Unit 1 Flashcards
In government organizations. What is CMS?
Centers for Medicare and Medicaid.
In government organizations. What is HCFA?
Health Care Financing Administration.
In government organizations. What is CAP? What do they do?
College of American Pathologists. They do proficiency testing where they give you tests to succeed in. You need 100 percent to pass.
In government organizations. What is COLA? Explain what they do.
They accredit clinics and labs.
In government organizations. What is TJC? Explain.
They are responsible for long term care facilities.
In government organizations. What is ASCLS? Explain.
An organization governed by MLS professionals.
In government organizations. What is CLSI? Explain.
It is an educational organization to teach people guidelines of quality lab work.
Compare Medicare and Medicaid.
Medicare is federal and is for people over 65, medicaid is ran by the state and they cover poor people.
Why is billing for laboratory tests is tightly controlled?
The government will pay out money for people taking tests based off of their diagnostic umbrella and history.
What did I learn out of the Levey Jennings quiz?
I learned that if it is +/- 2 than results should NOT be reported. If it is between +/- 1 and +/- 2 than they can be reported but let a doctor know about it if something is wrong. If it is under +/- 1 than you can just report it.
What is a Levey Jennings chart?
It is used to input values through instrumentation evaluation tests. Westergard rules show that if there are any patterns of suspicion then they must be reported.
What are the microscope parts top to bottom? (brightfield)
Halogen Bulb, Course Adjustment (big knob), Fine Adjustment (small knob), Stage Adjustment, Condenser Knob, Brightness Adjustment, Light Switch, Stage, Slide Holder, Objective Lens, Head, Ocular Lens (Check image in notes, then assign each of these if you forgot)
What 3 organizations is CLIA or CLSI responsible for?
CAP, COLA, TJC
Difference between QA and QC?
Quality Assurance: Making sure the job is being done properly, assuring everything is done right.
Quality Control: Making sure equipment works and under control, making sure everything is under control.
DIFFERENCE BETWEEN MEDICARE AND MEDICADE?
Medicare is owned by the government and is for people over the age of 65.
Medicaid is owned by the state and is for poor people.
What is DRG?
DRG is where tests ordered should fall under a diagnostic umbrella, then they are covered by the government.
Hierarchy of lab (bottom to top)
Hospital Administration
Lab Medical Directors (Pathologists)
Administrative Scientists (PhD)
Lab department manager or supervisor
Lead Techs (MLS, BS degree)
Bench Techs (MLT’s AAS degree)
CLA/Specimen Processors
Phlebotomists (Blood drawing)
What is the difference between certificate, license, and accreditation?
A certificate is required by individual organizations, licensure is required by law, accreditation is approval of place or business.
What is ASCP?
It is a society of clinical pathology established in 1928 to certify lab professionals. It is called the American Society for Clinical Pathology.
What are the levels of CLIA 88?
There are different levels of testing. POCT, Point of Care tests are easy done on the bedside. Provider Performed Microscopy PPM. Physicians office lab (POL’s).
There is moderate and high complexity.
Moderate: on the job training
High: Requires degree
Difference between malpractice and negligence?
Malpractice is when something bad is done on purpose, negligence is on accident.
What is HIPAA?
They handle patient confidentiality.
What are the three levels of complexity for lab tests defined by CLIA?
Waived testing, moderate complexity testing, high complexity testing.
What were the 8 companies/organizations to remember?
HCFA, CAP, COLA, TJC, ASCLCS, CLSI
HCFA are the handlers of financial stuff, CAP is a college of pathologists, COLA is for accreditation stuff, TJC is long term care facilities, CMS are centers for both Medicare and Medicaid , and CLSI is an educational organization for teaching guidelines.
What is ASCLS
A society for clinical lab scientists.
Difference between competency testing and proficiency testing.
Competency is testing the essential skills required, proficiency is for mastery.