Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
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        Rules/Regulations 2005

Section 2. Department of Pathology and Laboratory Medicine

    1. Organization
    • The Department of Pathology and Laboratory Medicine will be directed professionally by the Director of Laboratories, who will be certified by the American Board of Pathology and be from the group contracted by the Lexington County Health Services District (LCHSD). This pathologist and any associates in pathology will be members of the active medical staff unless specifically categorized otherwise by the department. Pathology practice coverage of any shortages in staff will be at these pathologists' discretion either under locum tenens conditions or in the courtesy or consulting staff category.
  1. Procedures
A. Tests/examinations generally will be performed according to procedures listed in the laboratory procedure manuals or references thereof. Exceptions may occur in consideration of unusual circumstances and with proper authorization and/or prior consultation with the pathologists. Reference-lab resources will be utilized. Expert extra-mural consultants will be used.B. In both surgical pathology and the clinical laboratory, the pathologist will sometimes need to (on a case by case basis) override, modify, or add to the ordering physician's test/exam request. This decision by the pathologist will be based on his professional medical judgment, keeping the best interest of the patient in mind.3. Membership/Privileges: In order to be considered for Pathology clinical privileging, a physician must: A. Be board certified by the American Board of Pathology or the American Osteopathic Board of Pathology, or B. Have successfully completed an anatomic and/or clinical pathology residency-training program accredited by the Accreditation Council for Graduate Medical Education (ACGME) or an American Osteopathic Association-approved pathology residency-training program Privilege categories are utilized as follows: Active Clinical Staff: those pathologists associated with the Director of Laboratories, as outlined above, and in the fully committed (whether full or part-time group employees) practice of pathology at Lexington Medical Center. Active Community-based staff: pathologists who regularly provide coverage for members of the active staff, but are not based at Lexington Medical Center. Consulting Staff: those pathologists who consult at the request of the patient's attending physician or active or courtesy staff pathologist. There is an honorary status available through the Medical Staff structure. The practicality of our specialty means that all new staff members or locum tenens will transition into the scope of practice. Beginning with elevation to independent weekend coverage, the pathologist will provide the full range of services/privileges requested upon being deemed able to independently cover the hospital practice during weekdays. This progression is essentially seamless and by distribution of practice assignments within the contracted pathology group. Delineation of privileges requested and those granted are determined individually and recommended after appropriate review. It is not appropriate or customary to recommend "B" category" privileges to any but active staff and usually after the provisional year. 4. Quality and Patient Safety: Members will each do their part to assure success of quality assurance and quality control measures in line with various accreditation agency requirements for program operation. Parameters may be checked internally for purposes of duty assignments. The department will monitor a set of parameters for purposes of the medical staff system of FPPE (focused professional practice evaluation) and OPPE (ongoing professional practice evaluation). And the department will handle questions of member health issues, to include utilization of the medical staff Health Program, when needed.

(posted 5 August 2011)
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