Pathology and Laboratory Medicine Communique

July 2018 Laboratory Communique

Holiday Phlebotomy Site Hours

Successful Laboratory Inspections

TB by Quantiferon Test Kit Change

Effects of Biotin Supplements on Laboratory Testing

Lynch Syndrome Screening on Endometrial Cancer Resections

Urine Antibiotic Susceptibility Testing for Enterococcus Species

Lupus Anticoagulant Cascade Change in Days Performed

Hemagram Name Change

American College of Obstetricians and Gynecologists Recommendations for Specific Conditions

 

April 2018 Laboratory Communique

National Laboratory Professionals Week
Phlebotomy Update MRSA PCR Swabs
Labeling Tubes for Automation
Actin IgG and Mitochondrial IgG Antibody Testing Discontinued at UVMMC
New Test: Antimicrobial Susceptibility Panel, Yeast
GC Screen Discontinued
Reagent Change for Intact PTH
ANCA and ANA Stability Change
New Chemistry Platforms
Aspenti Health for DOA Confirmations
Lyme Disease Serology on CSF
Hemoglobin Electrophoresis New Recommendations
Reflex Testing for Unresectable NSCLC or Carcinoma, Suspected Lung Primary
Miscellaneous Test Process Change
Laboratory Compliance Information     
Attachment: Hologic ThinPrep Pap Test: Preparation and Specimen Collection

January 2018 Laboratory Communique

Holiday Phlebotomy Hours
Insurance Prior Authorization for Laboratory Testing 
Legal vs Preferred or Nick Name                                                  
Autopsy Service Changes for POC, Fetal Demise, Neonatal Deaths                
Blood Parasite Exam Update                                                 
Candida albicans Antibody Change    
HSV Type 1 and 2 Antibody IgG Change    
HIV Test name Change   
Attachment: Autopsy Consent Form          


October 2017 Laboratory Communique

Welcome Dr. Clayton Wilburn
An update on Neutral Buffered Formalin Fixation
Serum Tube Change                                       

Compliance Information
Preventative Services
Coding Tips for Tick Bites and Lyme Disease
Genetic Testing on Medicare Patients   

Test Updates 
Urine Cytology: Introduction to the Paris System
Bordetella Pertussis PCR  
Blood Fungal & AFB Culture Specimen Volume                                                   
Fungal Smear Name Change                 
Aptima Vaginal Swab Collection Kit Name Change                                                  
Babesia Species, Molecular Detection, PCR Blood: Change in Ability to Order     
HIV Viral Load Reporting Range     
Testosterone Reference Range Change    
Hemoglobin A1c Reference Range Terminology Change           
HSV Type 1 & 2 Antibody IgG Change 
Urinalysis Method Change

Laboratory Customer Satisfaction Survey 
Please take the time to fill in our brief survey (Follow link to survey) about the laboratory services we provide to you. Responses are confidential unless you chose to leave you name. We welcome your comments and suggestions.

July 2017 Laboratory Communique

Holiday Phlebotomy Hours[ pg. 1 ]
Lab Client Satisfaction Survey[ pg. 1 ]
Preparing for a Pap Test [ pg. 2 ]
Lab Automation in Motion [ pg. 2 ]
Test Changes[ pg. 2 ]
Alternative to Colonoscopy [ pg.  3 ]
Kleihauer-Betke Test Changes [ pg.  3 and 6 ]
Microbiology Specimen Stability Changes [ pg.  4 -  5 ]
Cystine Granulocyte Assay [ pg. 6 - 7 ]
Thyroid Function Testing Method Change [ pg.  7 - 8 ]
Celiac Disease Panel [ pg.  9  - 10 ]
Cortisol Method Change [ pg.  9 ]
Gent, Valp, & Vanco Method Change [ pg.  9 ]
Change Sample Type for Vanco and Free T4 [ pg.  10 ]
Compliance Info: Factor V Leiden and Prothrombin 2010A Gene Mutation, Tick Bite Coding Tips [ pg.  11 ]
Syringe Disposal [ pg.  12 ]

April 2017 Laboratory Communique


EPA Regulations [pg.1]

