OAR 333-024-053
(1) Accreditation organizations shall:
- (a) Provide the Division with;
- (A) Documentation of current deemed status from the Health
Care Financing
Administration;
- (B) A list of all laboratories and accreditation expiration
dates;
- (C) A list of scheduled surveys and proposed survey dates;
- (D) Copies of routine survey findings, upon request;
- (E) Copies of all complaint investigations performed.
- (b) Allow the Division to investigate complaints, conduct complaint
or random on-site
validation surveys and take disciplinary action.
- (c) Provide a detailed description of the organization's survey
process, including:
- (A) Frequency of surveys performed;
- (B) Copies of survey forms and guidelines;
- (C) Accreditation survey review process;
- (D) Deficiency writing and monitoring process;
- (E) Policy on facility notification prior to survey;
- (F) Surveyor qualifications;
- (G) Policy for the investigation of complaints on accredited
laboratories;
- (H) Description of all types and categories of accreditation
offered; and
- (I) Procedure for proficiency testing monitoring including;
- (i) Frequency of monitoring;
- (ii) Correlation of proficiency testing with
subspecialties, specialties,
and analytes performed by the laboratory;
- (iii) Definition of unsuccessful performance; and
- (iv) Action to be taken regarding unsuccessful
performance.
- (d) Notify all of their accredited laboratories within 10 days of
the loss of
accreditation authority in Oregon.
- (e) Notify the Division:
- (A) Within 30 days of any changes in accreditation
requirements;
- (B) Verbally, within 5 days of identifying any deficiency
posing an
immediate and serious risk to patient or staff safety or health in
an
accredited laboratory, to be followed by a written notification
within 14 days
of the verbal notification;
- (C) Of actions taken due to unsuccessful proficiency testing
performance;
- (D) Within 30 days of enforcement or sanction actions taken
against their
accredited laboratories;
- (E) Within 30 days if a laboratory terminates it's
accreditation; and
- (F) Within 30 days if the organization revokes a laboratory's
accreditation.
(2) Accredited laboratories shall:
- (a) Notify the Division of accreditation or changes in accreditation
status within
30 days of occurrence;
- (b) Authorize proficiency testing providers to submit copies of all
proficiency
testing results to the Division;
- (c) Allow the Division to investigate complaints, conduct complaint
or random on-site
validation surveys, and take disciplinary action;
- (d) Have a valid State License;
- (e) Reapply for licensure within 60 days after the accrediting
organization's deeming
authority has been withdrawn;
- (A) Pay applicable fees;
- (B) Submit to survey by the Division; and
- (C) Meet all applicable requirements for non-accredited
laboratories in the
appropriate licensure categorization.
- (f) Reapply for licensure within 30 days after the withdrawal or
revocation of the
laboratory's accreditation by the accrediting organization;
- (A) Pay applicable fees;
- (B) Submit to survey by the Division; and
- (C) Meet all applicable requirements for non-accredited
laboratories in the
appropriate licensure categorization.
(3) The Division may deny or terminate the license of a
laboratory if the owner fails
to authorize the accrediting organization to notify the Division
of the laboratory's
compliance with the accrediting organization requirements.
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