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CLS 1113 Introduction to Clinical Laboratory Sciences. Unit 8 Fundamental Concepts. Certification Vs. Licensure. Certification NOT required by law Non-governmental agency acknowledges that predetermined standards have been met. Licensure Required by law
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CLS 1113Introduction to Clinical Laboratory Sciences Unit 8 Fundamental Concepts
Certification Vs. Licensure • Certification • NOT required by law • Non-governmental agency acknowledges that predetermined standards have been met. • Licensure • Required by law • Currently Montana, Tennessee, Florida, California and others require a license to practice as a Clinical Laboratory Scientist.
Accreditation • Accreditation is the approval of a “place” or “thing”. Evaluation process wherein a program or facility meets predetermined standards.For example: • The CLS program at WSU is accredited. • A laboratory is accredited.
Professional Societies • American Society for Clinical Pathologists (ASCP) • Governed by Pathologists • Offer national exams • MLT(ASCP) • MT(ASCP) • They do not require Continuing Education
Professional Societies • American Society for Clinical Laboratory Science (ASCLS) • Governed by Clinical Laboratory Personnel • Offer a national exam through the National Certifying Agency (NCA) • CLT(NCA) • CLS(NCA) • Require Continuing Education
Laboratory Regulation: GOVT • CLIA 88 • Clinical Laboratory Improvement Act of 1988 • HCFA • Health Care Financing Administration
Clinical Laboratory Improvement Act (CLIA ’88) • Sets predetermined standards for laboratories. • Personnel • Proficiency Testing • Quality Control
Health Care Financing Adm. • Regulatory • Financing • Enforcement requirements
Laboratory Regulation: Private Agencies • College of American Pathologists (CAP) • Joint Commission on Accredited Health Care Organizations (JCAHO)
JCAHO • Joint Commission on Accredited Health Care Organizations (JCAHO) • Non-governmental organization that inspects all healthcare facilities. • 3 year cycles
CAP • College of American Pathologists • Inspect Laboratories • Set standards of operation and personnel • Send out proficiency testing • Documents the quality of a laboratory • Laboratories must pass in order to maintain their accreditation and receive financial reimbursement for lab tests.
Different Types of Laboratories • Hospital Labs • Reference Labs • State Health Departments • Physician Office Labs • HMO Labs
Payment for Lab Services • Prospective vs. Retrospective Payment • Diagnostic Related Groups (DRG’s) • Insurance Providers • Medicare and Medicaid • HMOs • Private Health Insurance
Negligence vs. Malpractice • Malpractice • Doing that for which you have not been trained • Negligence • Acting in an unprofessional manner (Not performing your duties adequately)