Medical Affiliates Of Cape Cod, Inc

CLIA Laboratory Citation Details

3
Total Citations
24
Total Deficiencyies
10
Unique D-Tags
CMS Certification Number 22D0930281
Address 5 Industrial Drive, Mashpee, MA, 02649
City Mashpee
State MA
Zip Code02649
Phone508 418-5246
Lab DirectorBENJAMIN LEVIN

Citation History (3 surveys)

Survey - March 29, 2024

Survey Type: Standard

Survey Event ID: 9T6911

Deficiency Tags: D5209 D5209 D5221 D5807 D6053 D2007 D5217 D5217 D5221 D5807 D6053

Summary:

Summary Statement of Deficiencies D2007 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The samples must be examined or tested with the laboratory's regular patient workload by personnel who routinely perform the testing in the laboratory, using the laboratory's routine methods This STANDARD is not met as evidenced by: Based on record review and staff interview the laboratory failed to ensure proficiency testing (PT) was rotated amongst all testing personnel (TP) in the specialty of Hematology. Finding include: 1. Record review on 3/29/2024 of the laboratory's 2023 American Proficiency Institute (API) Hematology/Coagulation PT attestation sheets revealed, one of three TP (TP2) did not run PT samples in 2023. 2. Record review on 3 /29/2024 of the laboratory's competency records for TP2, revealed, the section referring to PT performance was checked off and signed as as completed. 3. Staff interview on 3/29/2024 at 11:00 AM with the Technical Consultant (TC) who is also TP2 confirmed TP2 did not participate in PT in 2023, yet it was marked as completed on TP2's 2023 competency form. 4. The laboratory performs 12,457 tests annually in the specialty of Hematology. 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 record review and confirmed through an interview with the technical Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 4 -- consultant (TC), the laboratory did not have an ongoing mechanism to evaluate the TC based on their CLIA responsibilities. Findings Include: 1. Record review on 3/29 /2024 of the laboratory's 2022, 2023 and 2024 to date personnel competency records revealed the laboratory did not have documented competency evaluation for the TC based on their CLIA responsibilities. 2. Staff Interview on 3/29/2024 at 11:00 AM with the TC confirmed the TC did not have competency evaluation based on their CLIA responsibilities. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on American Proficiency Institute (API) proficiency testing (PT) record review and staff interview with the technical consultant (TC), the laboratory failed to verify the accuracy of non regulated analytes and did not document

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Survey - July 22, 2022

Survey Type: Standard

Survey Event ID: RGJ511

Deficiency Tags: D0000 D5400 D5439 D6053 D5400 D5439 D6053 D6054 D6054

Summary:

Summary Statement of Deficiencies D0000 A CLIA recertification survey was conducted for the Medical Affiliates of Cape Cod, Inc DBA Cape Cod Healthcare Physicians laboratory pursuant to the Clinical Laboratory Improvement Amendments (CLIA) of 1988 and CLIA regulations at 42 CFR 493. . D5400 ANALYTIC SYSTEMS CFR(s): 493.1250 Each laboratory that performs nonwaived testing must meet the applicable analytic systems requirements in 493.1251 through 493.1283, unless HHS approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub.7), that provides equivalent quality testing. The laboratory must monitor and evaluate the overall quality of the analytic systems and correct identified problems as specified in 493.1289 for each specialty and subspecialty of testing performed. This CONDITION is not met as evidenced by: . Based on the deficiencies cited herein, the laboratory failed to meet the the applicable analytic systems requirements in 493.1251 through 493.1283 as evidenced by the following: The laboratory failed to perform calibration verifications of at least three points once every six months in 2020 and 2021 for high-sensitivity C-reactive protein, ferritin, total iron binding capacity, Vitamin B12, and Vitamin D. This is a repeat deficiency. Refer to D5439. . D5439 CALIBRATION AND CALIBRATION VERIFICATION CFR(s): 493.1255(b) Unless otherwise specified in this subpart, for each applicable test system the laboratory must do the following: Perform and document calibration verification procedure - (b)(1) Following the manufacturer's calibration verification instructions; (b)(2) Using the criteria verified or established by the laboratory under 493.1253(b)(3) 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 -- -- (b)(2)(i) Including the number, type, and concentration of the materials, as well as acceptable limits for calibration verification; and (b)(2)(ii) Including at least a minimal (or zero) value, a mid-point value, and a maximum value near the upper limit of the range to verify the laboratory's reportable range of test results for the test system; and (b)(3) At least once every 6 months and whenever any of the following occur: (b)(3)(i) A complete change of reagents for a procedure is introduced, unless the laboratory can demonstrate that changing reagent lot numbers does not affect the range used to report patient test results, and control values are not adversely affected by reagent lot number changes. (b)(3)(ii) There is major preventive maintenance or replacement of critical parts that may influence test performance. (b)(3)(iii) Control materials reflect an unusual trend or shift, or are outside of the laboratory's acceptable limits, and other means of assessing and correcting unacceptable control values fail to identify and correct the problem. (b)(3)(iv) The laboratory's established schedule for verifying the reportable range for patient test results requires more frequent calibration verification. This STANDARD is not met as evidenced by: . Based on record review and interview with the Technical Consultant (TC) and Testing Person 1 (TP1) on 7/22/2022, the laboratory failed to perform calibration verifications every six months or, as appropriate, as evidenced by the following: The surveyor reviewed the quality control records for calendar years 2020, 2021, and 2022. The review revealed that calibration verifications of at least three points were not performed once every six months for one (1) out of one (1) general immunology and four (4) out of four (4) chemistry analytes requiring calibration verification on the Ortho Clinical Diagnostics Vitros 5600 analyzer. Six-month calibration verifications for high-sensitivity C-reactive protein, ferritin, total iron binding capacity, Vitamin B12, and Vitamin D were performed on 7/1/2022, 2/25/2021, and 5/26/2020. The calibration verifications were not performed every six months. The TC and TP1 confirmed in an interview on 7/22/2022 at 1:32 P.M. that calibration verifications had not been performed every six months for five (5) out of five (5) analytes requiring calibration verification. The laboratory performs 484 general immunology tests and 220,376 chemistry tests annually. This deficiency was cited at the last CLIA inspection performed on 11/08/19. . D6053 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: . Based on personnel competency record review and interview with the Technical Consultant (TC) on 7/22/2022, the TC failed to evaluate and document the performance of individuals responsible for moderate complexity testing at least semiannually during the first year the individual tested patient specimens as evidenced by the following: The surveyor asked for the personnel competency records for review. The review revealed that semiannual competency evaluations were not performed and documented for two (2) out of the two (2) newly hired testing persons (TP) in their first year of performing moderate complexity testing. The TC confirmed in an interview on 7/22/2022 at 11:20 AM that the TC failed to perform and document -- 2 of 3 -- semiannual competency evaluations for two (2) newly hired TP's in their first year of performing moderate complexity testing. The laboratory performs 484 general immunology tests, 220,376 chemistry tests, and 86,077 hematology tests annually. . . D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: . Based on personnel competency record review and interview with the Technical Consultant (TC) on 7/22/2022, the TC failed to evaluate and document the performance of individuals responsible for moderate complexity testing at least annually, after the first year the individual tested patient specimens as evidenced by the following: The surveyor asked for the personnel competency records for review. The review revealed that annual competency evaluations were not performed and documented at least annually for one (1) out of the one (1) newly hired testing person (TP) after the first year of performing moderate complexity testing. The TC confirmed in an interview on 7/22/2022 at 11:20 AM that the TC failed to perform and document an annual competency evaluation for one (1) of the newly hired TP's after the first year of performing moderate complexity testing. The laboratory performs 484 general immunology tests, 220,376 chemistry tests, and 86,077 hematology tests annually. -- 3 of 3 --

