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  • Why License Tour Guides but not Laboratorians?

      A recent article in the Economist made me chuckle. It covers in a deliberately humorous way, the story that tour guides in Washington, DC must be licensed, or face stiff fines.   The idea is that a certain body of knowledge is needed and the public can be fleeced or shortchanged if everyone and their uncle start ...
  • Direct Observation

    We watch each other work all the time. But do we observe? According to CLIA, the Technical Consultant is responsible for evaluating personnel competency i.e. “direct observation of routine patient test performance, including patient preparation, if applicable, specimen handling, processing, and testing.” The dictionary defines “observation” as ...
    Posted to Stepwise Success (Weblog) on June 22, 2012
  • A New Year, New Decade, New Challenges

    2010 is on the horizon; the dawn of a new year and a new decade. It's natural to reminisce about what has transpired these past few years and what to expect-or hope for- in 2010 and beyond. I have some suggestions. Reminisce.  Think back on how far we have come. Think how much science and technology have changed. Instead of all day enzyme ...
  • Competency

    According to CLIA (Clinical Laboratory Improvement Amendments) Sec. 493.1413(b)(8), the technical consultant is responsible for ''evaluating the competency of testing personnel.'' There are a number of ways to do this: direct observation, review of records, analyzing previously tested samples, and so on. These have to be written procedures ...
    Posted to Stepwise Success (Weblog) on September 30, 2009
  • Competitive Bidding a Huge Mistake

    Medicare is a huge payer in healthcare, so it is not surprising the government is on a constant quest to reduce Medicare spending. CMS, the agency that administers Medicare, is inherently suspicious and suspects fraud and abuse behind every bush. The fact is providers feel a need to ''work around'' complex requirements or cope with ...