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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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certification vs licensure
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
  • 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
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 societies1
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
Laboratory Regulation: GOVT
  • CLIA 88
    • Clinical Laboratory Improvement Act of 1988
  • HCFA
    • Health Care Financing Administration
clinical laboratory improvement act clia 88
Clinical Laboratory Improvement Act (CLIA ’88)
  • Sets predetermined standards for laboratories.
    • Personnel
    • Proficiency Testing
    • Quality Control
health care financing adm
Health Care Financing Adm.
  • Regulatory
  • Financing
  • Enforcement requirements
laboratory regulation private agencies
Laboratory Regulation: Private Agencies
  • College of American Pathologists (CAP)
  • Joint Commission on Accredited Health Care Organizations (JCAHO)
jcaho
JCAHO
  • Joint Commission on Accredited Health Care Organizations (JCAHO)
  • Non-governmental organization that inspects all healthcare facilities.
  • 3 year cycles
slide11
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
Different Types of Laboratories
  • Hospital Labs
  • Reference Labs
  • State Health Departments
  • Physician Office Labs
  • HMO Labs
payment for lab services
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
Negligence vs. Malpractice
  • Malpractice
    • Doing that for which you have not been trained
  • Negligence
    • Acting in an unprofessional manner (Not performing your duties adequately)