We are a small rural hospital and I abstract from a paper chart. We're currently between 40-50 records a month, with the majority PN & HF. We review 100% of our applicable SCIPs, but we have to sample some of the other charts to get enough. Our corporate offices say one hour per chart. Which is great if you can find the chart, and when you find it, the chart is complete. Sometimes it's 15 minutes, and sometimes I have to track down a missing x-ray, discharge summary, lab slips...you get the picture. And yes, OPPS has me very nervous. Sampling is always an option, but if your numbers are a little iffy, the volume helps a little. Nikki