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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.
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Laboratories no longer submit the following
attachments as part of their applications for accreditation or
reaccreditation:
Medical
licenses for all physicians
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Credential cards for all sonographers
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Policy for the method and frequency for replenishing
emergency supplies
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Infectious disease policy
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Transducer cleaning policy
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Policy for handling acute medical emergencies
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Maintenance agreements for all ultrasound equipment
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Patient assessment and monitoring policies and forms
for Stress and TEE
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Conscious sedation policy for TEE
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TEE transducer cleaning policy
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Continuing Medical Education (CME) documentation
(Please
note: CME pages within the application must
be completed
and submitted.)
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Laboratories must continue to submit the following
attachments as part of their applications for accreditation or
reaccreditation:
Technical protocols for each testing section
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Policy for reconciling differences between preliminary and final reports (if the laboratory prepares preliminary reports)
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Laboratory-specific, comprehensive quality assurance policy
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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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