Wvu Medicine - Weston

CLIA Laboratory Citation Details

3
Total Citations
12
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 51D2153215
Address 107 Staunton Dr, Weston, WV, 26452
City Weston
State WV
Zip Code26452
Phone304 269-3335
Lab DirectorGERALD WEDEMEYER

Citation History (3 surveys)

Survey - October 16, 2024

Survey Type: Standard

Survey Event ID: KXIT11

Deficiency Tags: D5807 D5807 D0000

Summary:

Summary Statement of Deficiencies D0000 A routine recertification survey was conducted at WVU Medicine- Weston on October 16, 2024, by the West Virginia Office of Laboratory Services. The laboratory was assessed for compliance with the Federal Clinical Laboratory Improvement Amendments (CLIA) regulations under 42 CFR 493. Specific deficiencies cited are explained below. D5807 TEST REPORT CFR(s): 493.1291(d) Pertinent "reference intervals" or "normal" values, as determined by the laboratory performing the tests, must be available to the authorized person who ordered the tests and, if applicable, the individual responsible for using the test results. This STANDARD is not met as evidenced by: Based on review of an EPIC final hematology test report, lack of documentation, and interview, the laboratory failed to provide the reference intervals for 3 of 17 parameters tested in a complete blood cell count (CBC) with automated differential, performed with the Sysmex XP-300 hematology analyzer. Findings: 1. Review of a test patient's final report (10/16/24) for a CBC with automated differential from EPIC revealed test results for 17 parameters. No stated reference intervals for 3 parameters in the automated differential (neutrophil %, monocyte %, and lymphocyte %) were listed on the final report. 2. An interview with the testing personnel (TP1), 10/16/24 at 9:40 AM, confirmed that no listed reference intervals for the neutrophil %, monocyte %, and lymphocyte % could be located on the final test report for a CBC with automated differential. 3. An exit interview with the technical supervisor, 10/16/24 at 10:30 AM, confirmed the lack of reference intervals for 3 of 17 CBC parameters on the final test report. 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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Survey - December 14, 2022

Survey Type: Standard

Survey Event ID: 1HS711

Deficiency Tags: D0000 D2015 D5791 D0000 D2015 D5791

Summary:

Summary Statement of Deficiencies D0000 An announced, on site, routine recertification survey was conducted at WVU Medicine Weston on December 14, 2022, by the West Virginia Office of Laboratory Services. The laboratory was surveyed to assess compliance with the Federal Clinical Laboratory Improvement Amendment (CLIA) regulations under 42 CFR 493. Specific deficiencies are explained below. 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 the laboratory failed to retain a signed attestation statement by the person performing the testing and the laboratory director (LD) for 6 of 6 2021 proficiency testing (PT) events and 4 of 4 2022 PT events. Findings: 1. Review of American Proficiency Institute (API) PT records identified attestation statements not signed by the person performing the test and the laboratory director for 2021 Chemistry Core 1st, 2nd, and 3rd Events; 2021 Hematology 1st, 2nd, and 3rd Events; 2022 Chemistry Core 1st and 2nd Events; 2022 Hematology 1st 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 -- and 2nd Events. 2. An interview with the laboratory manager, 12/14/22 at approximately 9:00 AM, confirmed the attestation statements did not have the required signatures. 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 record review, lack of documentation, and interview the laboratory failed to establish and follow an effective procedure or policy for the continuous review and documentation of the assessment and evaluation of the quality control (QC) process to detect any outliers, shifts or trends in control values due to instrument malfunctions or changes in the analytical system. Findings: 1. Review of 2022 QC records identified a daily review of hematology QC values. No documentation demonstrating the cumulative review of QC data could be located. 2. An exit interview with the laboratory manager, 12/14/22 at approximately 11:15 AM, confirmed the findings. -- 2 of 2 --

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Survey - January 27, 2021

Survey Type: Standard

Survey Event ID: 2WEJ11

Deficiency Tags: D2121 D2121 D0000

Summary:

Summary Statement of Deficiencies D0000 An announced, on site, recertification survey was conducted at WVU Medicine- Weston on January 27, 2021, by the West Virginia Office of Laboratory Services. The laboratory was surveyed to assess compliance with the Federal Clinical Laboratory Improvement Amendment (CLIA) regulations under 42 CFR 493. Specific deficiencies are explained below. D2121 HEMATOLOGY CFR(s): 493.851(a) Failure to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event is unsatisfactory analyte performance for the testing event. This STANDARD is not met as evidenced by: Based on a review of the Individual Laboratory Profile CASPER Report 155D, laboratory proficiency testing (PT) records, and an interview with the laboratory manager, the laboratory failed to attain a score of at least 80% for the analyte #0765 WBC DIFF in the 2nd 2020 Hematology/Coagulation PT event from American Proficiency Institute (API). Findings: 1. A review of the Individual Laboratory Profile CASPER Report 155D, as part of the pre- survey process, identified an unsatisfactory performance of 0% for analyte #0765 WBC DIFF for the API 2nd testing event of 2020. a. 0% for lymphocytes b. 0% for Monocytes/mixed c. 0% for Neut/Gran 2. A review of the laboratory API PT records for 2019 and 2020 identified the unsuccessful performance for the analyte #0765 WBC DIFF in the API 2nd testing event of 2020 had a documented investigation. 3. During an interview with the laboratory manager, on 1/27/2021 at approximately 10:45 AM, the laboratory manager stated the unsuccessful performance in the 2nd API 2020 testing event was reviewed and investigated. 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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