Spotlight on the Lab: 
Pathologist Assistants[ pg. 2 ]

Compliance Updates [pg.3-4]
Reflex genomic testing on metastatic       colorectal tumors [pg. 3]
Drug Testing Urine [pg. 4]

Test Updates - [Attached]
CK-MB Discontinuation
Beta-2 Glycoprotein 1 Antibodies, IgG and IgM and Gliadin (Deaminated) Antibodies, IgG and IgA Discontinuation
Chlamydia/N. gonorrhoeae (GC) Test Name and Result Format Change
Change in Instrumentation for Low Volume ​Therapeutic Drug Monitoring
Urine Drugs of Abuse Screens: Change in Assay
ANA's and Beyond: Introduction of Nova View Digital IFA Reader   
​Testosterone and Sex Hormone Binding Globulin New assay, Testosterone-Free Change in Calculation and Reference Ranges  Rubella Antibodies IgG Assay Change
HIV Antibody and Hepatitis Testing Platform Change
Drugs of Abuse Confirmatory Testing Reference Range Change
Annual Disclosure of 
Medicare Regulations [Attached]

January 2017 Laboratory Communique

Holiday Hours 

Alternate Performing Labs
Compliance Information
Change in Lead Reporting Ranges 
Method Change for Mitochondrial and Smooth Muscle Antibodies and Discontinuation of Testing Parietal Cell Antibodies at UVMMC
Confirmation Testing-Drugs of Abuse
Discontinuation of Paper Copy to Reports for PRISM Users
Urine Microscopic Change to Reflex Criteria
Reducing Substances - Urine and Stool Discontinued
Anti Nuclear Antibody: New Test Code
CA 125 Assay: New Baselines
Total CO2 Reference Range Change 
Calculated Calcium Formula Change 
Tumor Marker Results Cessation of Reporting Historical Data 
Sample Collection for CD57 for Lyme Disease no Longer Available via UVMMC

Attachment: Zika Testing Update
Attachment:  Blue Cross Blue Shield of Vermont CPT changes effective 01-01-2017
Attachment: New Urine Total Protein

October 2016 Communique

Zika Testing 
New Medical Director Autopsy
HLA Disease-Related Testing Update
APT Test Inactivation
Extended Platelet Expiration Date
Thrombosis Panels (TP and TP1C) Change
NEW Test for Indeterminate Thyroid Nodules
Spotlight on the Lab: Pathology Residency
NEW ANA Test Codes
Calcium and Albumin Calibration Result Bias
Calculated Calcium Formula Change
Endomysial Ab NOT Recommended
Considerations in the use of QuantiFERON-TB Gold
Tumor Marker Results cessation of reporting of Historical Data
Triglyceride Pediatric Range Change
Lactic Acid Pediatric Critical Value Change
New Test: Group B Strep PCR for Penicillin Allergy
Bacterial Culture Test inactivation
Reminder: Dirty Urine for STD’s
Compliance News
Thanksgiving Holiday Hours 

July 2016 Communique

Summer Holiday Hours
Universal Irradiation of Platelets
Elimination of CMV Negative Blood Products
Methotrexate Method Change
Hepatitis C Infection Change
H.pylori Stool AG Replaces AB Serology Test 
IBC Positive Bias Noted
Viscosity Testing to go to Mayo
Age Adjusted D-Dimer Cutoff Values
LA Cascade Testing Algorithm
Urine Fungal Culture New Policy
Influenza A Subtyping no Longer Offered
Myositis Panel II Antibody Testing
HLA Crossmatch Tube Change
Special Heparin Tube Discontinued
New Celiac Disease Panel
Blood Culture Vial Change
New Formalin Vials
New Microbiology Collection Kits
Spotlight on the Lab: Lab Outreach
Medicare  Preventative Service: Chlamydia/GC
Drug Screening for Medicaid Patients
F5 Leiden & Prothrombin Coagulation Factor 2 
Heavy Metals: New LCD
Urovysion Testing: BC/BS Notice of Non-Coverage
Labeling Blue Top Tubes
LA Cascade Algorithm

