Summary:
Summary Statement of Deficiencies D2123 HEMATOLOGY CFR(s): 493.851(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 review of the proficiency testing summaries and interview with the current technical consultant, the laboratory did not ensure that proficiency testing (PT) reports were submitted to the PT agency within the required time frame. Findings: 1. The PT records from 2016 and 2017 (6 events) were reviewed. 2. For the second event of 2016 the laboratory received a score of 0% for failure to submit the hematology results. The laboratory's investigation did not identify the reason for the failure to submit the results and implement