City Of Milwaukee Hlth Dept

CLIA Laboratory Citation Details

3
Total Citations
25
Total Deficiencyies
14
Unique D-Tags
CMS Certification Number 52D0661914
Address 841 N Broadway, Milwaukee, WI, 53202
City Milwaukee
State WI
Zip Code53202
Phone(414) 286-3521

Citation History (3 surveys)

Survey - April 26, 2024

Survey Type: Standard

Survey Event ID: JK6L11

Deficiency Tags: D5403 D5409 D5451 D5505 D6072 D5409 D5451 D5505 D6072 D6079 D6079

Summary:

Summary Statement of Deficiencies 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 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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Survey - January 13, 2021

Survey Type: Standard

Survey Event ID: PVEE11

Deficiency Tags: D5421 D5421 D5209

Summary:

Summary Statement of Deficiencies 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 surveyor review of policies and procedures and interview with a general supervisor, the laboratory has not established policies and procedures to assess general supervisor, technical supervisor, and technical consultant competency. Findings include: 1. Review of policies and procedures showed no evidence of established procedures to assess competency of general supervisors, technical supervisors, and the technical consultant in fulfilling their responsibilities. 2. Interview with a general supervisor, staff A, on January 13, 2021 at 1:15 PM confirmed the laboratory had not established procedures to assess competency for general supervisors, technical supervisors, and the technical consultant. 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. 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 -- This STANDARD is not met as evidenced by: Based on surveyor review of laboratory records and interview with a general supervisor, the laboratory did not evaluate the performance specifications of a replacement Leader Luminometer used with the ACCUPROBE Culture Identification Tests for Blastomyces dermatitidis, Coccidioides immitis, and Histoplasma capsulatum. Findings include: 1. Review of laboratory records showed the laboratory received a replacement Leader Luminometer in October 2018. Further review of the records showed no evaluation of the performance of the replacement analyzer beyond the SysCheck calibration check before the laboratory performed patient testing. 2. Interview with a general supervisor, Staff A, on January 13, 2021 at 11:45 AM confirmed the laboratory had not evaluated the accuracy and precision of the replacement Luminometer before reporting ACCUPROBE patient test results for Blastomyces dermatitidis, Coccidioides immitis, and Histoplasma capsulatum. -- 2 of 2 --

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Survey - June 8, 2018

Survey Type: Standard

Survey Event ID: I01E11

Deficiency Tags: D5407 D5431 D5441 D5789 D5411 D5411 D5431 D5441 D5789 D6093 D6093

Summary:

