RE: [Histonet] Grossing

From:"Lester Raff"

We are a lab only processing biopsies.  We hired a person who met the
CLIA regs for education with a degree in Biological Science and the
required number of science courses (see below).  We then developed an in
house 18 week training program with pre and post test, documentation,
supervision, etc.  We specify in our procedures, and in the lab
assistants credentials, exactly what specimens she can gross.

We had no problems at our CAP inspection.

Lester J. Raff, MD
Medical Director
UroPartners, LLC Laboratory

2225 Enterprise Dr. Suite 2511

Westchester, IL 60154

ph:  708-486-0076
fax: 708-486-0080

 NOTE:  The laboratory director may delegate the dissection of specimens
to non-pathologist individuals; these individuals must be qualified as
high complexity testing personnel under CLIA-88 regulations.  The
minimum training/experience required of such personnel is:

1.	An earned associate degree in a laboratory science or medical
laboratory technology, obtained from an accredited institution, OR
2.	Education/training equivalent to the above that includes at
least 60 semester hours or equivalent from an accredited institution.
This education must include 24 semester hours of medical laboratory
technology courses, OR 24 semester hours of science courses that
includes 6 semester hours of chemistry, 6 semester hours of biology, and
12 semester hours of chemistry, biology or medical laboratory technology
in any combination.  In addition, the individual must have laboratory
training including either completion of a clinical laboratory training
program approved or accredited by the ABHES, the CAHEA, or other
organization approved by HHS (note that this training may be included in
the 60 semester hours listed above), OR at least 3 months documented
laboratory training in each specialty in which the individual performs
high complexity testing.

-----Original Message-----
[] On Behalf Of
Sent: Tuesday, December 12, 2006 2:21 PM
To: Jesus Ellin
Subject: Re: [Histonet] Grossing

I was told by a CLIA person in OKC that if the description becomes part
of the parthology report that it is complex testing and must be CLIA

Angie Barnett, HTL(ASCP) 
Grady Memorial Hospital 
Pathology Department 

----- Original Message ----- 
From: Jesus Ellin  
Date: Tuesday, December 12, 2006 10:06 am 
Subject: [Histonet] Grossing 

> Here at our lab we are haing issues with tech doing gross. Our 
> Pathologist has called the CAP about the ability to do 
> transferance with 
> small biopsies such as GI, Lung, ect. The CAP has stated that 
> this is 
> not considered High complexity testing and that it is ok for the 
> tech to 
> transfer the specimen in a tea bag or what not and then just give 
> measurement and color. Even to use templates for that matter. 
> Nothingis dictated just written down on a piece of paper that is 
> going to be 
> transcribed. Has anyone come up against this situation?? If so 
> what is 
> eveyone doing about this. Also that they do not need to meet the CLIA 
> req about doing gross. 
> To me this opens up a huge can of worms. Any help would greatly be 
> appreciated. 
> Jesus A. Ellin HT ASCP 
> Yuma Regional Medical Center 
> Histology Systems Technologist 
> Pathology Information Systems 
> 928-336-7444 or 928-336-1144 
> Fax: 928-336-7319 
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