Evms Department Of Dermatology-Lewis Hall

CLIA Laboratory Citation Details

3
Total Citations
16
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 49D0675231
Address 700 West Olney Road Suite 3035, Norfolk, VA, 23507
City Norfolk
State VA
Zip Code23507
Phone(757) 446-5629

Citation History (3 surveys)

Survey - June 1, 2023

Survey Type: Standard

Survey Event ID: HQBA11

Deficiency Tags: D0000 D5429 D0000 D5429

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at EVMS Department of Dermatology-Lewis Hall on June 1, 2023 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements. Specific deficiency cited is as follows: D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on a review of procedures, maintenance logs, and interviews, the laboratory failed to document performance of daily, bi-weekly, weekly, and monthly histopathology equipment maintenance according to the manufacturer's instructions during eighteen (18) of twenty-three (23) months reviewed. Findings include: 1. Review of the laboratory's procedures revealed the following required histopathology equipment maintenance protocols. The protocols stated, "perform per manufacturer's instructions and at the end of each month the laboratory director must sign each log": Water Bath: Daily wipe down machine and remove visible paraffin from basin and exterior, log water bath temperature each day in use, weekly empty the water and disinfect surface, air dry; Tanner 1700 Embedding Station: Daily check paraffin levels and top off if necessary, wipe down working surfaces, wash metal molds. Bi-weekly remove paraffin from outer machine, empty/clean paraffin drip tray, empty/clean tissue chamber; Microtome Maintenance (Machines #2125, #2135): Daily wipe down instruments, weekly disassemble/clean knife holder, monthly oil machine; Oven: clean instrument monthly; Staining/Grossing Hood Station: Daily disinfect grossing instruments, remove all specimen containers to biohazard storage bin. Weekly rotate xylenes and 100% ethanol, change water, disinfect/refill formalin containers, Bi- 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 -- Weekly change bluing, 70% and 95% ethanol, hematoxylin, and eosin. Monthly clean staining rack and replace pads in fume hood. Change hematoxylin filter as needed; Tissue Tek VIP Processor #52150289: Daily drain, wipe out retort, lid, and gasket, run the cleaning cycle, change fume control water reservoir, record retort temperature daily. Weekly rotate all reagents, run a warm flush using reservoir #1 and #2 filled with hot tap water, clean retort with 70% ethanol. Monthly replace charcoal filter, clean processing chamber lid, check gasket and bottle insertion O-rings, exchange all reagents. Preventative Maintenance is to be completed in September annually. 2. Review of the laboratory's available histopathology instrument maintenance logs for a 23 month review timeframe (July 2021 through May 2023) revealed no daily, bi- weekly, weekly, and monthly maintenance records for instrument/tasks outlined above from 7/1/21 through 12/31/22. The inspector requested to review documentation of the maintenance tasks for the 18 months of July-December 2021 and January - December 2022. The histotech provided records for January - May 2023. No additional maintenance logs were available for review. 3. An interview with the laboratory director, two histotechs, and practice manager on 6/2/23 at approximately 1:45 PM confirmed the above findings. -- 2 of 2 --

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Survey - July 15, 2021

Survey Type: Standard

Survey Event ID: ODYM11

Deficiency Tags: D0000 D6128 D0000 D6128

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at EVMS Department of Dermatology-Lewis Hall on July 14, 2021 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements and included an exit interview on July 15, 2021. Specific deficiency cited is as follows: D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(9) The technical supervisor is responsible for evaluating and documenting the performance of individuals responsible for high complexity testing at least annually after the first year, unless test methodology or instrumentation changes, in which case, prior to reporting patient test results, the individual's performance must be reevaluated to include the use of the new test methodology or instrumentation. This STANDARD is not met as evidenced by: Based on a review of Centers for Medicare and Medicaid Services Laboratory Personnel Report form (CMS 209), laboratory personnel files, lack of documentation, and interviews, it was determined that the laboratory failed to retain annual histopathology competency evaluations for the lead testing personnel (TP A) in calendar years 2019, 2020, and up the date of inspection. (See Personnel Code Sheet.) Findings include: 1. Review of the CMS 209 form revealed that the laboratory director also performs the duties of Technical Supervisor (TS) and two histology testing personnel were identified as responsible for high complexity testing procedures. 2. Review of the laboratory personnel files revealed that TP A's personnel file lacked a 2019 and 2020 annual histopathology competency evaluation. The inspector requested to review additional competency assessments for TP A. The practice manager provided a 2021 job performance evaluation which did not include the TS's histology laboratory competency assessment of TP A. The LD stated on 7/14 /21 at approximately 4:00 PM: "I recall performing the competency assessments. We 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 -- will need to find the records for you." 3. During a follow up exit interview on 7/15/21 at approximately 10 AM, the practice manager stated: "I searched through the old files from the previous manager and there is no copy of the laboratory competencies for 2019 and 2020. I cannot find the CLIA laboratory check list done by the lab director." 4. The exit interview with the practice manager on 7/15/21 confirmed the above findings. -- 2 of 2 --

