chart audit tool

Specialties LTC Directors

Published

does anyone have a chart audit tool they wouldnt mind sharing. i have recently taken a DON position in a facility and chart auditing has never been done. we have had pre survey the last two days and so many things has came to light that needs work asap. GDR's have not been done timely or at all since january, careplans in MDS all need redone, and many other things.

at my last job i was mds coordinator and made a really nice sheet for audits but of course i had to leave it behind when i left my job. is anyone willing to share?

thanks

donia

cfaith

55 Posts

Specializes in Addiction.

Need a little clarification: Are you looking for a UR audit tool or a Quality Record Review audit tool?

CapeCodMermaid, RN

6,090 Posts

Specializes in Gerontology, Med surg, Home Health.

Ive got one on my computer at work. I'll post it tomorrow.

AlleeBooRN

67 Posts

Specializes in OB, ER.

i want to audit my charts to be sure everything is in place for survey? from front to back!

I have been looking for the same thing, can you share as well. Would be greatly appreciated. I am a new ADNS, acted for about 3 weeks

NurseGuyBri

308 Posts

Specializes in LTC, Education, Management, QAPI.

LOL I'm looking for something similar. Every time I try to make one of my own, I end up throwing it away and just making notes on paper. Not the most functional, but it works. I'd love to see what someone comes up with!

hotty116

1 Post

I am also looking for audit tools if any one cares to share theirs!

NurseAlwaysNForever

3 Articles; 129 Posts

Specializes in Hospice, LTC.

I want one too! Lol.

rycowart

1 Post

If the audit is still available I would love to have it as well. Also, a careplan audit. Doing a full house sweep on a facility with 105 beds.

Did anyone ever get a chart audit tool?

Johnny226

3 Posts

I use Word to make audit tools. Can you be more specific about what you're looking for? What are the areas triggering for you?

I'm looking for a general chart audit tool, to make sure everything is there and where it's supposed to be.

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