Tufts University Health Service Clinical

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 22D0690692
Address 124 Professors Row, Medford, MA, 02144
City Medford
State MA
Zip Code02144
Phone(617) 627-3350

Citation History (2 surveys)

Survey - May 12, 2020

Survey Type: Special

Survey Event ID: ZR8811

Deficiency Tags: D2096 D0000 D2016

Summary:

Summary Statement of Deficiencies D0000 Based on evidence of unsuccessful proficiency testing performance for the Sodium analyte, the following Condition level deficiency was deemed to be not met: Condition 42 CFR 493.803 - Proficiency Testing - Successful Participation. . D2016 SUCCESSFUL PARTICIPATION CFR(s): 493.803(a)(b)(c) (a) Each laboratory performing nonwaived testing must successfully participate in a proficiency testing program approved by CMS, if applicable, as described in subpart I of this part for each specialty, subspecialty, and analyte or test in which the laboratory is certified under CLIA. (b) Except as specified in paragraph (c) of this section, if a laboratory fails to participate successfully in proficiency testing for a given specialty, subspecialty, analyte or test, as defined in this section, or fails to take remedial action when an individual fails gynecologic cytology, CMS imposes sanctions, as specified in subpart R of this part. (c) If a laboratory fails to perform successfully in a CMS- approved proficiency testing program, for the initial unsuccessful performance, CMS may direct the laboratory to undertake training of its personnel or to obtain technical assistance, or both, rather than imposing alternative or principle sanctions except when one or more of the following conditions exists: (1) There is immediate jeopardy to patient health and safety. (2) The laboratory fails to provide CMS or a CMS agent with satisfactory evidence that it has taken steps to correct the problem identified by the unsuccessful proficiency testing performance. (3) The laboratory has a poor compliance history. This CONDITION is not met as evidenced by: Based on proficiency testing review for calendar year 2019 (three testing events), the laboratory failed to successfully participate (achieve a score of 80 percent or more) in the College of American Pathologists (CAP) proficiency testing program for the Sodium analyte. Refer to D2096. . 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 -- D2096 ROUTINE CHEMISTRY CFR(s): 493.841(f) Failure to achieve satisfactory performance for the same analyte or test in two consecutive testing events or two out of three consecutive testing events is unsuccessful performance. This STANDARD is not met as evidenced by: Based on an off site desk review of the laboratory's 2019 and 2020 College of American Pathologists (CAP) proficiency testing (PT) records the laboratory failed to achieve satisfactory performance for the Sodium analyte for two out of three testing events resulting in unsuccessful performance for the analyte as evidenced by the following: 1. Desk review of the laboratory's 2019 and 2020 CAP PT records revealed the laboratory achieved a score for Sodium of less than eighty percent for the following Routine Chemistry testing events: 2019 third testing event - Sodium score of forty (40) percent; and, 2020 first testing event - Sodium score of sixty (60) percent. 2. Review of CAP reports for the two testing periods above confirmed that the above PT scores were correct. -- 2 of 2 --

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Survey - January 21, 2020

Survey Type: Standard

Survey Event ID: XB0511

Deficiency Tags: D0000 D5503

Summary:

Summary Statement of Deficiencies D0000 A CLIA recertification survey was conducted for the Tufts University Health Service laboratory pursuant to the Clinical Laboratory Improvement Amendments (CLIA) of 1988 and CLIA regulations at 42 CFR 493. D5503 BACTERIOLOGY CFR(s): 493.1261(a)(2) (a) The laboratory must check the following for positive and negative reactivity using control organisms: (a)(2) Each week of use for gram stains. This STANDARD is not met as evidenced by: Based on quality control (QC) record review and confirmed through interview, the laboratory failed to check for positive and negative reactivity using control organisms for each week of use for gram stains as evidenced by the following: The surveyor asked to review QC records for gram stains for calendar years 2018 and 2019. Testing Person 1 (TP1) stated that the volume of gram stains is low and QC is not performed and documented. TP1 confirmed in an interview on 1/21/2020 at 2:00 PM that the laboratory failed to check and document positive and negative reactivity using control organisms for each week of use for gram stains. The laboratory performs 5 gram stains annually. 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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