Summary:
Summary Statement of Deficiencies D2104 ENDOCRINOLOGY CFR(s): 493.843(d) (d) Failure to return proficiency testing results to the proficiency testing program within the time frame specified by the program is unsatisfactory performance and results in a score of 0 for the testing event. This STANDARD is not met as evidenced by: Based on review of the CMS proficiency testing (PT) records report 150D (CLIA Application and Survey Summary) for 2023 proficiency testing results, the American Proficiency Institute (API) PT report for 2023, and interview with the laboratory director (LD); it was determined that the laboratory failed to return PT results for endocrinology subspecialty for the second quarter event (Q2-2023) to the API testing program within the time frame specified by the program is unsatisfactory performance and results in a score of zero (0) The findings included: 1. The API reported to CMS for Q2-2023 an unsatisfactory score of 0% for endocrinology and HCG PT failure to submit results within the time frame specified by the program. 2. The LD affirmed by interview on the day of the survey February 18, 2025, at approximately 10:50 a.m. that API proficiency testing for Q2-2023 endocrinology and HCG received and unsatisfactory grade of zero (0) for which no