Dr V M Baich Pa

CLIA Laboratory Citation Details

2
Total Citations
8
Total Deficiencyies
7
Unique D-Tags
CMS Certification Number 24D0906863
Address 101 Baich Drive, Coleraine, MN, 55722
City Coleraine
State MN
Zip Code55722
Phone218 245-1484
Lab DirectorMICHAEL BAICH

Citation History (2 surveys)

Survey - January 8, 2020

Survey Type: Standard

Survey Event ID: HF2S11

Deficiency Tags: D5439

Summary:

Summary Statement of Deficiencies D5439 CALIBRATION AND CALIBRATION VERIFICATION CFR(s): 493.1255(b) Unless otherwise specified in this subpart, for each applicable test system the laboratory must do the following: Perform and document calibration verification procedure - (b)(1) Following the manufacturer's calibration verification instructions; (b)(2) Using the criteria verified or established by the laboratory under 493.1253(b)(3) -- (b)(2)(i) Including the number, type, and concentration of the materials, as well as acceptable limits for calibration verification; and (b)(2)(ii) Including at least a minimal (or zero) value, a mid-point value, and a maximum value near the upper limit of the range to verify the laboratory's reportable range of test results for the test system; and (b)(3) At least once every 6 months and whenever any of the following occur: (b)(3)(i) A complete change of reagents for a procedure is introduced, unless the laboratory can demonstrate that changing reagent lot numbers does not affect the range used to report patient test results, and control values are not adversely affected by reagent lot number changes. (b)(3)(ii) There is major preventive maintenance or replacement of critical parts that may influence test performance. (b)(3)(iii) Control materials reflect an unusual trend or shift, or are outside of the laboratory's acceptable limits, and other means of assessing and correcting unacceptable control values fail to identify and correct the problem. (b)(3)(iv) The laboratory's established schedule for verifying the reportable range for patient test results requires more frequent calibration verification. This STANDARD is not met as evidenced by: . Based on observation, document review and interview with laboratory personnel, the laboratory failed to perform calibration verification on a hematology analyzer at least once every 6 months. Findings are as follows: 1. The laboratory performed Hematology testing as confirmed by Testing Personnel 1 (TP1) during a tour of the laboratory on 01/08/20, at 1:05 p.m. 2. A Cell-Dyn Emerald hematology analyzer was observed as present and available for use during the tour. 3. The laboratory did not 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 -- perform calibration verification activities during the time period reviewed, 2/8/18 through 1/8/20. 4. The laboratory was unable to provide calibration verification records for this time period upon request. 5. In an interview on 01/08/20, at 2:30 p.m., TP1 confirmed the above findings *This is a repeat finding from each of the 10/25 /2015 and 02/08/18 surveys* . -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - February 2, 2018

Survey Type: Standard

Survey Event ID: 9UH911

Deficiency Tags: D5403 D5435 D5791 D5211 D5429 D5439 D5821

Summary:

Summary Statement of Deficiencies D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(a) The laboratory must review and evaluate the results obtained on proficiency testing performed as specified in subpart H of this part. This STANDARD is not met as evidenced by: . Based on document review and interview with laboratory personnel, the laboratory failed to evaluate unacceptable proficiency testing (PT) results. Findings are as follows: 1. The laboratory performed Hematology testing as confirmed by Testing Personnel 1 (TP1) during a tour of the laboratory on 02/02/18 at 9:00 a.m. 2. The laboratory performed PT using the American Proficiency Institute (API) proficiency provider. 3. The laboratory received unacceptable PT results from API for the events and analytes listed below. Event/Analyte ID Lab API 2016 3rd event PLT* HEM-03 54 55-92 2017 2nd event MCV* HEM-06 83.9 84.6-91.5 HEM-07 87.1 87.4-94.0 HEM-08 91.6 91.9-99.0 HEM-09 87.3 87.9-94.8 4. PT records indicated a calibration verification would be performed to evaluate the unacceptable PT result from 2016. Calibration verification records from 2016 were not found. The laboratory was unable to provide calibration verification records from 2016 upon request. 5. An evaluation of the unacceptable PT results from 2017 was not found during review of laboratory records. The laboratory was unable to provide evaluations upon request. 6. In an interview on 02/02/18 at 10:30 a.m., TP1 confirmed the above finding. * Note PLT - Platelets MCV - Mean Corpuscular Volume 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 Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 5 -- 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)

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access