LABMAN WEEK 1 FINALS

STD/AIDS Central Cooperative Laboratory

(SACCL) stands for?

Health Insurance Portability and Accountability Act (HIPAA)

1996

Office of Inspector General Compliance and Guidelines

1997

CMS Coverage Determination

2001

Hazardous Materials Regulations

2003

High-Tech Act

2007

Medicare:

65 older, With disabilities, End Stage Renal Disease (ESRD) - Dialysis kidney transplant.

The Joint Commission (TJC)

A non-profit organization that accredits nearly 17,000 health care organization and programs-based quality standards.

2007: Hi-Tech Act

Contains incentives related to adoption of healthcare information technology and Electronic Health Record (EHR). Provides patients the access to their Protected Health Information (PHI) of which the access provided within 30 days of the request.

1997: Office of Inspector General (OIG) Compliance Guidelines

Help the laboratories to develop programs that promote high ethical and lawful conduct (e.g. Billing Practices, Fraud Abuse).

Department of Homeland Security (DHS)

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

Medicaid

Low-income Individuals.

Lung Center of the Philippines (LCP)

NRL for Clinical Chemistry

Department of Health and Human Services (HHS)

Oversees Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), and Food and Drug Administration (FDA).

Environmental Protection Agency (EPA)

Enforces standards for disposal of hazardous lab materials. Examples include Formalin, Xylene, Potential Carcinogens.

East Avenue Medical Center (EAMC)

NRL for Drug testing and Water Microbiology

National Kidney Transplant Institute (NKTI)

NRL for Hematology, Immunohematology, Immunopathology, Anatomical Pathology

Research Institute for Tropical Medicine (RITM)

NRL for Microbiology, Parasitology, Mycology, Virology

San Lazaro Hospital (SLH)

NRL for STD/AIDS Central Cooperative Laboratory (SACCL) and Serology

Food and Drug Administration (FDA)

Part of the Department of Health and Human Services (HHS), Regulates manufacturers of biologics, medical services, and test kits.

Occupational Safety and Hazard Administration (OSHA)

Part of the US Department of Labor, develops and enforces workplace standards to protect employees' safety and health.

1990: Three-Day Rule

Payment for any laboratory testing done within three calendar days before admission as in-patient will not be reimbursed. Note: It will not reimburse because the test is considered to be part of the hospital stay. Initiated by Centers for Medicare and Medicaid Services (CMS).

National Institute on Drug Abuse (NIDA)

Performs and maintains 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. In response to Centers for Medicare and Medicaid Services (CMS) - fraud and abuse of payments.

1989: Physician Self-Referral Ban

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

National Archives and Records Administration (NARA)

Provides a database and access to the Federal Register

2001: CMS National Coverage Determinations

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

Office of Inspector General (OIG)

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

1984: Deficit Reduction Act (DEFRA)

Establish out-patient laboratory fee to schedule control cost.

1992: Occupational Exposure to Bloodborne Pathogens

Establishes OSHA guidelines to limit unnecessary exposure to biological hazards.

(n.d.): Occupational Exposure to Hazardous Chemicals

Establishes OSHA guidelines to limit unnecessary exposure to hazardous chemicals.

yersinia pestis = causative agent for blood bag.

Example of bloodborne pathogens

1983: Prospective Payment System

For medicare patients who establish payment based on Diagnosis Related Groups (DRG). Patient classification scheme. Hospitals are paid a fixed amount of DRG.

Prospective Payment System

1983

Deficit Reduction Act (DEFRA)

1984

Clinical Laboratory Improvement Act (CLIA)

1988

Physician Self-Referral Ban

1989

Three-Day Rule

1990

Occupational Exposure to Bloodborne Pathogens

1992

NRL 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. Provides: Confirmatory testing, Training, Research, External Quality Assurance Services, Validate test kits and reagents

Commission on Office Laboratory Accreditation (COLA)

A non-profit organization that provides assistance to physician office laboratories.

American Association of Blood Banks (AABB)

A peer professional group that offers a blood bank accreditation.

Centers for Medicare and Medicaid Services (CMS)

Largest healthcare medical programs in the U.S.

American Society for Clinical Pathology (ASCP)

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

1996: Health Insurance Portability and Accountability Act

This law protects patients from inappropriate dispersion of personal information. Access to Protected Health Information (PHI).

Centers for Disease Control and Prevention (CDC)

Under the US Department of Health and Human Services. for public health safety.

Federal Register

Where archives and records are published.

National Institute of Health (NIH)

World leader in medical research.

Nuclear Regulatory Commission (NRC)

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

2003: Hazardous Material Regulations

Deals with shipment of blood and other potentially biohazardous products.

Clinical and Laboratory Standards Institute (CLSI)

Develops standardized criteria regarding laboratory practices.

1988: Clinical Laboratory Improvement Act (CLIA) of 1988

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

National Institute for Occupational Safety and Health (NIOSH)

Part of the Department of Health and Human Services (HHS), Provides research, information, education, and training (RIET) in occupational safety and health.

National Institute of Standards and Technology (NIST)

Branch of the Commerce Department, contributed to the development of healthcare products.

Equal Employment Opportunity Commission (EEOC)

Dealing with fair employment practices.

College of American Pathologist (CAP)

Offers the largest proficiency program in the US.

Healthcare information

is the overall data of patients (Age, Sex, Patient History, etc.).