VR4-C 2015 Virology Ag (non-if) Detect

Transcription

1 EVALUATION VR4-C 2015 Virology Ag (non-if) Detect INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /9/ /8/2015 Next Mailing Date: 1/18/2016 COPIED TO: LAP CAP IMPORTANT NOTES: LEGEND: ing done by waived methods/kits will not appear on the CMS Performance Summary Report. Exception Reason Codes appearing in this evaluation: <NONE> Reviewed By Date Page 1 of 2

2 VR4-C 2015 Virology Ag (non-if) Detect Method Specimen Your Result Intended Response Your Grade Adenovirus OTHER VR /9/ /8/2015 VR4-12 POSITIVE POSITIVE VR4-13 VR4-14 VR4-15 Rotavirus BIOMERIEUX VIKIA VR4-11 VR4-12 VR4-13 POSITIVE POSITIVE VR4-14 VR4-15 Page 2 of 2

3 EVALUATION D-C 2015 Bacteriology Survey INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /5/ /3/2015 Next Mailing Date: 2/1/2016 COPIED TO: LAP CAP IMPORTANT NOTES: LEGEND: Due to space limitation we are unable to display the full description of certain organisms on your evaluation. Please refer to the Participant Summary for a detailed description. Exception Reason Codes appearing in this evaluation: [26] = Educational challenge. Reviewed By Date Page 1 of 5

4 D-C 2015 Bacteriology Survey Method Specimen Your Result Intended Response Your Grade Bacteria ID D-15 GNDC, aerobic ********ORGANISM******** Moraxella catarrhalis M. catarrhalis, presump Moraxella sp. GNDC, aerobic GNCB, aerobic /5/ /3/2015 D-16 Staph saprophyticus ********ORGANISM******** Staph saprophyticus Staph-CNS nov res/ssap Staph coag/agglut neg Staph sp.nt S. aureus GPC, aerobic D-17 Bord. bronchiseptica *******ORGANISM 1******* Pepto. anaerobius Bord. bronchiseptica Bordetella sp. GNB, nonfermentative GNB, aerobic GNCB, aerobic *******ORGANISM 2******* Pepto. anaerobius Peptostreptococcus sp. GPC, anaerobic Anaerobe isolated ref Bacteria ID D-18 Achromo. denitrificans *******ORGANISM 1******* Staph epidermidis Achromo. xylosoxidans Achromo. denitrificans Page 2 of 5

5 D-C 2015 Bacteriology Survey /5/ /3/2015 Method Specimen Your Result Intended Response Your Grade Achromobacter sp. GNB, nonfermentative GNB, aerobic *******ORGANISM 2******* Staph epidermidis Staph coag/agglut neg Staph sp.nt S. aureus GPC, aerobic D-19 Enterococcus faecium ********ORGANISM******** Enterococcus faecium Enterococcus sp. GPC, aerobic Gram Stain D-19 GRAM-POSITIVE GRAM-POSITIVE Morphology D-19 COCCI COCCI Bacterial Ag Detection DIASORIN LIAISON D-20 TOXIGENIC C. DIFF POS TOXIGENIC C. DIFF POS GDH Ag POS, WLD REFER Bacterial Ag Detection OTHER D-21 NEG FOR GRP A STREP Ag NEG FOR GRP A STREP Ag MIC HLAR Gent D-19 </= 500 ug/ml Synergy-S [26] Page 3 of 5

6 D-C 2015 Bacteriology Survey Method Specimen Your Result Intended Response Your Grade MIC Interpretation AMPICILLIN D-19 RESISTANT RESISTANT LINEZOLID D-19 SUSCEPTIBLE SUSCEPTIBLE VANCOMYCIN D-19 RESISTANT RESISTANT Beta Lactamase ing D-19 [26] /5/ /3/2015 Page 4 of 5

7 D-C 2015 Bacteriology Survey /5/ /3/2015 CAP CAP #: Subspecialty : Bacteriology Proficiency Event Proficiency Event Proficiency Event Regulated Analyte Event Score % Wgt Event Score % Wgt Event Score % Wgt Antimicrobial Suscept D-A 11 / D-B 6/ D-C 3/ Bacterial Antigen Det D-A 5 / D-B 5/ D-C 2/ Bacterial Identification D-A 500 / D-B 400/ D-C 500/ Gram Stain D-A 1 / D-B 1/ D-C 1/ Performance By Mailing Satisfactory 100 Satisfactory 86 Satisfactory 100 Regulatory Status for Bacteriology Cumulative Regulatory Performance Interpretation: Successful Page 5 of 5

8 EVALUATION VR2-C 2015 Virology Ag Detect DFA INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /2/ /2/2015 Next Mailing Date: 3/14/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: <NONE> Reviewed By Date Page 1 of 3

