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CLIA Requirements

Note: The information in this section is extracted and paraphrased from Part III Department of Health and Human Services, Centers for Medicare & Medicaid Services, Centers for Disease Control and Prevention, 42 CFR Part 493 Medicare, Medicaid, and CLIA Programs; Laboratory Requirements Relating to Quality Systems and Certain Personnel Qualifications, Final Rule, Friday, January 24, 2003.

CLIA Requirements–Paraphrased

Requirement:

Have a record of test system performance.

  • Intralaboratory Reports and Charts:

    Point Data Report

    Summary Data Report

    Supervisor's Report

    Operator Report

    Data Review Report

    Levey-Jennings Chart

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

    Data Rejection Report

    Laboratory Performance Overview

    Laboratory Comparison Report

    Laboratory Histogram Report

    Bias and Imprecision Histogram

    Statistical Profile Report

    Affiliated Data Exception Report

    Affiliated Laboratory Comparison Report

  • InstantQC™ Reports and Charts:

    InstantQC Report

    InstantQC Chart

Requirement:

Monitor the accuracy of the analytical process.

  • Intralaboratory Reports and Charts:

    Levey-Jennings Chart

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

    Laboratory Performance Overview

    Laboratory Comparison Report

    Laboratory Histogram Report

    Bias and Imprecision Histogram

    Statistical Profile Report

    Affiliated Data Exception Report

    Affiliated Laboratory Comparison Report

  • InstantQC™ Reports and Charts:

    InstantQC Report

    InstantQC Chart

Requirement:

Monitor the precision of the analytical process.

  • Intralaboratory Reports and Charts:

    Levey-Jennings Chart

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

    Laboratory Performance Overview

    Laboratory Comparison Report

    Laboratory Histogram Report

    Bias and Imprecision Histogram

    Statistical Profile Report

    Affiliated Data Exception Report

    Affiliated Laboratory Comparison Report

  • InstantQC™ Reports and Charts:

    InstantQC Report

    InstantQC Chart

Requirement:

Detect immediate errors.

  • Intralaboratory Reports and Charts:

    Point Data Report

    Supervisor's Report

    Operator Report

    Data Review Report

  • InstantQC™ Reports and Charts:

    InstantQC Report

    InstantQC Chart

Requirement:

Establish or verify the criteria for acceptability of all control materials.

  • Intralaboratory Reports and Charts:

    Levey-Jennings Chart

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

    Data Rejection Report

  • InstantQC™ Reports and Charts:

    InstantQC Chart

Requirement:

Establish statistical parameters for each batch and lot number of control materials.

  • Intralaboratory Reports and Charts:

    Summary Data Report

    Levey-Jennings Chart

  • Unity™ Interlaboratory Reports:

    Laboratory Comparison Report

    Statistical Profile Report

  • InstantQC™ Reports and Charts:

    InstantQC Report

    InstantQC Chart

Requirement:

Document all control procedures performed.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Supervisor's Report

    Levey-Jennings Chart

  • InstantQC™ Reports and Charts:

    InstantQC Chart

Requirement:

Document that at least once each day patient specimens are assayed or examined, test two control materials of different concentrations.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Summary Data Report

    Levey-Jennings Chart

  • InstantQC™ Reports and Charts:

    InstantQC Chart

Requirement:

For blood gas analyses, document that one sample of control material is tested each eight hours of testing using a combination of control materials that include both low and high values on each day of testing.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

Requirement:

Evaluate and define the relationship between test results for the same analyte using different methodologies, instruments, or testing sites.

  • Unity™ Interlaboratory Reports:

    Affiliated Data Exception Report

    Affiliated Laboratory Comparison Report

Requirement:

Document all corrective actions taken as a result of QC.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Supervisor's Report

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

Requirement:

Document all analytic systems assessment activities.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Supervisor's Report

  • Unity™ Interlaboratory Reports:

    Monthly Evaluation Report

    Laboratory Performance Overview

    Laboratory Comparison Report

    Laboratory Histogram Report

    Bias and Imprecision Histogram

    Statistical Profile Report

Requirement:

Document that, over time, control material testing is rotated among all operators who perform the test.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Supervisor's Report

    Levey-Jennings Chart

Requirement:

Document that control material testing is performed after a complete change of reagent, major preventive maintenance, or when any critical part is replaced.

  • Intralaboratory Reports and Charts:

    Data Review Report

    Point Data Report

    Supervisor's Report