SOW CAP Contract FY2024 2.pdf

Statement of Work

Laboratory Proficiency Testing Materials Part 1: General Information

A. Introduction The Cass Lake Service Unit (CLSU) provides healthcare services including Emergency Medical services, family practice, internal medicine, pediatrics, dental, optometry, physical/occupational therapy, lab/radiology with mammography and bone density, pharmacy, mental health services, nutrition/diabetic educator services, and contract health services. The laboratory at Cass Lake services the entire facility. The purpose of this contract is to obtain proficiency testing materials with CAP (College of American Pathologists) in order to meet compliance standards for CLIA licensing and department accreditation though Joint Commission. Proficiency testing is completed at a minimum, quarterly. These materials will be used at the Cass Lake Hospital.

B. Background USPHS Indian Hospital Laboratory is Joint Commission accredited and has been for over 15 years. Joint Commission requires laboratories to perform proficiency testing and calibration verification on all test done on patient samples in the laboratory. Joint Commission has a number of checklist items to follow in order to be accredited. The Quality System Assessment for Nonwaived Testing has a section on Proficiency Testing. It is QSA.01.01.01 through QSA.01.03.01 Proficiency Testing (PT) Participation. It states Joint Commission Accredited laboratories must participate in a Joint Commission approved proficiency testing program for all regulated analytes run in the laboratory.

C. Special considerations

Indian Health Service Chapter 6 requires lab to use CAP for Proficiency Testing and Calibration Verification/Linearity. Cass Lake has a long history with CAP PT program. It is not advantageous to the government to switch suppliers.

These are the tests that are performed at Cass Lake HIS that are needing to covered by the proficiency testing program:

CHEMISTRY

Hgb A1C Acetaminophen Albumin Alkaline Phosphatase

ALT Ammonia Amylase AST

BHCG BUN Calcium Cholesterol

CK CK-MB Chloride CO2

Creatinine Urine Creatinine CRP Direct Bilirubin

Digoxin ETOH Ferritin Folate

T3, Free T4, Free GGT Glucose

HDL Iron Potassium Lactic Acid

LDH LDL Lipase Magnesium

Microalbumin Myoglobin Sodium Procalcitonin

Phosphate ProBNP PSA Total protein

Salicylate Total Bilirubin Triglyceride Troponin T

TSH Uric Acid Vitamin B12 Vitamin D

Infectious Mono Influenza A&B RSV Strep A

Covid-19 Ketones pH pCO2 pO2 TCO2 HCO3 Amniotic Fluid Testing

WB Coaguchek Testing

WB Glucometer Testing

Need Quality Cross Check For: Covid-19 and Whole Blood Glucose

HEMATOLOGY

WBC RBC HGB HCT

MCV MCH MCHC RDW

PLT MPV NEUT % NEUT ABS.

LYMPH % LYMPH ABS. MONO % MONO ABS.

EOS. % EOS. ABS BASO. % BASO ABS.

WBC,RBC, AND PLT MORPHOLOGY Peripheral Blood Smear

PT PTT ESR D DIMER

URINALYSIS

Specific Gravity pH Glucose Bilirubin

Ketones Protein Urobilinogen Nitrates

Blood Leukocytes HCG Occult Blood

UDS KOH Wet Prep Stool for WBC CT/NG

KOH fungal Prep Urinalysis Microscopic:

WBC,RBC,Epi Cells,Casts, Crystals, Bacteria, Mucus

TESTING REQUIRING LINEARITY TESTING

Hgb A1C Acetaminophen Albumin Alkaline Phosphatase

ALT Ammonia Amylase AST

BHCG BUN Calcium Cholesterol

CK CK-MB Chloride CO2

Creatinine Urine Creatinine CRP Direct Bilirubin

Digoxin ETOH Ferritin Folate

T3, Free T4, Free GGT Glucose

HDL Iron Potassium Lactic Acid

LDH LDL Lipase Magnesium

Microalbumin Myoglobin Sodium Procalcitonin

Phosphate ProBNP PSA Total protein

Salicylate Total Bilirubin Triglyceride Troponin T

TSH Uric Acid Vitamin B12 Vitamin D pH pCO2 pO2

WBC RBC HGB HCT

MCV MCH MCHC RDW

PLT MPV NEUT % NEUT ABS.

LYMPH % LYMPH ABS. MONO % MONO ABS.

EOS. % EOS. ABS BASO. % BASO ABS.

D Dimer