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Survey - February 6, 2019

Survey Type: Standard

Survey Event ID: JTHC11

Deficiency Tags: D0000 D0000 D5400 D5413 D5429 D5400 D5413 D5429

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at EVMS Dermatology- Lewis Hall on February 6, 2019 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements. Specific deficiencies cited are as follows: D5400 ANALYTIC SYSTEMS CFR(s): 493.1250 Each laboratory that performs nonwaived testing must meet the applicable analytic systems requirements in 493.1251 through 493.1283, unless HHS approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub.7), that provides equivalent quality testing. The laboratory must monitor and evaluate the overall quality of the analytic systems and correct identified problems as specified in 493.1289 for each specialty and subspecialty of testing performed. This CONDITION is not met as evidenced by: Based on a review of manufacturer's operation manual, 2017 and 2018 temperature logs, tissue processor instrument maintenance logs, processor run logs and interviews, the laboratory failed to: 1. document that relative humidity percent was acceptable for the Sakura Tissue-Tek patient processing area during twenty-four (24) of 24 months reviewed (Cross reference D5413); 2. document performance of required weekly Tissue-Tek instrument maintenance according to the manufacturer's instructions for fourteen (14) of 14 weeks in calendar year 2018 and failed to document replacement of the tissue processor's charcoal cartridge filter periodically as required during 24 months reviewed while three hundred seventy-three runs were processed. *REPEAT DEFICIENCY (Cross reference D5429). D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) 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 -- The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on a review of the manufacturer's operation manual, temperature logs, and interviews, the laboratory failed to document that the relative humidity percent (RH%) was acceptable for the tissue processing instrument's operation during twenty-four (24) of 24 months reviewed. Findings include: 1. Review of the Sakura Tissue-Tek Operations Manual revealed a manufacturer's RH% operating environmental requirement with a stated acceptable range of 30-85%. 2. Review of the tissue processing laboratory's daily temperature logs for calendar year 2017 and 2018 revealed humidity monitoring was not recorded in the 24 months reviewed. The inspector requested to review documentation of the humidity monitoring for the tissue processing room. The primary lab technician stated: "at one time the humidity was recorded and I am not sure why it was discontinued". 3. In an exit interview with the practice manager and primary lab technician at 4:30 PM, the above listed findings were confirmed. D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: A. Based on a review of tissue processor operations manual, instrument maintenance logs, and an interview, the laboratory failed to document performance of weekly maintenance according to the manufacturer's instructions for fourteen (14) weeks in calendar year 2018. **REPEAT DEFICIENCY Findings include: 1. Review of the Sakura Tissue-Tek Operations Manual revealed Care of the Equipment Maintenance Instructions in Section 6 that stated: "All the reagents should be replaced or exchanged on a weekly basis". 2. Review of the laboratory's 2018 Sakura Tissue-Tek VIP instrument maintenance logs revealed no documentation of reagent replacement or exchange on the following 14 weeks: 1/15-1/19, 3/26-3/30, 4/9-4/13, 5/7-5/11, 6/1-6 /8, 6/25-6/29, 7/9-7/13, 7/30-8/3, 9/10-9/14, 10/15-10/19, 11/26-11/30, 12/3-12/7, 12 /10-12/14, 12/17-12/21. The inspector requested to review additional documentation of Xylene, Ethanol, and Formalin reagent replacement and exchange for the weeks outlined above. No records were available. 3. In an exit interview with the practice manager and primary lab technician at 4:30 PM, the above listed findings were confirmed. B. Based on a review of tissue processor instrument maintenance logs, manufacturer's operations manual, processor run logs, and an interview, the laboratory failed to document performance of required charcoal cartridge filter replacement maintenance according to the manufacturer's instructions in calendar years 2017 and 2018. Findings include: 1. Review of the laboratory's monthly Sakura Tissue-Tek VIP instrument maintenance logs revealed activated carbon charcoal cartridge filter -- 2 of 3 -- replacement listed as: "perform quarterly". During the log review, the inspector noted no charcoal filter replacement was documented in calendar year 2017 and one (1) charcoal filter replacement was documented in 2018 (on 5/15/18). Additional documentation of filter replacement in calendar years 2017 and 2018 was requested. No records were available. 2. Review of the Sakura Tissue-Tek Operations Manual stated: "the activated carbon filter replacement should be completed on a monthly basis after every 20-25 runs". 3. Review of the monthly processor logs revealed one hundred eighty-eight (188) runs in 2017 and one hundred eighty-five (185) runs in calendar year 2018. The inspector noted one charcoal filter replacement was documented in the twenty-four (24) months reviewed while three hundred seventy- three (373) runs were processed. 4. In an exit interview with the practice manager and primary lab technician at 4:30 PM, the above listed findings were confirmed. -- 3 of 3 --

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