure why? Anyone know?
 
  Garrey
 
  Sent from my iPhone
 
   On Apr 22, 2015, at 10:55 AM, Gail Marcella gmarce...@nj-urology.com
 wrote:
  
   Hi - I was wondering if anyone knows the regulations regarding the NY
 State Clinical Laboratory license. I have been a Histotech and have worked
 in IHC for 20+ years and was required to obtain a NY State Clinical Lab
 License in 2007. I don't have and associates or bachelor degree and was not
 required to prior to 2007. I was told on a job interview that if I don't
 have either of these degrees that I cannot gross any specimens or run IHC.
 I've never heard this before. Has anyone else ever heard of this??? Thanks
 - Gail
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   Histonet@lists.utsouthwestern.edu
   http://lists.utsouthwestern.edu/mailman/listinfo/histonet
 
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