Provider Performed Testing

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I was wondering what everyone's process is for making sure Provider Performed Microscopy and Waived testing is in compliance. I have very recently taken over as POCC and it has come to my attention hemoccult testing is being performed by providers without ANY regulation, official training documentation or competencies... I'm at a loss as to how to handle it. I have already received some resistance just asking about it. I have a feeling it is done at a larger scope than just one department and am still investigating. Any Advice?


Thank you.

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If PPM does not fall under the WT Chapter of the Hospital CAM, then does it fall under HR.01.06.01 for staff competencies?  This is a question that I am struggling to answer for our facility.  thanks ACL

Yes.


"Introduction to Standard HR.01.06.01
All staff who perform high, moderate, and provider-performed microscopy (PPM) procedures testing, including supervisors, physicians, dentists, and midlevel practitioners, participate in competence demonstrations as described in the Clinical Laboratory Improvement Amendments of 1988 (CLIA '88) under Subpart M: "Personnel for Nonwaived Testing," §493.1413(8) and §493.1451(8). A complete description of the requirement is located at http://wwwn.cdc.gov/clia/regulatory. "

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Hannah Barringer
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