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Survey - November 8, 2019

Survey Type: Standard

Survey Event ID: 093311

Deficiency Tags: D5439 D5439 D0000 D0000

Summary:

Summary Statement of Deficiencies D0000 A CLIA recertification survey was conducted for the Medical Affiliates of Cape Cod, Inc. dba Cape Cod Healthcare Physicians laboratory pursuant to the Clinical Laboratory Improvement Amendments (CLIA) of 1988 and CLIA regulations at 42 CFR 493. D5439 CALIBRATION AND CALIBRATION VERIFICATION CFR(s): 493.1255(b) Unless otherwise specified in this subpart, for each applicable test system the laboratory must do the following: Perform and document calibration verification procedure - (b)(1) Following the manufacturer's calibration verification instructions; (b)(2) Using the criteria verified or established by the laboratory under 493.1253(b)(3) -- (b)(2)(i) Including the number, type, and concentration of the materials, as well as acceptable limits for calibration verification; and (b)(2)(ii) Including at least a minimal (or zero) value, a mid-point value, and a maximum value near the upper limit of the range to verify the laboratory's reportable range of test results for the test system; and (b)(3) At least once every 6 months and whenever any of the following occur: (b)(3)(i) A complete change of reagents for a procedure is introduced, unless the laboratory can demonstrate that changing reagent lot numbers does not affect the range used to report patient test results, and control values are not adversely affected by reagent lot number changes. (b)(3)(ii) There is major preventive maintenance or replacement of critical parts that may influence test performance. (b)(3)(iii) Control materials reflect an unusual trend or shift, or are outside of the laboratory's acceptable limits, and other means of assessing and correcting unacceptable control values fail to identify and correct the problem. (b)(3)(iv) The laboratory's established schedule for verifying the reportable range for patient test results requires more frequent calibration verification. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory failed to perform calibration 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 -- verifications every six months or, as appropriate, as evidenced by the following: a) The surveyor reviewed quality control records for calendar years 2018 and 2019 on 11 /8/19. b) The review revealed that calibration verifications of at least 3 points were not performed once every six months for one (1) out of one (1) general immunology and four (4) out of four (4) chemistry analytes requiring calibration verification on the Ortho Clinical Diagnostics Vitros 5600 analyzer. Six month calibration verifications for hemoglobin A1C, high-sensitivity C-reactive protein, total iron binding capacity, Vitamin B12, and Vitamin D were performed on 12/28/18 and were not performed every six months. c) The laboratory manager and testing person confirmed through interview on 11/8/19 at 11 AM that calibration verifications had not been performed every six months for five (5) out of 5 (5) analytes requiring calibration verification. d) The laboratory performs 1173 general immunology and 699,890 chemistry tests annually. . -- 2 of 2 --

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