State Operations Manual (Pub. 100-07), Ch. 6 § 6116
Information Gathering
6116 - Information Gathering
(Rev. 199, Issued: 01-17-20, Effective: 01-17-20, Implementation: 01-17-20)
The technique for information gathering includes observation, interviews, and record
review and these are usually performed concurrently. The information gathering
process is critical in the determination of quality laboratory testing. Gather sufficient
information to evaluate the laboratory’s operations without being overly intrusive or
gathering excessive information. As each laboratory is unique in the services offered,
the order of gathering information may be different for each survey. The timing for
observing testing and the availability of staff for interview may determine the
sequence of the survey.
Consider the laboratory’s compliance history (including, but not limited to, deficient
practices and Plans of Correction). Verify the correction of all previously cited
deficiencies and continued compliance with CLIA regulations. Pay particular attention
to deficiencies that the laboratory has failed to correct. Refer to enforcement
requirements at 42 CFR Part 493, Subpart R, if needed.