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pap

Compliance & Safety

Inclusion of a Third Patient Identifier on Paper-Based Orders to Increase Safety

To enhance patient safety, we are implementing a requirement for paper-based orders arriving with externally collected specimens to include a minimum of three patient identifiers.

Effective June 30, 2025, all paper-based orders (including add-on orders) must include at least three patient identifiers. Patient’s Legal Name and Date of Birth must match the ones on the specimen’s label, and the third must match the identifier in the Electronic Health Record (EHR). Any extra identifiers on the specimen label must also match the ones on the paperwork and in the EHR.

Examples of Patient Identifiers:
The following are examples (though not a comprehensive list) of patient identifiers that can be used to confirm a patient’s identity in the EHR:

  • Patient Legal Name (required)
  • Date of Birth (required)
  • Social Security Number (last four digits)
  • Phone Number
  • Address
  • Zip Code
  • Email Address
  • Photo ID

By accurately identifying and matching patient information on all documents and specimens, we reduce errors and protect patients from harm.

 

Unacceptable Orders:

In the event that we receive an unacceptable paper-based order, we will not cancel the order but will follow our downtime labeling process.

 

Please make sure everyone on your team knows about this new requirement and follows it to keep our patient safety standards high.

Thank you for your cooperation.

Advanced Technology Laboratory

Human Papillomavirus (HPV) Testing Update

Corewell Health South and Corewell Health West Laboratories 

Effective Date: February 3, 2025 

Human Papillomavirus (HPV) Genotypic testing will be updated to expand acceptable sources and collection methods. The following HPV test will be available, and the corresponding testing algorithm will be driven by the clinician specified specimen source and collection method/device.  

New Test: Self-Collect HPV High-Risk Screen with HPV Genotype Reflex (LAB1231853)  

  • Testing Restricted to HPV only –Co-testing Not Available: PAP or STI (CT, NG, TV)  
  • Detection of 14 HR HPV genotypes:  
    • HPV Genotype 16  
    • HPV Genotype 18
    • Other HR  HPV – includes 31,33,35,39,45,51,52,56,58,59,66,68  
  • Collection Information:  
    • Acceptable Source: Patient Self-collected vaginal  
    • Collection Device: Rovers® Evalyn® Brush  (ITM-1303902)
    • Collection Instructions: Patients must use the Evalyn Brush in a healthcare setting (i.e. physician office or clinic) to self-collect a vaginal specimen following the Evalyn Brush collection instructions. (Spanish instructions) 
    • A trained healthcare staff member must immediately suspend the Evalyn Brush into a vial of ThinPrep PreservCyt solution following transport instructions. The ThinPrep PreservCyt vial can then be transported to the lab at 2 to 30°C.  
    • This may not be collected at home or in an outpatient draw site. 

Corewell Health Southwest: Effective February 3, 2025, PAP and HPV results will once again be bundled for all orders placed from that date onward. 

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Cytology, General Information

Update to PAP-HPV Reflexing Algorithm

The algorithm that reflexes HPV testing off the PAP Test (LAB1230097) when the “HPV Reflex” option is selected during PAP ordering will no longer include pregnancy status as a criterion for reflexing on LSIL patients. Prior to this update, if HPV Reflex was selected, a PAP Diagnosis of LSIL on patients 25 and older would only reflex HPV testing if the patient was non-pregnant. Starting 11/6/2024, if HPV Reflex was selected, a PAP Diagnosis of LSIL on patients 25 and older will reflex HPV testing regardless of pregnancy status. This update aligns with current ASCCP Risk-Based Management Consensus guidelines.

Advanced Technology Laboratory, Cytology, General Information

Reflex HPV Testing Update

Effective April 2, 2025, the Reflex HPV algorithm will more closely align with ASCCP recommendations. HPV testing will no longer be performed for a normal Pap result in patients aged 30 years and older when a provider orders HPV Reflex.

Specimens will qualify for HPV Reflex with a cytologic diagnosis of:

  • ASCUS (Atypical Squamous Cells of Undetermined Significance) for patients aged 21 and older.
  • LSIL (Low Grade Squamous Intraepithelial Lesion) for patients aged 25 and older.

HPV testing will continue to be performed for all Paps, regardless of results, for patients aged 30 years or older when a provider orders Co-Testing.

If a provider wishes to request HPV testing on a normal pap for patients under 30, they must either place an electronic order at the time of the initial pap order or request an add-on test for:

  • HPV High Risk Screen with HPV Genotype Reflex – Cervical Source (LAB1231770)
  • HPV High Risk Screen with HPV Genotype Reflex – Vaginal Source (LAB1230722)

Updated Pap and HPV Testing Algorithm

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General Information

Ordering Laboratory Supplies: Workflow Update and Updated Form (West Michigan)

West Michigan Corewell Health Laboratories and Supply Chain have updated the Laboratory Supply Requisition form and introduced a new workflow, for both Corewell Health and Non-Corewell Health offices. You may now email the completed form to CHLabSupplyRequisitions@CorewellHealth.org, although forms can still be sent with your courier if needed. This new workflow aims to improve communication between our lab courier team and your team members, reducing confusion and the time spent on phone calls for both parties.

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General Information

Reminders: COVID Collection

Corewell Health Laboratories no longer offers Covid collection observations or collections at any of our draw sites/laboratories.

If your patient is experiencing symptoms and requires a Covid test, please choose one of the options below:

Collect the specimen in your office and send the specimen to any Corewell Health Laboratory or with your Corewell Health Courier, if available.

• Please be sure to place a collected order in Epic or your EMR, or include a paper order with the specimen.

• Please make sure the specimen is labeled with 2 patient identifiers, date and time of collection, and source (nasopharyngeal or nares)

For all other options please visit: Corewell Health COVID-19 screening and testing

NOTE: Walk-in COVID-19 testing is not available at any of our sites, including emergency departments, urgent care locations or walk-in clinics. Testing is available to registered patients who are seeking medical treatment.