Nirmala, Histotechs are not required to have competency assessment under CLIA 
regulations because, as you note, they do not interpret any tests or report any 
results. However, if they do grossing then they do require high complexity 
competency assessment.

Having said that, if there is some concern in an inspection, any deemed 
accreditation agency (CLIA, CAP or JC) inspector, or state inspector,  can ask 
how you determine competency of any lab staff member to do any task. It is up 
to the Laboratory Director to determine how that is done, and how often. An 
institution may do it differently than the standard CLIA regulations outline, 
less often and less rigorous, but will need to convince an inspector that it is 
acceptable. The easiest way is to be sure there will not be any problems is to 
follow the competency assessment criteria for medium and high complexity - that 
is accepted and familiar to the inspectors so they should have no problem 
accepting it for other staff. 

Tim Morken
Pathology Site Manager, Parnassus
Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of 
Pathology UC San Francisco Medical Center

-----Original Message-----
From: Nirmala Srishan via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Thursday, September 01, 2016 10:49 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] (no subject)

Hi,

What is everyone doing about the Histology Staff competencies.  I know CLIA has 
several criteria for the med-tech competencies.  Since the Histotechs do not 
report out results, how is everyone implementing this process.  Any information 
is greatly appreciated.


Nirmala 







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