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Fri Oct 19 23:19:11 BST 2007

CLIA waived testing is a reality in the real world. In a hospital, the
laboratory needs to justify their existence and unfortunately, we often get
caught in the crossfire. Cha-ching. The list as it exists:
http://www.cms.hhs.gov/clia/downloads/cr4305.waivedtbl.pdf

As a med tech by background, I can perform an occult blood that comes with
its own qc-- and is resulted in  ohhh about 2 seconds, rather than walk it
to the lab, wait up to an hour for a tech to perform the drops and
assessment and then kill a tree branch to print the result. And my KOH
scrapings are better and quicker than the green techs in many labs ("what?
the machine doesn't do it?!")

LE is either positive or negative. A woman with a UTI would've waited a
total of almost 3 hours for the urinalysis report this past week, but I
treated her anyway.

Ridiculous.

C M Morris

On 10/19/07, Andrew J Bowman <andrewj.bowman at gmail.com> wrote:
>
> You just need to chart the results of the controls as well as the sample
> in
> the patient's record.
>
> Andrew
>
>
>
> that needs to be appealed under the 'waivered test' protocols.
>
> especially a test that contains integral positive and negative  controls.
>
> ck
> Charles S. Krin, DO FAAFP
>
>
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Laboratory tests that are CLIA waived