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  • 1.  Clinical chart audits

    Posted 01-15-2024 12:07
    We are instituting a clinical chart audit for our RNs and NPs. Would anyone be willing to share your process, policy and any other helpful resources to implement a meaningful and impactful program?


  • 2.  RE: Clinical chart audits

    Posted 01-16-2024 08:48

    Hi Leslie, 

    What are you auditing? We have an audit process specific to Telephone Triage. 



    ------------------------------
    Susanna Gadsby MSN, MBA, AMB-BC, NPD-BC
    Clinical Educator, Ambulatory
    AAACN Certified
    Nursing Professional Development Specialist
    susanna.m.gadsby@hitchcock.org
    ------------------------------



  • 3.  RE: Clinical chart audits

    Posted 01-17-2024 08:58

    Good morning,

     

    Our triage department monitor stats including calls per hour, talk time, and wrap up (documentation) time. We also have recorded calls so we review calls with the team during one on ones or if any concerns arise.

     

    Thank you,

     

    Ashley Rosa, MSN, RN

    Manager Ambulatory Care Management

    Bronson Healthcare Group
    Office: (269) 341-8513

    ~You cannot improve what you do not measure~

     




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  • 4.  RE: Clinical chart audits

    Posted 01-16-2024 09:31

    Leslie, could you provide some more information about starting clinical chart audits on RNs and NPs. More specifically, what is the role of the RNs you're monitoring? Primary Care? Specialty Care? Telephone Triage, etc.? Was there a specific impetus for the auditing that you can share?

     

    I would not be able to comment on NPs as these are completed by the department that handles our ongoing professional practice evaluations.

     

     

    cam

     

    Courtney A. Monterusso BSN, RN, AMB-BC, FNS

    Performance Improvement Facilitator –Primary Care Nursing 

    ONS Detail Electronic Enterprise Standardization Consultant

    VA St. Louis Health Care System | 915 N. Grand Ave, St. Louis, MO 63106 

    314.652.4100 ext. 54396 or 289-7676  11F/JC  courtney.monterusso@va.gov

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