Mammography Facility Adverse Event and Action Report - July 1, 2019: Valley Health Page Memorial Hospital Family Medicine Shenandoah
Background
As part of the Mammography Quality Standards Act (MQSA), Congress mandated that there be annual reporting of adverse actions taken against mammography facilities. Congress stipulated that the report be made available to physicians and the general public and that it should include information that is useful in evaluating the performance of mammography facilities nationwide. In order to provide this information in the timeliest manner, we now post the following information in "real time," as actions taken against mammography facilities are concluded.
Mammography Facility Against Which There Was An Adverse Action
The State of Virginia
Facility Name and Address
Valley Health Page Memorial Hospital Family Medicine Shenandoah
505 Williams Avenue
Shenandoah, VA 22849
Facility ID Number
243989
Adverse Event
On January 31, 2019, the American College of Radiology (ACR) initiated an Additional Mammography Review (AMR) of mammograms performed by this facility due to deficiencies noted with the clinical images submitted during the initial accreditation process.
On March 22, 2019, the ACR notified the Food and Drug Administration (FDA) and the facility that the AMR revealed serious deficiencies with the clinical image quality and failed to meet the ACR's clinical image evaluation criteria.
Action Taken
Based on the failed AMR results, on April 3, 2019, the ACR revoked the facility's mammography accreditation.
Furthermore, on April 03, 2019, the FDA declared the facility's MQSA certificate to be no longer in effect until such a time as the facility's accreditation is reinstated and the facility has complied with all the requirements of the FDA.
Corrective Action
Based on the serious image quality deficiencies noted during the AMR, the FDA required the facility to perform a Patient and Referring Healthcare Provider Notification (PPN) to alert all at-risk patients and their providers of the mammography quality problems at the facility.
The facility successfully completed the PPN and was notified of such by the FDA on May 30, 2019.
Status of the Facility
The facility is currently not performing mammography.