The facility designed and implemented an illustrated grossing guideline manual, dictation templates, written policies and procedures, and competency assessments. In addition, they evaluated their resources to ensure that they had adequate staffing, physical space, equipment, and safety measures in place to implement the program. In determining the personnel qualifications for grossing specimens, they followed the Clinical Laboratory Improvement Amendments (CLIA) guidelines for High Complexity Testing (HCT) personnel. This facility developed and implemented a program that trained existing personnel to perform gross examinations of a variety of tissue types without compromising quality and accuracy. Accordingly, the group investigated the possibility of utilizing existing histology technicians to develop an effective surgical pathology grossing program without adding additional costs or workflow burden. Due to decrease on healthcare reimbursement and the rising cost of medical supplies and tests, this large metropolitan pediatric healthcare facility had to re-evaluate their resources and make their processes more efficient.
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