Labette Health Independence Hopd Laboratory

CLIA Laboratory Citation Details

3
Total Citations
10
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 17D2129537
Address 510 N Peter Pan Road, Independence, KS, 67301
City Independence
State KS
Zip Code67301
Phone(620) 332-2000

Citation History (3 surveys)

Survey - March 7, 2024

Survey Type: Standard

Survey Event ID: 96D711

Deficiency Tags: D5421 D5775 D5891 D5421 D5775 D5891

Summary:

Summary Statement of Deficiencies D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE CFR(s): 493.1253(b)(1) Each laboratory that introduces an unmodified, FDA-cleared or approved test system must do the following before reporting patient test results: (1)(i) Demonstrate that it can obtain performance specifications comparable to those established by the manufacturer for the following performance characteristics: (1)(i)(A) Accuracy. (1)(i) (B) Precision. (1)(i)(C) Reportable range of test results for the test system. (1)(ii) Verify that the manufacturer's reference intervals (normal values) are appropriate for the laboratory's patient population. This STANDARD is not met as evidenced by: Based on the review of performance verification documentation for the lipase assay LIPL on the Siemens Dimension EXL 200 and interview with the general supervisor (GS) #2, the laboratory failed to verify the lipase reference intervals (normal values) were appropriate for the laboratory's patient population prior to reporting patient results. Findings: 1. Review of the performance verification documentation of the lipase assay LIPL on the Siemens Dimension EXL 200 revealed no verification of normal values for the laboratory's patient population. Patient testing began on 4/14/23. 2. Lipase test volume from 4/14/23 to date of survey was 548 patient test results. 4. Interview with GS #2on 3/7/24 at 3:15 p.m. confirmed, the laboratory failed to verify the lipase reference intervals (normal values) were appropriate for the laboratory's patient population prior to reporting patient results. D5775 COMPARISON OF TEST RESULTS CFR(s): 493.1281(a)(c) (a) If a laboratory performs the same test using different methodologies or instruments, or performs the same test at multiple testing sites, the laboratory must have a system that twice a year evaluates and defines the relationship between test 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 -- results using the different methodologies, instruments, or testing sites. (c) The laboratory must document all test result comparison activities. This STANDARD is not met as evidenced by: Based on review of test lists, 16 analytes performed by more than one method or analyzer, lack of comparison records and interview with GS #1, the laboratory failed to evaluate and define the relationship between test results using different methodology/analyzers for 16 of 16 analytes. Findings: 1. Review of test lists revealed the analytes sodium (Na), potassium (K), chloride (Cl), carbon dioxide (CO2), calcium (Ca), glucose, creatinine, and blood urea nitrogen (BUN) were performed on both the Dimension EXL 200 and the on two Siemens EPOC analyzers: serial numbers 27103 and 27107. The analytes pH, pCO2, pO2, HCO3, and O2 saturation are performed on two Siemens EPOC analyzers. The analytes troponin, and beta natriuretic peptide (BNP) were performed on both the Dimension EXL 200 and the Quidel Triage Meter Pro. The Dimension EXL 200 is the primary testing method with Triage is the secondary test method for Troponin and BNP. The Dimension EXL 200 is the primary testing method and the EPOC is the secondary test method for Na, K. Cl, CO2, Cl Ca, glucose, creatinine, and BUN. The two Siemens EPOC analyzers both perform pH, pCO2, pO2, HCO3, and O2 saturation. 2. The surveyor requested documentation of the semiannual comparison studies for the 16 analytes listed in item #1. No comparison study documentation for 16 of 16 analytes were provided at the time of survey for 2023 and to date of survey 2024. 3. Patient results reported under the secondary method from 1/1/23 to 3/7/24 were: a. Na, K. Cl, CO2, Cl Ca, Glucose, Creatinine, BUN- 87 patients, 783 results, b. Troponin-51 patient results. c. BNP-29 patient results. 4. Patient results reported under two of two Siemens EPOC analyzers from 1/1/23 to 3/7/24 were: a. pH, pCO2, pO2, HCO3, and O2 saturation- 297 patients, 1,485 results. 5. Interview with GS #2 on 3/7/24 at 1:50 p.m. confirmed, the laboratory failed to evaluate and define the relationship between test results using different methodology/analyzers for 16 of 16 analytes. D5891 POSTANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1299(a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess and, when indicated, correct problems identified in the postanalytic systems specified in 493.1291. This STANDARD is not met as evidenced by: Based on the review of the Individualized Quality Control Plan (IQCP) for the two Siemens EPOC chemistry analyzers S/N 27103 and 27107, EPOC quality control (QC) records for 2023, lack of documentation for the failure to perform QC as required, the "Annual Assessment of IQCP" for the two Siemens EPOC chemistry analyzers for 2023, and interview with GS #1, the laboratory failed to re-evaluate the IQCP after the QC interval was not met and implement correct actions (CA) as needed. Findings: 1. Review of the IQCP for the Siemens EPOC chemistry analyzer revealed QC was to be performed monthly, with each new lot, and with each new shipment on both analyzers. Monthly QC interval is considered to be not more than 31 days. 2. Review of the EPOC QC for the year 2023 revealed QC for April was performed on 4/1/23 on both analyzers. QC for May was performed on 5/27/23 on both analyzers. a. No documentation of the failed QC interval or CA were noted on the May QC log. The document was reviewed by both GS #1 and GS #2. 3. Review of -- 2 of 3 -- the "Annual Assessment of IQCP" for the two Siemens EPOC chemistry analyzers for 2023 revealed: a. A check marked box for "Quality Control performed appropriately and reviewed monthly." The corresponding "

