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Quality Assessment Performance Improvement Records Reviews

Stay in compliance by staying on top of your Clinical Record Reviews.

At least quarterly, an appropriate health professional should review a sample of both active and closed clinical records.  This will help determine whether established policies are followed.

THIS DOCUMENT INCLUDES CLINICAL RECORD REVIEW FOR THE FOLLOWING:

  • ADMISSION FORMS
  • POC/VERBAL ORDERS
  • MEDICATIONS
  • NURSING DOCUMENTATION
  • HOME CARE AIDE
  • PHYSICAL THERAPY
  • OCCUPATIONAL THERAPY
  • SPEECH THERAPY
  • MSW
  • BILLING
  • DISCHARGE CLINICAL RECORD REVIEW
  • PERSONNEL REVIEW CHECKLIST
  • QUARTERLY CLINICAL RECORD REVIEW

 


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