Bethany Children's Health Center

CLIA Laboratory Citation Details

4
Total Citations
25
Total Deficiencyies
9
Unique D-Tags
CMS Certification Number 37D0689141
Address 6800 Nw 39th Expressway, Bethany, OK, 73008
City Bethany
State OK
Zip Code73008
Phone(405) 789-6711

Citation History (4 surveys)

Survey - February 1, 2024

Survey Type: Standard

Survey Event ID: L57F11

Deficiency Tags: D0000 D1001 D5413 D0000 D1001 D5413

Summary:

Summary Statement of Deficiencies D0000 The recertification survey was performed on 02/01/2024. The laboratory was found in compliance with standard-level deficiencies cited. The findings were reviewed with the laboratory director at the conclusion of the survey. D1001 CERTIFICATE OF WAIVER TESTS CFR(s): 493.15(e) Laboratories eligible for a certificate of waiver must-- (1) Follow manufacturers' instructions for performing the test; and (2) Meet the requirements in subpart B, Certificate of Waiver, of this part. This STANDARD is not met as evidenced by: Based on a review of records, manufacturer's instructions, observation, and interview with the laboratory director, the laboratory failed to follow the manufacturer's instructions for storage of testing kits and quality control materials. Findings include: QUALITY CONTROL STORAGE: (1) On 02/01/2024 at 3:30 pm, the laboratory director stated waived testing was performed in room BT1026; (2) Observation of room BT1026 on 02/01/2024 at 3:30 pm, revealed five boxes of Biofire Spotfire RSP quality control, lot #A05JUL22D, with a storage temperature of 2-25 degrees Celsius, in a freezer; (3) The findings were discussed with the laboratory director who stated on 02/01/2024 at 3:30 pm, the materials were stored below the manufacturer's stated temperature requirements. REAGENT STORAGE: (1) Observation of room BT1006 and interview with the laboratory director on 02/01/2024 at 12:00 pm, identified the following: (a) Five boxes of Biofire Spotfire respiratory test panels, lot # 2753209, storage temperature of 15-30 degrees Celsius. (2) Interview with the laboratory director on 02/01/2024 at 12:00 pm confirmed the laboratory was not monitoring the temperature of room BT1006. D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) 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 -- The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on observation and interview with the laboratory director, the laboratory failed to ensure testing supplies were stored as required by the manufacturer, in a room denoted as BT1026. Findings include: (1) Observation of room BT1026 and interview with the laboratory director on 02/01/2024 at 12:00 pm, identified the following: (a) Eight boxes of epoc BGEM test cards, lot # 04-23339-60, storage temperature of 15- 30 degrees Celsius; (b) Eight boxes of epoc HCT quality control material, lot # 3244717, storage temperature of 2-30 degrees Celsius. (2) Interview with the laboratory director on 02/01/2023 at 12:00 pm confirmed the laboratory was not monitoring the temperature of room BT1026. -- 2 of 2 --

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Survey - March 3, 2022

Survey Type: Standard

Survey Event ID: 3O6911

Deficiency Tags: D5209 D5407 D5421 D0000 D5209 D5407 D5421

Summary:

