Urology Department (Mfa)

CLIA Laboratory Citation Details

2
Total Citations
11
Total Deficiencyies
10
Unique D-Tags
CMS Certification Number 21D2045259
Address 7321 Hanover Pkwy Suite A, Greenbelt, MD, 20770
City Greenbelt
State MD
Zip Code20770
Phone(301) 477-2000

Citation History (2 surveys)

Survey - August 16, 2021

Survey Type: Standard

Survey Event ID: YLDI11

Deficiency Tags: D2015 D6000 D6021 D6031 D6046

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Note: This is a repeat deficiency. The laboratory was cited during the re-certification survey on 09/24/2018 for not ensuring that all the proficiency testing (PT) records were maintained. The plan of collection stated that the records would be maintained for the required amount of time. Based on review of the PT records for prostate specific antigen (PSA) and interview with the testing person, the laboratory failed to maintain all required PT documentation. Findings: 1. The PT records from 2019 through the second event of 2021 (7 events) were reviewed. 2. The PT records for the first event in 2021 were not available for review. 3. The PT records from the third event in 2019 failed to include the original instrument printout and the attestation worksheet. 4. The PT review records from 2019 (3 events), 2020 (3 events) show that the laboratory directors signature stamp was present, but no date of review was documented to show that the records were reviewed in a timely manner. 5. The PT attestation worksheet from the 3rd event of 2020 failed to include the signature and 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 -- date of the LD. 6. During the survey on 08/16/2021 at 12:30 PM, the testing person confirmed that the PT documents were not maintained as required and dated as required to ensure that reviews were performed in a timely manner. D6000 MODERATE COMPLEXITY LABORATORY DIRECTOR CFR(s): 493.1403 The laboratory must have a director who meets the qualification requirements of 493. 1405 of this subpart and provides overall management and direction in accordance with 493.1407 of this subpart. This CONDITION is not met as evidenced by: Based on record review and interview, the laboratory director failed to ensure that the QA reviews were performed by a qualified person (minimum educational requirement of a bachelor's degree and 2 years documented experience), failed to document the fact that the PT samples had not been submitted on time to the PT agency for the second event of 2021, and failed to ensure that the PT records were maintained (D6021); and failed to ensure that all policies and procedures followed in the laboratory were approved (D6031). D6021 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(5) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(5) Ensure that quality assessment programs are established and maintained to assure the quality of laboratory services provided. This STANDARD is not met as evidenced by: I. Based on review of the quality assessment (QA) records and interview with the testing person, the laboratory director (LD) acting as the technical consultant (TC) failed to ensure that the QA reviews were performed by a qualified person (minimum educational requirement of a bachelor's degree and 2 years documented experience) and were reviewed by the LD on a monthly basis. Findings: 1. The monthly "QA checklist" worksheets (31 months) for 2019, 2020, and 2021 were reviewed. The worksheets require documentation that the following policies were followed: "Laboratory Safety Policies", "Personnel Policies", "Proficiency Testing Policies", "Pre and Post Analytic Systems", "Quality Control Policies", "Quality Assurance Program", and "Maintenance Program." 2. The worksheets require documentation of the "Date", "Test Analyst" and "Lab Director" signatures each month. The "Test Analyst" section was signed by a person who was not qualified as the TC on 29 of 31 QA checklists reviewed and 2 of 31 checklists had no documented review at all. The testing person confirmed that the testing personnel who signed the section labeled "Test Analyst" did not have a four year degree. 3. The LD failed to document the review of 13 of 31 QA checklists. 4. The LD failed to include the date of the review to ensure that the worksheets were reviewed in a timely manner on 31 of 31 worksheets. 5. During the survey on 08/16/2021 at 12:30 PM, the testing person confirmed that the person who signed the section labeled "Test Analyst" on the QA checklist did not qualify as the TC, the checklist were not all signed and approved by the LD, and the -- 2 of 4 -- QA checklist did not include the date when the LD reviewed the worksheet. II. Based on review of the "QA checklist" for July 2021 and interview with the testing person, the LD acting as the TC failed to document the fact that the PT samples had not been submitted on time to the PT agency for the second event of 2021. Findings: 1. The section labeled "Our Proficiency Testing Policies have been followed:" on the July 202 checklist included a check mark indicating that the following was acceptable: "Proficiency test results were evaluated, failures were investigated, and remedial action was taken." 2. The "Performance Review And

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Survey - September 24, 2018

Survey Type: Standard

Survey Event ID: F9U711

Deficiency Tags: D2015 D6053 D5211 D5403 D6019 D6054

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Based on record review and interview with chemistry laboratory (lab) staff, the lab did not ensure that proficiency testing records are maintained. Findings: 1. The lab did not maintain the testing records performed for proficiency testing (PT) challenges performed in 2018 and 2017 including work records, intermediate test records, attestation sheets and printouts of test results for the prostatic acid phosphatase (PSA) tests performed on the proficiency test samples; and 2. These findings were confirmed during interview of lab staff at approximately 10:30 am on the day of survey. D5211 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(a) The laboratory must review and evaluate the results obtained on proficiency testing performed as specified in subpart H of this part. 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 -- This STANDARD is not met as evidenced by: Based on record review and interview with chemistry laboratory (lab) staff, the lab did not ensure that proficiency testing results are reviewed by the lab director . Findings: 1. The lab did not maintain the evaluations performed for proficiency testing (PT) challenges by the PT provider in 2018 and 2017 including the directors signed review of the report; and 2. These findings were confirmed during interview of lab staff at approximately 10:30 am. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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