Connecticut Imaging Partners

Summary Statement of Deficiencies D2121 HEMATOLOGY CFR(s): 493.851(a) (a) Failure to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event is unsatisfactory analyte performance for the testing event. This STANDARD is not met as evidenced by: Based on record review and staff interview the laboratory failed to achieve a satisfactory proficiency testing (PT) score in 2025 - event 2 for the analyte Prothrombin (#0845) in the specialty of Hematology. Findings include: 1. Record review on 05/13/2026 of the PT Certification and Survey Provider Enhanced Reports (CASPER 0155D) revealed: (a) The laboratory is enrolled with College of American Pathologists (CAP) PT program. (b) The laboratory obtained an unsatisfactory PT score of 60% for 2025 event 2 for Prothrombin analyte (#845). 2. Record review on 05 /13/2026 of the laboratory's 'CAP WP3-B -2025 WB Prothrombin Time/INR, I-STAT' PT evaluation report revealed the laboratory obtained an unsatisfactory score of 60% in 2025 for event 2 Prothrombin analyte (#845). 3. Staff interview on 05/13/2026 at 11:30 AM with the laboratory's Technical Consultant and the Quality and Safety Manager confirmed the above findings. D2128 HEMATOLOGY CFR(s): 493.851(e) (e)(1) For any unsatisfactory analyte or test performance or testing event for reasons other than a failure to participate, the laboratory must undertake appropriate training and employ the technical assistance necessary to correct problems associated with a proficiency testing failure. (2) For any unacceptable analyte or testing event score, remedial action must be taken and documented, and the documentation must be maintained by the laboratory for two years from the date of participation in 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 -- proficiency testing event. This STANDARD is not met as evidenced by: Based on record review and staff interview, the laboratory failed to investigate and take

Summary Statement of Deficiencies D5301 TEST REQUEST CFR(s): 493.1241(a) The laboratory must have a written or electronic request for patient testing from an authorized person. This STANDARD is not met as evidenced by: Based on record review and staff interview, the laboratory failed to establish and follow written quality assessment policies and procedures for preanalytical testing in the specialty of hematology. Findings include: 1. Record review of the laboratory's electronic medical records (EMR) for patient #1 and patient #2 on 5/24/18 revealed PT /INR result values were entered in the EMR with no documentation of tests being ordered by a physician. 2. Record review of the laboratory procedure manual on 5/24 /17 revealed the laboratory failed to provide evidence of any quality assessment policies to monitor, assess and if necessary correct situation involving pre-analytical systems. 3. Staff interview with the technical consultant 5/24/18 at 11:30 AM confirmed the above findings and that the laboratory did not have any policies in place for quality assessment. D5801 TEST REPORT CFR(s): 493.1291(a) The laboratory must have an adequate manual or electronic system(s) in place to ensure test results and other patient-specific data are accurately and reliably sent from the point of data entry (whether interfaced or entered manually) to final report destination, in a timely manner. This includes the following: (a)(1) Results reported from calculated data. (a)(2) Results and patient-specific data electronically reported to network or interfaced systems. (a)(3) Manually transcribed or electronically transmitted results and patient-specific information reported directly or upon receipt from outside referral laboratories, satellite or point-of-care testing locations. 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 record review and staff interview, the laboratory failed to establish and follow written quality assessment policies and procedures for postanalytical systems in the specialty of hematology. Findings include: 1. Record review of the laboratory's patient result log versus electronic medical record (EMR) on 5/24/18 revealed patient #1 final result values for prothrombin time (PT) and international normalized ratio (INR) were incorrectly entered. 2. Record review of the laboratory procedure manual on 5/24/18 revealed quality assessment policies to monitor, assess and if necessary correct situation involving postanalytical systems were not available. 3. Staff interview with the technical consultant 5/24/18 at 11:30 AM confirmed the above findings. -- 2 of 2 --