April 2016 Communique

Spotlight on the Lab: A Primer on Summer Pests
Test Updates

Fecal Bacterial Pathogen Detection Change
Lupus Anticoagulant Cascade
Cross Reactivity of Fulvestrant in Estradiol Assay
Critical Value for CO2
MG RBC Testing No Longer Available
Flagging Abnormal for
Hepatitis B Surface Antigen
Hepatitis C Antibody
HCV RNA Quantitation
HIV 1 RNA Quantitation 
HIV 1/2 Antibody
Lactic Acid Normal Range and Critical Value Change
Lead Demographic Information Required 
Cyclospora Detection Name Change
HIV and Hepatitis C Testing Available for NYS
Opiate Confirmation and Buprenorphine Testing Reference Lab Change 
Stem Cell CD34 Peripheral Blood Sample Type 
Coagulation Testing: Labeling Blue Top Tubes 
Test Schedule Changes 

Compliance Updates 
HIV Screening
HPV Screening
ICD-10 Coding for Chlamydia.GC

National Medical Laboratory Week April 24-30 
Attachment: Lupus Anticoagulant Cascade

January 2016 Communique

New Division Chief
Sample Integrity and the Holiday]
Christmas & New Year Holiday Hours
Lab Service Center Locations
Courier Reminder
HLA Samples
Test Schedule Changes
Tobramycin Method Change
Vancomycin, Peak Discontinued
ICA Test Code Change
SPOTLIGHT ON THE LAB: New Cell Counters
NYS FISH Assay Approval
TEST UPDATES 
DHEA Sulfate Method Change
BD Max System: MRSA PCR                   
Hemagram and Differential New Instrumentation      
​Alpha-Fetoprotein (AFP) Tumor Marker Assay Method Change
CA 19-9 Assay Method Change
Osmolality Testing New Reference Range for Serum and Urine
BD Max System : C. difficile and Group B Streptococcus, PCR
Laboratory Monitoring of Unfractionated Heparin Therapy

October 2015 Communique

Test Changes

Jackson Pratt Drain Fluid 

  • Total Protein Ref. Range Change 
  • Quad Marker Testing Discontinued
  • C-Reactive Protein 
  • Sickling HGB Monitoring
  • TSH Reference Range 
  • CLL FISH Panel 
  • Parasitology Testing/Specimen Transport Update  

ATTACHMENT

  • Second Trimester Maternal Screening AFP/QUAD Screening Patient Information Sheet

July 2015 Communique

OPERATIONS

  • New Test Catalog

TEST CHANGES

  • Hemoccu
  • lt Slides: Patient Instructions
  • CRC Reflex Criteria Change
  • EGFR Calculation Change
  • Total Protein Assay: Potential Shift in  Values
  • Urine Culture: Change in Reflex
  • Criteria
  • Weak D Antigen Testing
  • Vaginal HPV on High Risk Patients

COMPLIANCE INFORMATION

  • Genetic/Molecular Testing No Preauthorization
  • ICD-10 CM Implemented 10/1/2015

ATTACHMENTS

  • Spotlight on Genomic Medicine
  • Independence Day Hours
  • CLL FISH Panel Test Update
  • ICD-10 Transition

April 2015 Communiqué 

OPERATIONS

  • National Laboratory Professionals Week April 19-25, 2015
  • Director of Blood Bank:  Sarah Harms, MD

TEST INFORMATION

  • New Microtainers
  • Amniotic Fluid Chromosome Analysis Discontinued
  • CPT Code Changes
  • Discontinuation of Heinz Body Prep
  • Discontinuation of Hemoglobin H Stain
  • Fluid Hematocrit
  • Fluid pH Testing Change
  • Critical Values in Chemistry: Change in Policy  for Confirming
  • Outpatient Call Value for NT-proBNP
  • High Risk HPV Testing
  • GC Chlamydia:  Not Your Ordinary Urine Collection
  • M-5 Viral Transport Media
  • Chlamydia and Gonorrhea Aptima Testing

ATTACHMENT

  • Spotlight on Quality:  Nonconforming Event Management