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Additional Supplemental Testing
If the laboratory performs any additional supplemental testing such as digit pressures or exercise testing, at least two (total) abnormal cases must be submitted. It is not necessary to send an example of every type of supplemental examination; simply select one or two of the modalities most regularly performed and include these cases, making sure one of the cases is abnormal.

LOW VOLUME LABORATORIES

If the laboratory performs an annual volume of 60 to 100 primary examinations, they must submit an additional four complete and bilateral primary case studies for a total of nine (9) cases. At least two of the additional cases must be abnormal. All required additional supplemental case studies must also be submitted.

If the laboratory performs less than 60 primary examinations per year, they must submit an additional seven complete and bilateral primary case studies for a total of twelve (12) cases. At least two of the additional cases must be abnormal. All required additional supplemental case studies must also be submitted.

Case Study Requirements: Reaccreditation Applicants

Because laboratories applying for reaccreditation have previously documented substantial compliance to the Standards, the number of required case studies at reaccreditation is reduced. That being said, however, laboratories must bear in mind that the fewer number of cases are strictly held to the requirements of the Standards and any deviation from the required elements will cause a delayed accreditation decision.

Primary Testing
If the laboratory performs at least 100 primary examinations per year, three (3) complete representative case studies are required. All three must be abnormal and of varying degrees of severity.

If performed in the laboratory, the following supplemental testing case studies are required:

Arterial Duplex
If the laboratory performs arterial duplex examinations, and it is not submitted as a primary testing examination, one abnormal case study must be submitted.

AAA Duplex
Laboratories performing abdominal aorta duplex examinations must submit one abnormal case.

Upper Extremity
If the laboratory performs upper extremity examinations, one abnormal case must be submitted.

Additional Supplemental Testing
If the laboratory performs any additional supplemental testing such as digit pressures or exercise testing, at least one (total) abnormal case must be submitted. It is not necessary to send an example of every type of supplemental examination, but select one modality that is most regularly performed and include.

LOW VOLUME LABORATORIES

If the laboratory performs an annual volume of 60 and 100 primary examinations, they must submit an additional two complete bilateral primary case studies for a total of five (5) cases. At least one of the additional cases must be abnormal.

The Results

Avoiding common case study submission errors will aid in the review process and keep your application on track for a timely and accurate peer review. Always be certain to review The ICAVL Standards, located on the website at www.icavl.org/icavl/apply/standards.htm, to ensure that your laboratory meets the minimum requirements for case study documentation. Accreditation decisions are often delayed due to incomplete case documentation and reports; providing an appropriate number of cases will assist in a timely review.

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