Summary Statement of Deficiencies D0000 The recertification survey was performed on 03/03/2022. The findings were reviewed with technical consultant #2 and the laboratory informatics coordinator at the conclusion of the survey. The laboratory was found in compliance with standard-level deficiencies cited. D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on a review of records, written policy, and interview with technical consultant #2, the laboratory failed to have a written technical consultant competency policy based on the position responsibilities as listed in Subpart M for one of two technical consultants. Findings include: (1) On 03/03/2022, the surveyor reviewed the competency assessment policy. It did not include guidance for assessing the competency of the technical consultant; (2) The surveyor then reviewed personnel records for competency assessments performed during 2021. There was no evidence of competencies performed for the technical consultant based on their job responsibilities; (3) The surveyor asked technical consultant #2 if a written policy to evaluate the technical consultant based on job responsibilities was available. Technical consultant #2 stated on 03/03/2022 at 12:08 pm a policy had not been written and the above competency had not been performed. D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the 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 -- current laboratory director before use. This STANDARD is not met as evidenced by: Based on a review of policies and interview with technical consultant #2, the laboratory failed to ensure policies had been approved, signed, and dated by the laboratory director before use. Findings include: (1) On 03/03/2022 at 01:00 pm, technical consultant #2 stated the following to the surveyor: (a) pH, pO2, pO2, Sodium, Potassium, Chloride, CO2, Ionized Calcium, BUN, Glucose, Creatinine, Hemoglobin, and Hematocrit testing were performed using the EPOC analyzer; (b) IQCP's (Individualized Quality Control Plan) had been developed for the above test system. (2) The surveyor reviewed the IQCP's for the EPOC analyzer and identified the QCP (Quality Control Plan) for the test systems had not been approved, signed, and dated by the laboratory director; (3) The surveyor reviewed the records with technical consultant #2 who stated on 03/03/2022 at 01:53 pm, the QCP for the above test system had not been approved, signed, and dated by the laboratory director. 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 a review of records and interview with technical consultant #2, the laboratory failed to provide evidence the verification data had been evaluated prior to implementing one of one new test system. Findings include: (1) On 03/03/2022 at 01: 00 pm, technical consultant #2 stated the following to the surveyor: (a) The laboratory began using the EPOC analyzer to perform pH, pO2, pO2, Sodium, Potassium, Chloride, CO2, Ionized Calcium, BUN, Glucose, Creatinine, Hemoglobin, and Hematocrit on 05/24/2021. (2) The surveyor reviewed the performance specification records for the test system. There was no evidence the data had been reviewed and evaluated by the laboratory; (3) The surveyor reviewed the records with technical consultant #2. Technical consultant #2 stated on 03/03/2022 at 01:40 pm, the data had not been signed and dated as approved. (NOTE: The interpretive guidelines at 493.1253(b)(1) state, "The laboratory is responsible for verifying the performance specifications of each nonwaived unmodified FDA-cleared or approved test system that it introduces, prior to reporting patient test results." In addition, the interpretive guidelines state, "Prior to introducing a test for routine patient testing, the laboratory must review and evaluate the verification data.") -- 2 of 2 --

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Survey - November 5, 2019

Survey Type: Standard

Survey Event ID: 8SL911

Deficiency Tags: D0000 D2000 D0000 D2000

Summary:

Summary Statement of Deficiencies D0000 The recertification survey was performed on 11/05/19. The laboratory was found out of compliance with the following CLIA regulation: 493.801: D2000: Condition: Enrollment and Testing of Samples The findings were reviewed with the laboratory informatics coordinator at the conclusion of the survey. D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on a review of records and interview with the laboratory informatics coordinator, the laboratory failed to enroll in a proficiency testing program for each regulated analyte listed in Subpart I in the specialties and subspecialties for which it seeks certification. Findings include: (1) At the beginning of the survey, the laboratory informatics coordinator stated to the surveyor the laboratory used the Abbott i-STAT 1 analyzer to test the analytes Sodium, Potassium, Chloride Carbon Dioxide, Ionized Calcium, Glucose, BUN (Blood Urea Nitrogen), Creatinine, Hematocrit, and Hemoglobin on capillary, venous, and arterial samples using the Chem8+ cartridge (The testing is moderate complexity when capillary and arterial samples are analyzed); (2) The surveyor reviewed proficiency testing records from 2018 to the date of the survey in 2019. The surveyor identified the laboratory failed to enroll in and perform proficiency testing for the analytes BUN, Chloride, and 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 -- Creatinine in 6 of the 6 proficiency testing events in 2018 through the date of the survey in 2019 (Events: AAFP-PT 2018-A, AAFP-PT 2018-B, AAFP-PT 2018-C, AAFP-PT 2019-A, AAFP-PT 2019-B, and AAFP-PT 2019-C); (3) The surveyor then reviewed the records with the laboratory informatics coordinator and asked if the laboratory had enrolled in an another proficiency testing program for the analytes BUN, Chloride, and Creatinine during the review period. The laboratory informatics coordinator stated the laboratory had not enrolled and participated in any other proficiency testing programs; (4) The surveyor and the laboratory informatics coordinator reviewed the 2018 and 2019 proficiency testing enrollment forms and determined the laboratory failed to enroll and participate in a proficiency testing module that included the analytes BUN, Chloride, and Creatinine during 2018 through the date of the survey in 2019. -- 2 of 2 --

