Accreditation Flashcards
Define accreditation?
Approval of an institution
A process by which a nongovernmental agency recognizes a program or laboratory as component is termed? a. Accreditation b. Licensure c. OSHA D. CLIA 88
Accreditation is awarded to institutions, whereas licensure is awarded to individuals
What agency is responsible for implementing CLIA 88?
The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA).May 11, 2023
What is the number of slides allowed per 24 hours both primary and recreen that a Cytotech can review under CLIA 88?
100
What is the maximum number of cytology slides allowed per 24 hour period both primary and rescreen for a pathologist under CLIA 88?
100 primary , unlimited rescreen
Under CLIA 88 , the Technical Supervisor is defined as ?
The Pathologist in charge of cytology
What are the qualifications for a General Supervisor under CLIA 88?
BS degree with 3 years of experience, 2 years in cytology
Cytoprep techs are required to meet what CLIA regulation?
No degree required, only Supervisión by General Supervisor
Under CLIA 88 , copies of final reports must be kept for a minimum of?
10 years
CLIA 88 regulation require that original requisition be kept for a minimum of?
2 years
CLIA 88 regulation stipulate that glass slides must be kept for a minimum of ?
5 years
What is the reason GYN specimens must be stained separately from NonGyn specimens?
Due to the possibility of “floaters”
Under CLIA 88 guidelines, a Cytotech may evaluate how many slides per day?
A total number established by the Technical Supervisor, not to exceed 100
Lab Quality Assurance is defined?
Determining patterns or trends in test accuracy with the collected data. QA system does these four things:
establishes standard operating procedures (SOPs) for each step of the laboratory testing process, ranging from specimen handling to instrument performance validation;
defines administrative requirements, such as mandatory recordkeeping, data evaluation, and internal audits to monitor adherence to SOPs;
specifies corrective actions, documentation, and the persons responsible for carrying out corrective actions when problems are identified; and
sustains high-quality employee performance
What is Defined as Quality Control in the Lab?
Collecting the data to determine efficacy of the individual and or laboratory. Quality control is a system for verifying and maintaining a desired level of quality in a test or process. Quality control practices span the entire testing process, from collection to the time the clinician receives the report.
What is the quality control of a Pap smear?
Federally-mandated quality control (QC) in Papanicolaou (Pap) smear testing requires rescreening of 10% of negative smears, to include cases selected randomly as well as smears from patients that may have a higher risk for developing cervical cancer based on clinical information.
When conducting Quality Control on GYN cases what is the federally mandated process?
A blind or random sampling method should be conducted independently of each Cytotech’s work.
What does CLIA 88 requires for quality control measures in cytology specimens?
10 % review of focused or high risk cases as well as random review
What is considered a necessary component of an annual report?
Cytology histology correlation
If a Cytopathology lab vacancy occurs, what is the best mechanism to compensate until the position gets filled?
Staggering work hours / split shifts to cover the lab operations
When ordering lab supplies what should one consider?
Jointly purchase supplies with the histology lab to get bulk discount
A primary Cytotech diagnostic error is defined as?
Missing an obvious malignancy
What is considered methodology to ensure productivity?
Review of the individual’s workload every 6 months by the Technical supervisor
What is the purpose of quality control and quality assurance protocol ?
To ensure that the job get done right the first time.eliminating mistakes begins by establishing a stringent set of guidelines that each Cytotech must follow.