Summary Statement of Deficiencies D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Based on surveyor review of laboratory procedures and interview with the laboratory director, the current director has not approved, signed and dated the current procedures in mycology and virology. Findings include: 1. Review of the mycology procedures showed 20 of 20 procedures reviewed had not been approved, signed and dated by the current laboratory director. The manual includes a cover sheet for documenting procedure review; the current director has not signed the cover sheet. Review of the virology procedures showed no record of approval by the laboratory director. 2. Interview with the laboratory director on June 8, 2018 at 3:15 PM confirmed the procedures had not been signed and dated to show approval by the current director. Further interview revealed the current director has been in this role since January 2018. This is a repeat deficiency cited during the July 18, 2012 survey. D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(a) Test systems must be selected by the laboratory. The testing must be performed following the manufacturer's instructions and in a manner that provides test results within the laboratory's stated performance specifications for each test system as determined under 493.1253. This STANDARD is not met as evidenced by: Based on surveyor review of manufacturer's instructions and patient records, 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 4 -- interview with testing personnel, Cryptosporidium testing was performed on a specimen type that was not identified as acceptable in the manufacturer's instructions and had not been evaluated by the laboratory. Findings include: 1. Review of the manufacturer's instructions for the Merifluor Cryptosporidium assay showed the only identified acceptable specimen is preserved stool. 2. Review of testing records showed a Cryptosporidium assay performed on a duodenal aspirate collected June 1, 2018 on patient 1. 3. Interview with testing personnel, staff B, on June 7, 2018 at 3:00 PM confirmed Cryptosporidium testing was performed on a duodenal aspirate. Further interview confirmed the manufacturer did not identify duodenal aspirates as an acceptable specimen and that the laboratory had not evaluated the acceptability of the sample type to ensure adequate performance of the assay. This is a repeat deficiency previously cited on July 20, 2010. D5431 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(2) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document function checks as defined by the manufacturer and with at least the frequency specified by the manufacturer. Function checks must be within the manufacturer's established limits before patient testing is conducted. This STANDARD is not met as evidenced by: Based on surveyor review of function check records for the Gen-Probe Leader Luminometer, procedures, and manufacturer instructions, and interview with the general supervisor, the laboratory did not perform the SysCheck procedure as required. Findings include: 1. Review of documented maintenance and function check records for the Gen-Probe Leader Luminometer showed no record of use of SysCheck reagent as a calibration check of the luminometer in 2017. To date in 2018, there was only one recorded run in March. 2. Review of the manufacturer's instructions and laboratory procedures show the SysCheck reagent should be run every two weeks as a calibration check on the Leader. 3. Interview with the general supervisor, staff A, on June 8, 2018 at 1:45 PM confirmed the laboratory had no documentation to show SysCheck function checks were performed as required in 2017 and 2018. D5441 CONTROL PROCEDURES CFR(s): 493.1256(a)(b)(c)(g) (a) For each test system, the laboratory is responsible for having control procedures that monitor the accuracy and precision of the complete analytic process. (b) The laboratory must establish the number, type, and frequency of testing control materials using, if applicable, the performance specifications verified or established by the laboratory as specified in 493.1253(b)(3). (c) The control procedures must-- (c)(1) Detect immediate errors that occur due to test system failure, adverse environmental conditions, and operator performance. (c)(2) Monitor over time the accuracy and precision of test performance that may be influenced by changes in test system performance and environmental conditions, and variance in operator performance. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on surveyor review of procedures and interview with the general supervisor, the procedures do not define the number, type and frequency of control material to be -- 2 of 4 -- tested for the germ tube procedure. Findings include: 1. Review of the germ tube procedure in the mycology manual shows the procedure includes the following statement, "the medium used and incubation conditions must be monitored with appropriate controls to insure performance." The number, type and frequency of control testing required is not defined in the procedure. 2. Interview with the general supervisor on June 8, 2018 at 9:00 AM confirmed the procedure does not specify the number, type, or frequency of controls. D5789 TEST RECORDS CFR(s): 493.1283(b) Records of patient testing including, if applicable, instrument printouts, must be retained. This STANDARD is not met as evidenced by: Based on surveyor review of the test records for Blastomyces dermatitidis and Coccidioides immitis from the Gen-Probe Leader analyzer and interview with the general supervisor, the laboratory did not retain test record printouts for 20 patient samples tested between July 1, 2016 and April 20, 2018. Findings include: 1. Review of records for the Gen-Probe Leader analyzer showed instrument printouts were not available for patient testing between July 2016 and April 2018. No records were available to show what dates the analyzer was used for patient testing. 2. Interview with the general supervisor, staff A, on June 8, 2018 at 9:00 AM confirmed the analyzer printouts were not retained. D6093 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(5) The laboratory director must ensure that the quality control programs are established and maintained to assure the quality of laboratory services provided and to identify failures in quality as they occur. This STANDARD is not met as evidenced by: Item 1 Based on surveyor review of quality control (QC) records and procedures for the GeneXpert Mycobacterium tuberculosis complex test, and interview with the general supervisor, the laboratory director did not ensure the QC program was established to meet regulatory requirements. Findings include: 1. Review of QC records for the GeneXpert Mycobacterium tuberculosis complex test show external QC performed when a new lot or shipment was put into use. External QC results are not available for each day of patient testing. 2. Procedures for the GeneXpert included a manufacturer's Risk Assessment for an IQCP (Individualized Quality Control Plan) for the Mycobacterium tuberculosis complex test. A Quality Control Plan and Quality Assessment Plan for the IQCP were not present. The procedures do not specify the type, number and frequency of testing external controls. 3. Interview with the general supervisor, Staff A, on June 8, 2018 at 1:00 PM confirmed external QC was not performed with each day of patient testing for Mycobacterium tuberculosis testing. Further interview confirmed an IQCP had not been completed for this test system. Item 2 Based on surveyor review of test records for Blastomyces dermatitidis and Coccidioides immitis performed with the Gen-Probe AccuProbe test and interview with the general supervisor, the director did not ensure the quality control program was maintained as no quality control test records were available from July 2016 -- 3 of 4 -- through April 2018. Findings include: 1. Review of test records for Blastomyces dermatitidis and Coccidioides immitis revealed no records of quality control testing from July 2016 through April 2018. 2. Interview with the general supervisor, staff A, on June 8, 2018 at 9:00 AM confirmed the printouts from the analyzer that include the quality control results were not retained. Further interview confirmed no other records of quality control testing are available. -- 4 of 4 --

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