9 VR2-C 2015 Virology Ag Detect DFA Method Specimen Your Result Intended Response Your Grade Influenza A LIGHT DIAG (MILLIPORE) VR2-13 POSITIVE POSITIVE Parainfluenza LIGHT DIAG (MILLIPORE) VR2-14 RSV LIGHT DIAG (MILLIPORE) VR2-15 POSITIVE POSITIVE /2/ /2/2015 Page 2 of 3

10 VR2-C 2015 Virology Ag Detect DFA /2/ /2/2015 CAP CAP #: Subspecialty : Virology Proficiency Event Proficiency Event Proficiency Event Regulated Analyte Event Score % Wgt Event Score % Wgt Event Score % Wgt Viral Antigen Detection VR2-A 4 / VR2-B 2/ VR2-C 3/ Performance By Mailing Satisfactory 100 Satisfactory 100 Unsatisfactory 60 Regulatory Status for Virology Cumulative Regulatory Performance Interpretation: Successful <2> <2> Currently successful - At risk for the next two mailings. Page 3 of 3

11 EVALUATION F-C 2015 Mycology INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /24/ /3/2015 Next Mailing Date: 1/25/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: <NONE> Reviewed By Date Page 1 of 3

12 F-C 2015 Mycology Method Specimen Your Result Intended Response Your Grade Fungal Identification F-13 CANDIDA ALBICANS CANDIDA ALBICANS C. ALBICANS/DUBLINIENSIS CANDIDA SP. YEAST, REFERRED FOR ID YEAST /24/ /3/2015 F-14 PAECILOMYCES SP. PAECILOMYCES VARIOTII PAECILOMYCES SP. MOLD RECOGNIZED, REF F-15 MICROSPORUM CANIS MICROSPORUM CANIS MICROSPORUM SP. DERMATOPHYTE SEEN, REF MOLD RECOGNIZED, REF F-16 ZYGOMYCETE, PRES. ID LICHTHEIMIA SP. ZYGOMYCETE, PRES. ID MOLD RECOGNIZED, REF F-17 SPEC. NEG. FOR FUNGI SPEC. NEG. FOR FUNGI Antifungal - MIC FLUCONAZOLE F-13 RESISTANT INTERMEDIATE RESISTANT S-DD NON-SUSCEPTIBLE NO INTERPRETATION CASPOFUNGIN F-13 SUSCEPTIBLE SUSCEPTIBLE NO INTERPRETATION Page 2 of 3

13 F-C 2015 Mycology /24/ /3/2015 CAP CAP #: Subspecialty : Mycology Proficiency Event Proficiency Event Proficiency Event Regulated Analyte Event Score % Wgt Event Score % Wgt Event Score % Wgt Mycological Ident F-A 400 / F-B 400/ F-C 500/ Performance By Mailing Satisfactory 80 Satisfactory 80 Satisfactory 100 Regulatory Status for Mycology Cumulative Regulatory Performance Interpretation: Successful Page 3 of 3

14 EVALUATION HFCI-A 2015 Hemocytometer Fld Cnt International INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /11/ /29/2015 Next Mailing Date: 12/4/2015 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: [26] = Educational challenge. Reviewed By Date Page 1 of 4

15 Unit of Measure Peer Group White Blood Cell Count WBC/uL HEMOCYTOMTR BRIGHT FLD Specimen Evaluation and Comparative Method Statistics Your No. of Limits of Acceptability Result Mean S.D. Labs S.D.I Lower Upper Your Grade HFCI Acceptable HFCI Acceptable HFCI Acceptable Plot of the Relative Distance of Your Results from Target as Percentages of allowed Deviation Survey HFCI-A /11/ /29/2015 HFCI-A 2015 Hemocytometer Fld Cnt International Mean Red Blood Cell Count RBC/mm3 HEMOCYTOMTR BRIGHT FLD HFCI Acceptable HFCI Acceptable HFCI Acceptable HFCI-A 2015 Polymorphonuclear % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Mononuclear % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Band/Segmented Neutrop % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Page 2 of 4

16 Unit of Measure Peer Group Lymphocytes % Specimen Evaluation and Comparative Method Statistics Your No. of Limits of Acceptability Result Mean S.D. Labs S.D.I Lower Upper Your Grade HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Plot of the Relative Distance of Your Results from Target as Percentages of allowed Deviation Survey /11/ /29/2015 HFCI-A 2015 Hemocytometer Fld Cnt International Mean Mono/Macro/Meso % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Eosinophils % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Basophils % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Neutrophils, Immature % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Page 3 of 4

