- Rights of Patients
- Governance
- Administration
- Quality of Care Provided
- Quality Management Improvement
- Clinical Records and Health Information
- Infection Prevention and Control and Safety
- Facilities and Environment
- Anesthesia Services
- Surgical & Related Services
- Pharmaceutical Services
- Pathology & Medical Laboratory Services
- Diagnostic & Other Imaging Services
- Other Professional & Technical Services
- Health Education and Health Promotion
| Adjunct Chapter_ only applicable standards will be addressed | |||
| I.D. | Chapter | Evidence | Notes |
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12 |
Subchapter 2 -CLIA Laboratories |
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12.A |
Pathology and Medical Laboratory Services |
The lab at WKUHS is CLIA certified for moderate complexity tests. |
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12.B |
Pathology and Medical Laboratory Services |
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12.C |
Pathology and Medical Laboratory Services |
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12.C.1 |
Pathology and Medical Laboratory Services |
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12.C.2 |
Pathology and Medical Laboratory Services |
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12.C.3 |
Pathology and Medical Laboratory Services |
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12.C.4 |
Pathology and Medical Laboratory Services |
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12.D |
Pathology and Medical Laboratory Services |
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12.E |
Pathology and Medical Laboratory Services |
WKUHS's Medical Director has training as a lab director and is responsibl for the lab along with the lab manager. |
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12.F |
Pathology and Medical Laboratory Services |
Ancillary:Credential/Privilege | Both the Lab Manager and Technologist are ASCP certified Medical Techologists. |
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12.G |
Pathology and Medical Laboratory Services |
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12.H |
Pathology and Medical Laboratory Services |
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12.I |
Pathology and Medical Laboratory Services |
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12.J |
Pathology and Medical Laboratory Services |
The WKUHS Medical Director serves as a MRO. | |
