Labman Lesson 5 PDF

LABMAN LESSON 5 AUGUST 24, 1998 -​ Physicians must know how to select ​ the most appropriate test/s needed 1983: PROSPECTIVE PAYMENT SYSTEM and should avoid th...

LABMAN LESSON 5 AUGUST 24, 1998 -​ Physicians must know how to select ​ the most appropriate test/s needed 1983: PROSPECTIVE PAYMENT SYSTEM and should avoid the “shotgun” -​ For medicare patients who approach to test ordering practices establish payment based on Diagnosis Related Group (DRG) 2001: CMS NATIONAL COVERAGE -​ Hospital are paid a fixed amount DETERMINATIONS per DRG -​ Replaced most local medical review policies which are used to 1984: DEFICIT REDUCTION ACT determine whether laboratory tests -​ Establish out-patient laboratory fee are medically necessary and to schedule control cost reimbursable 1989: PHYSICIAN SELF-REFERRAL BAN 2003: HAZARDOUS MATERIAL -​ Prevents the physician from REGULATIONS referring medicare patients to self -​ Deals with shipment of blood and owned laboratories other potentially hazardous products 1990: THREE=DAY RULE -​ Payment for any laboratory testing 2007: HI-TECH ACT done within three days before -​ Contains incentives related to admission as in-patient will not be adoption of healthcare information reimbursed technology and electronic health record 1992: OCCUPATIONAL EXPOSURE TO -​ Provides patient the access to their BLOOD TO Blood Borne Pathogens PHI of which the access provided -​ Establishes OSHA guidelines to within 30 days of the request limit unnecessary exposure to biological hazards. LABORATORY-RELATED GOVERNMENTAL AGENCIES 1996: HEALTH INSURANCE PORTABILITY and Accountability act (HIPAA) CENTER FOR DISEASE CONTROL & -​ This law protect patients from PREVENTION (CDC) inappropriate dispersion of -​ For public health safety personal information -​ Access to Protected Health CENTERS FOR MEDICARE & MEDICAID Information (PHI) SERVICES (CMS) -​ Largest healthcare medical 1997: OIG COMPLIANCE GUIDELINES programs in the US -​ Help the laboratories to develop programs that promote high ethical and lawful conduct ENVIRONMENT PROTECTION AGENCY -​ World leader in medical research (EPA) -​ Enforces standards for disposal of NATIONAL INSTITUTE OF STANDARD hazardous lab material AND TECHNOLOGY (NIST) -​ Contributed to the development of EQUAL EMPLOYMENT OPPORTUNITY many health care products COMMISSION (EEOC) -​ Dealing with fair employment OFFICE OF INSPECTOR GENERAL (OIG) practices -​ Responsible for auditing, inspecting, and identifying fraud FOOD & DRUG ADMINISTRATION (FDA) and abuse in CMS programs -​ Regulate & Manufactures of biologics medical devices and test OCCUPATIONAL SAFETY AND HEALTH kits ADMINISTRATION (OSHA) -​ Develops and enforces workplace DEPARTMENT OF HEALTH & HUMAN standards to protect employees’ SERVICES safety and health -​ Oversees CMS, OIG, and FDA DEPARTMENT OF HOMELAND NATIONAL ARCHIVES AND RECORDS SECURITY (DHS) ADMINISTRATION (NARA) -​ Identifies, regulates, and may -​ Provides databases and access to inspect high risk chemical facilities the federal register and radiation sources that may be risks for terrorism NUCLEAR REGULATORY COMMISSION (NRC) LABORATORY-RELATED -​ Enforces federal guidelines for the NON-GOVERNMENTAL AGENCIES proper use of non-military nuclear facilities. AMERICAN ASSOCIATION OF BLOOD NATIONAL INSTITUTE ON DRUG ABUSE BANKS (AABB) (NIDA) -​ A peer professional group that offers -​ Performing and maintaining a blood bank accreditation quality control for drug abuse testing AMERICAN SOCIETY FOR CLINICAL PATHOLOGY (ASCP) NATIONAL INSTITUTE FOR -​ The largest organization for OCCUPATIONAL SAFETY AND HEALTH laboratory professionals and offers (NIOSH) certification for various specialties -​ Provides research, information, COLLEGE OF AMERICAN education, and training in the field PATHOLOGISTS (CAP) of occupational safety and health -​ Offers the largest proficiency program in the US NATIONAL INSTITUTES OF HEALTH (NIH) CLINICAL AND LABORATORY RESEARCH INSTITUTE FOR TROPICAL STANDARDS INSTITUTE (CLSI) MEDICINE -​ Develops standardized criteria ​ MICROBIOLOGY regarding laboratory practices ​ PARASITOLOGY ​ MYCOLOGY COMMISSION ON OFFICE LABORATORY ​ VIROLOGY ACCREDITATION (COLA) -​ A nonprofit organization that provide assistance to physician office laboratories THE JOINT COMMISSION (TJC) -​ A nonprofit organization that accredits nearly 17,000 health care organizations and programs based quality standards 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 LUNG CENTER OF THE PHILIPPINES ​ CLINICAL CHEMISTRY NATIONAL KIDNEY TRANSPLANT INSTITUTE ​ HEMATOLOGY ​ IMMUNOHEMATOLOGY ​ IMMUNOPATHOLOGY ​ ANATOMICAL PATHOLOGY EAST AVENUE MEDICAL CENTER ​ DRUG TESTING ​ WATER MICROBIOLOGY SAN LAZARO HOSPITAL ​ SACCL ​ SEROLOGY