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Survey - January 24, 2018

Survey Type: Standard

Survey Event ID: FM2V11

Deficiency Tags: D0000 D5421 D5445 D6054 D0000 D5421 D5445 D6054

Summary:

Summary Statement of Deficiencies D0000 The findings were reviewed with the lab informatics coordinator at the conclusion of the survey. 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 a review of records and interview with the lab informatics coordinator, the laboratory failed to demonstrate the performance specification of precision for replacement analyzers. Findings include: (1) At the beginning of the survey, the lab informatics coordinator stated to the surveyors that two Abbott iSTAT 1 analyzers (serial number 352495 and serial number 350775), were used to perform the following: (a) pH, pCO2, pO2 testing using the G3+cartridge (b) Sodium, Potassium Chloride, Ionized Calcium, CO2, Glucose, BUN (Blood Urea Nitrogen), Creatinine, Hematocrit testing using the Chem 8+ cartridge and capillary specimens (classifying this test as a non-waived test system). (2) Later during the survey, the lab informatics coordinator stated the following to the surveyors: (a) Abbott iSTAT 1 analyzer serial number 350775 was put into use on 10/06/16; (b) Abbott iSTAT 1 analyzer serial number 352495 was put into use on 11/03/16. (3) The surveyors reviewed the validation records for the analyzers. There was no documentation precision had been 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 -- demonstrated for each cartridge type and analyzer; (4) The surveyors reviewed the records with the lab informatics coordinator who stated the precision had not been demonstrated. D5445 CONTROL PROCEDURES CFR(s): 493.1256(d)(1)(2)(g) Unless CMS Approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub. 7), that provides equivalent quality testing, the laboratory must-- (d)(1) Perform control procedures as defined in this section unless otherwise specified in the additional specialty and subspecialty requirements at 493.1261 through 493.1278. (d)(2) For each test system, perform control procedures using the number and frequency specified by the manufacturer or established by the laboratory when they meet or exceed the requirements in paragraph (d)(3) of this section. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on a review of records and interview with the lab informatics coordinator, the laboratory failed to ensure the IQCP included the required components. Findings include: (1) At the beginning of the survey, the lab informatics coordinator stated to the surveyors two iSTAT 1 analyzers were used to perform the following testing: (a) Blood Gas (pH, pCO2, pO2) testing using the G3+ cartridge; (b) Sodium, Potassium, Chloride, CO2, Ionized Calcium, Glucose, BUN (Blood Urea Nitrogen), Creatinine, Hemoglobin, and Hematocrit testing using capillary specimens (classifying this a non- waived test) and the Chem 8+ cartridge. (2) The lab informatics coordinator stated to the surveyors IQCP's (Individualized Quality Control Plan) had been developed for the test systems and each cartridge type; (3) Surveyor #1 reviewed the IQCP's for the test systems and identified a Quality Assessment (QA) plan had not been included in the IQCP's (they consisted of Risk Assessments and Quality Control Plans only); (4) The surveyors reviewed the records with the lab informatics coordinator who agreed QA plans had not been included in the IQCP's. D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on a review of records and interview with the lab informatics coordinator, the technical consultant failed to evaluate testing persons performing moderate complexity testing at least annually. Findings include: (1) During the survey, surveyor #1 reviewed personnel records for 7 persons who performed testing in 2016 and 2017. For 1 of the 7 persons (testing person #2), there was no evidence an annual evaluation had been performed in 2017; (2) The surveyors reviewed the findings with the lab informatics coordinator who stated the annual evaluation had not been performed in 2017 for the testing person. -- 2 of 2 --

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