Summary:
Summary Statement of Deficiencies D2089 ROUTINE CHEMISTRY CFR(s): 493.841(c) Failure to participate in a testing event is unsatisfactory performance and results in a score of 0 for the testing event. Consideration may be given to those laboratories failing to participate in a testing event only if-- (1) Patient testing was suspended during the time frame allotted for testing and reporting proficiency testing results; (2) The laboratory notifies the inspecting agency and the proficiency testing program within the time frame for submitting proficiency testing results of the suspension of patient testing and the circumstances associated with failure to perform tests on proficiency testing samples; and (3)The laboratory participated in the previous two proficiency testing events. This STANDARD is not met as evidenced by: Based on the review of the API (American Proficiency Institute) Proficiency Testing (PT) records and an interview with the Laboratory Director, the surveyor determined the laboratory failed to submit proficiency testing results by the submission deadlines for Chemistry-Core testing for Event #1 2020. The laboratory scored zero percent (0%) for this event, due to the failure to timely submit the results. The findings include: 1. A review of the PT records revealed the due date to submit API proficiency testing results for the 1st Event 2020 was 01/31/2020. The samples were tested on 02/02/2020, after realizing the deadline had been missed. 2. During an interview on 08/05/2021 at 10:30 AM, the Laboratory Director confirmed the laboratory staff failed to submit the Proficiency Testing result and patient testing was still being performed during this time period. 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 --