Gwu Medical Faculty Associates

CLIA Laboratory Citation Details

4
Total Citations
22
Total Deficiencyies
21
Unique D-Tags
CMS Certification Number 09D0645021
Address 2150 Pennsylvania Avenue, Nw 2-121 Mohs Lab, Washington, DC, 20037
City Washington
State DC
Zip Code20037
Phone(202) 741-3000

Citation History (4 surveys)

Survey - July 20, 2023

Survey Type: Standard

Survey Event ID: 742N11

Deficiency Tags: D5805 D6089 D2010 D6076

Summary:

Summary Statement of Deficiencies D2010 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(2) The laboratory must test samples the same number of times that it routinely tests patient samples. This STANDARD is not met as evidenced by: Based on review of proficiency testing (PT) records and interview with the testing person, the laboratory failed to perform PT since the last survey performed in August 2021. Findings: 1. The laboratory perform MOHS testing. 2. The laboratory failed to perform a second review of patient slides to fulfill PT requirements since the last survey in August 2021 until the day of the current survey on July 20, 2023. 3. The PT procedure states that PT will be performed twice annually with six patient slides reviewed and results compared by another physician. 4. The testing person confirmed on the day of the survey, 7/20/23 at 11:00 AM that the laboratory failed to perform PT since the last survey in August 2021 until the day of the current survey on July 20, 2023. D5805 TEST REPORT CFR(s): 493.1291(c) 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. 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 review of patient final reports and interview with the testing person, the laboratory failed to include the patient identifiers that are required on the patient final report. Findings: 1. The laboratory performs MOHS testing. 2. Review of six patient final reports showed that the name of the facility where the test was performed, the address, and the MOHS accessions number were not included on the final reports. 3. The testing person stated that lab switched over to a new EMR reporting system in December 2021. 4. The testing person confirmed on the day of the survey at 1:00 PM that the required patient identifiers were not included on the patient final reports. D6076 LABORATORY DIRECTOR CFR(s): 493.1441 The laboratory must have a director who meets the qualification requirements of 493. 1443 of this subpart and provides overall management and direction in accordance with 493.1445 of this subpart. This CONDITION is not met as evidenced by: Based on review of proficiency testing records and interview with the testing person, the laboratory director failed to perform PT since the last survey performed in August 2021 until the current survey on July 20, 2023 (Refer to D6089). D6089 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(4)(i) The laboratory director must ensure the proficiency testing samples are tested as required under subpart H of this part. This STANDARD is not met as evidenced by: Based on review of proficiency testing (PT) records and interview with the testing person, the laboratory director (LD) failed to perform PT since the last survey performed in August 2021. Findings: 1. The laboratory perform MOHS testing. 2. The LD failed to perform a second review of patient slides to fulfill PT requirements since the last survey in August 2021 until the day of the current survey on July 20, 2023. 3. The PT procedure states that PT will be performed twice annually with six patient slides reviewed and results compared by another physician. 4. The testing person confirmed on the day of the survey, 7/20/23 at 11:00 AM that the LD failed to perform PT since the last survey in August 2021 until the day of the current survey on July 20, 2023. -- 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 - August 5, 2021

Survey Type: Standard

Survey Event ID: 5UD211

Deficiency Tags: D5435 D5417 D6124

Summary:

Summary Statement of Deficiencies D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on observation of the clinical lab around 12 noon and interview with the office manager, the lab failed to ensure reagents used to perform fungal testing was not used beyond the manufacturers expiration date. Findings: 1. The laboratory performs Tzanck testing. 2. Observation of the reagents used for patient testing showed that four of the reagents expired during the year 2019 and 2017 and on 8/16/2018 and 11 /2017. 3. The office manager asked the physicians were they aware that the reagents had expired and the response was yes they were aware. 4. The office manager stated that she was unsure if the reagents were used for patient testing, 5. The office manager confirmed that the Tzanck reagents had expired. D5435 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(b)(2) 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: (i) Define a function check protocol that ensures equipment, instrument, and test system performance that is necessary for accurate and reliable test results and test result reporting. (ii) Perform and document the function checks, including background or baseline checks, specified in paragraph (b)(2)(i) of this section. Function checks must be within the laboratory's established limits before patient testing is conducted. 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 review of the written procedure manual and interview with the testing person, the laboratory failed to document the autoclave sterilization process of instruments used to perform patient procedures and to ensure the acceptability of patient testing. Findings: 1. The laboratory performs Histopathology testing. 2. The laboratory performed and documented the autoclave steam sterilization of instruments up to the year 2017. 3. After the year 2017 the documentation stopped. 4. The testing person stated that he was unaware of the procedures and documentation for sterilization of instruments used during patient procedures. 5. The testing person confirmed that the instrument sterilization procedures stopped during the year 2017. D6124 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(8)(iv) The procedures for evaluation of the competency of the staff must include, but are not limited to direct observation of performance of instrument maintenance and function checks. This STANDARD is not met as evidenced by: Based on review of the written procedure manual and interview with the testing person, the laboratory director acting as the technical supervisor (TS) failed to perform Histopathology observations of the testing person skills during competency procedures. Findings: 1. The testing person begin Histopathology testing in September 2019. 2. The testing person has been educated and trained to perform tissue grossing, inking, and prepare slides for review by the physician. 3. Review of the competency performed during the year 2021 did not show that observation procedures were performed by the TS. 4. The testing person stated that the competency form was changed and observations were included on the previous form. 5. The testing person confirmed that observation procedures were not performed during competency accessement by the TS. -- 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 - September 9, 2019

Survey Type: Standard

Survey Event ID: 0WCZ11

Deficiency Tags: D5403 D5417 D6094 D5221 D5407 D5429 D6106

Summary:

Summary Statement of Deficiencies D5221 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(d) All proficiency testing evaluation and verification activities must be documented. This STANDARD is not met as evidenced by: Based on record review and interview with laboratory (lab) staff, the lab did not document all proficiency reviews conducted. Findings: 1. In order for the lab to check the staining and MOHS procedures for accuracy and reliability, the lab submits 6 cases annually for peer review; 2. The reviewer returns the slides and reports and comments on agreement or disagreement for the submitted cases; 3. On October 8, 2017 and December 18, 2018 the lab reported that it submitted 6 cases on each date for peer review, but the report from the reviewer stated that 5 and not 6 cases were reviewed and found to be in agreement, there was no documented

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - January 16, 2018

Survey Type: Standard

Survey Event ID: V3PY12

Deficiency Tags: D5217 D5413 D5791 D6103 D3043 D5411 D5415 D5891

Summary:

Summary Statement of Deficiencies No Tags No deficiency details available. 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