Adult Medicine & Endocrinology Specialists

CLIA Laboratory Citation Details

2
Total Citations
10
Total Deficiencyies
6
Unique D-Tags
CMS Certification Number 26D0447995
Address 960 E Walnut Lawn, Ste 201, Springfield, MO, 65807
City Springfield
State MO
Zip Code65807
Phone417 269-4465
Lab DirectorJAMES BONUCCHI

Citation History (2 surveys)

Survey - June 7, 2023

Survey Type: Standard

Survey Event ID: JTZD11

Deficiency Tags: D5421 D5447 D5421 D5447

Summary:

Summary Statement of Deficiencies D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE CFR(s): 493.1253(b)(1) Each laboratory that introduces an unmodified, FDA-cleared or approved test system must do the following before reporting patient test results: (1)(i) Demonstrate that it can obtain performance specifications comparable to those established by the manufacturer for the following performance characteristics: (1)(i)(A) Accuracy. (1)(i) (B) Precision. (1)(i)(C) Reportable range of test results for the test system. (1)(ii) Verify that the manufacturer's reference intervals (normal values) are appropriate for the laboratory's patient population. This STANDARD is not met as evidenced by: Based on review of the performance verification procedures for the Vitros 5600 chemistry analyzer and interview with the technical consultant (TC), the laboratory failed to verify performance specifications prior to reporting patient test results. Findings: 1. Review of the performance specifications for the Vitros 5600 chemistry analyzer showed the laboratory failed to verify that the manufacturer's reference intervals (normal ranges) were appropriate for the laboratory's patient population for the analytes: calcium, total protein, albumin, aspartate aminotransferase, alanine transaminase, alkaline phosphatase, total bilirubin, triglycerides, high density lipoproteins, cholesterol, low density lipoproteins, micralbumin, hemoglobin A1C, TSH, Free T4, Free T3, follicle stimulating hormone, luteinizing hormone, prolactin, testosterone, prostate specific antigen, and cortisol prior to the beginning of patient testing. 2. Interview with the TC on June 7, 2023 at 9:00 AM confirmed the laboratory failed to verify performance specifications prior to reporting patient test results. D5447 CONTROL PROCEDURES CFR(s): 493.1256(d)(3)(i)(g) Unless CMS Approves a procedure, specified in Appendix C of the State Operations Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- Manual (CMS Pub. 7), that provides equivalent quality testing, the laboratory must-- At least once a day patient specimens are assayed or examined perform the following for-- Each quantitative procedure, include two control materials of different concentrations; (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on interview, review of Vitros 5600 chemistry quality control (QC) and interview with the technical consultant (TC), the laboratory failed to perform two levels of acceptable chemistry QC each day of patient testing. Findings: 1. Interview with TC stated laboratory uses assayed chemistry controls, they also establish ranges. The laboratory could not provide ranges of current chemistry lot number QC with corresponding established ranges. 2. Review of total bilirubin QC on April 24, 2023 and May 1, 2023 showed both levels of total bilirubin QC was not within acceptable ranges. 3. Interview with the TC on June 7, 2023 at 9:00 AM confirmed the laboratory failed to perform two levels of acceptable chemistry QC each day of patient testing. -- 2 of 2 --

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Survey - January 15, 2019

Survey Type: Standard

Survey Event ID: 1POB11

Deficiency Tags: D5401 D5403 D5793 D5807 D5793 D5807

Summary:

Summary Statement of Deficiencies D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on review of the Vitros Eci chemistry procedure, Free T4 quality control (QC) and interview with the laboratory director the laboratory failed to follow chemistry QC procedure. Findings: 1. Review of Vitros Eci chemistry procedure states if any result falls outside of +/- 2SD "first repeat, if still outside, open new controls, if still outside, recalibrate, if still outside, do not report out patients and call Ortho Clinical Diagnostic Customer Center". 2. Review of QC level 1 for Free T4 showed on 4/6/18 QC was out by 3 SD, QC was accepted with not further investigation. 3. Review of QC level 1 for Free T4 showed on 5/9/18 QC was out by 3 SD, QC ran two times both out by 3 SD, QC was accepted with no further investigation. 4. Review of QC level 1 for Free T4 showed on 5/18/18 QC was out by 3 SD, QC was accepted with not further investigation. 5. Interview with the laboratory director on January 15, 2019 at 4:00 PM confirmed the laboratory failed to follow chemistry QC procedure. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 3 -- performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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