Evernorth Care Group

CLIA Laboratory Citation Details

3
Total Citations
8
Total Deficiencyies
7
Unique D-Tags
CMS Certification Number 03D0694296
Address 5891 W Eugie Ave, Glendale, AZ, 85304
City Glendale
State AZ
Zip Code85304
Phone(602) 588-6600

Citation History (3 surveys)

Survey - January 24, 2023

Survey Type: Standard

Survey Event ID: F65N11

Deficiency Tags: D6029

Summary:

Summary Statement of Deficiencies D6029 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(11) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(11) Ensure that prior to testing patients' specimens, all personnel have the appropriate education and experience, receive the appropriate training for the type and complexity of the services offered, and have demonstrated that they can perform all testing operations reliably to provide and report accurate results. This STANDARD is not met as evidenced by: Based on lack of education credentials for review and interview with the technical consultant, the laboratory director failed to ensure that prior to testing patients' specimens, all personnel have the appropriate education and experience for the type and complexity of services offered. Findings include: 1. No evidence of education credentials was presented for review for one testing personnel who began patient testing in December 2021. 2. The technical consultant interviewed on 01/24/2023 at 2: 40pm confirmed that the laboratory failed to provide a copy of the education credentials for the testing personnel indicated above. 3. The laboratory performs patient testing in the specialties of Chemistry and Hematology with an approximate annual test volume of 10,658. 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 --

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Survey - March 17, 2020

Survey Type: Standard

Survey Event ID: KN0U11

Deficiency Tags: D5801 D6054 D5805

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 review of patient test results in the laboratory's Electronic Medical Record (EMR), review of patient test records and interview with the facility personnel, the laboratory failed to ensure that test results are accurately and reliably sent from the point of data entry to the final report destination. Findings include: 1. The laboratory perrforms testing in the specialties of Chemistry and Hematology, with an approximate annual test volume of 7,302. 2. The laboratory utilizes an EMR as the final report destination for laboratory testing. The laboratory implemented a new EMR, Epic, in September 2019, and prior to that the EMR used by the lab was All Scripts. 3. Review of D-Dimer test results for patient (MR# 69215205) performed on 10/10/2018 revealed the D-Dimer test results were missing from Epic, but were present in All Scripts. All other test results performed on that day for this patient were present in both EMR systems. 4. The facility personnel confirmed the D-Dimer test results indicated above were not reliably sent to the EMR. D5805 TEST REPORT CFR(s): 493.1291(c) 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 test report must indicate the following: (c)(1) For positive patient identification, either the patient's name and identification number, or a unique patient identifier and identification number. (c)(2) The name and address of the laboratory location where the test was performed. (c)(3) The test report date. (c)(4) The test performed. (c)(5) Specimen source, when appropriate. (c)(6) The test result and, if applicable, the units of measurement or interpretation, or both. (c)(7) Any information regarding the condition and disposition of specimens that do not meet the laboratory's criteria for acceptability. This STANDARD is not met as evidenced by: Based on review of patient test reports and interview with the facility personnel, the laboratory failed to include on the test report the correct units of measurement and the reference range for the analyte, BNP, tested on the Pathfast analyzer. Findings include: 1. The laboratory utilizes an EMR as the final report destination for laboratory testing. The laboratory implemented a new EMR, Epic, in September 2019, and prior to that the EMR used by the lab was All Scripts. 2. The patient test report for BNP testing reviewed in Epic during the survey (MR# 73578901) for testing that was performed on 12/04/19 failed to include the units of measurement and the test reference range. 3. The facility personnel confirmed that the test report indicated above was missing the correct units of measurement and reference range. 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 lack of competency evaluation documentation for review and interview with the facility personnel, the technical consultant failed to evaluate and document the performance of individuals responsible for moderate complexity testing at least annually. Findings include: 1. During the survey conducted on March 17, 2020, no 2018 annual competency evaluation documentation was presented for review for four out of four testing personnel. 2. The facility personnel confirmed that the laboratory failed to provide documentation of an annual competency evaluation from 2018 for the testing personnel indicated above. -- 2 of 2 --

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Survey - March 23, 2018

Survey Type: Standard

Survey Event ID: YJZP11

Deficiency Tags: D3037 D6054 D2015 D5433

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Based on lack of proficiency testing (PT) records presented for review for 2016 and interview with the facility personnel, the laboratory failed to provide a copy of the PT program report form, instrument printouts and PT attestation statements. Findings include: 1. The laboratory participates in PT for the analytes: Amylase and Lipase, performed under the specialty of Chemistry; Complete Blood Count (CBC) testing performed under the specialty of Hematology; and for KOH testing performed under the specialty of Microbiology, with an approximate annual total test volume of 9,364. 2. The PT records presented for review from the 2nd and 3rd events of 2016 for CBC and KOH testing were missing the testing printouts from the analyzer (if applicable), the proficiency testing program report form used by the labortory to record PT results and the PT attestation statements. 3. The PT records presented for review from the 1st, 2nd and 3rd events of 2016 for testing performed under the specialty of Chemistry were missing the testing printouts from the analyzer, the proficiency testing program Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 3 -- report form used by the labortory to record PT results and the PT attestation statements. 4. The facility personnel acknowledged that the PT test records indicated above were not available for review at the time of the survey. D3037 RETENTION REQUIREMENTS CFR(s): 493.1105(a)(4) Proficiency testing records. Retain all proficiency testing records for at least 2 years. This STANDARD is not met as evidenced by: Based on lack of documentation presented for review and interview with the laboratory personnel during the survey, the laboratory failed to retain proficiency testing (PT) records for the first event of 2016 for testing performed under the specialty of Hematology. Findings include: 1. No documentation for the first PT event of 2016 was presented including PT worksheets, hematology instrument print outs, and signed attestation statements. 2. The facility personnel acknowledged that the documentation indicated above could not be located. D5433 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(b)(1) For equipment, instruments, or test systems developed in-house, commercially available and modified by the laboratory, or maintenance and function check protocols are not provided by the manufacturer, the laboratory must establish a maintenance protocol that ensures equipment, instrument, and test system performance that is necessary for accurate and reliable test results and test result reporting. The laboratory must perform and document the maintenance activities specified in paragraph (b)(1)(i) of this section. This STANDARD is not met as evidenced by: Based on lack of a microscope maintenance policy for review and interview with the facility personnel, the laboratory failed to have a microscope maintenance policy that indicates specific routine maintenance procedures as well as scheduled preventative maintenance procedures. Findings include: 1. The policy and procedure manual presented for review during the survey conducted on March 23, 2018 did not contain any policies with regards to microscope maintenance. 2. The facility personnel acknowledged that there was no microscope maintenance policy contained in the manual. 3. The laboratory has one microscope used to perform KOH testing on patient specimens. The laboratory's approximate annual test volume for KOH testing is 12. 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 lack of competency evaluation documentation for review and interview with the facility personnel, the technical consultant failed to evaluate and document the -- 2 of 3 -- performance of individuals responsible for moderate complexity testing at least annually. Findings include: 1. No 2016 annual competency evaluation documentation was presented for review for five out of five testing personnel. 2. The facility personnel confirmed that the laboratory failed to provide documentation of an annual competency evaluation from 2016 for the five testing personnel indicated above. -- 3 of 3 --

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