Daniel J Hansen, Do, Pllc

CLIA Laboratory Citation Details

2
Total Citations
6
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 46D0699048
Address 1495 E Ridgeline Dr, Ogden, UT, 84405
City Ogden
State UT
Zip Code84405
Phone801 399-3324
Lab DirectorDANIEL DO

Citation History (2 surveys)

Survey - January 19, 2021

Survey Type: Standard

Survey Event ID: 9PB811

Deficiency Tags: D5607 D5607

Summary:

Summary Statement of Deficiencies D5607 HISTOPATHOLOGY CFR(s): 493.1273(d)(f) (d) Tissue pathology reports must be signed by an individual qualified as specified in paragraph (b) or, as appropriate, paragraph (c) of this section. If a computer report is generated with an electronic signature, it must be authorized by the individual who performed the examination and made the diagnosis. (f) The laboratory must document all control procedures performed, as specified in this section. This STANDARD is not met as evidenced by: Based on laboratory test records review, lack of documentation, and interview with staff, the individual qualified to report histopathology biopsy diagnoses failed to sign and date the test report for tests reviewed from 01/21/2019 to 01/11/2021. The laboratory performed approximately 60 biopsy diagnosis tests per year. Findings include: 1. Laboratory test record log book included the test result for biopsy results. The test log failed to include the signature of the qualified testing person. 2. In an interview conducted on 01/19/2021 the laboratory director confirmed the laboratory recorded test results in the laboratory test record without the signature of the person reading and reporting the biopsy test results. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - August 28, 2018

Survey Type: Standard

Survey Event ID: 91PM11

Deficiency Tags: D5801 D5801 D5891 D5891

Summary:

Summary Statement of Deficiencies 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. This STANDARD is not met as evidenced by: Based on lack of documentation, patient test record review, and interview with staff, the laboratory failed to ensure patient histopathology test reports were transcribed from dictation of the tests results to the patient's chart record in a timely manner for 5 of 8 biopsy specimens reviewed from 08/31/2016 to 07/27/2018. Findings include: 1. Patient histopathology test reports for biopsy specimens collected on 12/20/2016 for patient date of birth (DOB) 08/14/1922, on 08/24/2017 for patient DOB 10/02/1978, on 05/02/2018 for patient DOB 09/02/1935; and on 07/27/2018 for patient DOB 12/23 /1941 did not have a written report for the microscopic analysis that included the specimen number, microscopic analysis, gross analysis and signature of the qualified testing person. 2. In an interview with the laboratory staff on 08/28/2018 at approximately 5:30 P. M. staff stated the laboratory process was to: 1. Record the specimen into the laboratory log book, 2. Send the specimen for processing into a permanently mounted and stained slide, 3. The dermatologist reviewed the slide and dictated the test results for a written report; 4. Record the diagnosis into the log book and notify the patient. Staff confirmed the laboratory was behind their turnaround time for recording test results into the patients chart record. 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 -- D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1299(a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess and, when indicated, correct problems identified in the postanalytic systems specified in 493.1291. This STANDARD is not met as evidenced by: Based on patient test reports review and interview with staff, the laboratory failed to monitor test reports to monitor for accuracy for 1 of 5 Mohs surgical reports stating the specimen collected contained No residual tumor with clear margins at stage I of a three stage procedure for case 18M-180. Findings include: 1. The laboratory failed to document a review patient surgical test reports for errors in reporting by multiple choice selections in the laboratory information system for findings reported for each stage of micrographic horizontal frozen section removal of tumor cells. 2. Patient chart report for case 18M-180 included for stage I of a stage III procedure that stage I reported residual tumor - margins clear when residual tumor was present and the map showed margins were not clear, the process continued to stage II with residual tumor - margins clear, and at state III No residual tumor was present and reported as such. Mohs map included tumor with positive margins at stages I and II. 3. In an interview with staff on 08/28/2018 at approximately 5:30 P.M. staff confirmed the surgical report did not reflect the map results. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access