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Survey - June 16, 2022

Survey Type: Standard

Survey Event ID: T1MP11

Deficiency Tags: D5807 D5807

Summary:

Summary Statement of Deficiencies D5807 TEST REPORT CFR(s): 493.1291(d) Pertinent "reference intervals" or "normal" values, as determined by the laboratory performing the tests, must be available to the authorized person who ordered the tests and, if applicable, the individual responsible for using the test results. This STANDARD is not met as evidenced by: Based on a review of approved reference ranges in the laboratory "Complete Blood Count INDY-07" procedure manual and interview with the technical consultant #1 (TC#1) and technical consultant (TC#2), the laboratory failed to ensure the patient's Complete Blood Count (CBC) test report included five analyte normal ranges as determined by the laboratory "Complete Blood Count INDY-07" policy at time of survey. Findings: 1. Review of C BC patient reports from the Laboratory Information System (LIS) revealed five analyte normal ranges did not correctly reflect reference ranges for the complete blood count (CBC) test. LIS patient report listed no reference (normal) ranges for the following five analytes: Neutrophil % (Neut%), Lymphocyte % (Lymph%), Monocyte % (Mono%), Eosinophil % (Eo%) and Basophil % (Baso%). The procedure manual parameters: Neut% 47-76 % Lymph% 19.0-48 % Mono% 3.4- 9.0 % Eo% 0.0-7.0 % Baso% 0.0-1.5 % 2. Interview with TC#1 and TC#2 on 6/16 /2022 at 1:25 p.m. confirmed, the laboratory failed to ensure the correct reference ranges for five analytes approved in the "Complete Blood Count INDY-07" procedure manual were in icluded with the LIS patient's CBC test report. 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 - October 17, 2018

Survey Type: Standard

Survey Event ID: XYW711

Deficiency Tags: D5209 D5209

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on a review of laboratory and personnel policies/procedures, competency records for testing personnel (t.p.) (refer to Laboratory Personnel Report (CMS-209)), and staff interview, the laboratory failed to define and follow a personnel competency policy/procedure. Findings were: 1. A review of the Laboratory Personnel policy /procedure containing competency was a copy from the Labette Health laboratory in Parsons, Kansas. 2. A review of the competency assessment form for Labette Health laboratory in Independence, Kansas listed only all six procedures for competency assessment for the following tests: iStat test cartridges (CG4+, cTnI, PT/INR), rapid drug screen, Triage MeterPro, and XS-1000i. 3. A review of the laboratory's testing personnel competency assessments document failed to perform evaluation of the six individual procedures of competency assessment, marking only that they were competent, for the following testing personnel: t.p. #11 - evaluated 3/21/2018 t.p. #12 - evaluated 8/15/2018 t.p. #14 - evaluated 12/31/2017 t.p. #21 - evaluated 3/21/2018 4. The above findings were confirmed by interview with the Technical Consultant #1 on at 10:42 on October 17, 2018. 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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