17 Unit of Measure Peer Group Blasts % Specimen Evaluation and Comparative Method Statistics Your No. of Limits of Acceptability Result Mean S.D. Labs S.D.I Lower Upper Your Grade HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Plot of the Relative Distance of Your Results from Target as Percentages of allowed Deviation Survey /11/ /29/2015 HFCI-A 2015 Hemocytometer Fld Cnt International Mean Plasma cells % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] OTHERTEST % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] NRBC % HFCI-01D [26] HFCI-02D [26] HFCI-03D [26] Page 4 of 4

18 EVALUATION CM-B 2015 Clinical Microscopy INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /31/2015 9/30/2015 Next Mailing Date: 2/15/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: [20] = No appropriate target/response cannot be graded. [26] = Educational challenge. Reviewed By Date Page 1 of 6

19 Unit of Measure Peer Group Spec Gravity, urine REFRACTOMETER VISUAL Specimen Evaluation and Comparative Method Statistics Your No. of Limits of Acceptability Result Mean S.D. Labs S.D.I Lower Upper CM-B 2015 Clinical Microscopy Your Grade CM Acceptable CM Acceptable CM Acceptable Plot of the Relative Distance of Your Results from Target as Percentages of allowed Deviation Survey CM-B 2015 CM-A 2015 CM-B /31/2015 9/30/ Mean Method Specimen Your Result Response ph, urine Acceptable Response Your Grade ROCHE CHEMSTRIP/COMBUR CM ROCHE CHEMSTRIP UA >/= 9.0 Protein,urine,qual,Mtd CM >/= 9.0 CM ROCHE CHEMSTRIP/COMBUR CM mg/dl mg/dl 75 mg/dl ROCHE CHEMSTRIP UA mg/dl > 600 or >/= 1000 mg/d Glucose,urine,Mtd2 CM-15 CM mg/dl mg/dl mg/dl Acceptable > 600 or >/= 1000 mg/d ROCHE CHEMSTRIP/COMBUR CM-14 ROCHE CHEMSTRIP UA Page 2 of 6

20 Method Specimen Your Result Response Acceptable Response Your Grade CM-15 Reducing substances CM-16 > 500, >/= 1k, 2k mg/dl > 500, >/= 1k, 2k mg/d mg/dl OTHER CM-14 [20] Ketones,urine,Mtd3 CM-15 [20] CM-16 1/2% [20] ROCHE CHEMSTRIP/COMBUR CM-14 ROCHE CHEMSTRIP UA Bilirubin,urine,Mtd3 CM-15 CM-16 >/= 150 mg/dl mg/dl mg/dl >/= 150 mg/dl ROCHE CHEMSTRIP/COMBUR CM-14 ROCHE CHEMSTRIP UA Blood/Hgb,urine,Mtd3 CM-B 2015 Clinical Microscopy CM-15 CM mg/dl mg/dl mg/dl >10.0 mg/dl ROCHE CHEMSTRIP/COMBUR CM Ery/uL 250 Ery/uL Ery/uL ROCHE CHEMSTRIP UA /31/2015 9/30/2015 CM-15 Page 3 of 6

21 Method Specimen Your Result Response CM-B 2015 Clinical Microscopy Acceptable Response /31/2015 9/30/2015 Your Grade CM Ery/uL 250 Ery/uL Ery/uL Leuko Esterase,urine,M ROCHE CHEMSTRIP/COMBUR CM-14 ROCHE CHEMSTRIP UA Nitrite, urine CM-15 CM OR 500 ul 250 OR 500 ul 75 OR 100 ul ROCHE CHEMSTRIP/COMBUR CM-14 POSITIVE POSITIVE ROCHE CHEMSTRIP UA Urobilinogen,urine,Mtd CM-15 CM-16 POSITIVE POSITIVE ROCHE CHEMSTRIP/COMBUR CM-14 Neg / 0.2 mg/dl / <3.2 umol/l Neg / 0.2 mg/dl / <3.2 1/<2mg/dL/16umol/L/<35 ROCHE CHEMSTRIP UA CM-15 Neg / 0.2 mg/dl / <3.2 umol/l Neg / 0.2 mg/dl / <3.2 1/<2mg/dL/16umol/L/<35 CM-16 >/= 8 or 12 mg/dl / 140or200 umol/ >/= 8 or 12 mg/dl / /6.0mg/dL / >70 or Urine Sediment ID CMP-17 URIC ACID CRYSTAL URIC ACID CRYSTAL CMP-18 SQUAMOUS EPITHELIAL SQUAMOUS EPITHELIAL CMP-19 MUCUS STRANDS MUCUS STRANDS CMP-20 LEUKOCYTE NEUT,EOS,LYM LEUKOCYTE NEUT,EOS,LYM CSF & Body Fluid CMP-21 LYMPHOMA CELL [26] Page 4 of 6

