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In lieu of requiring all laboratories to submit the attachments listed below, the ICAEL now randomly audits a percentage of the applications received each quarter and requires ONLY that select group to submit the documentation. Laboratories randomly selected to submit the attachments receive notification via certified mail, addressed to the Medical and Technical Directors of the laboratory. Subsequently, the selected laboratories are given 45 days to return the required attachments to the ICAEL office for review. Failure by the laboratory to provide the ICAEL with the documentation within the 45 days of such request during the accreditation review process will result in postponement of the accreditation decision.

To continue to ensure the integrity of the accreditation program, the Medical Director of each applicant laboratory is required to sign, and have notarized, the Random Audit Acknowledgment/Consent document, agreeing to maintain accurate and current documentation in a file on site at all times, in a manner that is consistent with any reasonable policies and procedures established by the ICAEL. By signing the Random Audit Acknowledgment/Consent, the laboratory's Medical Director will, in turn, be providing consent for the laboratory to be audited at any time.

The signed and notarized Random Audit Acknowledgment/Consent is required with each application submission and can be downloaded at www.icael.org/icael/pdfs/randomaudit.rtf.

Laboratories no longer submit the following attachments as part of their applications for accreditation or reaccreditation:

Medical licenses for all physicians
--
Credential cards for all sonographers
--
Policy for the method and frequency for replenishing emergency supplies
--
Infectious disease policy
--
Transducer cleaning policy
--
Policy for handling acute medical emergencies
--
Maintenance agreements for all ultrasound equipment
--
Patient assessment and monitoring policies and forms for Stress and TEE
--
Conscious sedation policy for TEE
--
TEE transducer cleaning policy
--
Continuing Medical Education (CME) documentation
(Please note: CME pages within the application must
be completed and submitted.)

Laboratories must continue to submit the following attachments as part of their applications for accreditation or reaccreditation:

Technical protocols for each testing section
--
Policy for reconciling differences between preliminary and final reports
(if the laboratory prepares preliminary reports)
--
Laboratory-specific, comprehensive quality assurance policy
--
Documentation of ongoing quality assurance: the written records for a three-month period of quality assurance, including correlation records and meeting minutes

 

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