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17 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What does CLIA67 and CLIA88 stand for?
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CLIA67: Clinical Laboratory Improvement Act of 1967
CLIA88: Clinical Laboratory Improvement Amendments of 1988 Who administers CLIA? What are the 3 classifications of testing under CLIA? |
Who administers CLIA?
Center for Medicare and Medicaid Services (CMS). All laboratories performing laboratory testing on patients are required to register with CMS and obtain a certificate. What are the 3 classifications of testing under CLIA? - Provider performed microscopic procedures - Waived tests - Non-waived tests |
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Are proficiency tests required for waived tests?
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No
Are waived test laboratories subject to random inspections? If so, how often? |
Yes. About 2% of labs are inspected. There are 100,000 waived test labs.
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How often are non-waived test labs subjected to formal inspection?
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Every 2 years.
By what organization? |
CMS or a deemed provider (CAP, Joint Commission, COLA).
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How often is proficiency testing performed for moderate or high complexity (i.e. non-waived) tests?
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Require proficiency testing 3 times a year with 5 samples for testing. If proficiency testing doesn't exist for the test, the lab must develop some method to assess performance at least 2 times per year.
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What does HIPAA stand for?
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Health Insurance Portability and Accountability Act
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What does HIPAA stand for?
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Health Insurance Portability and Accountability Act
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In a Joint commission inspection, what is meant by Requirements for Improvement (RFI)?
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RFI: serious deficiency requiring the lab to correct the deficiency and submit a report termed Evidence of Standards Compliance (ESC) within 45 days.
Note: supplemental findings are suggestions only. For CAP, what is meant by Phase I and Phase II deficiencies? What about Recommendations? |
Phase I: minor defect, should be corrected if possible
Phase II: serious defect, must document corrective action Recommendations: suggestions only |
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For techs doing high complexity testing before 2/28/92, what are they grandfathered for?
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The grandfathered techs can only have high school diploma and on the job training. For those after 2/28/92, they need at minimum an associate degree in science w/ minimal science and math.
What are the minimal requirements for a person to be a lab director of a non-waived test lab as of 2/24/03? |
Must be an MD with lab training or PhD with board certification.
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How long do most material (including instrument printouts, quality control ) need to be retained?
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2 years
How long do cytology slides and SP slides and blocks need to be retained? |
10 years.
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How long does blood bank QC need to be kept?
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5 years
What about other blood bank records? |
10 years. Deferred donor records are indefinite.
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Define productivity.
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Productivity: number of results produced per hour per technologist.
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One byte is how many bits?
One kilobyte (KB) is how many bytes? |
1 byte = 8 bits
1 KB = 1024 bytes |
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What do the following stand for?
LIS HIS CPOE LOINC SNOMED ICD |
LIS: Laboratory Information System
HIS: Hospital Information System CPOE: Computerized Physician Order Entry LOINC: Logical Obstervation Identifiers Names and Codes (a database and universal standard for identifying medical laboratory observations) SNOMED: Systematized Nomenclature of Medicine (codes for classification of diagnoses) ICD: International Classification of Disease (codes for diagnosis; ICD10 takes effect 10/1/13) |
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What is HL-7?
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Common protocol for communicating data between computers (i.e. LIS and computers on laboratory instruments). It provides a framework for the exchange, integration, sharing, and retrieval of electronic health information.
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List Maslow's hierarchy of needs.
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Physical (food, clothing, shelter)
Security (safety) Being loved Ego (need to feel important) Self-Actualization (developing abilities) |
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In theory X and Y, who is the "micromanager" boss and who is manager concerned about workers achieving Maslow hierarchy of needs (ego and self-actualization) to improve outcomes?
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X = micromanager
Y = Maslow, participatory, delegates responsibility, seeks involvement by and feedback from employees |
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If your current test costs $100 to send out but you can purchase the instrument which lasts for 5 years for $50,000 and performance of each test is $10, what annual test volume would be needed to break even?
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100x = 50,000 + 10x
x = 556 for 5 years Would need 111 to 112 tests per year to break even. |
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