
Tracking document expiration and renewal deadlines
Maintain a document expiration tracking system with advance notice thresholds that prevents coverage gaps for medical licenses, certifications, IRB approvals, and insurance.
Six weeks, three participants, zero coverage
The site's CLIA laboratory certification expired six weeks ago. Nobody noticed. The certification -- a single sheet of paper in the regulatory binder's laboratory section -- carried an expiration date that passed quietly on a Tuesday in February while the study team was focused on a screening surge. The lab continued running specimens. The coordinator continued filing results. Three new participants were enrolled, their baseline labs processed by a laboratory that, on paper, lacked the federal certification required to perform the testing.