Lvpg-Family Medicine-Southside

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 39D0190992
Address 1648 S 4th Street, Allentown, PA, 18103
City Allentown
State PA
Zip Code18103
Phone(610) 674-4550

Citation History (1 survey)

Survey - September 13, 2018

Survey Type: Standard

Survey Event ID: CKDL11

Deficiency Tags: D5791 D5791

Summary:

Summary Statement of Deficiencies D5791 ANALYTIC SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1289(a)(c) (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 analytic systems specified in 493.1251 through 493.1283. (c) The laboratory must document all analytic systems assessment activities. This STANDARD is not met as evidenced by: Based on review of the Quality Assurance Quarterly Checklist, Physicians Office Laboratory Quality Assurance Procedure, interview with the Laboratory Coordinator (LC) and Testing Personnel (TP) # 3, the laboratory failed to have follow their procedure for Quality Assurance, that assesses its Preanalytical, Analytical and Postanalytical system activities from 2017 (2 of 4 quarters) and 2018 (1 of 2 quarters). Findings include: 1. The Physicians Office Laboratory Quality Assurance Procedure: V. Guidelines: c. Assess the effectiveness of the labs policies and procedures: i. states "the lab Quality Assurance Quarterly Checklist is completed quarterly." 2. On the day of survey, 09/13/2018, review of Quality Assurance Quarterly Checklists revealed that the laboratory is not reviewing the Quality Assurance Quarterly Checklist on a quarterly bases. a. 2017 2nd quarter (April-June) has a review date of 5/15/2017 (1.5 months), which is less than a quarter (3 months) to be reviewed. b. 2017 4th quarter (Oct-Dec) has a review date of 10/16/2017 (0.5 months), which is less than a quarter (3 months) to be reviewed. c. 2018 2nd quarter (April-June) has a review date of 4/23 /2018 (1 month), which is less than a quarter (3 months) to be reviewed. 3. The LC and TP #3 confirmed the findings above on 09/13/2018 around 11:00 am. 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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