LABORATORY MANAGEMENT WEEK5

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National Reference Laboratories

A laboratory in a government hospital that had been designated by the DOH to provide special functions and services for specific diseases.

The Joint Commission (TJC)

A nonprofit organization that accredits nearly 17,000 healthcare organizations and programs based quality standards.

Commission on Office Laboratory Accreditation (COLA)

A nonprofit organization that provides assistance to physician office laboratories.

American Association of Blood Banks (AABB)

A peer professional group that offers a blood bank accreditation.

1988: Clinical Laboratory Improvement Act

All laboratories must be certified by the federal government with mandated quality assurance, personnel, and proficiency testing standards.

Lawful Conduct

Billing Practices Fraud Abuse

Lung Center of the Philippines (LCP)

Clinical Chemistry

2007: Hi Tech Act

Contains incentives related to adoption of healthcare information technology and electronic health record (EHR).

National Institute of Standards and Technology (NIST)

Contributed to the development of many healthcare products.

1997: OIG COMPLIANCE GUIDELINES

Help the laboratories to develop programs that promote high ethical and lawful conduct.

National Kidney Transplant Institute (NKTI)

Hematology Immunohematology Immunopathology Anatomical Pathology

Department of Homeland Security (DHS)

Identifies, regulates, and may inspect high-risk chemical facilities and radiation sources that may be risks for terrorism.

Centers for Medicare & Medicaid Services

Largest healthcare medical programs in the U.S.

Research Institute for Tropical Medicine (RTM)

Microbiology Parasitology Mycology Virology

College of American Pathologist (CAP)

Offers the largest proficiency program in the US.

Department of Health and Human Services

Oversees CMS, OIG, FDA

1990: Three Day Rule

Payment for any laboratory testing done within three calendar days before admission as in-patient will not be reimbursed.

National Institute on Drug Abuse (NIDA)

Performing and maintaining quality control for drug abuse testing.

August 24, 1998

Physicians must know how to select the most appropriate test/s needed and should avoid the "shotgun" approach to test ordering practices.

American Society for Clinical Pathology (ASCP)

The largest organization for laboratory professionals and offers certification for various specialities.

1996: Health Insurance Potability and Accountability Act (HIPAA)

This law protects patients from inappropriate dispersion of personal information.

National Institutes of Health (NIH)

World leader for medical research.

Nuclear Regulatory Commission (NRC)

Enforces federal guidelines for the proper use of non-military nuclear facilities.

Environmental Protection Agency (EPA)

Enforces standard for disposal of hazardous lab materials.

1984: Deficit Reduction Act "DEFRA"

Establish out-patient laboratory fee to schedule control cost.

1992: Occupational Exposure to Blood Borne Pathogens

Establishes OSHA guidelines to limit unnecessary exposure to biological hazards.

Occupational Exposure to Hazardous Chemicals

Establishes OSHA guidelines to limit unnecessary exposure to hazardous chemicals.

Centers for Disease Control and Prevention (CDC)

Federal government agency responsible for improving the overall health and safety of the people of the United States.

1983: Prospective Payment System

For medicare patients who establish payment based on Diagnosis Related Groups (DRG)

Hazardous Lab Materials

Formalin Xylene Potential Carcinogens

Equal Employment Opportunity Commission (EEOC)

Dealing with fair employment practices.

2003: Hazardous Material Regulations

Deals with shipment of blood and other potentially biohazardous products.

Occupational Safety and Health Administration (OSHA)

Develops and enforces workplace standards to protect employees' safety and health.

Clinical and Laboratory Standards Institute (CLSI)

Develops standardized criteria regarding laboratory practices.

East Avenue Medical Center (EAMC)

Drug Testing Water Microbiology

1989: Physician Self Referral Ban

Prevents the physician from referring medicare patients to self owned laboratories.

National Archives and Records Administration (NARA)

Provides databases and access to the Federal Register.

National Institute for Occupational Safety and Health (NIOSH)

Provides research, information, education, and training in the field of occupational safety and health.

Food and Drug Administration (FDA)

Regulated and manufactures of biologics and medical devices and test kits.

2001: CMS National Coverage Determinations

Replaced most local medical review policies which are used to determine whether laboratory tests are medically necessary and reimbursable.

Office of Inspector General (OIG)

Responsible for auditing,inspecting, and identifying fraud and abuse in CMS programs.

San Lazaro Hospital (SLH)

SACCL (STD/AIDS Central Cooperative Laboratory) Serology


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