22 Method Specimen Your Result Response CM-B 2015 Clinical Microscopy Acceptable Response /31/2015 9/30/2015 Your Grade CMP-22 LYMPHOCYTE LYMPHOCYTE CMP-23 ERYTHROCYTE ERYTHROCYTE CMP-24 NEUTROPHIL SEG OR BAND NEUTROPHIL SEG OR BAND CMP-25 MACROPH w/sm LIPID VAC MONOCYTE/MACROPHAGE Unacceptable CMP-26 MITOTIC FIGURE [26] Method Specimen Your Result Intended Response Your Grade Fern test CMMP-36 FERNING ABSENT FERNING ABSENT KOH prep CMMP-37 YEAST/FUNGI PRESENT YEAST/FUNGI PRESENT Nasal for Eosinophil CMMP-38 EOSINOPHILS PRESENT EOSINOPHILS PRESENT Pinworm Prep CMMP-39 PINWORM/EGGS ABSENT PINWORM/EGGS ABSENT Stool for WBC CMMP-40 LEUKOCYTES ABSENT LEUKOCYTES ABSENT Vaginal wet prep CMMP-41 SPERMATOZOA ABSENT SPERMATOZOA ABSENT TRICHOMONAS ABSENT TRICHOMONAS ABSENT CLUE CELLS PRESENT CLUE CELLS PRESENT EPITHEL CELLS PRESENT EPITHEL CELLS PRESENT Page 5 of 6

23 CM-B 2015 Clinical Microscopy Method Specimen Your Result Intended Response Your Grade Occult Blood HEMOSURE ifob OCB-04 POSITIVE POSITIVE /31/2015 9/30/2015 OCB-05 OCB-06 Page 6 of 6

24 EVALUATION UAA-B 2015 Automated Urinalysis INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /27/2015 8/20/2015 Next Mailing Date: 3/14/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: [26] = Educational challenge. Reviewed By Date Page 1 of 2

25 Method Specimen Your Result Response WBC, Qual UAA-B 2015 Automated Urinalysis Acceptable Response /27/2015 8/20/2015 Your Grade IRIS iq200 UAA-03 occ / 1+ / 6-10 [26] UAA-04 mod / 3+ / [26] RBC, Qual IRIS iq200 UAA-03 absent / trace / rare / 0-2 [26] UAA-04 mod / 3+ / [26] Casts, Qual IRIS iq200 UAA-03 absent / trace / rare / 0-2 [26] UAA-04 absent / trace / rare / 0-2 [26] Crystals, Qual IRIS iq200 UAA-03 absent / trace / rare [26] UAA-04 mod / 3+ [26] Page 2 of 2

26 EVALUATION P-B 2015 Parasitology INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /22/2015 8/7/2015 Next Mailing Date: 11/2/2015 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: [35] = ing not performed on (or indicated for) this specimen type. Reviewed By Date Page 1 of 3

27 P-B 2015 Parasitology Method Specimen Your Result Intended Response Your Grade Parasite ID P-08 PLASMODIUM FALCIPARUM PLASMODIUM FALCIPARUM /22/2015 8/7/2015 Parasite ID P-09 DIENTAMOEBA FRAGILIS DIENTAMOEBA FRAGILIS Parasite ID P-10 CHILOMASTIX MESNILI CHILOMASTIX MESNILI Parasite ID P-11 TRICHURIS TRICHIURA ENTAMOEBA COLI ENTAMOEBA COLI ENTAMOEBA SP. ENDOLIMAX NANA Parasite ID P-12 NO PARASITE(S) SEEN NO PARASITE(S) SEEN Giardia Ag Detection P-13 TEST NOT PERFORMED [35] P-14 TEST NOT PERFORMED [35] Crypto Ag Detection P-13 TEST NOT PERFORMED [35] P-14 TEST NOT PERFORMED [35] Mod Acid-Fast Stain P-13 NO CRYPTO/CYCLO/ISOSPORA NO CRYPTO/CYCLO/ISOSPORA P-14 NO CRYPTO/CYCLO/ISOSPORA NO CRYPTO/CYCLO/ISOSPORA Page 2 of 3

28 P-B 2015 Parasitology /22/2015 8/7/2015 CAP CAP #: Subspecialty : Parasitology Proficiency Event Proficiency Event Proficiency Event Regulated Analyte Event Score % Wgt Event Score % Wgt Event Score % Wgt Parasite Identification P-C 500 / P-A 500 / P-B 500 / Performance By Mailing Satisfactory 100 Satisfactory 100 Satisfactory 100 Regulatory Status for Parasitology Cumulative Regulatory Performance Interpretation: Successful Page 3 of 3